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Illinois Paid Sick Leave Explained: Accrual, Caps and the Chicago Split

Illinois requires paid leave from every employer under the Paid Leave for All Workers Act. Employees accrue one hour for every 40 hours worked, up to 40 hours a year, and may use it for any reason without giving one. Chicago and Cook County run separate, larger ordinances that displace the state Act inside their boundaries.

By Anthony Moretti, VP of SalesUpdated: September 18, 2026
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Illinois is one of only three states where the statewide entitlement is not sick leave at all. The Paid Leave for All Workers Act, 820 ILCS 192, gives an employee 40 hours a year to use for any reason, and forbids the employer from asking what the reason is. Maine and Nevada are the other two. Everywhere else in the country the leave is tied to illness, caregiving or safety, and the employer may ask.

That difference decides how an Illinois policy has to be written. There is no qualifying-reason list, no documentation threshold and no medical certification clause, because none of them are lawful here. What the policy does need is a 12-month period definition, a notice rule, a minimum increment and a decision between accrual and front-loading.

What Illinois requires

Paid sick leave mandatePaid Leave for All Workers Act (820 ILCS 192)
AccrualOne hour for every 40 hours worked.
CapsAccrual is capped at 40 hours a year.
Covered employersEmployers of every size.
Easy to get wrongIllinois is unusual in not requiring a reason. The leave is for any purpose the employee chooses, which makes it paid leave rather than sick leave. An employer can front-load the full 40 hours at the start of the year instead of accruing. Effective 1 January 2024.
SourceIllinois DOL, Paid Leave for All Workers Act
State paid family and medical leaveNone. Federal FMLA only, unpaid, at 50+ employees
Minimum wage$15.00
OvertimeWeekly over 40
Coverage below the 20-employee COBRA lineIllinois Continuation of Coverage (Illinois Insurance Code), up to 12 months [215 ILCS 5/367e (insurance companies); 215 ILCS 125/4-9.2 (HMOs); spousal continuation at 215 ILCS 5/367.2]

How the 40 hours accrue

Accrual runs at one hour for every 40 hours worked, which is the slowest of the three 40-hour denominators in the country and half the speed of the one-hour-per-30 rate most mandate states use. A full-time employee on a 40-hour week reaches the annual 40-hour cap after roughly 1,600 hours, so the balance fills over most of a working year rather than in the first quarter.

Accrual begins on the first day of employment or on the Act's effective date, whichever is later, but the employer may hold use back until the employee has completed 90 days. Those are two separate clocks and payroll has to run both: the balance is building while the right to spend it has not yet opened. An employer that starts the accrual clock on day 91 has underpaid the balance by up to 90 days of hours, which surfaces the first time somebody audits a terminated employee's record.

The alternative is front-loading. Grant the full 40 hours at the start of the 12-month period and the accrual tracking disappears, and so does the carryover obligation. It costs more in the first year for a workforce with turnover, and it is the option most employers with sites in several states choose, because a front-loaded grant behaves the same way in every jurisdiction and an accrual rate does not.

Notice, increments and the reason you cannot ask for

An employer may require up to seven calendar days of notice where the need for leave is foreseeable, and notice as soon as practicable where it is not. It may also set a minimum increment of use, capped by statute, so an employee cannot draw the balance down in ten-minute pieces. What it may not do is condition the leave on an explanation, a doctor's note or a manager's approval of the purpose.

In practice that turns the Illinois policy into a scheduling document rather than a medical one. The enforceable controls are the notice window and the increment. Everything a handbook would normally say about acceptable reasons has to come out, and a manager who asks anyway has created the violation personally.

Chicago and Cook County: three rules in one state

Where a local paid leave ordinance was already in force, the state Act gives way to it. That leaves an Illinois employer with three possible answers depending on the work address.

An employer with a Loop office, a warehouse in a suburban Cook municipality and a plant downstate is running all three at once. This is the concrete case for storing the leave rule against the work location rather than the employer, and it is why HR outsourcing in Illinois is mostly an exercise in keeping three accrual configurations straight rather than one.

Where Illinois employers get caught

FMLA, remote-hire exposure and voluntary policy drafting: paid leave fundamentals.

For Illinois specifically: the accrual and carryover rules above are statutory in Illinois, not discretionary, the wage floor those hours are paid at is $15.00, and below the federal 20-employee COBRA threshold Illinois still requires continuation coverage for up to 12 months. HR outsourcing in Illinois keeps that in the handbook and in payroll.

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Frequently Asked Questions

Does Illinois require paid sick leave?

Yes, under the Paid Leave for All Workers Act (820 ILCS 192). One hour for every 40 hours worked. Accrual is capped at 40 hours a year. Covered: Employers of every size.

What do employers get wrong about Illinois sick leave?

Illinois is unusual in not requiring a reason. The leave is for any purpose the employee chooses, which makes it paid leave rather than sick leave. An employer can front-load the full 40 hours at the start of the year instead of accruing. Effective 1 January 2024.

What pay rate applies to leave hours in Illinois?

Minimum wage in Illinois is $15.00. Overtime: Weekly over 40. Paid leave hours generally do not count toward the overtime threshold because they are not hours worked.

Does health coverage continue after separation in Illinois?

Federal COBRA applies at 20 or more employees. Below that, Illinois has its own continuation law, the Illinois Continuation of Coverage (Illinois Insurance Code), running up to 12 months (215 ILCS 5/367e (insurance companies); 215 ILCS 125/4-9.2 (HMOs); spousal continuation at 215 ILCS 5/367.2).

Does Illinois run a paid family and medical leave programme?

No. Federal FMLA is the only family and medical leave floor in Illinois: 12 workweeks, unpaid, at employers with 50 or more employees.

Can an Illinois employer ask why an employee is taking paid leave?

No. The Paid Leave for All Workers Act lets an employee take the leave for any reason, and the statute says an employer may not require the employee to state one or to produce documentation. That single line is what makes the Illinois entitlement paid leave rather than sick leave, and it is the clause most often missed when a national handbook is dropped into Illinois unchanged.

Does Illinois paid leave have to carry over to the next year?

It depends on the method. Accrued hours carry into the next 12-month period. Front-loading the full 40 hours at the start of the period removes the carryover duty entirely, which is why most multi-state employers front-load in Illinois. Either way the employer need not allow more than 40 hours of use in a single period.

Does the state Act apply to employers in Chicago and Cook County?

Generally no. Where a local paid leave ordinance already applied, the state Act steps aside and the local rule governs. A Chicago employer follows the Chicago ordinance, a suburban Cook County employer in a municipality that has not opted out follows the county ordinance, and an employer with sites in Chicago, suburban Cook and downstate Illinois is running three rules at once.

Is paid leave paid out when an Illinois employee leaves?

Not under the state Act, unless the employer has credited the hours into a combined paid time off bank. Once the hours sit in a general PTO bank they take on the payout treatment of vacation under the Illinois Wage Payment and Collection Act, which is the accounting decision that quietly converts an optional benefit into a balance sheet liability.

Is this a PEO?

No. No co-employment and no employer-of-record change: your company stays the employer. HR outsourcing, powered by isolved.

Anthony Moretti, VP of Sales

Anthony leads HR outsourcing strategy at Business Executive Group, a national HR outsourcing firm serving employers across every state. BEG HR outsourcing is powered by isolved, with certified HR professionals building and maintaining state-correct leave policy as laws change.

Sources: Illinois Department of Labor, Paid Leave for All Workers Act; Chicago Office of Labor Standards; Cook County Commission on Human Rights. Compare every state on paid sick leave by state. General leave information, not legal advice.

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