Hearing Officer Handbook
SPECIAL PROGRAMS APPEALS
- The UCFE program provides unemployment benefits for Federal workers similar
to those provided by state unemployment insurance laws to workers in private
industry. A federal civilian employee, when separated or placed on leave
without pay status for seven days or more, will have been advised to report
to a local public employment office to file a claim for unemployment insurance.
A UCFE initial claim is an initial claim which has any wages based on Federal
civilian service within the base period. A UCFE claim may be based on only
Federal civilian earnings, on the total of Federal Civilian and Federal
military wages, on the total of Federal civilian wages and state-covered
earnings, or on the total of Federal Civilian and military wages and state
covered earnings.
- Federal law (5 U.S.C. 8506(a)) as amended effective October 10, 1976,
by Section 313 of the Unemployment Compensation Amendments of 1976 no longer
requires findings by a Federal agency as to periods of Federal service,
amount of Federal wages, and reasons for termination of Federal service
be given final and conclusive status in determining entitlement on UCFE
claims.
- Federal findings as to whether the service performed by the employee was
Federal service within the definition of the term, provided by (5 U.S.C
8501), and the findings regarding the location of the employee's official
duty station for assignment of wage purposes (5 U.S.C. 8504) are not affected
by the rescission of the finality provisions by Section 213 of Public Law
94-566. Any determination or decision as to what constitutes "Federal service"
and the State to which Federal service is assigned, shall continue to be
based upon Federal law and regulations and as the Secretary may direct.
- The appellate procedure for State unemployment insurance cases is applicable
to UCFE cases.
- Most federal employees received a SF-8 at the time of the separation,
and the initial claim notice is supposed to be mailed to the address on
that form. Some federal employers have a representative firm respond to
claims electronically.
- If a new issue involving a job separation from a federal employer is raised
during a UCFE hearing, the Hearing Officer should send a memorandum to the
UCFE unit at the state office to investigate the separation. For all other
issues, the Hearing Officer should create a case in the benefits system
according to the usual procedures.
- If additional information is needed from the Federal agency before a decision
may be rendered, and the agency was not represented at the hearing, the
Hearing Officer should follow the same procedures as for any independent
investigation.
- Federal employers will have the same rights with regard to protests to
the initial claim, rights to receive copies of determinations, and to initiate
the appellate procedure.
- Effective July 1, 1977, Section 8505(a) of Title 5 U.S.C., has been amended
to read as follows:
"Each State is entitled to be paid by the United States with respect to
each individual whose base period wages included Federal wages an amount
of compensation paid to such individual as the amount of his Federal wages
in his base period bears to the total amount of his base period wages."
- The Federal share of benefits paid to a claimant will always be based
on what the claimant was actually paid and it is immaterial whether or not
the Texas wages alone were sufficient to qualify claimant for benefits.
- In cases involving joint State unemployment insurance and UCFE wages,
the Texas employer's account is subject to charge or protection as determined
by the nature of the separation. This is true even though the State unemployment
wages are insufficient by themselves to qualify the claimant for benefits.
- In cases involving an apparent Section 207.045 spouse-leaving provision
where the claimant worked for the federal government while his/her military
spouse was stationed outside of the United States, the normal spouse-leaving
provision may not apply. Due to the nature of the employment and being located
in a foreign country, the military spouse is considered the claimant's sponsor.
If the sponsor is transferred, the claimant will be involuntarily separated
by the employer. The claimant has no actual choice of whether to leave with
the spouse or remain with the job. Consequently, the separation is not considered
a voluntary resignation, but rather an involuntary separation. Hearing Officers
should take care with any such case involving military dependents working
outside the United States. Section 207.045(d)(6) of the Act may apply to
some individuals in federal civilian employment whose spouses were in the
military.
- Chargeback rulings are not ordinary made in UCFE claims. Federal employers
are billed for benefits attributed to federal wages, but this is not usually
addressed in the decision. However, in some cases, the determination makes
a ruling that the federal employer is to be billed. This ruling should be
affirmed as it is correct, but the Section of the TUCA related to reimbursing
employers (205.013) should not be cited in the decision.
- Federal employers do not report wages as regular employers, and this information
must be requested for the federal employer when the initial claim is filed.
The federal employer is sent a form ES-931 requesting this information.
