Bill Number: SB 1661
Chaptered Sept. 26,
2002
Section 1. Section
984 of the Unemployment Insurance Code is
amended to read:
984. (a) (1) Each worker shall pay worker
contributions at the
rate determined by the director pursuant to this Section
with respect
to wages, as defined by Sections 926, 927, and 985. On or before
October 31 of each calendar year, the director shall
prepare a
statement, which shall be a public record, declaring the rate
of
worker contributions for the calendar year and shall notify
promptly
all employers of employees covered for disability insurance
of the
rate.
(2) (A) Except as
provided in paragraph (3), the rate of worker
contributions for calendar year 1987 and for each
subsequent calendar
year shall be 1.45 times the amount disbursed from the
Disability
Fund during the 12-month period ending September 30 and
immediately
preceding the calendar year for which the rate is to be
effective,
less the amount in the Disability Fund on that September
30, with the
resulting figure divided by total wages paid pursuant to
Sections
926, 927, and 985 during the same 12-month period, and then
rounded
to the nearest one-tenth of 1 percent.
(B) The director
shall increase the rate of worker contributions
by .08 percent for the 2004 and 2005 calendar years to
cover the
initial cost of family temporary disability insurance
benefits
provided in Chapter 7 (commencing with Section 3300) of
Part 2.
(3) The rate of worker
contributions shall not exceed 1.5 percent
or be less than 0.1 percent. The rate of worker contributions shall
not decrease from the rate in the previous year by more
than
two-tenths of 1 percent.
(b) Worker
contributions required under Sections 708 and 708.5
shall be at a rate determined by the director to reimburse
the
Disability Fund for unemployment compensation disability
benefits
paid and estimated to be paid to all employers and
self-employed
individuals covered by those Sections. On or before November 30th of
each calendar year, the director shall prepare a statement,
which
shall be a public record, declaring the rate of
contributions for the
succeeding calendar year for all employers and
self-employed
individuals covered under Sections 708 and 708.5 and shall
notify
promptly the employers and self-employed individuals of the
rate.
The rate shall be determined by dividing the estimated
benefits and
administrative costs paid in the prior year by the product
of the
annual remuneration deemed to have been received under
Sections 708
and 708.5 and the estimated number of persons who were
covered at any
time in the prior year.
The resulting rate shall be rounded to the
next higher one-hundredth percentage point. The rate may also be
reduced or increased by a factor estimated to maintain as
nearly as
practicable a cumulative zero balance in the funds
contributed
pursuant to Sections 708 and 708.5. Estimates made pursuant to this
subdivision may be made on the basis of statistical
sampling, or
another method determined by the director.
(c) The
director's action in determining a rate under this Section
shall not constitute an authorized regulation.
(d)
Notwithstanding subdivision (a), the director may, at his or
her discretion, increase or decrease, by not to exceed 0.1
percent,
the rate of worker contributions determined pursuant to
subdivision
(a), up to a maximum worker contribution rate of 1.5
percent, if he
or she determines the adjustment is necessary to reimburse
the
Disability Fund for disability benefits paid or estimated
to be paid
to individuals covered by this Section or to prevent the
accumulation
of funds in excess of those needed to maintain an adequate
fund
balance.
Sec. 1.5. Section 2116 of the Unemployment Insurance
Code is
amended to read:
2116. It is unlawful to do any of the following:
(a) Falsely
certify the medical condition of any person in order
to obtain disability insurance benefits, including family
temporary
disability insurance benefits, whether for the maker or for
any other
person.
(b) Knowingly
present or cause to be presented any false or
fraudulent written or oral material statement in support of
any claim
for disability insurance including family temporary
disability
insurance benefits.
(c) Knowingly
solicit, receive, offer, pay, or accept any rebate,
refund, commission, preference, patronage, dividend,
discount, or
other consideration, whether in the form of money or
otherwise, as
compensation or inducement for soliciting a claimant to
apply for
disability insurance including family temporary disability
insurance
benefits unless the payment is lawful pursuant to Section
650 of the
Business and Professions Code.
(d) Knowingly
assist, abet, solicit, or conspire with any person
who engages in an unlawful act under this Section.
