Eligibility Profiles for FMLA Benefits

You create eligibility profiles to define criteria that different business processes use to determine whether an employee qualifies for a benefits offering.

For example, use an eligibility profile to determine whether an employee is eligible for Federal Family and Medical Leave Act (FMLA) protection. The business process of which employees are eligible for FMLA protection uses an eligibility profile of Employee Person Types.

Categories

The Eligibility Profiles task organizes eligibility profile criteria into these categories.

Category	Description
Personal	Includes gender, person type, postal code ranges, and other person-specific criteria.
Employment	Includes assignment status, hourly or salaried, job, grade, and other employment-specific criteria.
Derived factors	Includes age, compensation, length of service, hours worked, full-time equivalent, and a combination of age and length of service.
Other	Includes miscellaneous and user-defined criteria.
Related coverage	Includes criteria based on whether a person is covered by, eligible for, or enrolled in other benefits offerings.

Some criteria, such as gender, provide a fixed set of choices. The choices for other criteria, such as person type, are based on values defined in tables. You can define multiple criteria for a given criteria type.

Use the Eligibility Profiles task to add attributes to an eligibility profile.

Federal FMLA Eligibility

You must configure these attributes as part of the FMLA eligibility profile.

Value	Defining Task
Length of Service	Derived Factors
Hours Worked	Derived Factors
Person Type	Manage Employee

Note: If you require state-specific eligibility criteria, such as for lower levels of eligibility than federal, define an eligibility profile using an evaluation fast formula. Use the formula to derive the state, along with the less restrictive eligibility criteria.For example, an employee working in New Jersey may have only 1,100 work hours, so they don't meet the federal FMLA requirements. However, they would meet New Jersey's state FMLA requirements.

Plan Eligibility

You define eligibility for a plan through attributes maintained in an eligibility profile.

For FMLA eligibility, set these attributes.

Attribute	Value
Person Type	Employee