Township Council Meeting — Packet

Each employer having a private plan for temporary disability insurance and/or family leave insurance must, within 10 days after the Division of Temporary Disability Insurance has mailed the employer a request for information with respect to a period of disability, furnish the Division with any information requested or known to the employer which may bear upon the eligibility of the claimant. Each employer having two or more approved private plans in effect during a calendar half-year or any Portion thereof must, on or before the 30th day following the close of the calendar half-year, file a report showing the amount of taxable wages paid during such calendar half-year to employees while covered under each such private plan. Each employer who provides temporary disability insurance to its employees through a self-insured private plan must, for the six-month periods ending June 30 and December 31 of each calendar year during which the self insured private plan is in effect, file a statement with the Division of Temporary Disability Insurance, on or before the 30th day following the end of the respective six-month period showing: 1. The number of claims received during the six-month period, 2. The number of claims accepted during the six-month period, 3. The amount of benefits paid during the six-month period, and 4. Such other information as the Division of Temporary Disability Insurance may require with respect to the financial ability of the self-insurer to meet the self-insured’s obligations under the plan. On or before the 30th day following the close of each calendar year during which a self-insured private plan for temporary disability insurance is in effect, the employer must file a report with the Division of Temporary Disability Insurance showing: 1. The amount of funds available at the beginning of that year for payment of disability benefits, 2. The amount contributed by workers during that year, 3. The amount contributed by the employer during that year, 4. The amount of disability benefits paid during that year, 5. Direct cost of administration of the plan during that year, and 6. The number of employees covered by the plan as of December 31. Each employer who provides family leave insurance to its employees through a self-insured private plan must for the one-year period ending December 31 of each calendar year during which a

ecember 31. Each employer who provides family leave insurance to its employees through a self-insured private plan must for the one-year period ending December 31 of each calendar year during which a self-insured private plan is in effect file a statement with the Division of Temporary Disability Insurance, on or before the 30th day following the end of the one-year period showing the following information with regard to each of the following types of claims: care of a sick child, care of a sick spouse, care of a sick domestic partner, care of a sick civil union partner, care of a sick parent, bonding by biological parent with a newborn child, bonding by domestic partner or civil union partner of biological parent with a newborn child, bonding by individual with newly adopted child: 1. The number of claims for family leave insurance benefits received during the one-year period, 2. The number of claims for family leave insurance benefits accepted during the one-year period, 3. The number of workers who received family leave insurance benefits during the one-year period, 4. The amount of family leave insurance benefits paid during the one-year period, MW-400 (11-11) Page 4 of 6