FILE: GBRIBB
Cf: GBRIB
MEDICAL LEAVE ASSISTANCE PROGRAM
(Sick Leave Bank)
The Lafourche Parish School Board recognizes that major illnesses and catastrophic injuries may warrant the need for additional sick leave days. The sick leave donation option provides a means for Board employees to donate additional sick leave days to a colleague’s sick leave account as a result of a serious illness or injury to the employee or employee’s immediate family (spouse, children, father, mother, or legal dependent under employee’s roof).
The term “day” is defined as a full contractual workday.
A serious illness or injury is defined as a “non-work related” illness that is anticipated to last for a continuous period of time of two (2) or more weeks as verified by a licensed medical physician. Ordinarily, childbirth is not considered a serious illness.
DONOR ELIGIBILITY OF SICK/EMERGENCY LEAVE DAYS
1. Only employees with thirty (30) days or more of accrued leave from previous years may donate from that account. An employee with less than thirty (30) days of accumulated sick leave cannot donate any sick leave days.
2. Employees may donate sick leave days for the current year only. A maximum of ten (10) days may be donated. In the event of extenuating circumstances, more days may be donated with the approval of the Supervisor of Personnel.
3. Sick leave, once donated and used, is permanently removed from the donor’s account.
4. In the event the recipient returns to work prior to receiving the donation, the sick days will be returned to the donor.
RECEIPT ELIGIBLITIY OF SICK/EMERGENCY LEAVE DAYS
1. Employees may use donated sick leave only for catastrophic illness or injury as defined by La. R.S. 17:1202E.(1)(6) for an employee or an employee’s immediate family (spouse, children, father, mother, or legal dependent under employee’s roof--as defined in Lafourche Parish School Board Policy Manual, Policy GBRIB, Sick Leave).
2. Donations shall be made to a specific employee.
3. No employee may seek donations until appropriate documentation of eligibility has been received.
4. In order to receive donated leave, the employee must be employed as a full-time employee in Lafourche Parish. In addition, the employee must have exhausted all current and accrued sick leave and extended sick leave earned since employed in the Lafourche Parish School System.
5. Those employees who receive annual leave must also exhaust all annual leave before becoming eligible for donated leave.
6. Individuals are not eligible for the program once they qualify for Worker’s Compensation and/or disability retirement.
7. The maximum number of sick leave days that can be granted in any one fiscal year shall be the remaining number of workdays an employee is scheduled to work. If more days are donated than are approved on the request form, the personnel supervisor shall hold the donation until it becomes known that the employee does not need more days to cover this illness/injury.
ADMINISTRATION OF SICK LEAVE
Recipients shall be required to complete and submit the appropriate forms to the Supervisor of Personnel (or designee). The Personnel Office shall process all requests with the attached documentation:
1. The Lafourche Parish School Board Physician’s Certification Form completed and signed by the employee, administrator, and physician
2. The completed Lafourche Parish School Board Medical Leave Assistance Program Recipient Form
The Supervisor of Personnel (or designee) shall review the recipient’s application and verify that the recipient has used all sick leave, accrued sick leave, extended sick leave
and/or annual leave. The recipient’s request for participation in the Medical Leave Assistance program would then be posted by the personnel office.
A donating employee at a higher or equal pay grade than the employee receiving the donated days (donee), may donate days at a one day donated/one day received rate.
In the event the donor’s rate of pay is less than the donee’s rate of pay, then the donee shall receive the fractional value of each day donated by comparing the salaries.
DONATION OF SICK/EMERGENCY LEAVE
Once a donor submits the Lafourche Parish School Board Medical Leave Assistance
Program Donor Form, the personnel office shall verify the donor’s availability of volunteered
sick leave days. (An employee must have at least thirty (30) sick leave days accrued from previous years. A donor may donate a maximum of ten (10) days per year.)
In the event the recipient returns to work prior to receiving the donation, sick days shall be returned to the donor.
Donation to recipient’s account shall be made on the basis of date of donor form received.
Revised: November, 2012
Ref: La. Rev. Stat. Ann. §17:425, 17:500, 17:500.1, 17:1186, 17:1201, 17:1202, 17:1206, 17:1208, 17:1208.1.
Board Minutes 8-1-12, 11-7-12.
Lafourche Parish School Board
Medical Leave Assistance Program
Recipient Form
Please read carefully the requirements for participation in the Medical Leave Assistance Program listed below. Sign and submit this form to the Personnel Department, along with the verification of Serious Illness or Injury Form signed by a licensed medical doctor. A copy of this form will be returned to you.
Employee Name______Date ______
School/Department______ID No.______
I request to participate in the Medical Leave Assistance Program (Policy GBRIBB) and verify the following:
1. I have depleted my accrued sick and personal leave and/or annual leave as a result of catastrophic illness or injury as defined by La. R.S. 17:1202 E.(1)(b).
2. Unused donated sick leave will return to the donor.
3. I understand that I am not eligible for this program once I qualify for Worker’s Compensation and/or disability retirement.
4. I give my permission, if necessary, for the Personnel Supervisor (or designee) to verify or request additional information and/or documentation from either my medical doctor or a doctor of the school board’s choosing.
5. Based on the latest medical prognosis, I anticipate I will need ______days.
CHECK ONE OF THE FOLLOWING:
o I request that my need for sick leave be posted in my name in the parish’s schools/departments.
o I do not wish that my need for sick leave be posted in my name in the parish’s school/departments. Please post my need for Sick Leave anonymously.
______
Employee’s Signature (Recipient)/Date Administrator/Department Head
o Disapproved o Approved
Lafourche Parish School Board
Medical Leave Assistance Program
Donor Form
______
Name of Employee Position Held Location
is in need of sick leave donations. Please complete the “Donation” section below and return the entire form to ______in the Personnel Department (Lafourche Parish School Board Office) if you are interested in donating sick leave day(s). Donations will be taken in the order received. Any unused days will be returned to the donor.
Please remember that to be eligible to donate sick leave, you must have at least thirty (30) days accrued from previous years, and you can donate a maximum of ten (10) days.
DONATION
Name of Donor / Employee ID Number / No. of Days Donated______
Signature School Date
FOR OFFICE USE ONLY
DATES SICK LEAVE USED ______
______
[______] NUMBER OF UNUSED DAYS RETURNED TO DONOR
[______] NUMBER OF DAYS AUTHROIZED ON CALCULATION
______
DATE RETURNED TO DONOR
Lafourche Parish School Board 1 of 5