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What Is a Private Plan for CT PFML?

CT Paid Leave is Connecticut’s version of a state-mandated Paid Family & Medical Leave (PFML) program. A Private Plan is either a self-insured or fully insured plan which provides the same rights, protections, and benefits as the State Plan, is at least as generous as the State Plan and can’t cost employees more than what the State Plan would be. At ShelterPoint*, we provide a fully insured Private Plan in form of a Paid Family and Medical Leave policy.


Male employee looks happy in front of his laptop at home

 


Why Choose a Fully Insured Private Plan?

Let’s look at some advantages of a fully insured Private Plan.


Insurance carriers have built expertise and scalability around administering and paying claims.


This focus may bring other advantages, such as fast claims turnaround times and live, responsive claims service – potentially resulting in a better insurance experience for employees. ShelterPoint’s PFML policy provides a fully insured, compliant, stand-alone private option for your Connecticut PFML needs. Additionally, groups are competitively underwritten and may be priced below the State Plan rate - potentially saving employees money.

 



How to Apply for a Private Plan With ShelterPoint in Connecticut

While the overall elements of the application process are defined by the CT Paid Leave Authority here, let’s break this out into 4 main steps with easy-to-follow tasks for each one, with focus on how it works at ShelterPoint:

 

Step 1 – Register on www.ctpaidleave.org

The first step all CT employers must take (regardless of whether or not you apply for a Private Plan) is to register as an employer on www.ctpaidleave.org. The CT Paid Leave Authority set up an easy process to apply for a Private Plan on their website.

Step 2 – Obtain a Quote/Proposal, Sample Policy and Plain Language Guide from ShelterPoint

2a) After registration on www.ctpaidleave.org, but before you apply:

Employers obtain a quote from their broker
There is some basic information that most carriers will need in order to provide your broker with a quote; and this is what ShelterPoint, specifically, will need:

  • Your company’s full information, including full legal name, address, and SIC code.
  • Census with employees working at your CT location(s)
    • Gender
    • Employment status (full-time, part-time, or 1099ers)
    • Age
    • Total wages
    • Include part-timers who meet the eligibility1 requirements.
  • Desired effective date
If needed, we may require additional information.

 

2b) ShelterPoint provides a proposal

At ShelterPoint, after you have accepted the proposal, we will provide:

  • The Sample Policy (Final Policy to be issued after Private Plan exemption is approved by the State)
  • The Plain Language Guide: ShelterPoint will work with you to provide a completed, pre-filled Plain Language Guide that you can use for employee voting and the Private Plan exemption application.

Step 3 – Conduct Employee Voting

Inform your workforce about Private Plan and upcoming vote

Employers are required to inform their employees about the benefits of the Private Plan and who the Private Plan carrier will be.

Provide your employees with the following at least two weeks prior to the vote:

  • A copy of the Sample Policy
  • Fully completed Plain Language Guide describing the plan
  • Instructions about the voting process.
Sign up here to get updated if and when new information becomes available about what to provide to your employees.

Hold a 1-question vote on the Private Plan

At least two weeks after the date of informing your workforce, you must hold a vote, which needs to be independently verifiable after the fact by the Connecticut Paid Leave Authority. The Connecticut Paid Family and Medical Leave Authority provides a full set of guidelines employers must follow when holding this vote, which can be found here. Here are a few highlights:
  • There must be an anonymous majority vote in favor of the Private Plan, i.e.:
    • 50% +1 vote of ALL employees working in Connecticut (not just of those who voted) on the employer’s payroll as of the date or time period of the vote (FT, PT and Probationary Employees)
    • In other words, not voting is like voting “No”.
    • The vote must include regular employees who are on a paid or unpaid leave of absence (such as vacation, medical, military, educational, disciplinary, etc.), they must be enabled to vote on the day of the vote.
  • You can ask only one question, worded exactly as follows:

    “Do you approve the company’s Private Plan to provide benefits required by the CT Paid Family and Medical Leave Insurance Act? Yes or No.”

Please be sure to read this Policy & Procedures document directly from the Connecticut Paid Family & Medical Leave Authority for full details and additional requirements regarding the employee vote.

Step 4 – Apply for Private Plan Exemption

When you apply
Apply for the Private Plan with the CT Paid Leave Authority if you obtained a majority vote


  • You must already be registered with the CT Paid Family and Medical Leave Authority. Otherwise, register now at www.ctpaidleave.org.
  • You will need to provide:
    • Sample Policy
    • Fully completed Plain Language Guide
    • Data about the employee vote
  • During the process, you will be asked to confirm certain attestations, for example that employees were not threatened or coerced in connection with the voting process, and that the voting process was completed in compliance with the Connecticut Paid Family and Medical Leave Authority’s requirements.

The CT Paid Leave Authority will notify you upon Private Plan approval.

 

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CT PFML Expert Tip:


It’s important to remember that you will need to renew your Private Plan every 3 years!

 

1Eligibility Requirements: Any employee who is working in Connecticut and has earned at least $2,325 in the highest earning quarter in the first 4 of the past 5 quarters is eligible to receive income replacement benefits from the State or Private Plan. This includes former employees who were employed within the past 12 weeks.

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If you are an employer, please contact your broker to get the ball rolling. Brokers are welcome to reach out to us directly with any questions they may have at sales@shelterpoint.com. We look forward to working with you!

Why Choose ShelterPoint* For CT Paid Leave?

Our decades of experience in PFML and similar state-mandated coverages have made us a specialist in these products, and we welcome the opportunity to help employers by bringing you a thoughtful and efficient stand-alone Private Plan option for your Paid Family & Medical Leave needs. This includes guiding you on what administrative actions you need to complete for an exemption – we help make the switch to our Private Plan easy.


Frequently Asked Questions About CT PFML Private Plans

How does it work if the Private Plan rate quoted is less than the State Plan contribution rate?

As mentioned before, Private Plans can cost less than the State Plan. But if the Private Plans cost less than the State Fund, the employee contribution would be capped at the Private Plan rate.

How do employees pay for Paid Family & Medical Leave if they choose a Private Plan?

You would still deduct the contributions from your employees’ payroll, whether you choose the State Plan or a Private Plan. If you choose a Private Plan, you, the employer, would pay your insurance carrier directly instead of to the State with your employees’ payroll deductions. And don’t forget, if you have an approved Private Plan – it is up to you if and how much to deduct as long as you are not deducting more than what the employee would contribute under the State Plan or at the Private Plan rate – whichever is lower.



Learn More About CT Paid Leave

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