However, UCFE claimant can file an affidavit (ES-935) of their base period
wages along with documentary evidence, and the Commission will establish
a claim based on these tentative estimates. When the report is received
from the employer of the actual wages, they monetary determination has to
be adjusted accordingly. The claimant may file a request for a reconsideration
of the wages using form ES-934. The claimant may also appeal the monetary
determination, and the Hearing Officer has the authority to determine the
wage credits.
- The UCX program provides unemployment benefits for former military personnel
similar to those provided by State unemployment insurance laws to workers
in private industry.
- Appeals involving claims for benefits under the UCX program are handled
the same as appeals under the State UI program. Such appeals are resolved
by the same appeal authorities as regular UI appeals. However, the jurisdiction
of TWC is limited in some respects.
- The information obtained from the branch of military service will be accepted
as final and conclusive by the State agency in making a determination as
to Federal Military Service. The Appeal tribunal cannot overrule the federal
findings. The claimant has the right to reconsideration of determinations
involving military service. Any such request for redetermination can be
made through any TWC TeleCenter, the UISS or directly to the appropriate
branch of the service.
- In some cases, redeterminations are made that delete military wages, resulting
in an overpayment. The Appeal Tribunal cannot rule on the wages, but a hearing
is usually set on the overpayment issue.
- Wages from military service, unlike those from other types of employment,
are not automatically available for use in UI claims. To use wage credits
from military service, an individual must:
Have a DD-214 Form, Certificate of Release or Discharge from Active
Duty (Member Copy 2 through 8; Member Copy 1, DD214 Worksheet or Draft
are not acceptable) documenting separation from active duty, and,
Be separated under Honorable Conditions, and,
Have completed the first full term originally agreed to serve, or,
Be separated for a specific reason identified by the federal government
as an exception to the full-term requirement
.
- There must be a final separation from federal military service before
an ex-serviceperson can file a valid first claim. The earliest date for
filing such a claim is the day after the separation date indicated on the
DD-214. This claim may use wages from federal military service. Filing a
first initial claim after military discharge assigns the military wages
to the state in which the claimant files. The state must use all military
service and wages regardless of the type of claim, UI, UCFE, UCX or some
combination including a CWC. Assignment of wages occurs only if the claim
establishes a benefit year. There can be no assignment of military wages
to the liable state in an interstate initial claim.
NOTE: Establishing a benefit year assigns lag period
military wages to the same state where the individual files his initial
claim. These lag wages are available for use with a second benefit year.
- A disqualification or ineligibility under the provisions of the state
law may be applied to UCX claims with respect to:
- Ability to work,
- Availability for work,
- Refusal of suitable work if it relates to offers of civilian employment
and,
- Reason for separation from civilian employment subsequent to military
service.
- The separation provisions of state laws do not apply to separations from
the military on UCX claims. TWC does NOT investigate reasons for separations
from military service; therefore, military separation cases should never
be created at any point of a UCX claim. They are not applicable.
- In cases where a claimant has joint UCX and state unemployment insurance
wages, the accounts of Texas employers are subject to charge or protection
in accordance with Section 204.022 of the Texas Unemployment Compensation
Act irrespective of whether or not the state unemployment insurance wages
are sufficient by themselves to qualify claimant for benefits.
- Accrued leave paid to an ex-serviceman must be considered as wages for
employment during the time to which the leave is allocated. The number of
days accrued leave will be applied on a calendar day basis beginning with
the day immediately following the individual's separation from his last
period of Federal Military Service. A valid UCX initial claim cannot be
filed until the first day after the end of the period covered by the accrued
leave.
- Eligibility Requirements (5 U.S.C. 8521)
"(a)(1) 'Federal Service' means active service (not including duty in a
reserve status unless for a continuous period of 90 days or more) in the
armed forces or the Commission Corps of the National Oceanic and Atmospheric
Administration if with respect to that service -
- "the individual was discharged or released under honorable conditions
(and if an officer, did not resign for the good of the service); and
- "(i) the individual was discharged or released after completing his
first full term of active service which the individual initially agreed
to serve, or
"(ii) the individual was discharged or released before completing such
term of active service -
"(I) for the convenience of the government under any early release program,
"(II) because of medical disqualification, pregnancy, parenthood, or any
service-incurred injury or disability.
"(III) because of hardship, or
"(IV) because of personality disorders or ineptitude but only if the service
was continuous for 365 days or more."
- When a claimant's period of military service does not meet the requirements
for creditable military service as defined by the Act, the individual's
Federal wages cannot be used to establish UCX entitlement, and there will
be no UCX wage assignment.
