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Orange County Personnel Rules and Regulations Effective Date: May 17, 2010 12 <br />is lacking, and give the employee seven calendar days to cure the <br />deficiency. <br />ii. Second Opinion. The County is permitted to designate the health <br />care provider to furnish the second opinion, but the selected health <br />care provider may not be employed on a regular basis by the <br />County. If there is reason to doubt the validity of a medical <br />certification, the County may require the employee to obtain a <br />second opinion with the following conditions: <br />1. The County bears the expenses, including reasonable "out <br />of pocket" travel expenses. <br />2. The County may not require the employee or family <br />member to travel outside normal commuting distance <br />except in very unusual circumstance. <br />3. Pending receipt of. the second (or third) opinion, the <br />employee is provisionally entitled to FML. <br />4. If the certifications do not ultimately establish the <br />employee's entitlement to FML, the leave shall not be <br />designated as FML. <br />iii. Third Opinion. If the opinions of the employee's and the County <br />designated health care providers differ, the County may require the <br />employee to obtain certification from a third health care provider, <br />again at the County's expense. This third opinion shall be final and <br />binding. The third health care provider must be designated or <br />approved jointly by the County and the employee. <br />iv. The County is required to provide the employee, within two <br />business days, with a copy of the second and third medical <br />opinions, where applicable, upon request by the employee. <br />13. Recertification of Medical Conditions. <br />a. The County may request recertification no more often than every 30 days <br />unless: <br />i. An extension is requested; <br />ii. Circumstances described by the previous certification have <br />changed significantly; or <br />iii. The County receives information that casts doubt upon the <br />employee's stated reason for the absence. <br />b. If the minimum duration specified on a certification is more than 30 days, <br />the County may not request recertification until that minimum duration <br />has passed, unless the duration is "lifetime" or "unknown," the County <br />may request recertification of an ongoing condition every six months in <br />conjunction with an absence. <br />C. The employee must provide the requested recertification to the County <br />within the time frame requested by the County (which must allow at least <br />15 calendar days after the County's request), unless it is not practicable <br />under the particular circumstances. <br />Issue Date: May 17, 2010 Page 9 <br />