Resources

These forms are for U.S. active Dow employees for medical certification of a serious health condition as part of The Dow Chemical Company's Family & Medical Leave Process.

This form is used (1) to determine whether an employee’s condition qualifies as a “serious health condition” under the Family and Medical Leave Act (FMLA) and for administration of Dow’s FMLA policy, and (2) to obtain information regarding an employee’s eligibility and administration of the requirements of Dow’s Paid Medical Leave Policy.

This form should be completed and returned to the site Dow Health Services contact when an employee requests FMLA (Family and Medical Leave Act) leave to care for a family member with a serious health condition.

Q. How do I access my RHCAP online account?
A. Register or log in at www.viabenefitsaccounts.com or download the Benefits Accounts mobile app.

What you’ll need to get set up

• ZIP code or postal code
• Date of Birth
• Employee ID or Social Security Number
• Phone number
• Email address

Tips for signing in

• You’ll always use your email address to sign in
• You may be prompted to validate this email address, so have easy access to it or your phone while you’re accessing your account

Q. How do I access my RHCAP online account?
A. Register or log in at www.viabenefitsaccounts.com or download the Benefits Accounts mobile app.

• For assistance with claim submission or denials, website navigation, semiannual statements, and reimbursement status. Via Benefits 800-953-5395, Monday – Friday, 8 am – 7 pm EST.
• For assistance with updating your mailing address, eligibility and enrollment issues, or setting up automatic reimbursements and direct deposit. Dow Retiree Service Center 800-344-0661, Mon-Fri 8 am – 8 pm EST.
  
• You may also visit the Dow Benefits website at https://dowbenefits.ehr.com for self-service options.