Yes. Sun Life offers both fully insured and self-insured private plan administration for employers.

Any employee is eligible for benefits under the CO PFML law if they have:

• Earned at least $2,500 in wages subject to premium under the law during the person’s base period or alternative base period,
• Has elected coverage as a self-employed person, or
• Has elected coverage as an employee of a local government where the local government has declined participation in the program.

Independent contractors and persons subject to the federal Railroad Unemployment insurance act are not mandated to participate in the program.

Base period means the first four of the last five completed calendar quarters immediately preceding the first day of the individual’s benefit year and the alternate base period means the last four completed calendar quarters immediately preceding the benefit year.

Most public and private employers with one or more employees during at least 20 workweeks in the current or preceding calendar year or employers who pay wages of $1,500 or more during any calendar quarter in the preceding calendar year.

A local government may decline participation in the CO PFML Program, and an employee of a local government that has declined participation may elect coverage under the Program.

Benefits are paid at 90% of the employee’s wages up to 50% of the state’s average weekly wage.

Earnings greater than 50% of the state’s average weekly wage will be paid at 50%.

The maximum benefit will be set to 90% of the state average weekly wage (SAWW) except that for the year 2024 the maximum will be $1,100 per week.

Employees with multiple jobs can elect to take leave from one or more jobs. Benefits will be paid based on the earnings from the jobs that the employee is take leave from. 

Eligible employees are allowed the following in a 12-month period:

• Up to 12 weeks of paid leave for qualifying reasons
• An additional 4 weeks of paid leave for employees incapacitated by a serious health condition related to pregnancy complications or childbirth complications

The maximum available leave is 12 or 16 weeks per application year. The application year is the 12 month period beginning on the 1^st day of the calendar week in which an individual files an application for family and medical leave insurance benefits.

No, there is no waiting period for benefits.

• Bonding with the employee’s newborn, newly adopted or newly placed foster child within a year of the birth, adoption, or foster care placement
• Caring for a family member with a serious health condition
• Employee’s own serious health condition
• For a qualifying military exigency
• For Safe leave, which is leave needed because either the employee or family member is a victim of domestic violence or abuse, sexual assault or abuse, or stalking of either the employee or a family memberible employee or the employee’s minor child or dependent.

*The definition of serious health condition aligns with that under the federal FMLA. Namely, a serious health condition is an illness, injury, impairment or physical or mental condition involving inpatient care or continuing treatment.

Covered family members include:

• Spouse or domestic partner
• Child (regardless of age)
• Parent of employee or of their spouse or domestic partner
• Grandparent of the employee or of their spouse or domestic partner
• Grandchild of the employee or of their spouse or domestic partner
• Sibling of the employee or of their spouse or domestic partner
• Any other individual with whom the employee or covered individual has a significant personal bond that is or is like a family relationship regardless of biological or legal relationship

Yes, leave can be taken continuously, intermittently or on a reduced leave schedule.

Intermittent leave is available in increments of one hour or shorter periods consistent with the increments the employer typically uses to measure leave, except those benefits are not payable until the covered individual accumulates at least one day or 8 hours of CO PFML benefits.

Yes, any covered individual employed for 180 or more days with their current employer shall be restored to the position held by the employee when the leave commenced or to a position with equivalent seniority, status, employment benefits, pay and other terms and conditions of employment including fringe benefits and service credits that the employee had been entitled to at the commence of the leave. The law does not entitle a restored employee to (1) the accrual of any senior or employment benefits during any period of leave or (2) any right, benefit or position of employment other than any right, benefit or position to which the employee would have been entitled had the employee not taken leave. In addition, the law does not relieve an employer of obligations under a collective bargaining agreement.

It is unlawful for an employer or any other person to interfere with, restrain or deny the exercise of, or the attempt to exercise, any right under the CO PFML law. Employers also cannot retaliate or discriminate against a person who seeks to for does take CO PFML. It is specifically unlawful for an employer’s absence control policy to count paid family and medical leave as an absence that may lead to or result in discipline, discharge, demotion, suspension or any other adverse action.

Employers will be required to collect premiums starting January 1, 2023. The state rate is set at 9/10ths of one percent of employees’ wages.

Employers are not permitted to deduct more than 50% of the state rate from employees’ wages. An employer with ten or more employees may deduct up to 50% of the premium required from the employees’ wages and will remit 100% of the premium required to fund the program. An employer with less than ten employees may deduct up to 50% of the premium required from the employees’ wages and shall remit 50% of the premium required to fund the program. Premiums are not required for employees’ wages above the contribution and benefit base limit established annually by the federal Social Security Administration for purposes of Old-Age, Survivors, and Disability insurance program limits.

In the future the state may adjust premiums, however the maximum premium will not exceed 1.2% of the employees’ wages.

Employers are able to apply for a Private Plan via the state's online portal, My Family+ Employer. An employer may apply for approval of a self-administered or fully insured equivalent plan..

An employer seeking approval of a fully insured plan will be required to submit an application to the FAMLI Division accompanied by an issued policy (or confirmation of insurance form), and an application fee of $500. Applications for a self-insured plan must be accompanied by proof of a Surety Bond, a Summary Plan Description and the application fee of $500.

Employers planning to offer a Private Plan (including self-insurance models) are not exempt from paying FAMLI premiums until the FAMLI Division has reviewed and approved the private plan documentation in accordance with the Division’s private plan regulations. Employers are responsible for continuing to remit their premium payments and submit wage reports until the effective date of their approved Private Plan application.

Employers offering Private Plans are required to meet reporting, notice, records, job protection and benefits continuation requirements.

Private Plans must remain in effect for a minimum of one year. The private plan approval will expire after 8 years from the date that the private plan went into effect. However, the Division will require an annual attestation that their contact information is accurate and their approve private plan remains in force.  Self insured programs will also have an annual review of their surety bond. Starting in 2025, employers with an approved private plan must pay an annual maintenance fee, as calculated and requested by the Division. 

Yes. While the CO PFML law creates certain paid benefits for leave because of an employee’s own health condition or for covered caregiving reasons, the CO PFML law is not intended to replace benefits provided by employers through Short-Term Disability (STD) plans and programs. It is important to know that cancelling STD benefits could leave your employees unprotected if they become disabled for these reasons:

1. Benefit amount for higher-income employees. The CO PFML max weekly benefit may be insufficient for high-income earners who require greater income replacement.
2. Consequences of combined 12 weeks of family and medical leave. If an employee takes 12 weeks of family leave in a 12-month period, the employee may be left without income replacement for their own serious health condition in the same timeframe.
3. Impact of intermittent leave. CO PFML can be taken intermittently so an employee may substantially reduce and/or exhaust their benefits and be left without income replacement protection if they become seriously and continuously disabled thereafter.
4. Short-Term Disability may offer additional features and benefits. STD policies may include employee-facing features that improve their experience: first-day hospitalization, survivor benefits, and, most importantly, return-to-work and vocational rehabilitation programs. Employees can still access these features even if they are approved for both CO PFML and STD.