Legal Question in Disability Law in California

Can i terminated medical coverage on an employee that has been on disability for 6 months, disability not work related, and do i have to notify her in advance of the medical coverage termination


Asked on 3/09/11, 2:47 pm

2 Answers from Attorneys

Michael Kirschbaum Law Offices of Michael R. Kirschbaum

You'd better seek advice from an employment law attorney, before you do, if you want to avoid being sued for failure to engage in an interactive process regarding how you may be able to reasonably accommodate a disabled employee.

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Answered on 3/09/11, 3:01 pm
Terry A. Nelson Nelson & Lawless

The only way you're going to get any meaningful and informed opinion/advice, upon which you can rely with some sense of safety, is to sit down with experienced counsel, who will be able to provide it to you only after reviewing all the facts with you. You can not get 'legal advice' here; that would be against the professional ethics rules for an attorney to provide it to non-clients. At best, you are getting only 'helpful hints and tips', based on insufficient scraps of information. Are you willing to make business decisions that way, that could get you sued?

The following is what I tell employees. You should read it from your 'reverse' perspective. Then, if serious about getting legal help and consultation, feel free to contact me.

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If and when you are denied legally protected leave, or are illegally discriminated or retaliated against because of requesting or taking the leave, or you are refused accommodation, then you can consider legal claims.

An employer is not allowed to "discriminate" against a legally defined "disability" by any adverse employment action like termination, demotion, harassment, hostile environment, etc. An employer is obligated to provide 'REASONABLE' accommodation of a disability upon proper medical certification of your disability and specific medical requirements necessary to accommodate you, IF accommodation can be done without substantial burden to the company, and IF such accommodation will allow you to still perform ALL the essential functions of your job. Violation and failure to accommodate is grounds for a lawsuit. Every case is determined upon its merits and all the facts. If you think you can prove they failed to do so under those rules, feel free to contact me.

If your CA employer has at least 5 employees, they can not fire you because you are pregnant, must allow you to continue working as long as you are able, must 'reasonably' accommodate your disability, must allow up to 4 months of unpaid pregnancy leave under FEHA, and return you to the same or an equivalent job upon return to work, with accrued benefits.

If your CA employer has at least 50 employees, and you are employed for at least 12 months, have at least 1,250 hours worked in the 12 months prior to the leave, then you would be eligible for 12 weeks of unpaid FMLA / CFRA maternity / medical leave when you are unable to work [or must care for an immediate family member] because of a �SERIOUS health condition� [that is properly confirmed and documented by the doctor], continuation of group health benefits, restoration to the same or an equivalent job upon return to work, with accrued benefits. The employer can require you to use all accrued unused leave[s] as part of the 12 weeks, so as to make that portion 'paid'. The leave may be taken on reasonable intermittent basis if that need is properly documented by your medical provider. Being out sick with the minor illness or injury does not fall within the protections.

If you qualify for both, you get both. If you are out longer than those guarantees, they can fire you, unless the disability rules apply.

If your employer has a policy requiring they hold your job for you for a specific period of time while on disability, longer than the FMLA / CFRA rules provide, that is enforceable.

Overriding those stated protections, just because you are on leave does not mean you can�t be terminated. You have no special exemption against lay offs or termination due to business reasons. A company in downsizing can lay off a FMLA / CFRA leave person, as long as they can show they aren�t targeting �because of the leave�. They are simply risking claims if they do.

Upon termination from employment, you are entitled to COBRA conversion of your medical benefits [if any], allowing you to pay for and retain your insurance coverage.

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Answered on 3/09/11, 3:52 pm


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