Legal Question in Medical Leave in Michigan

Serious Medical Condition Definitions - Parents

I am having problems managing multiple FMLA requests at my location which are suspicious in nature. In each instance of suspicion, an employee requests FMLA to care for a parent in a foreign country. Paperwork is filled out by the parent's healthcare provider, and in each instance the condition is listed as ''chronic'' and the employee is required to provide ''emotional comfort''. I am not a doctor, but the conditions which the tending medical professional deems serious are not what I would consider serious. I get stuck on the emotional comfort part and have no recourse but to approve. As each of these instances involves a patient in a foreign country, I am wondering what options I have:

Must I find a doctor in the country where the patient is to get a second opinion from?

Can I mandate a second opinion local to my area?

Is there anywhere I can get better definition of ''Serious medical definition'' to help me in these instances?

I am in a bind as to how to handle the multiple suspicious requests that I am receiving, and I must be better prepared to know what my boundaries are for approval or disapproval.


Asked on 5/04/04, 5:21 pm

1 Answer from Attorneys

Stephen Scapelliti Law Office of Stephen Scapelliti, Esq.

Re: Serious Medical Condition Definitions - Parents

29 USC 2611 of the Family Medical Leave Act defines "serious health condition". It states:

"The term 'serious health condition' means an illness, injury, impairment, or physical or mental condition that involves inpatient care in a hospital, hospice, or residential medical care facility; or continuing treatment by a health care provider."

26 USC 2613 of the Act states that an employer may require a second opinion regarding certification of the need for the employee to care for the relative, as follows:

"In any case in which the employer has reason to doubt the validity of the certification provided under subsection (a) of this section for leave under subparagraph (C) or (D) of section 2612(a)(1) of this title, the employer may require, at the expense of the employer, that the eligible employee obtain the opinion of a second health care provider designated or approved by the employer concerning any information certified under subsection (b) of this section for such leave. * * * *"

It further provides for a third opinion, paid by the employer and selected by both parties, to resolve a conflict between the two opinions. As you can see, the Act places the cost and burden on the employer, if the employee has provided certification that the employee is needed to care for the employee's spouse, son, daughter, or parent who has a serious health condition.

An employee has provided sufficient certification, if the certification shows the date on which the "serious medical condition" commenced and its probable duration, medical facts concerning the condition as they are known to the medical care provider, and a statement that the eligible employee is needed to care for the son, daughter, spouse, or parent and an estimate of the amount of time that such employee is needed to care for the son, daughter, spouse, or parent.

It is inadvisable for a layperson or other unqualified individual to attempt to determine what constitutes a "serious medical condition". Such a determination must be made on the particular facts of the condition of the particular individual. Moreover, the particular circumstances of the employee, as they relate to the care of the relative, have legal significance and should be addressed by an attorney familiar with the particular facts.

You should contact an attorney or the U.S. Department of Labor in your area, to discuss the particular facts and circumstances which affect your rights and obligations. This response may not be relied upon as legal advice and it is not intended to be legal advice. No attorney/client relationship is created as a result of this response. I may be contacted at 248.788.8225.

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Answered on 5/14/04, 5:06 pm


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