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LEAVE TIME - Ensuring an Employee is Ready to Return Can Be Fraught With Problems

By Jeffrey S. Silvyn



The Family and Medical Leave Act ("FMLA") allows an employer to require medical certification when an employee requests leave for a serious health condition and even to obtain second and third medical opinions when the employer questions the need for leave. 29 U.S.C. Section 2601 et seq.

Many employers, however, have an equal or greater concern about an employee who wants to return to work after exhausting leave time. What if, for example, the employer believes that the employee cannot perform the job safely or poses a safety risk to others because of the severity of the physical or mental ailment that led to the leave. What can an employer do to ensure an employee is ready to return to work after the leave?

The leave act provides that, as a condition of an employee's returning to work, an employer may require that an employee receive certification from a health-care provider that the employee is able to resume work. 29 U.S.C. Section 2614(a)(4). However, the employer's ability to obtain return-to-work certification from an employee is subject to significant restrictions.

Advance Notice of Certification

An employer may require certification only if it has a uniformly applied practice or policy of requiring return-to-work certification. The employer must give notice of the certification requirement at the time the employee gives notice of the need for leave or advises the employer of the medical circumstances requiring the leave.

The notice also must appear in the employer's handbook or policy manual, if it has one. 29 C.F.R. Section 825.310(e)(1995); Underhill v. Willamina Lumber Co., 1999 WL 421596 (D. Ore. May 20, 1999) (unreported) (employer that terminated an employee for failing to appear for an independent medical examination following FMLA leave violated the act because it had no policy requiring medical certification of the employee's ability to return to work).

Certification Limits

For return-to-work certification, the employer must rely on the opinion of the employee's health-care provider. 29 U.S.C. Section 2614(a)(4). In Albert v. Runyon, 6 F.Supp.2d 57, 62 (D. Mass. 1998), the district court found the employer violated the leave act when it refused to reinstate an employee following leave unless she submitted to a fitness-for-duty examination. The court noted that, in the comments to the regulations, the secretary of labor expressly declined to allow employers to seek a second opinion.

An employer may require certification only for the particular health condition that caused the employee's need for leave. The certification provided by the employee need be only a simple statement of the employee's ability to return to work.

If an employer questions the basis for a return-to-work certification, it may seek clarification from the employee's health-care provider regarding the employee's fitness to return to work, provided the employee consents. The clarification may relate only to the serious health condition for which the employee took leave. 29 C.F.R. 825.310(c) (1995).

In Albert, the plaintiff submitted a letter from her treating psychologist certifying her fit to return to work, provided that she would not be subjected to the gender-based harassment and discrimination that caused the mental condition requiring leave. The court found the employer's refusal to reinstate her without a fitness-for-duty examination violated the leave act.

An employer may not make its own determination of an employee's fitness for duty, but it must rely on the evaluation by the employee's own health-care provider. The court further noted that the employer should have resolved any uncertainties about the adequacy of the plaintiff's certification through clarification obtained from the plaintiff's health-care provider.

An employer may require that the employee bear the cost of a return-to-work certification and may delay the employee's return to work until provision of certification. 29 C.F.R. Section 825.310(d), (e) (1995). The employer may not, however, delay the return to work while obtaining clarification of the certification. 29 C.F.R. Section 825.310(c) (1995).

Interplay Between FMLA and ADA

Frequently, a leave taken under the leave act for a serious health condition also implicates the Americans with Disabilities Act ("ADA"), 42 U.S.C. Section 12101 et seq. The ADA has a different standard for fitness-for-duty examinations. Under the ADA, an employer may require an employee to undergo a fitness-for-duty examination if it is job-related and consistent with business necessity. 42 U.S.C. Section 12112(d)(4).

The 4th U.S. Circuit Court of Appeals examined the interplay between FMLA and ADA in Porter v. United States Alumoweld Co., 123 F.3d 243 (4th Cir. 1997). The plaintiff worked as a machine operator and suffered a series of back injuries. Following the plaintiff's back surgery, his physician released him to work without limitations.

The employer requested a functional-capacity evaluation to determine whether the plaintiff was physically able to perform his job. Because the plaintiff's physician did not perform that type of test, the employer requested that the plaintiff obtain one elsewhere.

When the plaintiff did not undergo the examination, the employer fired him. He brought claims against his employer under both the leave act and the ADA. The court rejected the plaintiff's claim under the leave act based on its finding the employer was entitled to require a fitness-for-duty evaluation under the ADA. The Porter court noted that the leave act's regulations recognize that an employee may be subject to a job-related return-to-work physical as the ADA permits. 29 C.F.R. 825.310(b) (1995).

However, an employer may not require a fitness-for-duty examination permitted under the ADA in all instances in which an employee takes leave for a serious health condition. The examination must relate to the person's ability to perform the essential. functions of the job.

For example, an attorney entitled to take leave because of a leg amputation would not be subject to a return-to-work fitness evaluation permitted under the ADA because use of both legs is not necessary to perform the essential job functions. Similarly, a manual laborer who suffers a back injury might be subject to examination by an orthopedist, but the employer could not require the laborer to submit to an HIV test. 29 C.F.R. 825.310(b) (1995).

The court further explored the interplay between the leave act and the ADA and the limits of Porter in Routes v. Henderson, 58 F.Supp.2d 959 (S.D. Ind. 1999). In this case, the plaintiff was released for work without restrictions after leave for treatment for alcoholism.

Following his return, the employer asked him to submit to a fitness-for-duty examination and fired him based on the evaluator's determination. The court found the sole reason for the evaluation was the employer's suspicion that the employee was not fit because he had taken leave under the leave act.

A fitness-for-duty evaluation conducted by the employer must have a basis independent of the leave, such as pre-leave conduct or post-reinstatement conduct. Because the employer had no basis for the request other than a concern based on the leave, it violated the leave act.

These decisions demonstrate that employers must tread carefully if they wish to require medical certification for return to work following leave under the leave act for a serious health condition.

First, employers must provide written notice to require return-to-work certification. Second, employers must obtain the employee's consent to consult with the health-care provider to obtain clarification, if necessary, and should obtain that as close to the time of the request for leave as possible.

Finally, employers should consider carefully whether an employee's need for leave under the leave act involves a serious health condition that might reasonably be expected to impact the employee's ability to perform the essential job functions.

If so, the employer may require the employee to undergo a fitness-for-duty examination, as long as it relates to the ability to perform the essential functions of the job and is based on more than simply the fact that the employee took leave under the leave act.

Copyright 2000 Daily Journal Corp. Reprinted with Permission.