Workers Compensation Leave? Consider FMLA!

If you are an FMLA-covered employer, you should always consider whether an employee who requires time off of work due to a work-related injury or illness is eligible for leave under the Family and Medical Leave Act (FMLA) (and/or possibly leave under a state law).

Certain workers’ compensation (WC) leaves may also be covered under the FMLA.  An employee’s FMLA leave may run concurrently with a WC absence when the injury is one that meets the criteria for a “serious health condition” under the FMLA (and the employee satisfies all other eligibility criteria).

It’s important to note that, in general, an employer is responsible for designating an employee’s leave as FMLA leave as soon as it has enough information to believe the employee’s leave is covered.

Failing to designate this leave as FMLA leave may be a violation of the FMLA, and the employee may still be entitled to FMLA leave once the WC absence has ended.

Where an employee’s WC leave is also covered by FMLA, the employer should run the FMLA leave concurrently (at the same time) with the WC absence. Doing so will help ensure the employer complies with all of its obligations. For example, when an employee’s WC leave is also covered under the FMLA, the employer must maintain group health coverage for the duration of the employee’s FMLA leave.

The employer is required to maintain the group health plan benefits on the same terms and conditions as prior to the employee going on leave.  This includes the employee continuing to pay his or her required portion of the premium.

Also, offers of light duty may be affected when an employee’s work-related injury or illness is covered by the FMLA.  An employee may decline the employer’s offer of a light-duty job, if it is not the same or is not an equivalent job to the job the employee left.  However, an employee who turns down a light-duty job may lose WC payments, but is entitled to remain on unpaid FMLA leave until the FMLA entitlement is exhausted.

If the employee accepts the light-duty position in lieu of FMLA leave, the employee retains the right to the original or to an equivalent position.

If an employee is unable to return to work or is still in a light-duty job after the FMLA leave entitlement has been exhausted, the employee no longer has the protections of the FMLA.  However, an employer must examine the workers’ compensation statute and the Americans with Disabilities Act to determine if the employee has further protections.

Four Reasons to Love Your Mortgage

1.     It’s probably the cheapest way to borrow  –  The interest incurred is tax-deductible and the rate should be low as the loan is secured by your home.

2.     It creates leverage – A mortgage can be compared to opening a margin account at a brokerage because it can increase your assets with borrowed money.  The difference is your mortgage lender can’t demand it’s money back if your home price drops.

3.     It’s a back-up source of funds for emergencies – If you have some equity built up, consider setting up a home-equity line of credit.  Large medical bills or repairs can be funded by borrowing against the equity you have built up.

4.     It makes inflation your friend – Like other hard assets, real estate tends to hold its value when inflation picks up. With a mortgage, you get double the protection.  The payments on a fixed rate mortgage stay constant even with rising inflation, which means in the future you are paying with less valuable dollars while the value of your home could be increasing.

National Cyber Security Awareness Month

The news headlines are filled with stories about high profile cyber breaches.  Recent examples include Yahoo, the Democratic National Committee (DNC), and the World Anti-Doping Agency (WADA).  These high profile cases can affect very large number of customers (Yahoo) or sensitive information (DNC emails, WADA test results).   Most businesses do not have the public profile of these three victims but the threat to small and mid-sized businesses is very real.  According to Symantec, 43% of cyber attacks target small businesses.

The potential cyber exposure can take on many forms.  Hacking and stealing sensitive information is one common and well documented cause.  Other causes can include theft of a laptop or cell phone, careless disposal of paper records, and theft / vandalism by a disgruntled or former employee.  Medical records are one of the more sought after targets by cyber criminals.  Other types of Personally Identifiable Information (PII) that must be legally protected include drivers’ licenses, credit card numbers, birth dates, court records, banking records and email addresses.  Social Engineering theft where outside party tries to mimic a manager in order to obtained wired funds is another common criminal tactic.

Relying on a third party such as cloud storage firm or credit card processing service does not insulate you from cyber exposure.   Contracts with these providers will favor the bank or servicing firm.  In fact, a merchant responsible for a breach might be contractually liable for damages incurred by the bank or processor.

Limiting your exposure to a cyber breach starts with good internal controls and employee training.  Keeping your software and firewall up to date are also important risk management strategies.  According to the Ponemon Institute, the causes for breaches involve human error (23%), system glitch (27%) and malicious or criminal act (50%).