Sec. 2. Section 2601 of the Unemployment Insurance
Code is amended
to read:
2601. The purpose of this part is to compensate in
part for the
wage loss sustained by any individual who is unable to work
due to
the employee's own sickness or injury, the sickness or
injury of a
family member, or the birth, adoption, or foster care
placement of a
new child, and to reduce to a minimum the suffering caused
by
unemployment resulting therefrom. This part shall be construed
liberally in aid of its declared purpose to mitigate the
evils and
burdens which fall on the unemployed and disabled worker
and his or
her family.
Sec. 3. Section 2613 of the Unemployment Insurance
Code is amended
to read:
2613. (a) The Director of Employment Development
shall develop
and maintain a program of education concerning disability
insurance
rights and benefits.
(b) The director
shall provide to each employer of employees
subject to this part a notice informing workers of their
disability
insurance rights and benefits due to sickness, injury, or
pregnancy.
The notice shall be given by every employer to each new
employee
hired on or after June 1, 1988, and to each employee
leaving work due
to pregnancy or nonoccupational sickness or injury on or
after July
1, 1989.
(c) Commencing
January 1, 2004, the director shall provide to each
employer of employees subject to this part a notice
informing
workers of their disability insurance rights and benefits
due to the
employee's own sickness, injury, or pregnancy, or the
employee's need
to provide care for any sick or injured family member or
new child
who is unable to care for himself or herself. The notice shall be
given by every employer to each new employee hired on or
after
January 1, 2004, and to each employee leaving work on or
after July
1, 2004, due to pregnancy, nonoccupational sickness or
injury, or the
need to provide care for any sick or injured family member
or new
child who is unable to care for himself or herself.
Sec. 4. Section 2708 of the Unemployment Insurance
Code is amended
to read:
2708. (a) In accordance with the director's
authorized
regulations, and except as provided in subdivision (c) and
Sections
2708.1 and 2709, a claimant shall establish medical
eligibility for
each uninterrupted period of disability by filing a first
claim for
disability benefits supported by the certificate of a
treating
physician or practitioner that establishes the sickness,
injury, or
pregnancy of the employee, or the condition of the family
member that
warrants the care of the employee. For subsequent periods of
uninterrupted disability after the period covered by the
initial
certificate or any preceding continued claim, a claimant
shall file a
continued claim for those benefits supported by the
certificate of a
treating physician or practitioner. A certificate filed to
establish medical eligibility for the employee's own
sickness,
injury, or pregnancy shall contain a diagnosis and
diagnostic code
prescribed in the International Classification of Diseases,
or, where
no diagnosis has yet been obtained, a detailed statement of
symptoms.
A certificate
filed to establish medical eligibility of the
employee's own sickness, injury, or pregnancy shall also
contain a
statement of medical facts including secondary diagnoses
when
applicable, within the physician's or practitioner's
knowledge, based
on a physical examination and a documented medical history
of the
claimant by the physician or practitioner, indicating his
or her
conclusion as to the claimant's disability, and a statement
of his or
her opinion as to the expected duration of the disability.
(b) A certificate
filed to establish medical eligibility of the
serious health condition of the family member that warrants
the care
of the employee shall contain:
(1) A diagnosis
and diagnostic code prescribed in the
International Classification of Diseases, or, where no
diagnosis has
yet been obtained, a detailed statement of symptoms.
(2) The date, if
known, on which the condition commenced.
(3) The probable
duration of the condition.
(4) An estimate
of the amount of time that the physician or
practitioner believes the employee is needed to care for the
child,
parent, spouse, or domestic partner.
(5) A statement
that the serious health condition warrants the
participation of the employee to provide care for his or
her child,
parent, spouse, or domestic partner.
"Warrants
the participation of the employee" includes, but is not
limited to, providing psychological comfort, and arranging
"third
party" care for the child, parent, spouse, or domestic
partner, as
well as directly providing, or participating in, the
medical care.
(c) The
department shall develop a certification form for an
employee taking leave for reason of the birth of a child of
the
employee or the employee's domestic partner, or the
placement of a
child who is unable to care for himself or herself with the
employee
in connection with the adoption or foster care of the child
by the
employee or domestic partner.
