CLMS CERTIFICATION REVIEW SHEET FULL
SOLUTION ACTUAL QUESTIONS WITH
VERIFIED RESPONSES ALREADY PASSED
⩥ EE can take a combined total of 26 weeks of NY Disability and PFL
benefits for own illness or for family member illness..
Answer: true
⩥ NY PFL payments cover what type of absences?.
Answer: Weekly absences and day-long absences (continuous and
intermittent)
⩥ Can EE have several leaves approved for diff fam members at the
same time if total does not exceed 26 weeks for DBL and 12 week for
PFL?.
Answer: true
⩥ Tony lives in Massachusetts and adopts a aby Jan. 11, 2021. He
applies for eight weeks of baby bonding leave under MA PFML, starting
on the adoption date. In June of that same year, his mother in law suffers
from a stroke and requires constant care. Tony applies for eight weeks of
leave to care for her beginning on June 21. Under MA PFML how much
leave could Tony potentially qualify for?.
,Answer: Eight weeks of baby bonding, plus four weeks of time to care
for his mother in law, beginning on July 1, when care for fam member
becomes available.
⩥ Medical Certification Rules.
Answer: Generally EE has 15 days to complete HC. EE must pay any
costs for the cert/delivery to ER.
⩥ ER & Certs.
Answer: ER do not have to request certs
They can request certs, if so must be done with 5 business days.
can request at later date if have reason/need validity of leave.
cert request must be in writing
if requesting subsequent certs-verbal request is ok
once leave is approved/must not be questioned for 1 year
⩥ incomplete certification.
Answer: certifications that are missing required information
⩥ insufficient certifications.
Answer: certifications that provide some info but are lacking necessary
details to allow for decision making.
,⩥ Incomplete/insufficient certs process.
Answer: ER must provide written notice explaining specifically what is
missing on the cert. EE must be provided min of 7 days to provided
completed cert. If EE fails to do so, ER can make decision and issue
partial/full or denial of leave request.
⩥ How often can ER request certifications?.
Answer: No more often then 30 days and only in connection with
absence by EE.
⩥ What is the earliest an ER can request recertification?.
Answer: If leave is more than 30 days ER must wait until after duration
to request.
Indefinite duration ER can request recertification every 6 months.
⩥ What reasons will allow ER to request recert earlier than 30 days?.
Answer: EE request leave extn
circumstances have changed
ER has received info that causes reason to doubt validity of existing cert
⩥ medical certification.
Answer: ER may require EE to submit
Has to be filled out by healthcare provider
, OSHC or care of a fam member HC
Must let EE know which cert is required
must respond to request within 5 business days
⩥ What information is needed on a HC?.
Answer: HC provider info/contact
medical facts
length of conditions/ job function
if care of fam member is needed
intermittent leaves include f/d
depending on condition ER can request cert every year
⩥ What can an EE's direct supervisor never do?.
Answer: ask for information regarding certification
⩥ Recertification rules.
Answer: ER may request same info for recert as what was on original.
ER may provide the healthcare provider with EE's records of absences to
see if consistent with sHC.
EE responsible for HC cost
ER cannot request 2nd/3rd opinion process
ER must provide at least 15 days to provide recert
SOLUTION ACTUAL QUESTIONS WITH
VERIFIED RESPONSES ALREADY PASSED
⩥ EE can take a combined total of 26 weeks of NY Disability and PFL
benefits for own illness or for family member illness..
Answer: true
⩥ NY PFL payments cover what type of absences?.
Answer: Weekly absences and day-long absences (continuous and
intermittent)
⩥ Can EE have several leaves approved for diff fam members at the
same time if total does not exceed 26 weeks for DBL and 12 week for
PFL?.
Answer: true
⩥ Tony lives in Massachusetts and adopts a aby Jan. 11, 2021. He
applies for eight weeks of baby bonding leave under MA PFML, starting
on the adoption date. In June of that same year, his mother in law suffers
from a stroke and requires constant care. Tony applies for eight weeks of
leave to care for her beginning on June 21. Under MA PFML how much
leave could Tony potentially qualify for?.
,Answer: Eight weeks of baby bonding, plus four weeks of time to care
for his mother in law, beginning on July 1, when care for fam member
becomes available.
⩥ Medical Certification Rules.
Answer: Generally EE has 15 days to complete HC. EE must pay any
costs for the cert/delivery to ER.
⩥ ER & Certs.
Answer: ER do not have to request certs
They can request certs, if so must be done with 5 business days.
can request at later date if have reason/need validity of leave.
cert request must be in writing
if requesting subsequent certs-verbal request is ok
once leave is approved/must not be questioned for 1 year
⩥ incomplete certification.
Answer: certifications that are missing required information
⩥ insufficient certifications.
Answer: certifications that provide some info but are lacking necessary
details to allow for decision making.
,⩥ Incomplete/insufficient certs process.
Answer: ER must provide written notice explaining specifically what is
missing on the cert. EE must be provided min of 7 days to provided
completed cert. If EE fails to do so, ER can make decision and issue
partial/full or denial of leave request.
⩥ How often can ER request certifications?.
Answer: No more often then 30 days and only in connection with
absence by EE.
⩥ What is the earliest an ER can request recertification?.
Answer: If leave is more than 30 days ER must wait until after duration
to request.
Indefinite duration ER can request recertification every 6 months.
⩥ What reasons will allow ER to request recert earlier than 30 days?.
Answer: EE request leave extn
circumstances have changed
ER has received info that causes reason to doubt validity of existing cert
⩥ medical certification.
Answer: ER may require EE to submit
Has to be filled out by healthcare provider
, OSHC or care of a fam member HC
Must let EE know which cert is required
must respond to request within 5 business days
⩥ What information is needed on a HC?.
Answer: HC provider info/contact
medical facts
length of conditions/ job function
if care of fam member is needed
intermittent leaves include f/d
depending on condition ER can request cert every year
⩥ What can an EE's direct supervisor never do?.
Answer: ask for information regarding certification
⩥ Recertification rules.
Answer: ER may request same info for recert as what was on original.
ER may provide the healthcare provider with EE's records of absences to
see if consistent with sHC.
EE responsible for HC cost
ER cannot request 2nd/3rd opinion process
ER must provide at least 15 days to provide recert
