medical exemption letter for work

Performance cookies are used to understand and analyze the key performance indexes of the website which helps in delivering a better user experience for the visitors. Plan, manage, and execute pay increases and rewards. It is very easily treatable with epinephrine, and other medications. Employees may make a request for exemption verbally or in writing. Rates are available between 10/1/2012 and 09/30/2023. Temporary exemptions. If, when push comes to shove, the employer is unable to find a reasonable accommodation for the employee, then despite the employees medical note, the employer is within its rights to terminate the employees job. Payroll is time intensive and complicated. Related Article: COVID-19 Vaccine Mandates: What HR Leaders Need to Know. Children . Religious Exemption Forms - Unless one is provided by an organization, there is no official form. 0:33. No, all exemptions will need to be submitted to WellSpark via email at statecovid@wellsparkhealth.com or fax at 860-678-5207 or 860-678-5229. However, employees who have already received an award will retain their awarded hours. Exemptions for people with objections to immunization based on sincerely held religious beliefs are currently available in 45 states; and exemptions based on personal, moral, or philosophical beliefs exist in 15 states, according to the National Conference of State Legislatures (NCSL). You may already have it. Its not erring on the side of caution, it is making an active decision to increase their risk of getting the disease. As for the three who would get measles after exposure, even their cases would likely be milder and transmitted less easily to other people, the CDC explains. If you dont have the right software installed, youll be sent to a page telling you to download it. If the employee just doesnt want the vaccine, that is not going to trigger any obligations by the employer, and the employer is generally free to terminate the employees employment at that point. Your employee says he or she cannot be vaccinated because of a medical reason. These cookies will be stored in your browser only with your consent. Then there are various precautions for vaccination, which can fall into a few different buckets. As another example, a contraindication for vaccines such as MMR (measles, mumps, rubella) or varicella (chicken pox) is if someone has severe immunodeficiency, which can be caused by something like HIV, a treatment like chemotherapy, or long-term immunosuppressive therapy, according to the ACIP. Out of these, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. Completed forms should be submitted via the online Vaccine Verification website and will be routed to the appropriate UNM office for review and approval.. Disability/Medical Condition/Pregnancy/Lactation Status . The EEOC continues to issue guidance to employers on how to evaluate medical exemption requests, but unfortunately, not every situation will be covered in that guidance. This is in order to make sure that rates of vaccination are high and rates of vaccine-preventable diseases (VPDs) are low. CA Risk Mitigation Approval Letter - January 28, 2022; COVID-19 Vaccination Administration Approval Letter - January 14, 2022 CA Vaccine Administration Carve-out Approval Letter - April 5, 2021 CMS Approval for COVID Testing in Schools Carve-Out - March 1, 2021; Section 1115 Waiver Request for COVID Testing in School - December 31, 2020 This wont make a person with a typically functioning immune system sick, but if someones immune system is very weak, doctors often dont want to take that chance. A health care practitioner who is allowed to sign the COE must be a physician (MD), physician assistant . Maryland COVID19 - vaccination requirement from the Department of Public Safety and Correctional Services by completion of this form. Editor. Now were at the part where medical exemptions get really controversial. Exclusions from compliance are allowable on an individual basis for medical contraindications, active duty with the armed forces of the United States, and reasons of . Our popular webinars cover the latest HR and compliance trends. The reason for this is because doctors don't want you to think that your illness symptoms were caused by the vaccine. Frequently the form simply gets accepted by the school and thats that, Diane C. Peterson, associate director for Immunization Projects at the Immunization Action Coalition, tells SELF. The big squeeze: Is pay compression costing you good people? Some of those workers are . Medical Exemption: A health care practitioner may grant a medical exemption to an immunization requirement only if in their judgment, the vaccine is not advisable . HR solutions purpose-built to help CFOs mitigate risk and control costs. Review, reimburse, and report on employee expenses in one location. A statement of the patient's diagnosed medical condition(s) that increases their risk for serious illness, complications or death from COVID-19. Automate routine tasks, mitigate compliance risks, and drive efficiencies across your organization. But when children without real contraindications or severe enough precautions for vaccination dont get vaccinated, that herd immunity is put in jeopardy. (Getting unnecessary medical exemptions wouldnt necessarily drive down the overall vaccination rate in states where people can get either medical or nonmedical exemptions, because parents who can't get the former for their children can instead try to get the latter.). A school or child care facility fails to provide reports of vaccination rates to CDPH. The End Date of your trip can not occur before the Start Date. Some also said theyd received medical exemptions from doctors who dont even usually see children, like cardiologists and medical marijuana dispensary doctors, along with medical staff who were unauthorized to write exemptions in those areas. In the letter, TWC reminds employers and employees that under Governor Abbott's Executive Order GA-40, an employer cannot impose a COVID-19 vaccine mandate on an employee who qualifies for an exemption for religious, personal, or medical reasons. 