The Department of Homeland Security has made October the National Cyber Security Awareness Month.  You can find a number of articles regarding various cyber issues on their website at  https://www.dhs.gov/national-cyber-security-awareness-month.  A data breach calculator can be found at http://www.ibmcostofdatabreach.com/.

Cyber Risk insurance is now widely available and affordable.  This type of insurance can be written to defend against litigation resulting from a breach as well as providing coverages for incurred expenses such as notification of impacted individuals, credit monitoring, business interruption, theft and extortion.  Please contact us if you would like to learn more about this insurance or if you would like to obtain pricing for this coverage.

Medicare D Compliance Overview

Employers with group health plans that provide prescription drug coverage must notify Medicare Part D eligible individuals by October 14th of each year about whether the drug coverage is at least as good as the Medicare Part D coverage (in other words, whether their prescription drug coverage is “credible”).

Please click here to learn more.

 

Fair Labor Standards Act (FLSA) Scorecard

Failure to comply with the FLSA can result in lawsuits, criminal charges, fines and restrictions in commerce. The scorecard tool will help you make a general estimate of risk.

Click here to download FSLA Scorecard

Employee in the News-Steve King

If you are a Patriot’s fan, you must remember Steve King, a former linebacker with the Patriots from 1973-1981. Steve is best remembered as the first player to sack 4 future Hall of Fame quarterbacks in the same year: Joe Namath, Terry Bradshaw, Fran Tarkenton, and Bob Griese.

Steve continues to remain active with the New England Patriots Alumni Club, participating in volunteer events to support and promote youth football.

He is also very involved in community service. Steve currently serves as President and Board Member of Friends of Wrentham, Inc. (F.O.W.), a non-profit organization formed in 1979 to benefit the intellectually challenged residents of the Wrentham Developmental Center. They have provided ancillary needs the state does not fund, such as a walking/jogging track, an outdoor pavilion, an equestrian program, field trips, and a fitness gym, etc.. Since it’s inception, F.O.W. has raised approximately $2.2 million to benefit the residents of WDC.

Click here to meet Steve

Client Spotlight Biscom

We are pleased to spotlight Biscom in our summer newsletter.  Every day millions of users and thousands of enterprises rely on Biscom for secure and reliable document delivery solutions. Founded in 1986 Biscom developed the world’s first enterprise fax server. Since then, Biscom has developed additional solutions around secure file transfer, enterprise file synchronization and sharing, file translation, and secure mobile communication apps. Biscom also offers cybersecurity risk assessments and training.

They recently launched Biscom 123, a cloud based fax solution that gives small businesses and professionals the ability to send and receive faxes through email and mobile devices.

You can rely on Biscom’s Experience, Expertise, Reliability, Performance, and Support.  We wish them continued success.

Click here to learn more about them!

Making Sense of Certificates of Insurance

Understanding The Purpose Of Certificates Of Insurance

When stores lease real estate spaces or construction firms win jobs, the party on the other end usually has a very specific set of requirements. One of the main requirements is that the tenant, contractor or borrower must show proof that he or she has adequate insurance. Copies of insurance documents may be sufficient. However, not all companies want copies of documents sitting around. Space is valuable, and most banks do not have enough room to keep such copies of originals for every customer. A very helpful substitute for document copies is a Certificate of Insurance (COI). This item is simple to create and store. Unfortunately, not all firms and insurance buyers fully understand them.

ACORD constructed the forms that are most commonly used. Their instructions show that these certificates are intended for informational purposes. When some businesses receive these certificates, they think the items are contracts. However, the certificate is simply a snapshot of insurance provisions. It does indicate that a policy exists, but it is not the document that actually provides coverage. The only document that actually provides coverage when shown is the policy itself.

Standard certificates by ACORD state that insurers must provide advance notice to holders if policies are cancelled. Although policyholders rely on these words, they do not create a legal bond between the two parties. The only thing that can obligate the companies to give advance notice is the policy’s specific provisions. Many businesses want these certificates to have specific terms, phrases or words. However, agents have legal boundaries for such requests. The only way agents can add wording to a certificate is if the listed policies contain that wording. Changes are not always allowed.
Many states prohibit agents from handing out certificates implying provisions that are not included in the policies. For example, a certificate holder may want the item to state that coverage is primary and noncontributory. However, policies that do not reflect such information cannot have certificates indicate otherwise. Agents who add language implying otherwise could be in a great deal of trouble. Only the endorsements insurers issue can change policies. If an agent issues a certificate implying a change, this is a violation of the individual’s contract with the insurer and a violation of state insurance law.

