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Avoiding Unwarranted
Scrutiny Against
Unemployment Insurance
Integrity Laws
January 22, 2015
Outline:	
  
•  Purpose of the Act
•  Challenge for Employers
•  Options for Employers
Poll	
  Ques.on	
  	
  
Have	
  you	
  ever	
  had	
  to	
  process	
  and	
  respond	
  to	
  
an	
  Unemployment	
  Insurance	
  Claim?	
  
What’s	
  going	
  on	
  
•  US Department of Labor’s
Unemployment Compensation
Integrity Act
•  Signed by President Obama in 2010
•  Was intended to address the issue
of employer indifference to the
program
What	
  to	
  expect	
  
•  States were required to pass laws
to punish employers who did not
respond to UI claims “adequately”
•  States are requiring more
information to be provided and the
initial stage of the UI claims process
Non	
  relief	
  of	
  non-­‐charging	
  
Benefits	
  already	
  paid	
  to	
  the	
  
claimant	
  has	
  received	
  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
$
What	
  triggered	
  this	
  law	
  
•  Unscrupulous	
  Third-­‐party-­‐Administrators	
  
(TPA)	
  
•  State	
  Agencies	
  looking	
  for	
  a	
  scapegoat	
  for	
  
shoddy	
  UI	
  decisions	
  
•  Circumvent	
  having	
  to	
  collect	
  overpayment	
  
	
  
Areas	
  of	
  focus	
  
Timeliness	
  
Adequacy	
  	
  
PaNern	
  
What	
  is	
  .mely?	
  
Was	
  the	
  employer	
  late	
  in	
  responding	
  to	
  the	
  
request	
  for	
  separa.on	
  informa.on	
  at	
  the	
  
ini.al	
  stage?	
  
What	
  is	
  adequate?	
  
•  Assortment	
  of	
  HR	
  documents	
  
•  Write-­‐ups,	
  warnings	
  
•  Copy	
  of	
  policies	
  
•  Responding	
  to	
  state	
  agency	
  calls	
  
What	
  is	
  adequate	
  (cont.)	
  
•  Claimants are always provided the benefit of the
doubt
•  If it isn’t written down, it didn’t happen
•  Don’t over engineer it
•  Focus on the direct-and-proximate cause
•  Make it very clear that termination is the likely
next step
•  Get witness statements
•  Give the employee an opportunity to offer
comments on write ups
.	
  
What	
  is	
  a	
  paNern	
  
•  States have different definition of a
“pattern of failure”
•  Calendar year period
•  In most states it is 2 or more
instances
•  In some states it is only once
(ie: Hawaii)
Poll	
  Ques.on	
  
Have	
  you	
  ever	
  responded	
  to	
  an	
  
unemployment	
  insurance	
  claim	
  that	
  you	
  did	
  
NOT	
  want	
  to	
  protest	
  the	
  claim?	
  
Compliance	
  
•  The emphasis that employers need
to consider when approaching UI
claims management
•  Cost-control is secondary
How	
  is	
  it	
  being	
  enforced?	
  
•  Currently, Texas has been the first to
develop enforcement procedures
•  An issue of adequacy is automatically
set by the Texas Workforce
Commission when employer files an
appeal
Why?	
  
By preventing the employer from
filing an appeal to an unfavorable
decision, a state agency does not
have to engage in collection efforts
on claimants who are on the losing
side of a UI appeal
•  Employers	
  must	
  adopt	
  quality	
  HR	
  procedures	
  
•  Inconvenience	
  on	
  employers	
  
•  Documenta.on	
  will	
  be	
  required	
  
•  Uncompromising	
  deadlines	
  
Challenges	
  for	
  employers	
  
•  Employers may no longer have the
option to “opt out” of the UI process
•  It is the “gotcha” game
Challenges	
  for	
  employers	
  (cont)	
  
Op.ons	
  for	
  employers	
  
•  Employers	
  will	
  now	
  have	
  to	
  be	
  much	
  more	
  selec.ve	
  
when	
  considering	
  filing	
  an	
  appeal	
  
•  Only	
  appeal	
  unfavorable	
  decisions	
  in	
  which	
  the	
  
employer	
  knows	
  that	
  they	
  have	
  provided	
  adequate	
  
informa.on	
  
•  Cannot	
  include	
  addi.onal	
  documenta.on	
  for	
  the	
  UI	
  
hearing	
  that	
  was	
  not	
  previously	
  included	
  in	
  the	
  ini.al	
  
claim	
  response	
  
	
  
•  Ques.oning	
  the	
  appealing	
  of	
  decisions	
  that	
  were	
  
awarded	
  to	
  the	
  claimant	
  and	
  the	
  employers	
  ini.al	
  
response	
  was	
  shoddy	
  
How	
  it	
  impacts	
  UI	
  claims	
  management	
  
IMPORTANT!	
  
