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A Guide To Massachusetts Paid Family and Medical Leave (PFML)

A Guide To Massachusetts Paid Family and Medical Leave (PFML) 2025

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The document outlines the process for applying for Paid Family and Medical Leave (PFML) in Massachusetts, specifically focusing on the certification of a serious health condition. It details the roles of the employee, healthcare provider, and employer in completing the necessary certification form to determine eligibility for benefits. The document specifies different types of leave covered under PFML, instructions for filling out the form, and contact information for Arch Insurance, which administers the benefits.

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Click ‘Get Form’ to open it in the editor.
In Section 1, enter your name and contact information as the employee applying for leave. Ensure accuracy as this will be used to match your application.
Complete Section 2 if you are applying to care for a family member. Specify your relationship with the patient and provide their details.
Sections 3-6 must be filled out by the health care provider. Provide them with the form so they can certify the serious health condition.
Once completed, ensure that Sections 1, 2, and 7 are filled out before submitting the entire form to Arch Insurance via email or mail.

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How do you qualify for PFML in Massachusetts?

In order to be entitled to MA PFML leave, you must have earned at least (1) $5,400 during the last 4 completed calendar quarters and (2) at least 30 times more than how much you would be eligible to get each week from your MA PFML benefits.

How many hours do you need to qualify for PFML?

Employees are eligible for leave if they have worked for their employer at least 12 months, at least 1,250 hours over the past 12 months, and work at a location where the company employs 50 or more employees within 75 miles.

Can you be denied PFML in Massachusetts?

If your employer offers a private plan and you apply for PFML, your application will be denied.

What qualifies for PFML in Massachusetts?

Employees may take up to 26 weeks of FMLA leave and up to 26 weeks of PFML leave per benefit year to care for a relatives family member with a military-related illness/injury. In most circumstances, FMLA and PFML will run concurrently if the employee is eligible for both types of leave.

Can I use PFMLA for any reason?

Eligible employees can take FMLA leave to care for a child, spouse, or parent who has a serious health condition. Caring for a family member under the FMLA includes assistance with basic medical, hygienic, nutritional, safety, transportation needs, physical care, or psychological comfort.