Page 21 - Diversified Employee Handbook_updated OCT 2021

DIVERSIFIED EMPLOYEE HANDBOOK

How to Apply for Leave
You may request FML by contacting MetLife and completing the application process. Contact information can be obtained
from the PeopleTeam. Requests for FML must be submitted in writing at least 30 days prior to the beginning of the leave
period, or as soon as practical. If you are unable to submit a written request for FML in advance because of unexpected
qualifying circumstances (e.g., premature birth, medical emergency), you must provide oral or written notice to the
PeopleTeam within 24 hours of the start of the leave or as soon as practical and provide written notice within 3 days after
you return to work. The notice may be provided by another person on your behalf. Failure to provide the required notice for
a foreseeable leave may delay the taking of leave until 30 days after the written request is submitted.
Requests for FML will be reviewed by MetLife, a provider engaged by Diversified. MetLife will notify you if the leave request
is approved or denied. Approved leaves will be counted against your annual leave period and will run concurrently with any
qualifying disability or workers compensation leave. Failure to notify Diversified of the reason for any absence, whether
partial or full day, which might qualify for FML could result in the absence being counted against you for attendance or other
purposes (e.g., pay increases, promotional opportunities, etc.).

Medical Certification
You must provide a medical certification from your healthcare provider within 15 days of submitting a written request for
leave or, if the need for leave is not foreseeable, within 15 days after the leave begins. Diversified will pay the cost of
obtaining a required medical certification to the extent that it is not covered by insurance. Medical certification forms may
be obtained from and returned to MetLife. Failure to provide the required certification may delay the taking of leave or
prevent the request from qualifying as FML.

If you have taken more than three days FML in a one-year period for sick childcare, Diversified may require you to obtain
at Diversified’s expense a medical certification from a qualified healthcare provider of the child’s need for you to provide
care and thus miss time from work.

Before restoring you to work after your own serious health condition, Diversified may require you to provide a medical
certification from your healthcare provider that you are able to resume work and clearly explain any work limitations or
restrictions.

Continuation of Benefits
FML is unpaid. Employees taking FML will be required to first exhaust all accrued or available paid leave, which will be
counted toward the available FML for that year. In cases of a maternity leave, up to 40 hours can be reserved for use upon
return from leave.

While on approved FML, you will continue to receive the same level of health insurance benefits as if you had continued to
work, provided your contribution to health insurance premiums is timely paid by you during the period of FML. If your required
premium payment is more than 30 days late, you may be dropped from coverage under Diversified’s health insurance plan.

Personal Leave
Diversified provides leaves of absence without pay to eligible regular full-time employees who wish to take time off from
work duties to fulfill personal obligations.

Vested PTO & Benefit Coverages
Eligible employees may request personal leave only after having completed 3 months of service. As soon as eligible
employees become aware of the need for a personal leave of absence, they should request a leave from their supervisor
and their PeopleTeam Business Partner.

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