Maternity Leave in NY: Paid Family Leave & Disability Benefits
Explore maternity leave in NY, including Paid Family Leave and disability benefits. Learn about eligibility, job protection, and steps to apply. 7 min read updated on December 13, 2024
Key Takeaways:
- Paid Family Leave (PFL) in NY offers up to 12 weeks of partially paid leave for bonding with a child, caring for a seriously ill family member, or managing military deployment obligations.
- PFL guarantees job protection, continued health insurance, and protection against discrimination.
- Short-term disability benefits provide wage replacement during pregnancy and childbirth recovery.
- FMLA complements state programs by offering unpaid, job-protected leave for eligible employees.
- Employees must meet eligibility requirements and follow specific application steps for each program.
Maternity Leave and Parental Rights in New York
Is there maternity leave in NY? The state of New York doesn't have a statewide law that covers maternity leave for either parent. Instead, it defers to the Family or Medical Leave Act (FMLA) that was signed into law in 1993. The state provides disability benefits for those who are employed and pregnant, but support ends when the child is born and the new parent has to invoke the FMLA for relief.
Because the state of New York uses the FMLA in favor of its own laws, those who are looking for relief from work for a family related issue have to refer to the federal law for guidance.
The FMLA has a mandate that requires employers to allow an employee that's eligible up to 12 weeks off in a 12 month period for their own serious health issue, to care for a family member with a health condition, to handle matters related to the military deployment of a family member, or to bond with a new child.
By legal standards, maternity or parental leave has two parts. One part deals with the time the employee takes off during pregnancy and the act of childbirth while the other part handles the time the employee takes off in order to recover and spend time with the new child. New York is one of a few states that offers disability payments to employees who are pregnant. However, the state does not extend the benefit to employees that are postpartum. It requires them to rely on the FMLA for parental leave rights. The FMLA guarantees that the employee won't be threatened with loss of their job because they needed to take time off for giving birth to a child.
Employees who seek benefits can do so under the New York State Office of Temporary and Disability Assistance (NYSOTDA). An expectant mother is qualified for temporary family assistance when she reaches the fourth month of pregnancy. The state of New York combines state rulings with federal regulations that affect parents in different ways, depending on their line of work and the reason why they have to stop working.
Paid Family Leave Benefits in New York
New York State’s Paid Family Leave (PFL) program provides essential support for families. Employees are entitled to up to 12 weeks of partially paid leave for the following reasons:
- Bonding with a newborn, adopted, or foster child within 12 months of placement.
- Caring for a family member with a severe health condition.
- Addressing family obligations when a loved one is deployed for active military duty.
Under PFL, employees receive 67% of their average weekly wage (up to $1,151.16 per week in 2024). PFL also guarantees job protection, ensuring employees return to the same or a comparable position after their leave.
What is Short-Term Disability in NY State?
State law requires private employers to offer partial wage and income replacement for up to 26 weeks to employees who are unable to work for a short time as a result of a disability. Short-term disability covers the inability to work because someone is pregnant with complications or is in the time period immediately following childbirth. An employee who fits within this criteria can make a claim on their employer's insurance policy that covers disability. Most employers in New York state are required to carry an insurance policy to cover this and other work-related disabilities. While it's common for pregnant employees to claim short-term disability, they do have to provide a written determination from a physician that they are unable to work due to their condition.
Coordinating Paid Family Leave and Disability Benefits
Short-term disability and PFL cannot overlap. Employees may first use disability benefits during pregnancy or post-childbirth recovery, then transition to PFL for bonding with the child. Employers and insurers guide employees on filing claims for both benefits.
Combining Paid Family Leave and Short-Term Disability
In New York, employees often use short-term disability benefits for recovery during pregnancy and immediately after childbirth. Once the recovery period ends, employees may transition to Paid Family Leave for bonding with their child.
Key points about combining these benefits include:
- Non-overlapping benefits: Disability covers medical recovery, while PFL covers bonding or caregiving needs.
- Documentation: Separate claims are required, with forms specific to each benefit program.
Employers and insurance providers guide employees through filing claims to maximize benefits.
