The State of Iowa recognizes that employees may have a personal or family medical emergency resulting in a need for additional time away from work in excess of their available accrued time off balances. To address this need, employees are allowed to donate vacation and/or request donations per the guidelines listed below.

Forms

Donated Leave for Catastrophic Illness Application
Donated Leave for Catastrophic Illness Immediate Family Member Application
Donated Leave for Catastrophic Illness Request (for Agency HR use)
Donated Leave for a Catastrophic Illness Immediate Family Member Request (for Agency HR use)

 

Donated Leave for Employees and Donated Leave for Immediate Family Members

Eligibility

Employees are eligible to receive donated leave hours for a catastrophic illness. Employees may also donate accrued vacation hours to another State employee.

For employees of the Iowa House and Senate, Fair Board or Community Based Corrections please contact your local Human Resources Representative for applications and to donate.
Forms for Agencies Independent Administering Donated Leave (Outside of Workday)

Definitions

A. “Catastrophic Illness” means a physical or mental illness or injury, as certified by a provider resulting in the inability of the employee or immediate family member to work for more than 30 work days on a consecutive or intermittent basis.

B. “Donated Leave” means vacation time off (hours) donated to employees. Recipients will not accrue vacation and sick time off based on donated leave hours. Donated leave is not considered to be pay the employee earned through the performance of service.

C. “Employee” means a full-time or part-time employee who is eligible to accrue vacation. “Employee” also means the employee’s designee.

D. “Employer” means the State of Iowa agency. When applicable, it also means an appointed or elected chief administrative head of a department, commission, board, independent agency, statutory office, or that person's designee.

E. “Provider” means a person licensed to practice medicine and/or surgery. Eligible providers who may complete the donated leave for catastrophic illness applications are Medical Doctor (MD), Doctor of Osteopathy (DO), Physician Assistant (PA), Advanced Registered Nurse Practitioner (ARNP) and Psychiatrist only. Those not considered providers for this purpose are podiatrists, chiropractors, physical therapists, nurses, dentists, optometrists, acupuncturists, pharmacists, psychologist or social worker and other licensed health professionals exclusively engaged in the practice of their respective professions.

F. “Immediate Family Member” means the employee’s spouse, parent, son, or daughter as defined in the Family and Medical Leave Act of 1993 (Child – includes individuals for whom the employee stood or is standing “in loco parentis”, Spouse, or Parent – includes individuals who stood “in loco parentis.)

Program Eligibility for Employee Recipients

A. In order to receive donated leave for a catastrophic illness, an employee, as defined in II-C above, must have a catastrophic illness, as defined in II-A above.

B. The employee must:

  1. have exhausted all paid time off;
  2. not supplement workers’ compensation to the extent that it exceeds more than 100 percent of the employee's pay for his or her regularly scheduled work hours on a pay period-by-pay period basis;
  3. not receive long-term disability (LTD) benefits;
  4. be approved for and using or have exhausted Family and Medical Leave Act (FMLA) leave hours if eligible; and
  5. be on approved leave without pay for medical reasons during any hours for which he or she will receive donated leave.

C. If an employee applies for and is approved to receive LTD benefits, he or she may continue to receive donated leave contributions for up to one year on an intermittent or continuous basis, or the long-term disability benefit effective date, whichever comes first.

Program Eligibility for Immediate Family Member

A. In order to receive donated leave for the catastrophic illness of an immediate family member, the immediate family member must have a catastrophic illness as defined in II-A above.

B. The employee must:

  1. have exhausted all paid time off for which eligible;
  2. be approved for and using or have exhausted Family and Medical Leave Act (FMLA) leave hours if eligible; and
  3. be on approved leave without pay for the medical reasons of an immediate family member during any hours for which he or she will receive donated leave.

Certification Requirements

A. The employee must submit a “Donated Leave for Catastrophic Illness Application” or “Donated Leave for Catastrophic Illness Immediate Family Member Application” form completed by a provider.

B. The provider’s statement on the Donated Leave for Catastrophic Illness Application form is the basis for determining if an employee or family member meets the requirements of the catastrophic illness definition. The DAS Leave Administration team will determine if the employee meets the remaining eligibility requirements in Part III-B for employee or Part IV-B for immediate family member.

C. Employers may, at their department’s initiative and expense, seek second opinions or updates from providers regarding the status of an employee's illness or injury. If the employee is receiving FMLA leave, the second opinion must be obtained from a provider who is not employed by the State.