We have to adopt a proactive
approach to UI claims
management:
•  Hiring and interviewing (bad hiring
decision = another UI claim)
•  Performance evaluations
•  Documentation
•  Terminations
What	
  all	
  this	
  means?	
  
•  UI claims management is shifting
away from a primary concern of cost
control to compliance
•  If in compliance, than the rate will
reflect that change
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	
  with	
  the	
  Program	
  ID	
  code	
  to	
  note	
  on	
  your	
  
HRCI	
  recer@fica@on	
  applica@on	
  form	
  to	
  everyone	
  who	
  is	
  confirmed	
  as	
  aKended	
  
and	
  watched	
  the	
  live	
  version	
  of	
  this	
  webinar.	
  
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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Avoiding Unwanted Scrutiny Against Unemployment Insurance Laws

  • 1. Avoiding Unwarranted Scrutiny Against Unemployment Insurance Integrity Laws January 22, 2015
  • 2. Outline:   •  Purpose of the Act •  Challenge for Employers •  Options for Employers
  • 3. Poll  Ques.on     Have  you  ever  had  to  process  and  respond  to   an  Unemployment  Insurance  Claim?  
  • 4. What’s  going  on   •  US Department of Labor’s Unemployment Compensation Integrity Act •  Signed by President Obama in 2010 •  Was intended to address the issue of employer indifference to the program
  • 5. What  to  expect   •  States were required to pass laws to punish employers who did not respond to UI claims “adequately” •  States are requiring more information to be provided and the initial stage of the UI claims process
  • 6. Non  relief  of  non-­‐charging   Benefits  already  paid  to  the   claimant  has  received  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.
  • 7. 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 $
  • 8. What  triggered  this  law   •  Unscrupulous  Third-­‐party-­‐Administrators   (TPA)   •  State  Agencies  looking  for  a  scapegoat  for   shoddy  UI  decisions   •  Circumvent  having  to  collect  overpayment    
  • 9. Areas  of  focus   Timeliness   Adequacy     PaNern  
  • 10. What  is  .mely?   Was  the  employer  late  in  responding  to  the   request  for  separa.on  informa.on  at  the   ini.al  stage?  
  • 11. What  is  adequate?   •  Assortment  of  HR  documents   •  Write-­‐ups,  warnings   •  Copy  of  policies   •  Responding  to  state  agency  calls  
  • 12. What  is  adequate  (cont.)   •  Claimants are always provided the benefit of the doubt •  If it isn’t written down, it didn’t happen •  Don’t over engineer it •  Focus on the direct-and-proximate cause •  Make it very clear that termination is the likely next step •  Get witness statements •  Give the employee an opportunity to offer comments on write ups .  
  • 13. What  is  a  paNern   •  States have different definition of a “pattern of failure” •  Calendar year period •  In most states it is 2 or more instances •  In some states it is only once (ie: Hawaii)
  • 14. Poll  Ques.on   Have  you  ever  responded  to  an   unemployment  insurance  claim  that  you  did   NOT  want  to  protest  the  claim?  
  • 15. Compliance   •  The emphasis that employers need to consider when approaching UI claims management •  Cost-control is secondary
  • 16. How  is  it  being  enforced?   •  Currently, Texas has been the first to develop enforcement procedures •  An issue of adequacy is automatically set by the Texas Workforce Commission when employer files an appeal
  • 17. Why?   By preventing the employer from filing an appeal to an unfavorable decision, a state agency does not have to engage in collection efforts on claimants who are on the losing side of a UI appeal
  • 18. •  Employers  must  adopt  quality  HR  procedures   •  Inconvenience  on  employers   •  Documenta.on  will  be  required   •  Uncompromising  deadlines   Challenges  for  employers  
  • 19. •  Employers may no longer have the option to “opt out” of the UI process •  It is the “gotcha” game Challenges  for  employers  (cont)  
  • 20. Op.ons  for  employers   •  Employers  will  now  have  to  be  much  more  selec.ve   when  considering  filing  an  appeal   •  Only  appeal  unfavorable  decisions  in  which  the   employer  knows  that  they  have  provided  adequate   informa.on  
  • 21. •  Cannot  include  addi.onal  documenta.on  for  the  UI   hearing  that  was  not  previously  included  in  the  ini.al   claim  response     •  Ques.oning  the  appealing  of  decisions  that  were   awarded  to  the  claimant  and  the  employers  ini.al   response  was  shoddy   How  it  impacts  UI  claims  management  
  • 22. IMPORTANT!   We have to adopt a proactive approach to UI claims management: •  Hiring and interviewing (bad hiring decision = another UI claim) •  Performance evaluations •  Documentation •  Terminations
  • 23. What  all  this  means?   •  UI claims management is shifting away from a primary concern of cost control to compliance •  If in compliance, than the rate will reflect that change
  • 24. 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  with  the  Program  ID  code  to  note  on  your   HRCI  recer@fica@on  applica@on  form  to  everyone  who  is  confirmed  as  aKended   and  watched  the  live  version  of  this  webinar.   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