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Unemployment insurance claims
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ome of my clients
never contest unemployment claims. Others fight them tooth and
nail. Consequently, the experience ratings for my clients range
from very low to very high.
The unemployment insurance scheme in this
country involves states administering a program with a large
federal component. As a result, there is relative uniformity
across the country. Whatever gets you unemployment in Missouri
probably gets you unemployment in Kansas.
Because it is a form of
“insurance,” it is up to the state acting like a
claims adjuster to determine if an employee is eligible for
benefits. Not all employees who lose their jobs are entitled to
receive those benefits. In some cases, they may receive
benefits, but only after a waiting period. The state, again
acting like an insurance company, can raise your
“premium” if you have a lot of claims where
benefits are paid out.
So, what kinds of situations will result
in a terminated employee not receiving benefits? Let me begin
by stating that “unsatisfactory work performance”
is not one of them. If an employee is fired for incompetence,
that will not usually disqualify him from receiving benefits.
Misconduct or gross misconduct?
Employers typically must show that the
employee was fired for misconduct or gross misconduct.
What’s the difference? In the case of ordinary
misconduct, the disqualification is normally only for a short
period of time, like four to ten weeks. Gross misconduct
normally results in disqualification, period.
The difference in terms of actual conduct
is not clearly delineated. Theft is gross misconduct, while
recurring cash register shortages may be ordinary misconduct.
Then again, cash register shortages may be incompetence that
does not cause benefits to be denied. Chronic lateness or
absenteeism would be ordinary misconduct.
To prove misconduct, gross or otherwise,
it helps for the employer to have a set of rules that makes it
clear to the employee that the behavior is, in fact,
misconduct. It also helps to have prior disciplinary warnings
to the employee that further misconduct will result in
termination.
If the employee has resigned, that is a
basis for denying benefits, but even employees who have
voluntarily resigned can get benefits. For example, if the
employee can show he resigned “with good cause,”
benefits will be awarded.
An employee who quits because of sexual
harassment, the denial of a raise he was promised, or some
other “misconduct” by the employer can get
benefits.
If an employee says he resigned at the
employer’s request, that will be treated just like a
discharge. Then, the state will have to decide if the employee
engaged in disqualifying misconduct.
Finally, most states will disqualify an
employee from receiving benefits during any period in which the
employee is receiving severance pay. This becomes an issue
frequently in negotiating a severance agreement and release
with a terminated employee. Plus, the employee has to show he
is seeking other employment, though that is pretty easy to do.
In most states, employees on strike do not get unemployment
benefits.
Even in the best of circumstances,
however, employees who do not deserve benefits will receive
them. Employers should be prepared to explain, in some detail,
why an employee was fired to have any chance of winning one of
these claims. It is also good practice if the employee later
files a charge of discrimination or a lawsuit for wrongful
termination.
Frank Kollman is a partner in the law firm
of Kollman & Saucier, PA, in Baltimore, MD. He can be
reached by phone at (410) 727-4300 or fax (410) 727-4391. His
firm’s web site at www.kollmanlaw.com has
articles, sample policies, news and other information on
employee/employer relations.
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