section 252 webinar

22
“Sec%on 252” How Recent Changes by the Federal Government on Unemployment Insurance Laws Will Impact Business Jeffrey Mar%n Unemployment Insurance Manager G&A Partners

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Page 1: Section 252 webinar

“Sec%on  252”    How  Recent  Changes  by  the  Federal  Government  on  Unemployment  Insurance  Laws  Will  Impact  Business  

Jeffrey  Mar%n  

Unemployment  Insurance  Manager  

G&A  Partners  

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Overview  

•  Sec%on  252  • How  it  impacts  UI  claims  processing  •  Employer  par%cipa%on  

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POLL  QUESTION  

• What  is  your  role  in  your  organiza%on?  

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Sec%on  252:  What  is  it?  

•  Sec%on  252  is  a  response  to  the  growing  problem  of  UI  benefit  overpayments  to  claimants.  

•  According  to  es%mates  from  USDOL,  UI  benefit  overpayment,  paid  by  states,  under  the  regular  state  programs  and  federally  funded  extensions  for  the  period:  July  2011  to  June  2012  was  over  $10.3  billion  

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What  is  an  Overpayment  

• When  a  claimant  is  filing  for  unemployment  during  a  period  when  they  are  working.  

• When  a  previous  decision  that  awarded  benefits  is  reversed  upon  appeal.  

• Missing  employers.  • Misapplica%on  of  wages.  

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States  with  overpayment  issues  

•  Pennsylvania:    22.77%  

• New  England:  23.87%  

•  Indiana:    32.34%  

• Washington  DC:  33.00%  

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Sec%on  252:  The  Details  

•  Mandatory  Penalty  Assessment  on  Fraud  Claims:    Requires  states  to  impose  15%  penalty  on  overpayment  caused  by  claimant  due  to  fraud  

 

•  Prohibi%on  on  Non-­‐Charging  Due  to  Employer  Fault:    Prohibits  states  from  non-­‐charging  overpayments  due  to  employer  fault,  if  there  is  a  paeern  of  failure  to  provide  %mely  and  adequate  informa%on  to  the  state  agency.  

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Sec%on  252:  What  is  it?  

•  A  state  must  not  relive  an  employer  of  charges  (non-­‐charging)  when  the  employer,  or  an  agency  of  the  employer,  at  minimum.  •  Is  at  fault  for  failing  to  respond  %mely  or  adequately  to  a  state  agency  request  for  informa%on  rela%ng  to  a  UI  claim  that  was  overpaid;  and  

•  Has  established  a  paeern  of  failing  to  respond  %mely  or  adequately  to  state  agency  requests  to  UI  claims.  

•  States  establish  the  defini%on  of  a  “paeern  of  failing  to  respond”  %mely  or  adequately.  

•  States  may  impose  stricter  standards.  

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Request  for  separa-on  

informa-on  by  State  Agency.  

Adjudica-on  by  State  Deputy  

Considera-on  by  a  UI  Hearing  Officer    

Regular  Cycle  of  Claims  Processing  

Weeks  Paid  to  CLMT  

The  point  in  which  the  claimant  may  receive  UI  benefits.  

If  the  Hearing  Officer  reverses  the  decision,  the  claimant  would  have  to  repay  the  amount  of  benefits  paid  to  them  and  the  employers  account  has  an  abatement  of  charging  for  those  weeks  of  benefits  received.    

Claimant  is  required  to  payback  benefits  

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Sec%on  252:  Relief  of  Non-­‐Charging  

Benefits  already  paid  to  the  claimant  prior  to  a  UI  hearing  

The  UI  Hearing  officers  reverse  a  previous  

decision  by  the  deputy  which  earlier  allowed  

benefits  

Claimant  ceases  to  receive  benefits  for  future  weeks,  however  the  employer’s  SUTA  account  does  not  receive  an  abatement  of  charging  for  benefits  of  prior  weeks.  

