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“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	
  
Overview	
  
•  Sec%on	
  252	
  
•  How	
  it	
  impacts	
  UI	
  claims	
  processing	
  
•  Employer	
  par%cipa%on	
  
POLL	
  QUESTION	
  
•  What	
  is	
  your	
  role	
  in	
  your	
  organiza%on?	
  
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	
  
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.	
  
States	
  with	
  overpayment	
  issues	
  
•  Pennsylvania:	
  	
  22.77%	
  
•  New	
  England:	
  23.87%	
  
•  Indiana:	
  	
  32.34%	
  
•  Washington	
  DC:	
  33.00%	
  
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.	
  
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.	
  
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	
  
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.	
  
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.	
  
$
•  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	
  
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.	
  
POLL	
  QUESTION	
  
•  Have	
  you	
  ever	
  responded	
  to	
  an	
  
unemployment	
  insurance	
  claim	
  that	
  you	
  did	
  
NOT	
  want	
  to	
  protest	
  the	
  claim?	
  
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.	
  
•  Virginia	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  $75	
  
•  California	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  Ten	
  Times	
  WBA	
  
•  Minnesota	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  $500	
  
•  Maryland	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  $25	
  
•  Vermont	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  $100	
  	
  	
  	
  	
  	
  	
  
•  Connec%cut	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  Enforcement	
  Phase	
  
Watch	
  Out	
  States!	
  
•  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	
  
POLL	
  QUESTION	
  
•  Do	
  you	
  normally	
  aeend	
  Unemployment	
  
Hearings?	
  
•  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	
  
•  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	
  
Employer	
  Par%cipa%on	
  
•  Document	
  termina%ons.	
  
•  Have	
  policies	
  in	
  wri%ng.	
  
•  Incorporate	
  and	
  enforce	
  internal	
  policies.	
  
•  Use	
  progressive	
  discipline	
  measures.	
  
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	
  
info@gnapartners.com	
  
(800)	
  253-­‐8562	
  
*This webinar has been recorded and will be posted on the G&A website by Friday

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How Section 252 Changes Impact UI Claims Processing

  • 1. “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  
  • 2. Overview   •  Sec%on  252   •  How  it  impacts  UI  claims  processing   •  Employer  par%cipa%on  
  • 3. POLL  QUESTION   •  What  is  your  role  in  your  organiza%on?  
  • 4. 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  
  • 5. 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.  
  • 6. States  with  overpayment  issues   •  Pennsylvania:    22.77%   •  New  England:  23.87%   •  Indiana:    32.34%   •  Washington  DC:  33.00%  
  • 7. 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.  
  • 8. 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.  
  • 9. 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  
  • 10. 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.  
  • 11. 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.   $
  • 12. •  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  
  • 13. 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.  
  • 14. POLL  QUESTION   •  Have  you  ever  responded  to  an   unemployment  insurance  claim  that  you  did   NOT  want  to  protest  the  claim?  
  • 15. 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.  
  • 16. •  Virginia                                        $75   •  California                                  Ten  Times  WBA   •  Minnesota                              $500   •  Maryland                                  $25   •  Vermont                                      $100               •  Connec%cut                          Enforcement  Phase   Watch  Out  States!  
  • 17. •  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  
  • 18. POLL  QUESTION   •  Do  you  normally  aeend  Unemployment   Hearings?  
  • 19. •  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  
  • 20. •  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  
  • 21. Employer  Par%cipa%on   •  Document  termina%ons.   •  Have  policies  in  wri%ng.   •  Incorporate  and  enforce  internal  policies.   •  Use  progressive  discipline  measures.  
  • 22. 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   info@gnapartners.com   (800)  253-­‐8562   *This webinar has been recorded and will be posted on the G&A website by Friday