Can You Apply for Disability During FMLA Leave?

If you are dealing with a disability and need to take time off from work, you may be wondering if you can apply for disability benefits while on FMLA leave. It is important to understand how these two federal laws, ADA and FMLA, interconnect when it comes to medical and disability-related leave.

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What is the Family Medical Leave Act?

The Family Medical Leave Act (FMLA) is a federal law that provides eligible employees with up to 12 weeks of unpaid, job-protected leave per year for certain medical and family-related reasons. The purpose of the FMLA is to enable employees to balance their work and family responsibilities while maintaining the security of their jobs and health benefits.

It applies to employers with 50 or more employees within a 75-mile radius, and employees must have worked for the company for at least 12 months and have worked 1,250 hours in the 12 months prior to taking leave.

Can You Apply for Disability During FMLA Leave?

Yes, an employee can apply for disability during FMLA leave but it is important to note that FMLA leave does not provide disability benefits. FMLA only provides job-protected leave for employees who need to take time off due to their own serious health condition or to care for a family member with a serious health condition.

Any disability benefits would need to be applied for separately through a disability insurance policy, the Social Security Administration, or other sources.

It is also important to note that if an employee does apply for and receive disability benefits, their FMLA leave may be counted toward their 12-week leave entitlement. This means that if an employee takes 8 weeks of FMLA leave and then begins receiving disability benefits, those 8 weeks of FMLA leave will count toward their 12-week entitlement and they will only have 4 weeks of FMLA leave remaining once they return to work.

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Employers may have their own policies regarding disability leave, so it is important for employees to review their company’s policies and speak with their human resources department to fully understand their options and entitlements.

Short-Term Disability Insurance and FMLA

Short-term disability insurance is a type of insurance that provides partial income replacement for individuals who are unable to work due to an illness or injury. It typically only covers a portion of an individual’s income, and benefits are only provided for a limited period of time.

The eligibility criteria for short-term disability insurance can vary depending on the specific policy, but generally, individuals must have worked for their employer for a certain amount of time before becoming eligible for benefits.

When it comes to the relationship between short-term disability insurance and FMLA, it’s important to note that FMLA leave is unpaid. However, employees may be able to use their short-term disability benefits to replace a portion of their income during their FMLA leave.

In order to be eligible for FMLA leave, employees must work for a covered employer and have worked for that employer for at least 12 months. They must also have worked at least 1,250 hours during the 12-month period prior to the start of the FMLA leave.

While receiving short-term disability benefits, employees may also be required to provide regular updates to their employer regarding their condition and their ability to return to work. Employers may also require employees to provide documentation from healthcare providers regarding their illness or injury.

Can You Get Short-Term Disability Benefits and FMLA Leave at the Same Time?

It is possible to receive short-term disability benefits and take FMLA leave simultaneously. However, it is important to note that short-term disability benefits are typically considered a form of income replacement, while FMLA leave provides job protection and continuation of health benefits.

One potential benefit of taking short-term disability and FMLA leave together is the continuation of income during the period of recovery. This can provide financial stability and reduce stress, allowing the employee to focus on their health and recovery.

However, there are also drawbacks to taking short-term disability and FMLA leave together. For example, the combination of these benefits may result in a reduced amount of time off work for the employee in the long run.

Additionally, taking short-term disability and FMLA leave together may require additional paperwork and documentation, which can be burdensome for both the employee and employer.

It is important to consult with your employer and healthcare provider to determine the best course of action for your individual situation. They can advise you on which benefits you are eligible for and how to apply for them.

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It is also important to ensure that you understand your legal rights and protections under the FMLA and any other applicable state and federal laws.

Social Security Disability Insurance and FMLA

Social Security Disability Insurance (SSDI) is a federal program designed to provide financial assistance to people who have a disability that prevents them from working. However, it is not possible to receive SSDI and FMLA leave simultaneously since FMLA leave is unpaid and you can only receive SSDI if you have lost wages because of your disability.

Approval for Social Security disability benefits can also take months or even years. It may be beneficial to take FMLA leave while waiting for approval in order to maintain job protection during the disability process.

However, taking both at the same time means losing the protection of job status when work is restarted.

