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  • Intermittent Employees Group - State Of New Jersey - Nj

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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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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.

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.

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).

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.

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.

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.

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.

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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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232