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W W W . I N S U R A N C E W H O L E S A L E R . C O M
DBL vs PFL
"Required Disability and Paid Family
Leave is Just The Beginning."
My father used to say,
"Nickels, Dimes and Quarters make Dollars." This wise phrase reminds me that small savings can add up to significant
amounts over time. " It's not about how much money you make but how much you can keep.“ To build a successful
business, my father advised me to "expand and scale out like Los Angeles, rather than up like New York. Instead focus on
broadening the business horizons while maintaining the core values of what we do best."
He also reminded me to "stay true to our expertise, as we have been providing required state disability, paid family leave,
and ancillary employee benefits since 1976. " His words of wisdom have always inspired me to stay grounded and work
towards achieving long-term success.
Founder
DBL vs. PFL In New York
Key Differences
Allowable PFL Claims:
File a PFL claim for paid time off to:
Bond with a newborn, or newly adopted or foster child within the first year
Care for a family member with a serious health condition
Care for home and family when a spouse, domestic partner, child or parent is deployed
abroad on active military service PFL
Expert Tip:
File a DBL claim for your own injury or illness. File a PFL claim for paid leave to take
care of a child, parent, or other close family member.
DBL vs. PFL In New York
Key Differences
DBL PFL
Full-time Definition
Worked the number of hours that constitute
the specific employer's normal work week
Persons working 20+ hours/week
Full-time Employees
Worked at least 4 consecutive weeks for any
covered employer(s)
Employed at least 26 consecutive weeks at their
current employer
Part-time Employees
Completed at least 25 workdays at any covered
employer(s)
Completed at least 175 workdays at their current
employer
Personal or Domestic Employees
Must work at least 20 hours/week and must been
employed at least 30 days
Must work at least 20 hours/week and must have
be employed for 26 consecutive weeks
Transferability of Qualification Period
Yes. If an employee changes jobs from one covered
employer to another, their time worked at the
previous employer counts. However, if their
previous job was at an exempt employer without
voluntary coverage, they have to satisfy the
qualification period at their new covered
employer.
No. If an employee changes jobs from one covered
employer to another, their time worked at the
previous employer does not count.
DBL vs. PFL In New York
Key Differences
DBL PFL
What does not count towards the
qualification period
N/A Time out on DBL
What does counts towards the qualification
period
Approved vacation, personal, sick time
Other time away from work but still considered an employee as long as their PFL overage is paid for
Benefit Payouts
50% of your average weekly wage (AWW) to
maximum of $170/week
PFL provides 67% of your AWW, with a max.
weekly benefit payout of $1,131.08 for up to 12
weeks.
Waiting Period
7 days (no benefit is paid for the first 7 days of
your illness or disability)
None (your benefits kick in on the first day of the
qualified leave event)
Maximum Leave Duration
26 weeks in a consecutive 52-week period Up to 12 weeks
You can't take DBL and PFL at the same time, i.e. receive benefits for both concur- rently. They have to
be taken in sequence. If you qualify for both, the combined duration may not exceed 26 weeks in a
consecutive 52-week period.
DBL vs. PFL In New York
Key Differences
DBL PFL
Job Protection While On Leave None
Yes, even for employers with less than 50
employees. Employers must provide the same
position, or one comparable in wages and benefits,
to employees returning from PFL.
Benefit Offsets
Benefits are not reduced by PTO such as vacation
time, i.e. you can collect DBL benefits while using
paid vacation days
You can't receive PFL benefits while out on PTO or
using sick/vacation days
How It's Funded
Employer pays the premium to the carrier (unless self-insured) and has option to recoup cost through
employee contributions (capped at state-set maximum contribution levels)
Maximum Employee Contributions $0.60/week
0.00454% of the employee's weekly wage, capped
at an annual contribution of $399.43.
Employer Reimbursement Yes, if the employee receives salary continuation while out on leave
DBL vs. PFL In New York
Expert Tips
Your clients should consider enriching DBL benefits.
Chief executives and high earners can especially
benefit from Enriched DBL. All employees deserve
adequate income replacement in the event of illness
or injury.
Understand How DBL and PFL Work Together Following Childbirth
Parents often take time off to recover after childbirth and take care of their newborn.
PFL and DBL can work together to extend time off for new parents.
File a DBL Claim:
Prior to childbirth in the case of complications or medical necessity (bed-rest, etc.)
Following childbirth to recover from natural childbirth (typically 6 weeks) or c-
section (typically 8 weeks)
File a PFL Claim:
To bond with a newborn within the first year of life
Call-Us:
631-293-5100
E-Mail
Info@dblcenter.com
Live Chat
www.insurancewholesaler.net
DBL Center Socialize
Everything a Broker Would Need
Join us on Social Media
W W W . I N S U R A N C E W H O L E S A L E R . C O M

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DBL vs. PFL Key Differences & Expert Tips

  • 1. W W W . I N S U R A N C E W H O L E S A L E R . C O M DBL vs PFL "Required Disability and Paid Family Leave is Just The Beginning."