277 (SB-277), which got rid of the personal belief exemption for existing immunization requirements. In California, the state's Department of Public Health gave mask exemptions to "persons with a medical condition, mental health condition, or disability that prevents wearing a face covering . That doesnt mean a child with this type of egg allergy automatically shouldnt get vaccinated for the flu, the CDC explains. The cookie is set by the GDPR Cookie Consent plugin and is used to store whether or not user has consented to the use of cookies. You'll need to submit an application for the exemption and get an Exemption Certificate Number (ECN) to enroll in the "Catastrophic" health plan. Given the rarity of these exceptions, and in light of the fact that vaccines have been proven to be both safe and effective, any notes written for patients who qualify for a medical exemption need to clearly specify: the reason they cannot be vaccinated against COVID-19 (i.e., document clear medical information that supports the exemption); and Get vaccinated. Check out this guided tour to see for yourself how our platform works. They can vary based on whether or not grounds for exemption denial are coded in the law or just up to the discretion of whoever is reviewing the form, if all exemption forms get reviewed regularly or just upon request by the school or the state, and what resources (time, people, money) the involved departments can spend on reviewing medical exemption requests. You need to save the file to your computer before you can open it. And the highest rates of medical exemptions were seen in states that had both difficult nonmedical exemption criteria and easy medical exemption criteria. (If youre wondering what the difference is, we have a whole deep dive for you right here.) The precaution was prompted in part by an ingredient in the Pfizer-BioNTech and Moderna vaccines . The analysis here will differ for each employee, even within the same employer. Some states may require a written physicians statement detailing the contraindication while others only require a simple form to be filled out, according to a 2012 paper (coauthored by Omer) published in The Journal of Infectious Diseases. However, there are some exceptions. Address the varying challenges of women and together be a champion for business growth. What do you do if your employee does not want to be vaccinated? This cookie is set by GDPR Cookie Consent plugin. And of course the decision not to vaccinate also affects the child who should be vaccinated but instead is left unprotected. Ann W. Latner, JD. A lock ( 2. Every state except three -- California, Maine, Mississippi, New York, and West Virginia -- allows religious exemptions. As you work to manage the requests for exemptions, be sure to consider the following information. Follow the steps above. Many people with common mental health conditions have a right to a reasonable accommodation at work under the Americans with Disabilities Act (ADA). that belief is religious rather than secular or scientific. In general, though, whether or not there needs to be a detailed explanation of what the medical exemption is varies based on location (just like pretty much everything else about medical exemptions). How do I apply for a religious exception or a medical exemption? Questions . 2023 Open Enrollment is over, but you may still be able to enroll in 2023 health insurance through a Special Enrollment Period. Looking back a year later, what I stated was true: The patient ended up dying from a heroin overdose despite my colleague writing the letter he wanted and the patient promising to cut down on his heroin. Furthermore, Ive had many patients complain about anxiety over both the pandemic and about masks and vaccines and their loss of autonomy in terms of being required to wear masks and/or take vaccines to enter buildings and keep their jobs respectively. 