Before you sign contracts including insurance provisions, we recommend verifying you comply with the coverage requirements. While we cannot provide any legal interpretations for the contract, we can certainly review the insurance provision and provide in-depth advice about the cost and availability of any missing elements. In some cases we may need to provide you with estimates for adding additional insurance coverages or increasing current limits. We can only issue certificates after coverage is in place. If certificates are used appropriately, they are valuable business tools. However, they can cause problems when they are used incorrectly.

Surety Bond Guarantee Program

The Small Business Administration (SBA) Surety Bond Guarantee Program
Presented by: Michael Regan

Did you know that the SBA, the federal organization that assists small businesses, will guarantee bid, performance or payment bonds issued on behalf of a small business by a surety company?

The guarantee program was implemented in an effort to help small construction businesses grow and share in the construction dollars expended by the federal government. However, the progam is not limited to federal work. They will issue guarantees on contracts at the state, municipal and private levels too.

Surety companies are conservative by nature. They want to bond construction companies that they know will be successful. However, there are many good contractors who may have some roadblocks to getting surety bonding. It may be because they are relatively new or lacking in financial capital. In these instances the SBA, after performing their own due diligence, can agree to issue a 90% guarantee to the surety of the bonds they issue.

The SBA also offers a cost neutral effort. The “fees” charged the contractors for the guarantees cover the cost of administering the program and funding the cost of any guarantees that are paid out.

The program has been very helpful to small, inner city contractors who may have limited, if any, access to standard surety.

Pay Equity Law

On August 1, 2016, Massachusetts Governor Charlie Baker signed legislation (S.B. 2119) aimed at eliminating gender-based pay discrimination.
Pursuant to the law, an employer may not discriminate in any way on the basis of gender in the payment of wages, including benefits or other compensation, or pay any person a salary or wage rate less than the rates paid to employees of a different gender for comparable work; provided, however, that variations in wages, including benefits or other compensation are not prohibited if based upon any of the following:

  • A bona fide system that rewards seniority with the employer (however, time spent on leave due to a pregnancy-related condition and protected parental, family, and medical leave may not reduce seniority).
  • A bona fide merit system.
  • A bona fide system that measures earnings by quantity or quality of production or sales.The geographic location in which a job is performed.
    • Education, training, or experience to the extent such factors are reasonably related to the particular job in question and consistent with business necessity.Travel, if the travel is a regular and necessary condition of the particular job.

Further, it is an unlawful practice for an employer to:

  • Require, as a condition of employment, that an employee refrain from inquiring about, discussing, or disclosing information about either the employee’s own wages, including benefits or other compensation, or about any other employee’s wages.
    • Screen job applicants based on their wage, including benefits or other compensation or salary histories, including by requiring that an applicant’s prior wages, including benefits or other compensation or salary history, satisfy minimum or maximum criteria; or request or require as a condition of being interviewed, or as a condition of continuing to be considered for an offer of employment, that an applicant disclose prior wages or salary history.
  • Seek the salary history of any prospective employee from any current or former employer. However, a prospective employee may provide written authorization to a prospective employer to confirm prior wages, including benefits or other compensation or salary history only after any offer of employment with compensation has been made to the prospective employee;
  • Discharge or in any other manner retaliate against any employee because the employee: ◦Opposed any act or practice made unlawful by this law;
  • Made or is about to make a complaint or has caused or is about to cause to be instituted any proceeding under this law;
    • Testified or is about to testify, assist or participate in any manner in an investigation or proceeding under this law; or
    • Disclosed the employee’s wages, benefits, or other compensation or has inquired about or discussed the wages of any other employee.

An employer may not contract with an employee to subvert the law. However, an employer may prohibit a human resources employee, or any other employee whose job responsibilities require access to other employees’ compensation information, from disclosing such information without prior written consent from the employee whose information is sought or requested, unless the compensation information is a public record.
Employers are required to post a notice in their workplaces notifying employees of their rights under the law.
The law goes into effect on July 1, 2018.