@surftohealth88 Look at this from management's view. If you have to reduce staff it is unlikely that your superiors will approve replacements if anyone quits. Therefore, older workers (may retire) and anyone with medical issues get special consideration in addition to the poor performers. Better to put them on the list vs. taking the risk of being down additional staff. That is why nothing should be mentioned to an employer unless a long leave of absence is required. Nothing good will come from it and as you note some real negative actions may occur. HIPPA typically isolates what happens with health insurance and the treatment may be over by the time the claims hit.