Massachusetts Application for Military Leave Bank

State:
Multi-State
Control #:
US-123EM
Format:
Word; 
Rich Text
Instant download

Description

Employee may submit this form in order to have qualifying annual leave hours converted to military bank hours.

How to fill out Application For Military Leave Bank?

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FAQ

Massachusetts's PFML law is funded through employer and employee contributions, and is different from the federal Family and Medical Leave Act, and from any benefits your employer might already offer.

Your benefits payment is based on your individual average weekly wage, the state average weekly wage for Massachusetts workers, and the type of leave you are taking. The maximum weekly benefit is $1,084.31.

Paid Family and Medical Leave (PFML) is a state program that offers up to 26 weeks of paid leave for family or medical reasons to eligible employees (including former employees) in Massachusetts. PFML is funded through employee and employer contributions.

The 2022 State contribution rate for the Massachusetts Paid Family & Medical Leave program will be 0.68% of eligible wages 0.56% for the Medical leave component and 0.12% for Family leave. The maximum employee contribution for Family and Medical leave combined will be 0.344%.

This program provides temporary income replacement to eligible workers who are welcoming a new child into their family, are struck by a serious illness or injury, need to take care of an ill or ailing relative, and for certain military considerations.

FMLA provides up to 12 weeks of job-protected, unpaid leave in a calendar year for family or medical reasons, or up to 26 weeks of job-protected, unpaid leave in a calendar year to care for a family member in the armed services. Employers are not required to pay employees taking FMLA leave.

If you employ Massachusetts employees, you're required to comply with the PFML law. Learn more about the law, your obligations, how to make contributions, and other employer responsibilities.

The Massachusetts Paid Family Medical Leave (Massachusetts FLI) became effective on October 1, 2019. Note: You may find it useful to review the Guide to Paid Family and Medical Leave for Massachusetts Employers from the Massachusetts Paid Family Medical Leave web page.

If you are applying for military-related paid family leave benefits, or if you are currently self-employed or unemployed, please call the Department's Contact Center at (833) 344-7365 to begin your application.

FMLA v. PFML: As stated, PFML provides paid leave to all eligible Massachusetts employees while FMLA provides unpaid job protected leave only for employers with 50 or more employees or smaller employers that choose to participate.

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Massachusetts Application for Military Leave Bank