How Paid Leave Works When You Don’t Have Disability Insurance

If you are not eligible for short-term disability benefits or do not have disability insurance, you may still have options for paid leave if you become injured or ill. The type of leave available to you will depend on your employer and the state in which you work.

Here are some common types of paid leave that may apply to your situation:

  • Personal time off (PTO) – Many companies offer PTO to employees to use for vacation or sick days. Depending on your employer’s policy, you may be able to use your PTO for medical-related absences. It’s important to check your employer’s policy to see if there are any restrictions or requirements for using PTO for medical reasons.
  • Sick leave – Certain states require employers to offer paid sick leave to their employees. This time can be used for medical-related absences, including if you become injured or ill and cannot perform your regular job duties.
  • Family and Medical Leave Act (FMLA) – If you work for a company with 50 or more employees and have been employed for at least one year, you may be eligible for up to 12 weeks of unpaid FMLA leave per year. This leave can be used for medical-related absences, including if you become injured or ill and cannot perform your regular job duties. Your employer may require you to use any available PTO or sick leave during your FMLA leave.

It’s important to note that these types of paid leave may not cover all of your lost wages, especially if you are unable to work for an extended period of time. If you are unable to work due to a disability, you may be eligible for disability benefits through the Social Security Administration (SSA) or your state’s disability insurance program.

It’s best to consult with a qualified attorney or financial advisor to discuss your options and ensure you receive the appropriate benefits.

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States with Paid Family Leave and Paid Medical Leave

If you are looking for paid leave options, you may be wondering which states offer paid family leave or paid medical leave benefits. Luckily, there are currently eleven states and the District of Columbia that offer paid family and medical leave.

These states are California, Colorado, Connecticut, Delaware, Massachusetts, Maryland, New Jersey, New York, Oregon, Rhode Island, and Washington.

Each state has its own eligibility requirements and amount of paid leave available, so it’s important to research the specifics of the state you live in. In addition to paid family leave, some states also offer paid medical leave benefits.

Generally, these benefits provide wage replacement for individuals who need to take time off to care for their own health condition, rather than a family member’s condition.

It is worth noting that not all employees may qualify for state paid leave benefits. Additionally, there may be specific requirements or waiting periods before an employee can apply for these benefits.

It’s important to research and understand the laws and regulations of the state you live in to fully take advantage of these benefits.

Frequently Asked Questions

Can you apply for disability while on FMLA?

Yes, you can apply for disability while on FMLA. However, you cannot receive SSDI payments concurrently with your FMLA leave.

What is the difference between short-term disability and FMLA?

Short-term disability is paid, while FMLA leave is unpaid. Other differences include the length of leave, qualifying reasons for leave, and employee eligibility.

What is the Non-Industrial Disability (NDI) Program?

The NDI program is a wage continuation program that offers full pay, not to exceed the specified weekly amount based on the employee category.

What is Paid Family Leave?

Paid Family Leave is available in 11 states and the District of Columbia. It provides employees with paid leave for family and medical reasons.

What are the eligibility requirements for Disability Insurance (DI) benefits?

In order to be eligible for DI benefits, you must be unable to do your regular or customary work, have lost wages because of your disability, and be employed or actively looking for work at the time your disability begins.

Conclusion

Employees who have become ill, disabled, or injured while on the job may be eligible for disability-related leave under federal laws such as the Americans with Disabilities Act (ADA) and the Family and Medical Leave Act (FMLA). To qualify for DI benefits, employees need to have been unable to work for at least eight days due to a disability or an injury.

Paid family and medical leave, short-term disability insurance, and non-industrial disability programs are also available in certain states.

Regarding the question of whether an employee can apply for disability while on FMLA leave, the answer is yes. However, employees cannot receive Social Security disability payments while still on FMLA, as they are still considered to be employed.

It is recommended that employees seek legal advice if necessary, especially if they feel that their rights have been violated by their employers.

References

Lora Turner
 

Lora Turner is an Experienced HR professional worked with the large organizations and holding 15 years of experience dealing with employee benefits. She holds expertise in simplifying the leave for the employee benefits. Contact us at: [email protected]