Free Extended Sick Leave Plan Template
Extended Sick Leave Plan
Prepared by: [Your Name]
Company: [Your Company Name]
Date: February 5, 2050
I. Purpose
The Extended Sick Leave Plan aims to provide comprehensive support for employees facing serious illnesses or medical conditions. By ensuring peace of mind regarding job security and financial stability during recovery, this plan promotes a healthy work environment and employee well-being. The structure and procedures outlined in this plan are designed to facilitate a smooth application process and clarify the rights and responsibilities of both employees and the organization.
II. Eligibility
A. Eligible Employees
This plan applies to full-time employees who have completed a minimum of 12 months of continuous service with [Your Company Name]. Employees who have demonstrated a commitment to the company and its values will be prioritized in the eligibility criteria. Part-time, temporary, or contract employees may not qualify for this extended benefit but may be considered for alternative leave options based on individual circumstances.
B. Qualifying Medical Conditions
Employees seeking extended sick leave must provide medical documentation indicating a serious health condition, prolonged illness, or medical treatment requiring extensive recovery time. Qualifying conditions may include, but are not limited to:
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Major surgeries (e.g., heart surgery, organ transplants)
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Serious mental health conditions (e.g., severe depression, anxiety disorders)
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Chronic illnesses (e.g., cancer, autoimmune diseases)
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Recovery from significant injuries (e.g., traumatic accidents)
III. Duration of Leave
Eligible employees may take up to a maximum of 26 weeks of leave within 12 months. The duration will depend on the severity of the medical condition and the recommendations made by a medical professional. Extensions beyond the 26 weeks may be considered under exceptional circumstances, with appropriate medical documentation.
IV. Application Process
A. Submitting a Request
To initiate a request for extended sick leave, employees must:
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Complete and submit the Extended Sick Leave Application Form, available on the company intranet or from the HR Department.
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Provide medical certification or appropriate documentation substantiating the need for extended leave. This should include details of the medical condition and the expected duration of absence.
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Submit the request to the HR Department at least 30 days before the anticipated start date or as soon as practicable, particularly in urgent situations.
B. Approval Process
Upon receiving an application, the HR Department will:
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Review all applications on a case-by-case basis, ensuring that decisions are fair and consistent with company policies.
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Consult with the employee's healthcare provider, if necessary, to confirm the validity of the request.
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Issue a decision in writing within 10 business days of receiving the application, outlining the approval status and any next steps.
V. Benefits and Compensation
A. Pay Continuation
During the leave period, employees may be eligible for a portion of their salary based on their accrued sick leave balance or any applicable short-term disability benefits. The specifics of pay continuation include:
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Sick Leave Benefits: Employees can use their accrued sick leave to cover a portion of their salary during the absence.
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Short-Term Disability: If applicable, employees may qualify for short-term disability benefits that provide financial support during extended leave.
B. Continuation of Insurance
Employees will continue to receive health insurance benefits under the current terms during the approved leave. Responsibilities include:
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Employees are required to pay their share of the premium payments on time to maintain their insurance coverage.
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HR will provide a breakdown of any necessary premium amounts and payment deadlines to ensure coverage continuity.
VI. Job Protection
Upon returning from an approved extended sick leave, employees are guaranteed the same or an equivalent position as held before taking leave. This includes:
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Job Security: Assurance that employees will not face retaliation or discrimination due to their absence for medical reasons.
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Benefits Restoration: Restoration of all benefits, including retirement plan contributions, seniority, and accrued leave balances, upon return.
VII. Return to Work Procedures
A. Medical Clearance
Before resuming work, employees must submit a fitness-for-duty certification from their healthcare provider. This certification should confirm that the employee is capable of performing their job responsibilities safely and effectively.
B. Notification to the Employer
Employees should notify the HR Department at least one week before the expected return date to facilitate any necessary workplace accommodations or adjustments. This includes:
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Discuss any required changes to work hours or duties based on the employee's health status.
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Ensuring a smooth transition back into the workplace to promote employee comfort and productivity.
VIII. Contact Information
For more information or assistance with the Extended Sick Leave Plan, please contact the HR Department:
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Email: [Your Company Email]
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Phone: [Your Company Number]
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Office Hours: Monday-Friday, 9 AM to 5 PM