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Request  for  separa-on  

informa-on  by  State  Agency.   Adjudica-on  by  

State  Deputy  

Considera-on  by  a  UI  Hearing  Officer    

Non-­‐Relief  of  Benefit  Charges  

Weeks  Paid  to  claimant  

Future  benefits  from  the  employer  

Claimant  does  not  need  to  payback  benefits.  

$

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•  Limited  enforcement  procedures  yet.  

•  The  regula%ons  are  being  drajed.  

•  Defini%on  of  “inadequate”  and  “paeern”  is  highly  ambiguous.  

•  All  Sec%on  252  determina%ons  are  appealable  decision.  

   

Sec%on  252:  Enforcement  

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Defini%on  of  a  Paeern    

•  2  or  2%  during  a  given  period  of  %me.  •  Unless  explicitly  defined  in  law,  the  given  

period  of  %me  is  likely  going  to  be  between  computa%on  dates.  

•  Some  states  consider  1  instance  as  a  paeern.  

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POLL  QUESTION  

• Have  you  ever  responded  to  an  unemployment  insurance  claim  that  you  did  NOT  want  to  protest  the  claim?  

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Defini%on  of  Inadequate  

•  DNP  (Do  not  protest)  •  Canned  Statements.  •  Adding  addi%onal  informa%on  at  the  appeal  level.  

•  Not  returning  pre-­‐legal  call  by  state  depu%es.  

•  Observa%on  by  the  Hearing  Officer.  

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•  Virginia                                        $75  •  California                                  Ten  Times  WBA  • Minnesota                              $500  • Maryland                                  $25  •  Vermont                                      $100              •  Connec%cut                          Enforcement  Phase  

Watch  Out  States!  

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•  Cannot  not  include  addi%onal  documenta%on  for  the  UI  hearing  that  was  not  previously  included  in  the  ini%al  claim  response.    

•  Greater  amount  of  communica%on  on  responses  to  State  Agency  at  the  ini%al  stage.  

•  Ques%oning  the  appealing  of  decisions  that  were  awarded  to  the  claimant  when  the  employers  ini%al  response  was  shoddy.  

How  it  Impacts  UI  Claims  Management  at  G&A  

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POLL  QUESTION  

•  Do  you  normally  aeend  Unemployment  Hearings?  

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•  It  will  be  enforced.  •  Flagging.  •  Federal  government  will  provide  grants  to  fund  Sec%on  252  auditors.  

•  BAM  direc%ves.  •  Great  opportunity  for  a  states  to  eliminate  millions  of  dollars  off  the  books  in  overpayments  to  claimants.    

Enforcement:  My  Predic%on  

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•  Stronger  involvement  in  par%cipa%on  on  UI  claims  responses.  

•  Cannot  ignore  UI  claims  being  filed.  •  Cannot  make  requests  to  allow  for  benefits.      

Employer  Par%cipa%on  

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Employer  Par%cipa%on   •  Document  termina%ons.  • Have  policies  in  wri%ng.  •  Incorporate  and  enforce  internal  policies.  • Use  progressive  discipline  measures.  

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HRCI  Cer-fica-on  Credits:    "This  webinar  has  been  pre-­‐cer%fied  for  1  hour  of  general  recer%fica%on  credit  toward  PHR,  SPHR  and  GPHR  recer%fica%on  through  the  HR  Cer%fica%on  Ins%tute.      We  will  send  out  a  confirma-on  e-­‐mail  to  all  those  that  are  confirmed  as  aOended  with  the  program  ID  code  to  note  on  your  HRCI  recer-fica-on  applica-on  form.      

The  use  of  this  seal  is  not  an  endorsement  by  the  HR  Cer%fica%on  Ins%tute  of  the  quality  of  the  program.    It  means  that  this  program  has  met  the  HR  Cer%fica%on  Ins%tute's  criteria  to  be  pre-­‐approved  for  recer%fica%on  credit."  

QUESTIONS?  G&A  Partners  

[email protected]  (800)  253-­‐8562  

*This webinar has been recorded and will be posted on the G&A website by Friday