Statutes, codes, and regulations
Delaware Administrative Code
Title 19 - LaborDepartment of LaborDivision of Paid Leave
Rules Defining and Regulating the Healthy Delaware Families Act, Family and Medical Leave Insurance Program and the Division of Paid Leave
Section 1401-22.0 - Reports

19 Del. Admin. Code § 1401-22.0

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Current through Reigster Vol. 28, No. 6, December 1, 2024
Section 1401-22.0 - Reports
22.1 As set forth in 19 Del.C. § 3721, by April 1, 2027 and each year thereafter, the Division will report relevant data regarding the PFML insurance program which may include the following:
22.1.1 Projected and actual program participation by type of leave;
22.1.2 Gender of covered individual taking leave;
22.1.3 Average weekly wage of covered individuals taking leave;
22.1.4 Other demographics of covered individuals taking leave, as determined by the Division which may include the following: race, ethnicity, age, sex, job type, job industry, location of claimant's employer by town and county;
22.1.5 Fund balance;
22.1.6 Outreach efforts;
22.1.7 Total utilization, including number of benefit applications received by type of leave;
22.1.8 Number of claims approved by type of leave;
22.1.9 Number of claims denied by type of leave, and reasons for denial;
22.1.10 Family members for whom family caregiving leave taken to provide care;
22.1.11 Amounts paid out by Fund by type of leave; and
22.1.12 Number of appeals received by type of leave and outcome of appeals received.
22.2 Beginning in 2027, by January 30th of that year and each year thereafter, an approved private plan, including those plans approved for grandfathering and self-insured plans, must submit to the Division an aggregate private plan administration summary for the previous year. The summary shall include the following:
22.2.1 Benefit applications receive by type of leave;
22.2.2 Number of covered individuals approved to receive benefits by type of leave;
22.2.3 Benefit amounts paid by type of leave;
22.2.4 Number of employees covered by the private plan;
22.2.5 Gender of covered individual taking leave;
22.2.6 Average weekly wage of covered individuals taking leave;
22.2.7 Family members for whom family caregiving leave taken to provide care;
22.2.8 Number of denials of benefits by type of leave;
22.2.9 Reasons for any denials and number of denials based on each reason;
22.2.10 Number of internal reviews received by type of leave;
22.2.11 Outcomes of the internal review requests received.

19 Del. Admin. Code § 1401-22.0

28 DE Reg. 147 (8/1/2024) (Final)