  • 2. My father used to say, "Nickels, Dimes and Quarters make Dollars." This wise phrase reminds me that small savings can add up to significant amounts over time. " It's not about how much money you make but how much you can keep.“ To build a successful business, my father advised me to "expand and scale out like Los Angeles, rather than up like New York. Instead focus on broadening the business horizons while maintaining the core values of what we do best." He also reminded me to "stay true to our expertise, as we have been providing required state disability, paid family leave, and ancillary employee benefits since 1976. " His words of wisdom have always inspired me to stay grounded and work towards achieving long-term success. Founder
  • 3. DBL vs. PFL In New York Key Differences Allowable PFL Claims: File a PFL claim for paid time off to: Bond with a newborn, or newly adopted or foster child within the first year Care for a family member with a serious health condition Care for home and family when a spouse, domestic partner, child or parent is deployed abroad on active military service PFL Expert Tip: File a DBL claim for your own injury or illness. File a PFL claim for paid leave to take care of a child, parent, or other close family member.
  • 4. DBL vs. PFL In New York Key Differences DBL PFL Full-time Definition Worked the number of hours that constitute the specific employer's normal work week Persons working 20+ hours/week Full-time Employees Worked at least 4 consecutive weeks for any covered employer(s) Employed at least 26 consecutive weeks at their current employer Part-time Employees Completed at least 25 workdays at any covered employer(s) Completed at least 175 workdays at their current employer Personal or Domestic Employees Must work at least 20 hours/week and must been employed at least 30 days Must work at least 20 hours/week and must have be employed for 26 consecutive weeks Transferability of Qualification Period Yes. If an employee changes jobs from one covered employer to another, their time worked at the previous employer counts. However, if their previous job was at an exempt employer without voluntary coverage, they have to satisfy the qualification period at their new covered employer. No. If an employee changes jobs from one covered employer to another, their time worked at the previous employer does not count.
  • 5. DBL vs. PFL In New York Key Differences DBL PFL What does not count towards the qualification period N/A Time out on DBL What does counts towards the qualification period Approved vacation, personal, sick time Other time away from work but still considered an employee as long as their PFL overage is paid for Benefit Payouts 50% of your average weekly wage (AWW) to maximum of $170/week PFL provides 67% of your AWW, with a max. weekly benefit payout of $1,131.08 for up to 12 weeks. Waiting Period 7 days (no benefit is paid for the first 7 days of your illness or disability) None (your benefits kick in on the first day of the qualified leave event) Maximum Leave Duration 26 weeks in a consecutive 52-week period Up to 12 weeks You can't take DBL and PFL at the same time, i.e. receive benefits for both concur- rently. They have to be taken in sequence. If you qualify for both, the combined duration may not exceed 26 weeks in a consecutive 52-week period.
  • 6. DBL vs. PFL In New York Key Differences DBL PFL Job Protection While On Leave None Yes, even for employers with less than 50 employees. Employers must provide the same position, or one comparable in wages and benefits, to employees returning from PFL. Benefit Offsets Benefits are not reduced by PTO such as vacation time, i.e. you can collect DBL benefits while using paid vacation days You can't receive PFL benefits while out on PTO or using sick/vacation days How It's Funded Employer pays the premium to the carrier (unless self-insured) and has option to recoup cost through employee contributions (capped at state-set maximum contribution levels) Maximum Employee Contributions $0.60/week 0.00454% of the employee's weekly wage, capped at an annual contribution of $399.43. Employer Reimbursement Yes, if the employee receives salary continuation while out on leave
  • 7. DBL vs. PFL In New York Expert Tips Your clients should consider enriching DBL benefits. Chief executives and high earners can especially benefit from Enriched DBL. All employees deserve adequate income replacement in the event of illness or injury. Understand How DBL and PFL Work Together Following Childbirth Parents often take time off to recover after childbirth and take care of their newborn. PFL and DBL can work together to extend time off for new parents. File a DBL Claim: Prior to childbirth in the case of complications or medical necessity (bed-rest, etc.) Following childbirth to recover from natural childbirth (typically 6 weeks) or c- section (typically 8 weeks) File a PFL Claim: To bond with a newborn within the first year of life
  • 8. Call-Us: 631-293-5100 E-Mail Info@dblcenter.com Live Chat www.insurancewholesaler.net DBL Center Socialize Everything a Broker Would Need Join us on Social Media
  • 9. W W W . I N S U R A N C E W H O L E S A L E R . C O M