Most employers are required to provide Paid Family and Medical Leave to their employees who work in the state of Oregon. The OR PFML program is designed to provide employees with the financial support they need during critical life events, such as the birth or adoption of a child, serious illness, or caring for a family member with a serious health condition.

Coverage options: Employers can meet their PFML obligation through a state-run program or by offering an equivalent plan.

Sun Life Solutions: Sun Life offers solutions to meet your PFML needs, including the choice of a fully insured plan or a self-insured plan option.

Employers who choose equivalent plan administration through Sun Life receive:

  • A coordinated experience between PFML, Short-Term Disability and Absence Management Solutions, if applicable. This leads to a better experience for employees, with one claim submission and a single case manager handling the claim for these benefits
  • Robust reporting
  • Excellent claims management and access to return to work services
  • Compliance guidance on PFML and other leave updates

Effective July 1, 2024, the maximum weekly benefit increased to $1,568.60 and the minimum weekly benefit increased to $65.36. This is based on the state average weekly wage (SAWW) that increased to $1,307.17.

Effective January 1, 2025, the Social Security wage cap will be increasing from $168,600 to $176,100.

Frequently asked questions

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

Yes. While the OR PFML law creates certain paid benefits for leave because of an employee’s own health condition or for covered caregiving reasons, the OR 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 with limited income protection under the following circumstances:

  1. Benefit amount for higher-income employees. The OR 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, in most circumstances, the employee may be left without income replacement for their own serious health condition in the same timeframe.
  3. Impact of intermittent leave. OR 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: 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 OR PFML and STD.

Employers can apply for an equivalent plan via the state's online portal, Frances Online. An employer may apply for approval of a self-administered or fully insured equivalent plan.

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

Employers planning to offer an Equivalent Plan (including self-insurance models) are not exempt from paying premiums until Paid Leave Oregon has reviewed and approved the equivalent plan documentation. Employers are responsible for continuing to remit employer or employee contributions to the state plan until the effective date of their approved Equivalent Plan application. 

Employers offering Equivalent Plans must continue to meet reporting, notice, records, job protection and benefits continuation requirements.

Equivalent Plans must remain in effect for a minimum of one year. Employers will be required to reapply annually for the first three years, 30 days prior to the approval of an equivalent plan plus pay the required fee. Employers will also be required to reapply and pay the required fee if substantive changes are made to their approved plan.

Program highlights

Sun Life is committed to assisting you in complying with the requirements of the PFML law and with providing valuable employee benefits to your employees. We also offer leave and accommodation services. Please reach out to us and we will evaluate your benefit plans and compliance needs from a holistic perspective and provide guidance and services to meet your and your employees’ needs.

Questions?

Contact your Sun Life Employee Benefits Representative or your benefits broker to learn more.

The information on this page is based on our knowledge of the current PFML law and regulations. Content subject to change. This page is not intended to be and should not be construed as legal advice. Employers are encouraged to consult employment law counsel for legal advice. 

Sun Life’s fully insured OR PFML policies are issued by Sun Life Assurance Company of Canada (Wellesley Hills, MA) under Policy Form Series 22-PFML-GP-01-OR Rev 3/23. Sun Life’s self-insured or administrative-services-only OR PFML services are administered by Sun Life Assurance Company of Canada (Wellesley Hills, MA). This service is not insurance.

© 2024 Sun Life Assurance Company of Canada, Wellesley Hills, MA 02481. All rights reserved. The Sun Life name and logo are registered trademarks of Sun Life Assurance Company of Canada. Visit us at www.sunlife.com/us.

PFMLWC-2191 #1489648011 09/24 (exp. 09/26)