31-222-13. Benefit claim procedure
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(a)
Definitions.
For purposes of
this section the following definitions shall apply:
(1)
"Good faith error"
means the excusable failure of an individual to file a claim, either
initial or continuing, in the manner prescribed by the
administrator, due to the individual's own negligence, provided
there is (a) no prior history of late filing due to such error, (b)
the claim is not excessively late, and (c) there is no prejudice to
any adverse party.
(2)
"Invalidation" means
(a) the withdrawal of an otherwise valid initiating claim within
twenty-one days from the date on which the monetary determination is
issued, (b) the exercising by the administrator of his discretion to
reopen a claim under section 31-243 of the Connecticut General
Statutes, or (c) the withdrawal of a valid initiating claim in favor
of an initiating claim with a later effective date at any time
during the six month period following the issuance of the monetary
determination.
(3)
"Valid initiating
claim" means a claim filed by an unemployed or partially unemployed
individual who meets the requirements of subdivision (1) and (3) of
subsection (a) of section 31-235 of the Connecticut General
Statutes, provided that, with respect to any week of unemployment or
partial unemployment, the individual is not found to be entitled to
unemployment compensation under any other state's law or
compensation for temporary disability under any workers'
compensation law for the same period.
(b)
Where made.
All claims for
benefits, unless otherwise directed or authorized, shall be made by
telephone to designated Unemployment Insurance Call Centers. The
telephone numbers for the Call Centers and instructions for filing
an initial claim for benefits shall be contained in the employee
information packet, which will be given to the individual upon
separation. Individuals making inquiry regarding claim filing
shall be directed to the appropriate Call Center telephone number.
(c)
(1) When made.
Initiating claim. A week of unemployment shall be a calendar
week commencing at midnight on Sunday. An initiating claim shall be
filed during the week of unemployment with respect to which it is
filed and shall be effective as of the commencement of the week
within which it is filed, except where, pursuant to the provisions
of section 31-229 of the Connecticut General Statutes, an
individual's partial earnings in any week exceed his weekly benefit
entitlement with respect to such week, the claim shall be effective
as of the commencement of the following week. An initiating claim
for partial unemployment shall be filed within four weeks from the
end of the calendar week in which the individual's hours were
reduced to less than full time and shall be effective as of the
commencement of the week of the individual's partial unemployment.
(1)
Continuing
claims. A
continuing claim for benefits shall be filed in such manner as
prescribed in subsection (d) of this section. A continuing claim
for partial benefits shall be filed in the same manner as a claim
for total unemployment, except that it shall be effective as of the
commencement of the week of the individual's partial unemployment.
(2)
Vacation
shutdown claim.
An initiating claim and up to six weeks of continuing claims may be
filed where an individual has been laid off due to lack of work for
six weeks or less, including during the employer's designated
vacation shutdown period, by using the form prescribed under
subsection (4) of section 31-222-9 of the Regulations of Connecticut
State Agencies, provided the individual has a definite date to
return to work within the six week period.
(3)
Failure to
file claim within time limit. Failure to file a claim for benefits, either initial or continuing,
within the time limits set forth in this section and in the manner
prescribed in subsection (d) of this section, may be found to be for
good cause if the administrator determines that a person exercising
reasonable prudence in the same circumstances would have been
prevented from timely filing. Reasons constituting good cause for
failure to timely file a claim include, but are not limited to:
(A)
failure of the
employment security division to discharge its responsibilities, (B)
failure of the employer to comply with verification or other
requirements relating to unemployment, including failure to issue
the unemployment notice and employee information packet, (C)
coercion or intimidation which prevented the prompt filing of a
claim, or (D) good faith error, provided the individual acted with
due diligence in the filing of the claim once he was appropriately
notified of his rights to benefits or once the reason which
provided good cause for his failure to file ceased to exist.
(4)
Invalidation
of initiating claim.
Upon the individual's request, subject to the provisions of section
s 31-241 and 31-243 of the Connecticut General Statutes, the
administrator may invalidate a valid initiating claim provided the
individual has first repaid in full any amount of benefits which the
individual will be overpaid as a result of the invalidation unless
the overpaid benefits can immediately be recouped in full from
subsequent payable benefits. Overpayments resulting from an
individual's request for invalidation of a valid initiating claim
shall not be deemed to have occurred through error and shall not,
therefore, be subject to the provisions of section 31-273(a) of the
Connecticut General Statutes.
(d)
How made.