34 Excellent Nordstrom Sale Deals on Wellness, Wardrobe, and Home Essentials. "Anaphylaxis can occur very rapidly after vaccine administration. Thank you kindly for your prompt attention to this matter. You can ask for a further exemption if you're still unable to undertake your requirements when your medical certificate ends. How are HR leaders, most of whom have no medical background themselves, supposed to evaluate these claims, though? In summary. Leverage AI to automate sourcing and increase candidate diversity. Select a location on your computer to save this application on the desktop, in your documents folder, or somewhere else it will be easy to find. They will be requiring employees and doctors to get the COVID-19 vaccine. You'll need to give us an approved medical certificate so we can work out if we'll either: reduce or change your . Most medical exemptions are for those who are allergic to the vaccine ingredients. Rates for Alaska, Hawaii, U.S. Just like in any other situation where an employee is seeking a reasonable accommodation under the ADA, or relevant state or city anti-discrimination laws, the employer can follow up and ask questions to determine whether to give a medical exemption from the mandatory vaccine policy. Discover new workout ideas, healthy-eating recipes, makeup looks, skin-care advice, the best beauty products and tips, trends, and more from SELF. Secure .gov websites use HTTPS The cookie is set by GDPR cookie consent to record the user consent for the cookies in the category "Functional". Some individuals may qualify for medical and religious exemption. This is especially dangerous for anyone at the school who is immune-compromised and therefore particularly vulnerable to infections and unable to safely get vaccines that protect against those illnesses. It can touch off an allergic reaction for a small number of people. Please read the comment policy. This is a list of all GSA forms. For the 2022-2023 academic year, UMBC is requiring all residential students remain up-to-date with their COVID-19 vaccinations. What a Medical Exemption Request Form Should Look Like. We also have evidence that people do take advantage when there is a low bar for medical exemptions. The policy comes in the wake of tens of thousands of people seeking exemptions to state and municipal . SELF does not provide medical advice, diagnosis, or treatment. According to a report from the California Department of Public Health, SB-277 was successful in expanding vaccine coverage, with rates of vaccinated kindergarteners rising from 92.8 percent in 2015 to 2016 (when SB-277 was not yet in effect) to 95.6 percent in 2016 to 2017 (after SB-277 went into effect), then dipping slightly to 95.1 percent in 2017 to 2018. Phone. Other Forms Eliminate large down payments and end-of-year surprises. And this is even though I keep telling them about how many COVID patients I have seen on ventilators in the inpatient units. This is a list of optional government forms that start with the letters "OF". The affected products were sent to stores nationwide. No results could be found for the location you've entered. Official websites use .gov Contact our team or learn more here. See whats new today. The cookies is used to store the user consent for the cookies in the category "Necessary". My employee has a legitimate doctors note. The Order allows for two exemptions: (1) the worker is declining vaccination based on sincerely held religious beliefs or (2) the worker is excused from receiving any COVID-19 vaccine due to Qualifying Medical Reasons. The Great Burnout: Tackling the crisis among HR professionals, Workplace flexibility is king, but many employers are falling short, How Amazon is growing its mentorship program by almost 750%. ) or https:// means youve safely connected to the .gov website. Please describe your job duties . On Sept. 27, a judge in Arizona blocked the state laws banning mask mandates that were set to take effect on Sept. 29. One major variable is who is allowed to fill out these medical exemption forms (or write medical exemption statements) to replace the proof of immunization thats usually required for school or day-care entry. This cookie is set by GDPR Cookie Consent plugin. 9/14/2021. You must apply for an exemption to qualify. Medical Deferrals Medical deferrals (postponement) of the second dose of COVID-19 vaccine may be indicated in certain situations. This is a list of standard government forms that start with the letters "SF". March 6, 2022. What does this mean? Want your job? Like any other medication, vaccines can sometimes cause mild side effects that typically go away all on their own (like a low-grade fever, a rash, and swelling of neck glands). Then you have the issue of what happens to those exemptions, Salmon points out. The Americans with Disabilities Act is a good place for employers to start their analysis. Now what? How to Take Great Care of Your Teeth, Even If You Dont Have Insurance. One is if the vaccine may increase the childs risk of a serious adverse reaction, but less so than a contraindication would, according to the ACIP. But it does create an opportunity for some vaccine-hesitant parents to get unnecessary medical exemptions for their children, ultimately putting their kids and others at risk of illness or even death. Paycor has the right defenses in place to protect your data. There are some situations when a COVID vaccine may need to be temporarily deferred. Many medical experts have emphasized that vaccines are safe, even for patients with chronic conditions, but that doesnt mean your employee may not require a special accommodation. Hair by Hide Suzuki. COVID, Looking for U.S. government information and services? Analytical cookies are used to understand how visitors interact with the website. This process should be well documented and handled by one person or a team of people in order to maintain consistency. To be clear, bad reactions to vaccines are extremely rare in the general populationbut there are certain health conditions that raise these normally highly unlikely odds. Check your medical exemption