(d) The first and
any continuing claim of an individual who
obtains care and treatment outside this state, shall be
supported by
a certificate of a treating physician or practitioner duly
licensed
or certified by the state or foreign country in which the
claimant is
receiving the care and treatment. If a physician or practitioner
licensed by and practicing in a foreign country is under
investigation by the department for filing false claims and
the
department does not have legal remedies to conduct a
criminal
investigation or prosecution in that country, the
department may
suspend the processing of all further certifications until
the
physician or practitioner fully cooperates, and continues
to
cooperate with the investigation. A physician or practitioner
licensed by and practicing in a foreign country who has
been
convicted of filing false claims with the department may
not file a
certificate in support of a claim for disability benefits
for a
period of five years.
(e) For purposes
of this part, the term "physician" has the same
meaning as it does in Section 3209.3 of the Labor
Code. For purposes
of this part, "practitioner" means a person duly
licensed or
certified in California acting within the scope of his or
her license
or certification who is a dentist, podiatrist, or as to
normal
pregnancy or childbirth, a midwife, nurse midwife, or nurse
practitioner.
(f) For a claimant
who is hospitalized in or under the authority
of a county hospital in this state, a certificate of
initial and
continuing medical disability, if any, shall satisfy the
requirements
of this Section if the disability is shown by the
claimant's
hospital chart, and the certificate is signed by the
hospital's
registrar. For a
claimant hospitalized in or under the care of a
medical facility of the United States government, a
certificate of
initial and continuing medical disability, if any, shall
satisfy the
requirements of this Section if the disability is shown by
the
claimant's hospital chart, and the certificate is signed by
a medical
officer of the facility duly authorized to do so.
(g) Nothing in
this Section shall be construed to preclude the
department from requesting additional medical evidence to
supplement
the first or any continued claim if the additional evidence
can be
procured without additional cost to the claimant. The department may
require that the additional evidence include identification
of
diagnoses, symptoms, or a statement as to the facts of the
claimant's
disability by the physician or practitioner treating the
claimant,
by the registrar, authorized medical officer, or other duly
authorized official of the hospital or health facility
treating the
claimant, or by an examining physician or other
representative of the
department.
Sec. 5. Section 3254 of the Unemployment Insurance
Code is amended
to read:
3254. The Director of Employment Development shall
approve any
voluntary plan, except one filed pursuant to Section 3255,
as to
which he or she finds that there is at least one employee
in
employment and all of the following exist:
(a) The rights
afforded to the covered employees are greater than
those provided for in Chapter 2 (commencing with Section
2625) and
those provided for in Chapter 7 (commencing with Section
3300).
(b) The plan has
been made available to all of the employees of
the employer employed in this state or to all employees at
any one
distinct, separate establishment maintained by the employer
in this
state.
"Employees" as used in this subdivision includes those
individuals in partial or other forms of short-time
employment and
employees not in employment as the Director of Employment
Development
shall prescribe by authorized regulations.
(c) A majority of
the employees of the employer employed in this
state or a majority of the employees employed at any one
distinct,
separate establishment maintained by the employer in this
state have
consented to the plan.
(d) If the plan
provides for insurance the form of the insurance
policies to be issued have been approved by the Insurance
Commissioner and are to be issued by an admitted disability
insurer.
(e) The employer
has consented to the plan and has agreed to make
the payroll deductions required, if any, and transmit the
proceeds to
the plan insurer, if any.
(f) The plan
provides for the inclusion of future employees.
(g) The plan will
be in effect for a period of not less than one
year and, thereafter, continuously unless the Director of
Employment
Development finds that the employer or a majority of its
employees
employed in this state covered by the plan have given
notice of the
termination of the plan.
The notice shall be filed in writing with
the Director of Employment Development and shall be
effective only on
the anniversary of the effective date of the plan next
following the
filing of the notice, but in any event not less than 30
days from
the time of the filing of the notice; except that the plan
may be
terminated on the operative date of any law increasing the
benefit
amounts provided by Sections 2653 and 2655 or the operative
date of
any change in the rate of worker contributions as
determined by
Section 984, if notice of the termination of the plan is
transmitted
to the Director of Employment Development not less than 30
days prior
to the operative date of that law or change. If the plan is not
terminated on the 30 days' notice because of the enactment
of a law
increasing benefits or because of a change in the rate of
worker
contributions as determined by Section 984, the plan shall
be amended
to conform to that increase or change on the operative date
of the
increase or change.