Program Requirements

A. Hours shall be donated in whole-hour increment. However, donations may be credited to the recipient in other than whole hour increments. All of the recipient’s accrued time off must be used before donations will be credited to the recipient for an employee’s own illness or all of the recipient’s accrued time for which he or she is eligible must be used before donations will be credited to the recipient for the illness of an immediate family member. Hours will be credited in increments not to exceed the employee’s regularly scheduled work hours on a pay period-by-pay period basis. Recipients will not accrue paid time off from donated leave hours.

B. Approval for use of donated leave shall be for a period not to exceed one year either on an intermittent or continuous basis for each occurrence.

  1. An occurrence is considered a period of incapacity (of the employee or an immediate family member) from an illness or injury.
  2. An occurrence is not to exceed a period of one year from the date the patient was deemed unable to work as notated by the provider on the application forms.
  3. Donated leave can only be used one time (for up to one year) per diagnosis.

For example: An employee is diagnosed with liver cancer. The donated leave may be used for a period of one year, either continuously or intermittently. If liver cancer comes back after that one year, it is still considered the same occurrence. If a different type of cancer is identified, it would be a new occurrence since it is a different type of cancer.

C. Donated leave shall be irrevocable after it is credited to the recipient. Donated leave hours not credited to the recipient will not be deducted from the donor’s vacation balance.

D. Donations will not be applied retroactively. Donations shall be credited on a first-in/first-out basis according to the submitted date on the Workday Requests Worklet - Catastrophic Leave Donation. Please review the Catastrophic Leave Donation Request Smart Guide.

E. Donated leave for catastrophic illness will not restrict the right to terminate probationary employees.

F. The pay increase eligibility date will be extended by the amount of time the employee received donated leave if the leave is 30 days or longer.

G. The DAS Leave Administration team shall review the application for program eligibility and against program requirements. When/if the application is approved, the Leave Manager will advise the appropriated agency Human Resource Representative to post a “Donated Leave for Catastrophic Illness Request” form or “Donated Leave for a Catastrophic Illness Immediate Family Member Request” indicating that an employee is eligible to receive donated leave within the employees’ agency. They shall also post the Smart Guide instructing employees how to donate. These forms will not be posted in other agencies; however, donated leave hours can be received from employees outside the employing agency.

H. Health, dental, and supplemental life insurances; pre-tax; deferred compensation; flexible spending accounts (FSA); and tax-sheltered annuities premiums will continue to deduct from the Catastrophic Leave Donation if FMLA eligible. If the employee doesn’t receive enough donations to cover all benefits, the remaining owed will be collected in arrears.

I. Employees may choose to continue or terminate miscellaneous insurance, One Gift, and credit union deductions while using donated leave hours. Mandatory deductions are taken first, and then optional deductions as funds are available and as authorized by the employee. Union dues deductions will continue as long as the employee has sufficient earnings to cover the dollar amount certified to the employer after deductions for social security, federal taxes, state taxes, retirement, garnishments/wage assignments, health, dental, and supplemental life insurance premiums, and deductions for flexible spending accounts.

II. Contributions to the employee’s dependent care account will be allowed during a period of leave without pay. Claims will not be paid for dependent care while an employee is on leave without pay, unless the employee is not capable of self-care.

When FMLA leave and donated leave for a catastrophic illness are used concurrently, the State is obligated to pay its share of health and dental insurance. Once FMLA is exhausted the employee is no longer eligible for the State share and will receive a COBRA application. COBRA premiums will not be deducted from catastrophic illness payments. The employee will pay COBRA insurance premiums directly to the insurance carriers. The State also continues to maintain an employee's basic life and long-term disability insurances during periods of medical leave for an employee’s illness.

Leave without pay provisions shall apply to the following: Employees are not eligible for holiday pay; sick time accrual; vacation accrual; shift differential pay and longevity pay. In addition, employees receiving donated leave for catastrophic illness for themselves or an immediate family member will not be eligible for lead worker pay, extraordinary duty pay or special duty pay.

J. An employee may terminate receiving donated leave contributions at any time.

K. Donated leave hours are not tax-deductible.

Recordkeeping

A. The DAS Leave Administration team must maintain records pertaining to donated leave and must make these records accessible to State Auditors upon request.

B. Records and documents relating to donated leave must be treated as confidential and kept in Workday – Maintain Worker Documents. Supervisors, managers, first aid and safety personnel may be provided relevant information on a need-top-know basis.

C. Information regarding recipients, donors, and the number of leave hours donated is confidential and will be treated as such. Donors also should treat information regarding the recipients, and the number of leave hours as confidential, but they are not prohibited from telling the recipient if they choose to do so.