New Jersey Administrative Code
Title 12 - LABOR AND WORKFORCE DEVELOPMENT
Chapter 21 - FAMILY LEAVE INSURANCE BENEFITS
Subchapter 2 - PRIVATE PLANS
Section 12:21-2.29 - Reports by self-insurers

Universal Citation: NJ Admin Code 12:21-2.29

Current through Register Vol. 56, No. 6, March 18, 2024

(a) For the one-year period ending December 31 of each calendar year during which a self-insured private plan is in effect, each employer shall, on a form prescribed by the Division, file a statement, on or before the 30th day following the end of the one-year period, showing the following information with regard to each of the following types of claims: care of sick child, care of sick spouse, care of sick domestic partner, care of sick civil union partner, care of sick parent, bonding by biological parent with a newborn child, bonding by domestic partner or civil union partner of biological parent with a newborn child, bonding by individual with newly adopted child:

1. The number of claims for family leave insurance benefits received during the one-year period;

2. The number of claims for family leave insurance benefits accepted during the one-year period;

3. The number of workers who received family leave insurance benefits during the one-year period;

4. The amount of family leave insurance benefits paid during the one-year period;

5. The average weekly family leave insurance benefit during the one-year period;

6. The amount of sick leave, vacation leave or other fully paid time, which resulted in reduced benefit duration during the one-year period;

7. With regard solely to family leave insurance benefit claims to care for sick family members, the amount of intermittent family leave insurance benefits paid during the one-year period; and

8. The average duration of family leave insurance benefits, in days, during the one-year period.

(b) The information reported under (a) above shall be broken down by sex and by age group, beginning at 25 years and under and increasing in increments of 10.

(c) On or before the 30th day following the close of each calendar year during which a self-insured private plan is in effect, the employer shall, on a form prescribed by the Division, file a report showing:

1. The amount of funds available at the beginning of that year for payment of family leave insurance benefits;

2. The amount contributed by workers during that year;

3. The direct cost of administration of the plan during that year;

4. The number of employees covered by the plan as of December 31; and

5. Such other information as the Division may require with respect to the financial ability of the self-insurer to meet the self-insured's obligations under the plan.

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