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The Wagner Law Group Description 

The Wagner Law Group, A Professional Corporation, is a nationally recognized ERISA & employee benefits, estate planning, employment, labor & human resources practice. 


Established in 1996, The Wagner Law Group has 22 attorneys engaged exclusively in employee benefits, estate planning and employment law. Six of our attorneys are AV rated by Martindale-Hubbell as having very high to preeminent legal abilities and ethical standards. The firm is among the largest ERISA boutiques in the country. Our practice is national in scope, with clients in more than 40 states and several foreign countries.






Contact Info

The Wagner Law Group


  Integrity | Excellence


Massachusetts Office 

Tel: (617) 357-5200 

Fax: (617) 357-5250 

99 Summer Street 

13th Floor

Boston, MA 02110

Palm Beach 

Tel: (561) 293-3590
Fax: (561) 293-3591
7108 Fairway Drive
Suite 125
Palm Beach Gardens, FL 33418



Tel: (813) 603-2959

Fax: (813) 603-2961

101 East Kennedy Boulevard

Suite 2140
Tampa, FL  33602 


San Francisco

Tel: (415) 625-0002

Fax: (415) 358-8300

315 Montgomery Street

Suite 904

San Francisco, CA 94104


St. Louis

Tel: (314) 236-0065

Fax: (314) 236-5743
100 South 4th Street, Suite 550
St. Louis, MO  63102 









June 18, 2015


 Health and Welfare Law Alert





DOL Releases New FMLA Forms






The U.S. Department of Labor ("DOL") has released updated Family and Medical Leave Act ("FMLA") forms. The new FMLA forms, which expire May 31, 2018, contain "safe harbor" language that tell persons providing medical information not to disclose any genetic information, as defined under the Genetic Information Nondiscrimination Act (GINA).


Background. FMLA allows employers to create and use their own FMLA forms so long as they provide the information required by the law. However, most employers use the DOL's FMLA forms for the sake of convenience and to avoid compliance violations.


GINA, which is enforced by the EEOC, prohibits employment discrimination based on genetic information. GINA also restricts the ability of employers to request the genetic information of an employee or his or her family members. EEOC regulations provide that an employer's inadvertent receipt of genetic information following a request for medical information does not violate GINA if the employer includes "safe harbor" language in its request directing the medical provider not to release any genetic information in response to the employer's request.


New FMLA Forms. The new FMLA forms are substantially similar to the former version. One notable change is that the DOL has added a reference to GINA in its instructions to health care providers on the certification form for an employee's serious health condition. Specifically, DOL has added the following simple instruction:


"Do not provide information about genetic tests, as defined in 29 C.F.R. § 1635.3(f), genetic services, as defined in 29 C.F.R. § 1635.3(e), or the manifestation of disease or disorder in the employee's family members, 29 C.F.R. § 1635.3(b)."


FMLA Leave Request Form Eliminated. The DOL has eliminated its model FMLA leave request form. This is because FMLA does not require employees to use a written form to request FMLA leave. For foreseeable leave, an employee need only provide a verbal notice that makes the employer aware of the employee's need for FMLA-qualifying leave, and the anticipated timing and duration of the leave. Similarly, for unforeseeable leave, an employee need only provide sufficient information to put the employer on notice that the leave might be FMLA-qualified leave.


After an employee requests leave, the employer's responsibilities under FMLA may be triggered if it has knowledge that such leave may be for an FMLA-qualifying reason. Therefore, if an employee mentions illness or injury when making a leave request, the employer should err on the side of caution and provide the Notice of Eligibility and Rights & Responsibilities to the employee.


Action Steps for Employers. Employers who use their own medical certification forms rather than the DOL version must be sure to add the safe harbor language to their forms for GINA compliance purposes.


The new FMLA forms are available at: http://www.dol.gov/whd/fmla/2013rule/militaryForms.htm





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This Newsletter is provided for information purposes by The Wagner Law Group to clients and others who may be interested in the subject matter, and may not be relied upon as specific legal advice.  This material is not to be construed as legal advice or legal opinions on specific facts. Under the Rules of the Supreme Judicial Court of Massachusetts, this material may be considered advertising.