Who pays for pre-Employment medical exams? — Business Management Daily: Free Reports on Human Resources, Employment Law, Office Management, Office Communication, Office Technology and Small Business Tax Business Management Daily
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Who pays for pre-Employment medical exams?

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in Human Resources

Q. We require new employees to undergo pre-employment medical exams. May we require a new employee to cover the cost of the exam? We have 35 employees.

No. For employers of 25 or more employees, North Carolina law prohibits an employer from requiring any applicant to pay for the cost of a medical examination or for the cost of furnishing any medical records required by the employer.

Under the federal ADA, medical exams are typically permissible, within defined parameters, only after an offer of employment has been made, but before employment has begun. Courts have not yet addressed whether a post-offer employee might still be considered an “applicant” under the North Carolina statute, but the language of the statute is broad enough to suggest he or she would be.

{ 1 comment… read it below or add one }

April Cook July 5, 2016 at 2:33 pm

It’s good to know that the employer will need to pay for any pre-employment medical exams. I think it would deter me from applying if I knew I would have to pay for that. Are all employers allowed to require these kinds of exams, or are they not allowed in some fields? Thank you for this information.


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