MetLife, Inc. · NYSE:MET
MetLife — Conference Presentation (January 2023)
29 slides from MetLife's conference presentation, January 2023
Slide 1: New Hampshire Paid Family & Medical Leave: What you need to know
New Hampshire Paid Family & Medical Leave: What you need to know January 2023 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 only and does not purport
Slide 2: Today's agenda
Today’s agenda 01 Introductions 02 What is NH PFML 03 How do I enroll 04 What do I need to do 05 How to file a claim 06 Claim examples 07 Where can I go for answers 08 Wrap-up and Q&A Metropolitan Life Insurance Company, New York, NY L0123028477[exp0124][All States] © 2023 MetLife Services and Solut
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 L0123028477[exp0124][All States] © 2023 MetLife Services and Solutions, LLC 3
Slide 4: What is New Hampshire Paid Family & Medical Leave (NH PFML)?
What is New Hampshire Paid Family & Medical Leave (NH PFML)? Paid Employer Worker Leave Option Option If your employer does not offer a Insurance Choose plans and how to fund the benefit plan, you may be able to premiums participate as an individual. Metropolitan Life Insurance Company, New York, NY
Slide 5: What is the benefit payment for NH PFML plan?
What is the benefit payment for NH PFML plan? Average NH PFML Benefit Weekly Pay Amount 60% $500 $1,000 $2,000 $300 $600 $1,200 Wage replacement $3,000 $1,800 paid benefit, up to the Social Security wage cap 2023 cap $3,080.77 $1,848.4 Metropolitan Life Insurance Company, New York, NY L0123028477[ex
Slide 6: How long can a NH PFML benefit be paid?
How long can a NH PFML benefit be paid? 6 Weeks Paid + One week elimination period Intermittent and Reduced leave paid in 4-hour increments Other options: • Employers can expand to 12 weeks of paid leave plans • Individual pool coverage includes a 7-month waiting period Metropolitan Life Insurance C
Slide 7: When can I receive benefits?
When can I receive benefits? Benefits can be taken when you experience one of the following NH PFML Qualifying events Paid Medical Leave Paid Family Leave Own Serious Health Child Bonding Family Caregiver Military Exigency Military Caregiver Worker’s own medical need, Including newborn, adoption, Wh
Slide 8: How do I enroll in NH PFML?
How do I enroll in NH PFML? Metropolitan Life Insurance Company, New York, NY L0123028477[exp0124][All States] © 2023 MetLife Services and Solutions, LLC 8
Slide 9: How do I enroll in NH PFML?
How do I enroll in NH PFML? MetLife will be working with your employer to provide NH PFML Coverage If your employer sponsors benefit and funds it on behalf of their NH Workers, you will be automatically enrolled. If your employer’s plan passes all or some of the funding to you, they will conduct an
Slide 10: How do I enroll in NH PFML Individual Coverage?
If your employer chooses not to sponsor a plan: How do I enroll in NH PFML Individual Coverage? MetLife will be providing online enrollment for your convenience beginning 1/1/23. PaidFamilyMedicalLeave.nh.gov NH PFML Individual enrollment is available for 60-days each year. This year you will be abl
Slide 11: 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: Same as
Slide 12: What do I need to do?
As a NH worker What do I need to do? Metropolitan Life Insurance Company, New York, NY L0123028477[exp0124][All States] © 2023 MetLife Services and Solutions, LLC 12
Slide 13: Workers can…
Workers can… Tell your employer you are interested in the NH PFML 1 benefit program Enroll in your employer’s NH PFML plan, if 2 applicable. If your employer doesn’t offer NH PFML or 3 equivalent coverage you may be eligible to enroll in individual coverage. 4 Once your coverage is effective, File a
Slide 14: How to file a claim
How to file a claim Metropolitan Life Insurance Company, New York, NY L0123028477[exp0124][All States] © 2023 MetLife Services and Solutions, LLC 14
Slide 15: 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 16: Claim Examples
Claim Examples • When your employer sponsors NH PFML in addition to other paid benefit programs • If you purchase coverage as an individual Metropolitan Life Insurance Company, New York, NY L0123028477[exp0124][All States] © 2023 MetLife Services and Solutions, LLC 16
Slide 17: 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 No Yes Yes because he is not because he has a because he has a disabled serious
Slide 18: 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 Yes No Yes Potential benefit = 60% because STD benefit is Runs concurrently with benefit equals payable STD $360/week If PFML,
Slide 19: 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 Parental Leave
Slide 20: 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 Normal Wage: $1
Slide 21: 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 Yes No No Partial Y
Slide 22: 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 Yes No No Partial Y
Slide 23: 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 Yes Yes Yes No Yes 60% benefit equals Starting week 9 after Sta
Slide 24: 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. Normal Wage: $1,000 STD Salary NH PFML PTO FMLA After Childbirth Continuation Week 1-8: STD $ 600 Week 9
Slide 25: When the same leave reason can qualify for employer benefits and individual NH PFML coverage
Individual Pool Coordinating with Employer Benefits When the same leave reason can qualify for employer benefits and individual NH PFML coverage Employer Benefits NH PFML Benefits STD Employee’s own serious health condition Salary Continuation Child bonding Paid Parental Leave Care of family member
Slide 26: Where can I go for questions?
Where can I go for questions? Metropolitan Life Insurance Company, New York, NY L0123028477[exp0124][All States] © 2023 MetLife Services and Solutions, LLC 26
Slide 27: Where to go with NH PFML Questions
Where to go with NH PFML Questions PaidFamilyMedicalLeave.nh.gov www.metlife.com/pfml Metropolitan Life Insurance Company, New York, NY L0123028477[exp0124][All States] © 2023 MetLife Services and Solutions, LLC 27
Slide 28: In Summary
In Summary • NH PFML is not a mandate – it is voluntary • Paid Leave is a wage-replacement benefit • Automatic enrollment only if your employer pays for benefits on your behalf. • If you want it, and are sharing in the cost of the insurance premiums, you must enroll in • your employer plan, or • If
Slide 29: Thank you
Thank you Metropolitan Life Insurance Company, New York, NY L0123028477[exp0124][All States] © 2023 MetLife Services and Solutions, LLC 29