Tuesday, July 30, 2013

Sixth Circuit: Employer Can Request FMLA Medical Certification 11 Weeks After Leave Begins and After Employee Returns to Work For Appropriate Reasons Other Than Fraud


Yesterday, the Sixth Circuit Court of Appeals published a decision affirming summary judgment for an employer in an FMLA case where the employer terminated an employee for failing to timely provide a medical certification to support her request for FMLA leave even though the employer did not request the certification until 11 weeks after she began the FMLA leave -- after she returned to full-time work and after her STD application was denied for a portion of her absence.  Kinds v. Ohio Bell Telephone Company, No. 12-4048 (6th Cir. 7/29/13).   The employee argued that the FMLA regulations required the employer to request a medical certification – if at all -- within five days of commencing FMLA leave unless it had reason to suspect fraud, etc.  In other words, failure to request the certification under 29 C.F.R. § 825.305(b) within five days forfeited the employer’s right to make the request.  The Court disagreed and refused to limit the employer’s right to seek FMLA medical certification to only when it suspected fraud.  In this case, the employer only requested medical certification when an employee’s application was denied for STD (because the STD policy defined disability in a manner analogous to the FMLA’s serious health condition).  The denial of the employee’s  STD application gave the employer “reason to question the appropriateness of her leave.”  In short, the employer “was not required by either the FMLA statute or the regulations to promptly exercise its right to request a medical certification when [the plaintiff] first gave notice of her need for leave. It instead properly exercised that right upon having reason to question the appropriateness of her leave after [the denial of her] short-term disability” application for the full period of her absence.The company’s policy of deferring such requests is actually beneficial to its employees because only those employees taking extended leaves for medical issues who have been denied short-term disability benefits are required to provide medical certifications.”   

According to the Court’s opinion, the employee suffered mental and physical injuries in August from an abusive relationship.  As soon as she was eligible for FMLA leave on October 12, she took time off work, but did not begin seeing her social worker for several weeks (who treated her for depression).  The employer’s policy for long-term medical absences provided that a short-term disability application would be automatically submitted and the FMLA medical certification would only be sought in the event the STD application were denied. It also always approved the first week of FMLA leave, regardless of whether a medical certification was provided. The employee returned to part-time work on December 15.  When the employee returned to work full-time on December 29 and her STD application was denied for the first three weeks of her leave, the employer requested her to submit the FMLA medical certification for the period between her second week of leave and when she began receiving mental health treatment.  She did not timely submit the certification form (despite an extension) and did not explain why her doctor submitted the form almost a month late.  Accordingly, she was terminated for failing to submit a timely certification form.

The employee argued that the FMLA regulations generally require an employer to seek medical certification within the first five days of learning of the need for FMLA leave and the employer right to request the certification if forfeited unless it later has reason to expect fraud.  In particular, the regulation provides in relevant part that:

In most cases, the employer should request that an employee furnish certification at the time the employee gives notice of the need for leave or within five business days thereafter, or, in the case of unforeseen leave, within five business days after the leave commences. The employer may request certification at some later date if the employer later has reason to question the appropriateness of the leave or its duration. The employee must provide the requested certification to the employer within 15 calendar days after the employer’s request, unless it is not practicable under the particular circumstances to do so despite the employee’s diligent, good faith efforts or the employer provides more than 15 calendar days to return the requested certification.

29 C.F.R. § 825.305(b).

The Court disagreed that the employer’s right to delay the request was limited to cases of fraud:  

[T]here is nothing in the text of the FMLA statute or regulations indicating that the discovery of employee fraud is the only acceptable reason for an employer to request a medical certification after the five business-day period following an employee’s notification of leave. In fact, [the plaintiff] cites nothing in the statute or the regulations that makes any reference at all to employee fraud. Nor does she cite any case law to substantiate this highly narrow and nontextual reading of 29 C.F.R. § 825.305(b). We decline to adopt a regulatory interpretation so devoid of any statutory, regulatory, or precedential basis.

  . . . . denial of [the plaintiff’s] disability claim for the period in question, while not sufficient to deny outright her request for FMLA leave, provided an adequate “reason to question the appropriateness of the leave.” See 29 C.F.R. § 825.305(b). The standard for disability status under [the employer’s] short-term disability insurance policy is similar enough to the “serious health condition” standard for FMLA leave that denial of the former at least raises a question as to the appropriateness of the latter.

The Court refused to consider whether the plaintiff actually suffered a “serious health condition” for the period in question “because the failure to provide a medical certification is an independent basis for denying FMLA leave notwithstanding the appropriateness of that leave.”

NOTICE: This summary is designed merely to inform and alert you of recent legal developments. It does not constitute legal advice and does not apply to any particular situation because different facts could lead to different results. Information here can change or be amended without notice. Readers should not act upon this information without legal advice. If you have any questions about anything you have read, you should consult with or retain an employment attorney.