Forms

You can download our official Parental Leave Policy here.

The following applicable forms must be submitted to your benefits coach at least two weeks prior to your leave.

1. First Reliance Standard STD Claim Form

Part I – To be completed by BENEFITS
Part II – To be completed by EMPLOYEE
Part III – To be completed by PHYSICIAN

2. Notice & Proof of Claim DBL Form for Short Term Disability

Part A – Claimants Statement (EMPLOYEE)
Part B – Health Care Provider’s Statement (PHYSICIAN)
Part C – Employer’s Statement (BENEFITS)

3. Certification for Health Care Provider for FMLA

Section I: To be completed by BENEFITS
Section II: To be completed by EMPLOYEE
Section III: To be completed by PHYSICIAN

Resources

DayForce Benefits Platform
Add your child to your Havas health insurance.

Aetna Navigator
Find physicians & pharmacies, access your HSA PayFlex Account, and get advice for parents to be.

PayFlex Website
View and make changes to your Health Savings Account (HSA).

Terms to Know

Family Medical Leave Act (FMLA)
12 weeks of job protection to care for a new child with no threat of job loss. This is available to all employees employed with Havas for at least one year.

Short Term Disability (STD)
Leave due to injury or illness. STD paperwork is filed for parental leave just in case you eventually need to extend your disability to long term.

Paid Time Off (PTO) 
The amount of vacation and personal time you have accrued.

Qualifying Life Event
The action for adding new dependent(s) to your existing coverage or for terminating coverage with Havas should you have new coverage elsewhere.