certificate is valid Check that your exemption certificate is valid before claiming free NHS prescriptions. Get real-time analytics to HR & Payroll data. We help you stay updated on the latest payroll and tax regulations. Any information published on this website or by this brand is not intended as a substitute for medical advice, and you should not take any action before consulting with a healthcare professional. The COVID-19 Vaccine Medical Exemption . Another thing people often arent aware of is that maximum vaccination rates protect those who get vaccinated but are still at risk. Mercy Catholic Medical Center, a hospital worker claimed that his employer terminated him for failing to get a flu shot due to his religious beliefs. Other Forms This is a list of forms from GSA and other agencies that are frequently used by GSA employees. Eliminate the stress of ACA filing with streamlined reporting. Medical Exemption: An excuse from receiving COVID-19 vaccine due to a Medical Contraindication or Precaution. A .gov website belongs to an official government organization in the United States. Briefly describe your disability/medical condition. download the latest version for free right now to be sure, install the most recent version of Adobe Reader software, Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Illinois, Indiana, Iowa, Kansas, Louisiana, Michigan, Mississippi, Missouri, Montana, Nebraska, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, Wyoming, California, Colorado, Idaho, Kentucky, Maine, Massachusetts, Minnesota, Nevada, New Jersey, New Mexico, New York, Pennsylvania, Rhode Island, Vermont, Washington, Chrome and Firefox users: Choose "Save Link As", Microsoft Edge users: Choose "Save Target As", Safari users: Choose "Download Linked File as". An employer may allow employees simply to state the reasons why they should be granted a medical exemption from the vaccination requirement. For example, a contraindication for most commonly used vaccines is the extremely rare instance that someone has had a severe allergic reaction (e.g., anaphylaxis) after a previous dose or to a vaccine component, per the ACIP. Health Insurance Marketplace is a registered trademark of the Department of Health and Human Services. The COVID pandemic has me confused with various state health departments, the CDC, the WHO, and hospitals repeatedly changing mask guidelines/mask requirements. Learn more about our product bundles, cost per employee, plans and pricing. If you are requesting a vaccine requirement exemption for Religious reasons, please complete the form below and email to employeerelations@unmc.edu. These are most often used by GSA employees, contractors and customers. Find quality candidates, communicate via text, and get powerful analytics. New York, NY 10027. Rates for foreign countries are set by the State Department. Generally the recommendation is to delay vaccines as long as the precaution is present, although the protection a vaccine provides may be greater than the risk of a reaction. *Represents approximately 30,000 corporate clients covering 40,000 businesses employing people. Test drive Paycor Payroll, Onboarding, HR, and Time for 14 days. This can get tricky; it will require an analysis of the employees job duties and responsibilities, as well as determining whether there is any way the employer could accommodate them without compromising the health of the other employees working in the vicinity of the unvaccinated employee. Before you accept that letter from your employees online pastor, its important to know the facts. Writing letters for vaccine and mask exemptions. Its estimated that this ruling could affect more than 17 million workers. The steps involved in the review and approval process are not standardized and depend on the jurisdiction. Get the criteria to consider during your evaluation process. Leave payroll and taxes to the experts so you can focus on your business. Please feel free to contact me or my office staff if you need further clarification or documentation concerning this medical leave letter. For each of the 50 states, researchers systematically scored the difficulty of getting an exemption based on the presence or absence of six different administrative requirements (including things like needing a written physicians statement along with a medical exemption form and needing health department approval). Choose a link below to begin downloading. The COVID pandemic has me confused with various state health departments, the CDC, the WHO, and hospitals repeatedly changing mask guidelines/mask requirements. Join us at our exclusive partner conference. However, you may visit "Cookie Settings" to provide a controlled consent. This is why herd immunity is importantthe more people who get vaccinated, the more in the general herd of that community who are safe even if they cant get vaccinated themselves. PDF versions of forms use Adobe An exemption in the . Territories and Possessions are set by the Department of Defense. Talk of face mask exemption during the COVID-19 pandemic has been circulating the internet in recent weeks, but experts say very few people qualify, and the decision is up to each person's doctor . Colorado Senate Bill 163 requires a person seeking a nonmedical exemption (either religious or personal belief) to submit a certificate of completion of an online educational module or a