Only approximately half of the U.S. working age, vaccine-eligible population has now been vaccinated, according to the Centers for Disease Control and Prevention (CDC) tracking data. New CDC guidelines allow the fully vaccinated to unmask, except were applicable law or private businesses and workplaces say otherwise.  And the new Michigan rules now allow everyone to unmask, with the exception of healthcare workers.

However, COVID-19 vaccination rates are slowing considerably and there is growing concern for getting everyone safely back to work, especially among small- to mid-size employers still emerging from the pandemic.

Making vaccinations mandatory is technically an option, but for several reasons many employers don't want to go there.  ASE recommends a voluntary vaccination policy.

Ways to incentivize employees to get the shot range from on-site opportunities to extra vacation days. The CDC recommends that workplace vaccination programs include initiatives to:

• Offer flexible, non-punitive sick leave options (e.g., paid sick leave) for employees to be vaccinated and for employees with signs and symptoms after vaccination.
• Allow time for vaccine confidence to grow. Workers who are hesitant at first may become more confident after seeing coworkers get vaccinated.
• Offer more than one opportunity for vaccination. Mobile clinics can return to a worksite multiple times on a rotating schedule. Employers using community locations can provide supportive policies (e.g., paid leave, transportation support) for an extended period of time.
• Build vaccine confidence. Ask organizations and individuals who are respected in employee communities to help.

Nondiscriminatory incentives for getting the shot and a valid mechanism for learning whose been vaccinated can be deployed in a voluntary vaccine policy. The policy should include the following key elements:

Education

Anti-vaccine messaging is all over the internet, but the case for the safety and effectiveness of the COVID-19 vaccines gets better every day. Employers, especially small- to mid-size employers, can leverage both public and private resources to make the case to their employees. For example, the CDC has done its job in addressing vaccine safety, vaccine benefits, and perhaps most importantly, vaccine myths and facts. But one of its best educational contributions to date is this video that directly addresses, in compelling fashion, the most common concerns about how the vaccines were safely developed in such a short time, and whether the new mRNA technology is known to be safe. Beyond public sources, holding private sessions for employees with local professors or doctors of epidemiology can not only make a compelling case for vaccination, but also debunk in real time the growing list of anti-vaccine myths about COVID-19 vaccination.

The Protect Michigan Commission has an entire communications kit available to employers.  The toolkit can be accessed here.

Voluntary Policy

With limited exceptions for certain disabilities and religious observances, under current Equal Employment Opportunity Commission (EEOC) guidance (and subject to state law), it is legally permissible for employers to mandate that employees receive a COVID-19 vaccine as a condition of employment. A voluntary policy should explain that, and state that the employer has opted not to make vaccination a condition of employment. Instead, the employer strongly encourages all eligible employees to be vaccinated against COVID-19 on a voluntary basis, subject to the individual advice of the employee's doctor and the recommendations of the CDC and the FDA. This explanation that the program could be made mandatory, but is not, will itself be an incentive for some.

Incentives

As cited above, there are many types of incentives for vaccination transportation reimbursement, one-day on-site shot clinics, additional days of vacation or other paid leave (a popular option), extra sick days off specific to the aftereffects of vaccination, monetary payments, merchandise or gift card perks, and entertainment events. Usually, any such incentives come with an eligibility time limit – for example, for all employees fully vaccinated by August 1. The policy should also address proof of eligibility, such as submission of a copy of the vaccination card, or a print screen of the provider's online record of the vaccination. Note: The EEOC issued updated guidance allowing vaccine incentives so long as such incentives do not unduly pressure employees to disclose protected medical information.

Legal Compliance

For any of these incentives to be legally compliant, they should be made subject to existing employer policies, such as advance notice for use of PTO and separate maintenance of medical records. In addition, incentive policies should provide for "exception awards" for those employees with a medical condition and/or disability that conflicts with getting vaccinated; and employees with sincerely held religious beliefs, observances, or practices that conflict with getting vaccinated. Eligibility rules for such awards must be carefully crafted and allow for the employer to engage in the interactive process to seek out accommodations that will enable the employee to be vaccinated. In addition, the policy should prohibit disclosure of certain information unnecessary to the eligibility for the program such as genetic information.

Additional Elements

Other considerations for a voluntary vaccine policy include the question of whether it will need to be administered annually, which seems likely enough; how time off for the vaccine and any aftereffects will be scheduled; whether employees will be put on notice that they assume the risks of vaccination or of coming to work unvaccinated; and nondiscrimination and nonretaliation (especially by co-workers) as to those who choose to vaccinate or not vaccinate.

MDHSS offers an Employee Vaccination Planning information sheet to help you with your organization’s vaccine planning, education, and policy development. 

Additional ASE Resources

ASE Contagious Diseases and Pandemic Toolkit - ASE members have access to the ASE Contagious Diseases and Pandemic Toolkit via the ASE Member Dashboard.  The toolkit contains over 50 tools (including a return-to-work plan), forms, and template policies as well as over 50 useful links for easy reference to local, state, and federal resources.  Non-members can request to purchase the toolkit here.

ASE Handbook Services – If you need assistance developing a vaccine policy or have a larger employee handbook need, please contact Michael Burns.

Sources: CCH, CDC, MDHSS