March spotlight: What you need to know about FAMLI and Designated Representatives
When life happens, FAMLI has you covered – even when you’re unable to file a FAMLI claim for yourself.
As a Health Care Provider, you may be asked to certify a serious health condition for a patient who is incapacitated or otherwise unable to ask for themselves. That’s when claimants in the FAMLI program may use a Designated Representative.
Here’s what you need to know about Designated Representatives when it comes to FAMLI coverage:
- Designated Representatives must be legally authorized to make decisions on behalf of a claimant. The legal authorization may be through written designation by the claimant, or through legal status as a parent, guardian, conservator, or power of attorney.
- If someone is unable to file a claim or authorize a Designated Representative, a family member may serve in this role without prior authorization from the claimant.
- A Health Care Provider who is certifying a serious health health condition should be certifying the claimant’s own health condition, not that of the Designated Representative.
- If someone is simply helping a loved one file a claim for their own serious health condition, that is not the time to file as a Designated Representative. Instead, this person should file a Care claim.
Colorado does not regulate how Health Care Providers can talk about FAMLI options. But if someone asks you to explain the Designated Representative process, feel free to refer them to the FAMLI website for instructions!
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