
Stop me if you’ve heard this one before.
Russ, a bus driver, takes medical leave from work on 24 different occasions without following the employer’s call-in procedure, and then preemptively provides medical certification from a local chiropractor who is known to churn out FMLA medical certifications like a grandparent who generously dishes out candy to the grandkids.
The third-party leave administrator (TPA) for the employer smelled a rat, since this chiropractor was well known to provide FMLA medical certification with unusual frequency and often wandered outside his area of expertise.
This raised enough concern to trigger a second opinion, as there was objective reason to doubt the certification.
Here’s where things get interesting.
The second-opinion physician, an orthopedist, looked at the same circumstances and reached the exact opposite conclusion: Russ has no qualifying need for FMLA leave.
Now, we have ourselves a genuine FMLA certification steel cage match.
One provider says “yes.” One provider says “no.”
The FMLA regulations tell us precisely what comes next.
When the first and second opinions differ, the employer can require a third opinion. That third opinion is designed to be the tiebreaker, and both employer and employee are required to cooperate in selecting the provider. The resulting *third* opinion becomes final and binding. 29 C.F.R. § 825.307(c)
Here, then the second opinion conflicted with the first, the TPA sent a letter to Russ explaining the next step, the third opinion.
Russ, however, had other plans.
That is, no plans at all. Russ never responded. He never cooperated in scheduling the third opinion.
That’s a problem. While the FMLA requires employers to act in good faith during the third-opinion process, it imposes the exact same obligation on employees. When an employee refuses to participate in that process, the regulations bind the employee to the second opinion.
And in this case, the second opinion said no FMLA leave.
But wait. It gets better!
Despite never completing the third-opinion process and the TPA denying his FMLA leave, Russ continued calling off work and coding his absences as FMLA leave.
But that was the issue.
The employer here, Chicago Transit Authority (CTA), required employees not only to report the absence to the garage at which they worked (Step 1), but also to report the absence to the TPA (Step 2).
Russ skipped that second step.
Repeatedly.
Twenty-four times, to be exact. Eventually, someone noticed that the records weren’t matching up. CTA had enough, and after providing the requisite due process, it terminated Russ’ employment.
The One Who Fails to Cooperate in the Second and Third Opinion Process Suffers the Consequences
It may not surprise you that Russ cried foul. And he quickly filed his FMLA interference and retaliation claims. Just as quickly, his FMLA claims were dismissed.
The FMLA regulations make clear that, “if the employee does not attempt in good faith to reach agreement [on a third health care provider, and does not cooperate in the process], the employee will be bound by the second certification.” 29 C.F.R. § 825.307(c)
The federal appellate court reviewing Russ’ appeal had little trouble affirming a dismissal for the CTA. The court concluded that CTA had followed the FMLA regulatory process for second/third opinions, informed the employee of what was required, and that the employee’s own lack of cooperation doomed his claim.
FMLA claims dismissed. Brown v. Chicago Transit Authority
This case is a healthy reminder to employers. The FMLA’s second- and third-opinion process is one of the most underutilized tools available to employers under the FMLA. And for good reason, as the process can be costly, and employers often are left disillusioned when an independent physician declines to second-guess the opinions of the employee’s physician. But as the Brown case reminds us, when an employer legitimately questions a certification and scrupulously follows the regulatory framework, this process has real teeth. Employees do not get to ghost the second- and third-opinion process when they don’t like where it is headed. And when they refuse to cooperate, the regulations provide the consequence.
Call-In Requirements for the Win! Yet Again!
Although this Brown decision is likely to be remembered for its discussion of the FMLA’s second- and third-opinion process, employers should not miss another important fact woven throughout the decision.
The CTA had a straightforward reporting rule: if an employee intended to use FMLA leave, he had to notify both his work location and the CTA’s third-party leave administrator. Calling one without the other wasn’t enough. Here, Russ repeatedly informed his garage of his absences but failed to report them to the TPA. This distinction ultimately became a central reason why the CTA concluded that he had improperly reported his absences as FMLA leave.
Notably, the court did not spend significant time analyzing the legality of CTA’s call-in procedure. Frankly, it didn’t need to. As I mentioned in a previous post, courts across the country regularly recognize that employers may require employees to follow reasonable call-in and absence-reporting procedures, even when the absence may be FMLA-qualifying. The FMLA does not allow employees to dodge an employer’s established attendance procedures simply because they utter the magic letters “F-M-L-A.”
As I have written before, one of the most effective leave-management tools available to employers is a two-call requirement: one call to the employee’s supervisor, manager or attendance line, and a second call to the employer’s internal leave administrator or third-party administrator responsible for tracking FMLA leave. Such a system ensures that operational managers know the employee will be absent while also allowing the individuals actually administering FMLA leave to accurately track, designate, and manage the absence.
The lesson for employers is simple. If you use a TPA, or even an internal leave administration team, create a clear reporting procedure, communicate it, train employees on it, and enforce it consistently. When employees fail to follow the procedure, document the failures and discipline consistently. If litigation follows, you’ll be in a far stronger position to demonstrate that the problem was not a lack of notice from the employer, but instead, the employee’s failure to comply with your reasonable reporting requirements.











