Division of Temporary Disability and Family Leave InsuranceURL reading ( My Leave Benefits . NJ . Gov )

Glossary of Terms

An elderly African-American woman and her mother, standing together, smiling

We may use words and phrases in our applications, forms, and notices that you may not be familiar with, or that have a different definition in the context of our programs. Here's what they mean.

A

Appeal
A request to have your application reviewed again in hopes of obtaining a more favorable decision


Application
A written request (submitted by mail, fax, or online) to be considered for benefits


Approval
When an application meets all the requirements, and is determined to be eligible for benefits


Average weekly wage
A calculation of a worker’s recent earnings, which we use to determine the worker’s weekly benefit amount 

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B

Base week
Any calendar week (Sunday through Saturday) in which the employee earned at least $172

Base year
The 52 calendar weeks prior to the week in which you first became disabled or took your first day of family leave

Benefits
Money paid by a government agency (or private insurance company) to replace lost wages when you are unable to work

Bonding
When a parent spends time with a newborn or newly adopted child to form or strengthen the relationship

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C

Certify
To confirm in a signed and dated written or online statement

Chargeable employer
The employer for whom the claimant last worked, or was last paid by, immediately prior to the onset of the disability

Claim
Application for a government- or company-sponsored benefit

Claimant
Person applying for a government- or company-sponsored benefit

Contested claim
When an applicant disagrees with the Workers' Compensation insurance carrier's decision, and has filed a claim petition with the Division of Workers' Compensation to appeal a denial or stoppage of benefits

Continued Pay
Any paid time off (such as vacation or sick pay) granted by an employer to an employee when the employee is unable to work

Covered employment
When an employee works in New Jersey for an employer who is subject to the New Jersey Temporary Disability Benefits Law

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D

Debit card
A payment card linked to funds in a worker's benefits account that can be used to make purchases or withdraw cash using a personal identification number (PIN)

Denial
When a claim does not meet the requirements to be issued benefits and is determined to be ineligible

Disability
The inability to work due to a physical or mental medical condition that has been certified by an approved medical provider

Donated Leave
When a state employee gives his or her own paid leave days to another employee who has a personal or family medical emergency but no paid leave days left to take

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E

Eligible
A claim that has been approved to pay benefits

Examiner
An employee who processes applications for Temporary Disability and Family Leave Insurance

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F

Family member
Spouse, domestic partner, civil union partner, parent, or child (biological or adopted child, foster child, stepchild, legal ward, or the child of your domestic or civil union partner)

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G

Gross Misconduct
Behavior in the workplace that would be punishable as a crime in the first, second, third, or fourth degree

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H

High Misdemeanor
Crimes in the first, second, or third degree

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I

Income security programs
Short-term wage-replacement programs for workers who are: unable to find work (Unemployment Insurance); unable to work due to a non-work related personal injury or illness (Temporary Disability Insurance); or unable to work due to caring for a family member, or bonding with a newborn or newly placed adopted child (Family Leave Insurance)

Ineligible
An application for benefits that has been denied

Invalid
An application for benefits that does not meet the minimum wage requirement to be approved

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M

Maximum benefit amount
The most money you can possibly receive for a particular claim

Medical provider (approved)
A legally licensed chiropractor, dentist, osteopath, podiatrist, medical doctor, optometrist, psychologist, advanced practice nurse, advanced practice registered nurse, certified nurse practitioner, clinical nurse specialist, or certified nurse midwife (physician assistants and midwives are also acceptable when under the supervision of a licensed physician)

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N

Non compos mentis
Not of sound mind; unable to make decisions for oneself

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O

Overpayment
Payment in excess of what is owed

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P

Private plan
An independent insurance plan that an employer may use to replace the state-provided insurance plan

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Q

Qualifying child
Your biological or adopted child, foster child, stepchild, legal ward, or the child of your domestic or civil union partner

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R

Recovery
When you are medically able to return to work

Refund
Repayment of funds back to the Division of Temporary Disability & Family Leave Insurance

Relapse
When a disability recurs within 14 days of your recovery

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S

Severance pay
A voluntary amount paid by an employer to an employee upon dismissal or discharge from employment for past years of service as required by contract, obligation, or custom. This money cannot be used to establish a benefit amount.

State plan
The Temporary Disability and Family Leave Insurance programs run by the state of New Jersey's Department of Labor & Workforce Development

Subrogation agreement
A contract that states you will reimburse the Division of Temporary Disability Insurance for any benefits paid when you receive Workers' Compensation benefits for the same injury

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U

Underpayment
Payment less than what is owed

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W

Wages
Earnings paid to an employee by an employer

Waiting week
A seven-day waiting period before benefits are paid. If your disability continues to be payable for three more consecutive calendar weeks, or you receive three separate Family Leave Insurance benefit payments, you will retroactively receive benefits for that first week

Weekly benefit rate
The amount of money you are entitled to each week (2/3 of the average weekly wage, up to a maximum of $650)

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