Using FMLA Parental Leave
An employee who has invoked FMLA must finish their leave within one year after the child has arrived. Leave under FMLA is unpaid as there is no requirement for employers to pay. However, if there is accrued paid leave, the employee may choose or be forced to use that paid leave during the FMLA absence. The employer must continue the employee's health insurance benefits the same as if the employee was still working. However, the employee must pay his or her share of the health insurance benefits if they were paying while they were working. In the event the employee's leave is unpaid and the employee pays through payroll deductions, the employer has to arrange for payment in a different manner.
When the FMLA leave period has expired, the employer must reinstate the employee in the same position they held prior to taking leave. If the position is no longer available, the employer has to offer the employee a position of equivalent stature. The employer must also restore the benefits that the employee was receiving prior to the leave. In the event the employee decides to not return to work after having a child, the employer may have legal recourse to recover what it spent on the employee's health insurance policy during the FMLA leave.
How long a mother can claim maternal disability leave for depends on the method and difficulty of delivery. More time is allotted for difficult deliveries. Employer payment for maternity leave depends on factors that include the salary, how long the employee was working at the business for, and any other contributing factors.
How FMLA and Paid Family Leave Work Together
Employees in NY can leverage both FMLA and PFL to extend their leave benefits. While both programs offer job protection, key differences include:
- Compensation: FMLA is unpaid, whereas PFL provides partial wage replacement.
- Eligibility: FMLA applies to larger employers with 50+ employees; PFL covers most private employers in NY.
- Duration: FMLA allows up to 12 weeks annually; combining it with PFL may extend overall leave.
By carefully coordinating these benefits, employees can balance time off with financial stability.
Differences Between FMLA and PFL
Key differences include:
- Compensation: FMLA is unpaid; PFL offers partial pay.
- Coverage: FMLA applies to employers with 50+ employees; PFL includes most private employers in NY.
- Eligibility: PFL eligibility depends on working 26 consecutive weeks full-time or 175 days part-time; FMLA requires one year of employment and 1,250 hours worked in the prior year. Using both benefits effectively can extend time off while protecting income and employment.
How do You File a Claim for NY State Disability Wages?
Claims for disability benefits have to be requested through a form known as DB-450. An employee can only claim for benefits when they are disabled, not before such as in the case of pregnancy. Employees have a 30-day deadline to file that starts counting down from the day the employee has become disabled.
Steps to Apply for Paid Family Leave
Follow these steps to apply for Paid Family Leave:
- Notify Your Employer: Provide at least 30 days' notice if possible.
- Complete Required Forms: Fill out the PFL-1 form with your employer’s assistance.
- Gather Documentation: Include proof of a qualifying event (e.g., medical certification or birth certificate).
- Submit Your Claim: Send forms and documentation to your employer’s insurance carrier.
Employees can use the NYS Paid Family Leave website for resources, including calculators to estimate benefits.
When and How are Benefits Distributed?
The current maximum an employee can expect to receive is 50 percent of the employee's average gross wages from the previous eight weeks. The first week the employee is on disability is considered a waiting period and will not be paid. Benefits are distributed after the first week and payments are received every two weeks after this point. The amount of the benefit depends on the reasons for the application and timing.
How Long are Benefits Distributed?
The length of benefits depends on the assessment of a medical provider. A medical provider can determine how long an employee is to be on disability for and states it on the form. For pregnancy, the typical post-partum disability period is six weeks for a normal delivery and 8 weeks for a birth delivered through C-section.
Frequently Asked Questions
- What are the eligibility requirements for Paid Family Leave in NY?
- Full-time employees must work for 26 consecutive weeks; part-time employees qualify after 175 days worked.
- Can both parents take Paid Family Leave?
- Yes, both parents can take separate leaves within the first 12 months of the child’s birth or placement.
- How is Paid Family Leave funded?
- PFL is funded through small payroll deductions from employees' wages.
- What happens if my employer denies my PFL claim?
- Denied claims can be appealed through the NYS Workers' Compensation Board.
- Can Paid Family Leave be used intermittently?
- Yes, PFL can be taken intermittently in full-day increments but not half days.
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