(1)
Initiating
claim - by telephone
The individual shall
call one of the designated Call Center telephone numbers obtained
from the employee information packet during days and hours
designated by the administrator and, once connected to the
Interactive Voice Response (IVR) Systems, will be prompted to enter
his social security number and establish a personal identification
number (PIN). The individual's Social Security Number and PIN shall
be the individual's legal identifiers and must be established.
The IVR will then present the individual with a series of
questions. Upon completion of the IVR questions, or at a time
designated by the IVR systems, the individual shall be transferred
to an agency representative located in the Call Center, who will
complete the claims taking process. The claim is considered filed
when a Call Center representative informs the individual that the
claim is completed and has been accepted. If the individual fails
to complete the claim within seven days of its initiation, the claim
must be reinstated and the effective date of the claim will change
to the Sunday of the week in which the claim is completed.
(2)
Initiating
claim - in person
When so directed or
authorized by the administrator, an initial claim may be filed in
person at a Department of Labor local office most easily accessible
to the individual's residence. The administrator may direct or
authorize an individual to file in person when the administrator
determines that it would be administratively more efficient,
considering such factors as language barriers; lack of access to a
telephone, the complexity of the claim, or the individual's mental
or physical disability or inability to complete a claim using the
telephone system.
(3)
Initiating
claim - shutdown
When an individual is
laid off due to lack of work for six weeks or less, including during
the employer's vacation shutdown period, and has been given a
definite return-to-work date within the six-week period; the
employer shall provide the individual with a vacation shutdown claim
form (form UC-62V). The claim shall be filed by transmitting the
form UC-62V to the address designated by the administrator, unless
otherwise instructed. When a new claim is filed during the vacation
shutdown claim form (form UC-62V), the individual shall not be
required to file weekly continuing claims.
(4)
Continuing
claim - by telephone
All continuing claims
for benefits, unless otherwise directed, shall be made by telephone
on a weekly basis to designated Unemployment Insurance Call Center
telephone numbers. The individual shall telephone the designated
phone number on a weekly basis on such days and during such hours as
designated by the administrator to file for the week. The
individual shall access the Interactive Voice Response (IVR) System
by entering his social security number and personal identification
number (PIN). The administrator shall treat the PIN in the same
manner as the individual's signature. By entering the social
security number and PIN, the individual certifies that he is
answering questions truthfully and understands that giving false
information or answering questions for anyone other than himself
constitutes fraud and is subject to penalties prescribed by law.
The individual shall be guided through a series of questions
regarding eligibility for the seven-day calendar week with respect
to which is claim is being filed.
(5)
Continuing
partial claim - by telephone
When filing partial
continuing claims, the individual shall enter the name and address
of the employer, hours and minutes worked and wages earned for the
week claimed. Wages earned for any work performed must be reported
as part of the filing of the claim for the week in which the wages
were earned, not with respect to the week in which the wages were
paid, if such week is not the claim week.
(6)
Return to
work
Upon returning to
employment, the individual shall contract the call center to provide
the following information: the date on which the individual
returned to work, the name and address of the individual's new
employer and whether or not the work is self-employment.
(7)
Shared work
claims
Any initial or continuing claim for shared work benefits, pursuant
to sections 31-250-8 through 31-250-12, inclusive, of the
Regulations of Connecticut State Agencies, may be filed by an
employer on behalf of its employees in such manner and medium as
directed by the administrator.
Statement of purpose: To amend the claim
filing procedures to provide for the filing of initial and continuing claims by telephone;
to require employers to provide an employee information packet along with the unemployment
notice; to amend the definition of good cause for the late filing of an initial or
continuing claim.
Be it known that the foregoing regulations are amended
as hereinabove stated by the aforesaid agency pursuant to Sec. 31-241 of the General
Statutes, as amended by Public Act No. 99-123 of the Public Acts, after publication in the
Connecticut Law Journal on October 10, 2000, of the notice of the proposal to amend such
regulations, and the holding of an advertised public hearing on the 15th day of November,
2000.
Wherefore, the foregoing regulations are hereby amended as hereinabove stated, effective
when filed with the Secretary of State.
In Witness Whereof: May 8, 2001, Shaun B. Cashman, Commissioner.
Approved by the Attorney General as to legal sufficiently in accordance with Sec. 4-169,
as amended, Connecticut General Statutes: May 21, 2001.
Approved by the Legislative Regulation Review Committee in accordance with Sec. 4-170, as
amended, of the General Statutes: September 5, 2001.
Two certified copies received and filed, and one such forwarded to the Commission on
Official Legal Publications in accordance with Sec. 4-172, as amended, of the General
Statutes, Secretary of the State: September 17, 2001. |