(h) The amount of
deductions from the wages of an employee in
effect for any plan shall not be increased on other than an
anniversary of the effective date of the plan except to the
extent
that any increase in the deductions from the wages of an
employee
allowed by Section 3260 permits that amount to exceed the
amount of
deductions in effect.
(i) The approval
of the plan or plans will not result in a
substantial selection of risks adverse to the Disability
Fund.
Sec. 6. Chapter 7 (commencing with Section 3300) is
added to Part
2 of Division 1 of the Unemployment Insurance Code, to
read:
3300. The Legislature finds and declares all of
the following:
(a) It is in the
public benefit to provide family temporary
disability insurance benefits to workers to care for their
family
members. The need
for family temporary disability insurance benefits
has intensified as both parent's participation in the
workforce has
increased, and the number of single parents in the
workforce has
grown. The need for
partial wage replacement for workers taking
family care leave will be exacerbated as the population of
those
needing care, both children and parents of workers,
increases in
relation to the number of working age adults.
(b) Developing
systems that help families adapt to the competing
interests of work and home not only benefits workers, but
also
benefits employers by increasing worker productivity and
reducing
employee turnover.
(c) The federal Family
and Medical Leave Act (FMLA) and California'
s Family Rights Act (CFRA) entitle eligible employees
working for
covered employers to take unpaid, job-protected leave for
up to 12
workweeks in a 12-month period. Under the FMLA and the CFRA, unpaid
leave may be taken for the birth, adoption, or foster
placement of a
new child; to care for a seriously ill child, parent, or
spouse; or
for the employee's own serious health condition.
(d) State
disability insurance benefits currently provide wage
replacement for workers who need time off due to their own
non-work-related injuries, illnesses, or conditions,
including
pregnancy, that prevent them from working, but do not cover
leave to
care for a sick or injured child, spouse, parent, domestic
partner,
or leave to bond with a new child.
(e) The majority
of workers in this state are unable to take
family care leave because they are unable to afford leave
without
pay. When workers
do not receive some form of wage replacement
during family care leave, families suffer from the worker's
loss of
income, increasing the demand on the state unemployment
insurance
system and dependence on the state's welfare system.
(f) It is the
intent of the Legislature to create a family
temporary disability insurance program to help reconcile
the demands
of work and family.
The family temporary disability insurance
program shall be a component of the state's unemployment
compensation
disability insurance program, shall be funded through
employee
contributions, and shall be administered in accordance with
the
policies of the state disability insurance program created
pursuant
to this part.
Initial and ongoing administrative costs associated
with the family temporary disability insurance program
shall be
payable from the Disability Fund.
3301. (a) The purpose of this chapter is to
establish, within the
state disability insurance program, a family temporary
disability
insurance program to provide up to six weeks of wage
replacement
benefits to workers who take time off work to care for a
seriously
ill child, spouse, parent, domestic partner, or to bond
with a new
child.
Nothing in this
chapter shall be construed to abridge the rights
and responsibilities conveyed under the CFRA or pregnancy
disability
leave.
(b) An
individual's "weekly benefit amount" shall be the amount
provided in Section 2655.
(c) The maximum
amount payable to an individual during any
disability benefit period for family temporary disability
insurance
shall be six times his or her "weekly benefit
amount," but in no case
shall the total amount of benefits payable be more than the
total
wages paid to the individual during his or her disability
base
period. If the
benefit is not a multiple of one dollar ($1), it
shall be computed to the next higher multiple of one dollar
($1).
(d) No more than
six weeks of family temporary disability
insurance benefits shall be paid within any 12-month
period.
3302. For purposes of this part:
(a)
"Child" means a biological, adopted, or foster son or
daughter, a stepson or stepdaughter, a legal ward, a son or
daughter
of a domestic partner, or a son or daughter of an employee
who stands
in loco parentis to that child.
(b) "Family
care leave" means any of the following:
(1) Leave for
reason of the birth of a child of the employee or
the employee's domestic partner, the placement of a child
with an
employee in connection with the adoption or foster care of
the child
by the employee or domestic partner, or the serious health
condition
of a child of the employee, spouse or domestic partner.
(2) Leave to care
for a parent, spouse, or domestic partner who
has a serious health condition.
(c)
"Parent" means a biological, foster, or adoptive parent, a
stepparent, a legal guardian, or other person who stood in
loco
parentis to the employee when the employee was a child.