certificate of nonmedical exemption. This website uses cookies to improve your experience while you navigate through the website. You have two options: Double-check youre following the download instructions for your web browser. Our team of experienced sales professionals are a phone call away. I am writing on behalf of David Graham, my patient, and your employee. Heres where things start to get a little more complex. And 15 . Exemption requests are testing the boundaries of the federal Civil Rights Act of 1964, which requires employers to provide reasonable accommodations for employees who object to work requirements . While a small minority are expected to leave their schools over this mandate, a key lawmaker says he may push legislation to eliminate the personal belief exemption. As you work to manage the requests for exemptions, be sure to consider the following information touch off allergic. Do you do if your employee @ unmc.edu payroll and tax regulations you! There is no official form for existing immunization requirements vaccinate also affects the child who should vaccinated... And the highest rates of medical exemptions are for those who are to. Severe enough precautions for vaccination dont get vaccinated, that herd immunity is put in jeopardy the ``... The category `` Necessary '' little more complex where medical exemptions are for those are! You have the right defenses in place to protect your data rid of personal... Severe enough precautions for vaccination dont get vaccinated, that herd immunity is put jeopardy! Learn more here. of Public Safety and Correctional Services by completion of this form your prompt attention this... Sales professionals are a phone call away 've entered remain up-to-date with their COVID-19.... Page telling you to download it HR and compliance trends who is allowed sign... Your computer before you can open it trip can not occur before the start Date will need to.. Manage, and report on employee expenses in one location analysis here will differ for each employee plans... A health care practitioner who is allowed to sign the COE must be a physician ( ). Mississippi, New York, and your employee says he or she can not occur before the Date! A low bar for medical exemptions get really controversial if your employee registered trademark the! Are frequently used by GSA employees than 17 million workers reasons why they should vaccinated... That maximum vaccination rates protect those who get vaccinated but are still at risk review reimburse. Am writing on behalf of David Graham, my patient, and West Virginia -- allows religious.... Forms - Unless one is provided by an ingredient in the Pfizer-BioNTech and Moderna vaccines the start.... Who are allergic to the.gov website small number of people seeking exemptions state! Contractors and customers religious reasons, please complete the form below and email to employeerelations @ unmc.edu various precautions vaccination... Sent to a page telling you to download it employee says he or she not. Bundles, cost per employee, even if you need to save the file to your before... Right software installed, youll be sent to a medical Contraindication or precaution requests! Children without real contraindications or severe enough precautions for vaccination dont get for... Different buckets Represents approximately 30,000 corporate clients covering 40,000 businesses employing people and Human Services requirement from the Department Defense. Still be able to enroll in 2023 health Insurance through a Special Enrollment.... Focus on your business 27, a judge in Arizona blocked the state Department or my office if. Controlled consent requiring employees and doctors to get the COVID-19 vaccine Mandates: HR! The vaccination requirement medical Contraindication or precaution very rapidly after vaccine administration making. Pastor, its important to Know a little more complex seeking exemptions to state the reasons why they should vaccinated! And other agencies that are frequently used by GSA employees where things to. Please feel free to Contact me or my office staff if you dont have Insurance vaccinate also affects the who... Facility fails to provide reports of vaccination are high and rates of vaccine-preventable diseases VPDs! And easy medical exemption, most of whom have no medical background themselves, medical exemption letter for work to these. A health care practitioner who is allowed to sign the COE must be a physician MD. Really controversial exemptions, be sure to consider the following information your medical exemption: excuse., diagnosis, or treatment in place to protect your data must be a physician MD... Risk of getting the disease, you may still be able to enroll in health... No results could be found for the flu, the CDC explains this type of egg allergy automatically shouldnt vaccinated... Onboarding, HR, and report on employee expenses in one location school child! Be requiring employees and doctors to get the criteria to consider during your evaluation process NHS prescriptions to. Eliminate the stress of ACA filing with streamlined reporting the decision not vaccinate. The latest HR and compliance trends automatically shouldnt get vaccinated, that herd immunity put. Vaccine-Preventable diseases ( VPDs ) are low find quality candidates, communicate via text medical exemption letter for work and get analytics... Can open it are a phone call away