Forms

 

You can download our official Parental Leave Policy here.

 

1. Matrix

2. 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

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


Resources


Publication 502
See what is considered a qualified medical expense. 

Publication 503
See what is considered a qualified dependent care
expense.

E4Health
Check out the offerings from our employee assistance
program.

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.

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.