MetLife, Inc. · NYSE:MET
MetLife — Conference Presentation (December 2022)
24 slides from MetLife's conference presentation, December 2022
Slide 1: New Hampshire Paid Family & Medical Leave: What you need to know about the claims process
New Hampshire Paid Family & Medical Leave: What you need to know about the claims process December 2022 The information contained in this presentation is not legal or tax advice and should not be relied upon or construed as legal or tax advice. This presentation is for general informational purposes
Slide 2: Today's agenda
Today’s agenda 01 Introductions 02 What is NH PFML 03 Roles & responsibilities 04 How to file a claim 05 Claim examples 06 Tools & resources 07 Timeline of activities 08 Wrap-up and Q&A Metropolitan Life Insurance Company, New York, NY L1122027590[exp1223][All States] © 2022 MetLife Services and Sol
Slide 3: What is New Hampshire Paid Family & Medical Leave (NH PFML)?
What is New Hampshire Paid Family & Medical Leave (NH PFML)? Metropolitan Life Insurance Company, New York, NY L1122027590[exp1223][All States] © 2022 MetLife Services and Solutions, LLC 3
Slide 4: What is New Hampshire's PFML plan?
What is New Hampshire’s PFML plan? An optional insurance plan that provides wage replacement for employers and individuals who cannot go to work because of a qualifying common life event Paid Medical Leave Paid Family Leave Own Serious Health Child Bonding Family Caregiver Military Exigency Military
Slide 5: What is NH PFML Individual Coverage?
What is NH PFML Individual Coverage? If an employer does not provide employer equivalent benefit coverage, eligible workers may purchase a NH PFML individual insurance plan for themselves from MetLife (employer obligations still apply). The NH PFML individual insurance plan provides workers: 6 weeks
Slide 6: How do I enroll in NH PFML Individual Coverage?
How do I enroll in NH PFML Individual Coverage? MetLife will be providing online enrollment for your convenience beginning 1/1/23. NH PFML Individual enrollment is available for 60-days each year. This year you will be able to enroll in a NH PFML individual plan between 1/1/23 and 3/2/23. Metropolit
Slide 7: Roles & Responsibilities
Roles & Responsibilities Metropolitan Life Insurance Company, New York, NY L1122027590[exp1223][All States] © 2022 MetLife Services and Solutions, LLC 7
Slide 8: Worker Responsibilities
Worker Responsibilities Check if you are an eligible worker by speaking with 1 your employer. 2 Enroll in your employer’s NH PFML, if applicable. If your employer doesn’t offer NH PFML or 3 equivalent coverage you may be eligible to enroll in Individual coverage. 4 File a claim with MetLife and prov
Slide 9: How do workers file a claim?
How do workers file a claim? Metropolitan Life Insurance Company, New York, NY L1122027590[exp1223][All States] © 2022 MetLife Services and Solutions, LLC 9
Slide 10: Leave request process
Leave request process How do workers file for benefits? 1 Apply for benefits 2 Submit supporting documentation 3 Stay connected until return to work • Workers contact MetLife within • Proof may be required before the • Employer and MetLife will need 30 days prior or within 20 days claim decision can
Slide 11: Claims Examples
Claims Examples Metropolitan Life Insurance Company, New York, NY L1122027590[exp1223][All States] © 2022 MetLife Services and Solutions, LLC 11
Slide 12: Claim example 1: Jerry
Claim example 1: Jerry Jerry was injured shoveling snow and his healthcare provider recommended 4 weeks of physical therapy to help strengthen his back. His weekly wage is $600 for 5 days/week schedule. STD NH PFML FMLA Potential benefit = 60% Potential benefit = 60% Qualifies for FMLA – runs concur
Slide 13: Claim example 1: Jerry
Claim example 1: Jerry Jerry is still experiencing back pain and his doctor schedules outpatient surgery. His weekly wage is $600 for 5 days/week schedule. STD NH PFML FMLA Potential benefit = 60% Potential benefit = 60% Qualifies for FMLA – runs concurrently with Qualifies for STD – Not qualified –
Slide 14: Claim example 2: Rose
Claim example 2: Rose Rose is having a baby in 6 months and she experiences severe morning sickness. Her doctor certifies that she may miss partial days during this phase of her pregnancy. Her weekly wage is $1,000 for a 5 days/week schedule. STD Salary NH PFML PTO FMLA Continuation Potential benefi
Slide 15: Claim example 2: Rose
Claim example 2: Rose Rose is having a baby in 2 weeks, and she starts to experience issues prior to the due date. The doctor puts her on bedrest before the baby is due as a precaution. Her weekly wage is $1,000 for a 5 days/week schedule. STD Salary NH PFML PTO FMLA Continuation Potential benefit =
Slide 16: Claim example 2: Rose
Claim example 2: Rose Rose had a healthy baby girl. She had a complicated delivery, and the doctor has ordered 8 weeks for her recouperation. Her weekly wage is $1,000 for a 5 days/week schedule. STD Salary NH PFML PTO FMLA Continuation Potential benefit = 60% Potential benefit = Potential benefit =
Slide 17: Claim example 2: Rose - Benefit Overlap
Claim example 2: Rose Benefit Overlap Child born July Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Benefits NH PML 5 days NH PFL 4 weeks 1week STD 2 weeks 4 weeks 4 weeks SalCon 4 weeks 2 weeks PTO 5 days FMLA 5 days 2 weeks 4 weeks 4 weeks 1week Metropolitan Life Insurance Company, New York, NY
Slide 18: Tools & Resources
Tools & Resources Metropolitan Life Insurance Company, New York, NY L1122027590[exp1223][All States] © 2022 MetLife Services and Solutions, LLC 18
Slide 19: Tools & Resources
Tools & Resources www.metlife.com/pfml Worker FAQ PaidFamilyMedicalLeave.nh.gov Metropolitan Life Insurance Company, New York, NY L1122027590[exp1223][All States] © 2022 MetLife Services and Solutions, LLC 19
Slide 20: Timeline of Activities
Timeline of Activities Metropolitan Life Insurance Company, New York, NY L1122027590[exp1223][All States] © 2022 MetLife Services and Solutions, LLC 20
Slide 21: NH PFML Timeline of Activities
NH PFML Timeline of Activities September October November December January • NH PFML employer • NH PFML employer • NH PFML employer • NH PFML employer • NH PFML claims may be education education education education submitted • NH State website is live • 12/1/22: Employer can • NH PFML benefits purch
Slide 22: In Summary
In Summary Benefits are payable beginning January 1, 2023 Check with employer to confirm eligibility File a claim, if appropriate: • Workers need to open a claim with MetLife – preferably within 30 days prior to leave and no later than 20 days after the leave starts. • Supporting documentation may b
Slide 23: Q&A
Q&A If you have any questions after this webinar, please contact your MetLife Representative, or visit https://www.paidfamilymedicalleave.nh.gov Metropolitan Life Insurance Company, New York, NY L1122027590[exp1223][All States] © 2022 MetLife Services and Solutions, LLC 23
Slide 24: Thank you
Thank you Metropolitan Life Insurance Company, New York, NY L1122027590[exp1223][All States] © 2022 MetLife Services and Solutions, LLC 24