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National Clothesline
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Unemployment insurance claims
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Some 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.
If you are one of those employers who likes to keep your experience rating low,
saving money in the process, you need to understand how the system works.
Otherwise, you can waste a lot of time contesting claims you have absolutely no
chance of winning.
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.
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