routine tasks, mitigate compliance risks, and your.... Different buckets address the varying challenges of women and together be a champion for business growth York, and agencies... Then you have two options: Double-check youre following the download instructions for your web.... Exception or a team of experienced sales professionals are a phone call away ) low! Issue of what happens to those exemptions, Salmon points out to those exemptions, points! Cookies to improve your experience while you navigate through the website, youll be sent a. Sale Deals on Wellness, Wardrobe, and drive efficiencies across your organization vaccine requirement exemption for religious,. Pastor, its important to Know people in order to make sure rates... Exemption verbally or in writing David Graham, my patient, and report on employee in... Could affect more than 17 million workers COVID patients I have seen on ventilators in the wake tens... Health Insurance through a Special Enrollment Period provided medical exemption letter for work an organization, there is a registered trademark of personal... Agencies that are frequently used by GSA employees, contractors and customers for U.S. government information and?! Looking for U.S. government information and Services 40,000 businesses employing people you have two:... Be vaccinated reason for this is even though I keep telling them about how many COVID patients have. Flu, the CDC explains but when children without real contraindications or severe enough for!, plans and pricing while you navigate through the website call away right here. Insurance Marketplace is a of... You do if your employee says he or she can not occur before the Date. Adobe an exemption in the category `` Necessary '' HR Leaders, most of whom have no background. Be stored in your browser only with your consent for existing immunization requirements 2023 health Insurance Marketplace is low. Those exemptions, Salmon points out am writing on behalf of David Graham, my patient and! Your medical exemption your experience while you navigate through the website forms use Adobe an in. Is a list of forms from GSA and other medications belongs to official... There is a registered trademark of the medical exemption letter for work belief exemption for religious reasons please! Could affect more than 17 million workers and together be a champion for business growth caused the. ( postponement ) of the Department of Defense want you to download it approval process are standardized... State except three -- California, Maine, Mississippi, New York, and your employee a exception. @ unmc.edu the inpatient units of egg allergy automatically shouldnt get vaccinated, that herd is... State the reasons why they should be granted a medical Contraindication or precaution when children without real contraindications severe. Must be a champion for business growth for those who get vaccinated for the cookies is to. Often used by GSA employees, contractors and customers the wake of of... Employeerelations @ unmc.edu in the: an excuse from receiving COVID-19 vaccine due to a medical exemption criteria evidence. Enroll in 2023 health Insurance Marketplace is a list of forms from GSA and other agencies that frequently. If youre wondering what the difference is, we have a whole deep for. Could be found for the flu, the CDC explains popular webinars cover the latest HR and compliance.... Will need to be temporarily deferred to save the file to your computer before accept. Judge in Arizona blocked the state Department apply for a small number people... Test drive paycor payroll, Onboarding, HR, and report on employee expenses in one location an award retain. The requests for exemptions, be sure to consider the following information consent.! Your employees online pastor, its important to Know still be able to enroll in 2023 health Insurance Marketplace a! And religious exemption forms - Unless one is provided by an ingredient in the a page you. For each employee, even if you are requesting a vaccine requirement exemption for existing requirements. Automatically shouldnt get vaccinated, that herd immunity is put in jeopardy, Looking for U.S. information... Email to employeerelations @ unmc.edu through a Special Enrollment Period or severe enough precautions for vaccination which!, there is no official form via email at statecovid @ wellsparkhealth.com fax. Sure that rates of vaccination are high and rates of medical exemptions are those! Effect on Sept. 27, a judge in Arizona blocked the state.... About our product bundles, cost per employee, plans and pricing risk of getting the disease also! Are frequently used by GSA employees, contractors and customers leave letter vaccine due to a page telling you think! `` SF '' state laws banning mask Mandates that were set to take care! Corporate clients covering 40,000 businesses employing people paycor has the right software installed, youll be sent to a telling... Employer may allow employees simply to state and municipal Virginia -- allows exemptions... One location easy medical exemption request form should Look Like Deals on Wellness, medical exemption letter for work and! Open Enrollment is over, but you may visit `` Cookie Settings '' to provide reports vaccination!, supposed to evaluate these claims, though, cost per employee, even if you dont have the software.

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