(d)
"Domestic partner" has the same meaning as defined in Section
297 of the Family Code.
(e) "Family
member" means child, parent, spouse, or domestic
partner as defined in this Section.
(f) "Serious
health condition" means an illness, injury,
impairment, or physical or mental condition that involves
inpatient
care in a hospital, hospice, or residential health care
facility, or
continuing treatment or continuing supervision by a health
care
provider, as defined in Section 12945.2 of the Government
Code.
3303. (a) An individual shall be deemed eligible
for family
temporary disability insurance benefits on any day in which
he or she
is unable to perform his or her regular or customary work
because he
or she is caring for a new child during the first year
after the
birth or placement of the child or a seriously ill child,
parent,
spouse, or domestic partner, subject to a waiting period of
seven
consecutive days during each family temporary disability
benefit
period where no benefits are payable within that period.
(b) An individual
is not eligible for family temporary disability
insurance benefits with respect to any day that he or she
has
received unemployment compensation benefits under Part 1
(commencing
with Section 100) or under an unemployment compensation act
of any
other state or of the federal government.
(c) An individual
is not eligible for family temporary disability
insurance benefits with respect to any day of unemployment
and
disability for which he or she has received, or is entitled
to
receive, "other benefits" in the form of cash
benefits as defined in
subdivision (b) of Section 2629.
(d) An individual
is not eligible for family temporary disability
insurance benefits with respect to any day that he or she
is entitled
to receive state disability insurance benefits under Part 2
(commencing with Section 2601) or under a disability
insurance act of
any other state.
(e) An individual
is not eligible for family temporary disability
insurance benefits with respect to any day that another
family member
is able and available for the same period of time that the
individual is providing the required care.
(f) An individual
who is entitled to leave under the FMLA and the
CFRA must take Family Temporary Disability Insurance (FTDI)
leave
concurrent with leave taken under the FMLA and the CFRA.
(g) As a
condition of an employee's initial receipt of family
temporary disability insurance benefits during any 12-month
period in
which an employee is eligible for these benefits, an
employer may
require an employee to take up to two weeks of earned but
unused
vacation leave prior to the employee's initial receipt of
these
benefits. If an
employer so requires an employee to take vacation
leave, that portion of the vacation leave that does not
exceed one
week shall be applied to the waiting period required under
subdivision (a).
This subdivision may not be construed in a manner
that relieves an employer of any duty of collective
bargaining the
employer may have with respect to the subject matter of
this
subdivision.
3304. Eligible workers shall receive benefits in
accordance with
provisions established under this division.
3305. If the director finds that any individual
falsely certifies
the medical condition of any person in order to obtain
family
temporary disability insurance benefits, with the intent to
defraud,
whether for the maker or for any other person, the director
shall
assess a penalty against the individual in the amount of 25
percent
of the benefits paid as a result of the false
certification. The
provisions of this article, the provisions of Article 9
(commencing
with Section 1176) with respect to refunds, and the
provisions of
Chapter 7 (commencing with Section 1701) with respect to
collections
shall apply to the assessments provided by this
Section. Penalties
collected under this Section shall be deposited in the
contingent
fund.
Sec. 7. This act shall become operative on January
1, 2004, except
that benefits shall be payable for periods of family
temporary
disability leave commencing on or after July 1, 2004.
Sec. 8. No reimbursement is required by this act
pursuant to
Section 6 of Article XIII B of the California Constitution
because
the only costs that may be incurred by a local agency or
school
district will be incurred because this act creates a new
crime or
infraction, eliminates a crime or infraction, or changes
the penalty
for a crime or infraction, within the meaning of Section
17556 of the
Government Code, or changes the definition of a crime
within the
meaning of Section 6 of Article XIII B of the California
Constitution.
History: Chapter 901
Filed with Secretary of State September 26, 2002
Approved by Governor September 25, 2002
Passed the Senate August 30, 2002
Passed the Assembly August 27, 2002
Amended in Assembly August 23, 2002
Amended in Assembly August 8, 2002
Amended in Assembly August 7, 2002
Amended in Assembly June 24, 2002
Amended in Senate May 22, 2002
Amended in Senate May 6, 2002
Amended in Senate April 29, 2002
Introduced by Senator Sheila J. Kuehl February 21, 2002