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T Reason: Effective Dates: 1. EMPLOYEE INFORMATION This section must be filled out completely. Please print or type. 2. MEDICAL COVERAGE Social Security Number 2a. EMPLOYEE SELECTION I wish to be covered under NJ PLUS Last Name Title (Jr.,Sr., etc.) First Name and the Employee Prescription Drug Plan. If selecting NJ PLUS coverage you must enter your NJ PLUS Primary Care Physician's ID # Employer Name: I wish to be covered.
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2003 FAQ
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However, your job may be protected under the federal Family and Medical Leave Act (FMLA) or the New Jersey Family Leave Act (NJFLA), which require covered employers to provide their employees with unpaid, job-protected leave for up to 12 weeks. You must apply for FMLA protection directly with your employer.
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Both the federal Family and Medical Leave Act (FMLA) and New Jersey Family Leave Act make it unlawful for employers to interfere with, restrain, or deny employees' rights to any protections guaranteed under those laws.
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Claims may be filed for consecutive weeks, for intermittent weeks, or for intermittent days during a 12-month period, beginning with the first date of the claim.
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Family Leave benefit days can be taken in one continuous period, or in individual days to suit your needs. If taking leave in one continuous period, you may claim up to 12 weeks (84 days)in a 12-month period. If taking leave on an intermittent basis, you may claim up to 8 weeks (56 days) in a 12-month period.
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No. The NJFLA does not require employees to take all 12 weeks of their job-protected leave under the NJFLA at the same time. Employees can choose to take the leave all at once—called consecutive or continuous leave—or they can opt to take intermittent leave or take leave on a reduced leave schedule.
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State Health Benefits Program State Employees — To be eligible, you must be a full-time employee of the State of New Jersey or be a full-time appointed or elected officer of the State (this includes employees of a State agency or authority and employees of a State college or university).
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As long as you have qualifying medical conditions and are otherwise eligible, you can take FMLA leave twice a year for two different conditions as long as the total amount of leave is less than 12 weeks.
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You may be eligible for Temporary Disability Insurance benefits if your physical or mental illness or injury prevents you from working and was not caused by your work. You may apply for Family Leave Insurance benefits if you are bonding with a newborn, newly adopted, or newly placed foster child.
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