- A combined-wage claim is a claim whereby a claimant with wages in more
than one state may combine all the wages in order to qualify for benefits
or to receive more benefits.
- The Federal Unemployment Tax Act provides that all states of the United
States of America, the District of Columbia, the Virgin Islands and the
Commonwealth of Puerto Rico shall participate in the plan for combining
wages. Canada does not participate in the plan.
- The state where the claimant files the initial claim is called the Paying
State and the base period and laws of that state are used in determining
benefits. If the claimant’s wages are not sufficient to qualify in
that state, then the claimant may file a CWC with the last state in which
the claimant worked and that state would be the Paying State.
- The transferring state is a state in which a combined-wage claimant had
covered employment and wages in the base period of a Paying State and which
transfers wages to the Paying State for its use in determining the benefit
rights of such claimant under its law.
- In order to file a Texas combined wage claim, a claimant must have base
period wages in at least two states. The CWC claimant may or may not have
Texas wages. Wages are requested from the transferring state by sending
form IB-4 to that state. If an initial claim is not established, those wages
are returned to that state. A record of CWC wage requests can be viewed
on the Wage Transfer Request State Detail (CTRQ) screen. If another state
denies the claimant wage credits, the claimant must appeal to that state.
The Hearing Officer cannot award wage credits from another state to a claimant.
Generally, a claimant may not file a CWC if the claimant has a current
benefit year in any state and there are unused benefits remaining on that
claim.
- An unemployed individual has the right to reject a combined-wage claim
and file against a state in which the individual is separately eligible,
or has the right to file no claim. However, once the claimant has accepted
the status of a combined-wage claimant, the claimant becomes subject to
the laws and regulations of the paying state. All rights and obligations
should be fully explained. Any eligibility or disqualification issues should
be acted upon in the same manner as for other claimants of the Paying State,
except that the Paying State may not determine an issue which has previously
been adjudicated by a transferring state.
If a benefit year is established by the combined-wage claimant, the claim
will be handled in all respects as if it were an ordinary interstate or
intrastate claim, whichever is applicable.
- A combined-wage claimant, without giving any reason for doing so, may
withdraw a combined-wage claim within the period prescribed by law of the
Paying State for filing an appeal, protest, or request for redetermination,
as the case may be, from the monetary determination of the combined-wage
claim, provided claimant:
- Repays in full any benefits paid to claimant thereunder; or
- Authorizes the state(s) against which benefits will be claimed to withhold
and forward to the former Paying State a sum sufficient to repay such
benefits.
- The Paying State will make the determination on a combined-wage claim
according to the law of that state and shall mail copies of the determination
to the claimants.
- UCFE wages correctly assigned to a state may be used for wage-combining
the same as state wages.
- UCX wages after correct assignment are considered the same as state wages
for purposes of wage-combining.
- Claims which include both Texas and non-Texas wages in the base period
will subject Texas employers to the chargeback provisions of Section 204.022
of the TUC Act irrespective of whether or not the Texas wages were sufficient
by themselves to qualify claimant for benefits. In cases where Texas is
the transferring state, chargeback to the employer's account will be in
issue even though the Texas wages used are outside the Texas base period.
Wages thus used will not be available later to pay benefits if such wages
should appear within a subsequent base period.
- The following are some rules or regulations for combined-wage claims:
- Claimant must file initial claim in State of residence if claimant desires
a combined wage claim.
- If claimant cannot qualify in resident State, after combining wages,
then can file against State where had covered employment.
- If claimant lives in Texas and cannot qualify on Texas wages, must have
wages in more than one other State; otherwise, it is considered an interstate
claim.
- There are four programs that were established to help claimants unemployed because of unusual circumstances:
- Emergency Unemployment Compensation (EUC) - In times of high unemployment, the federal government will pass legislation to allow unemployment insurance benefits to be extended beyond the time that regular benefits are depleted. Chapter 209 of the TUCA along with appropriate federal regulations provide the guidelines for administering this particular program.
- Disaster Unemployment Compensation (DUA) - Whenever a major disaster occurs in Texas this program provides temporary income for eligible individuals whose jobs or earnings are affected. Such assistance is available to self-employed individuals as well as "covered" employees.
- Trade Readjustment Act/Trade Adjustment Assistance (TRA/TAA) - This program assists workers who become unemployed as a result of increased imports, to return to suitable work. Trade readjustment allowances are weekly benefit payments similar in construction and intent to regular, extended, or EUC benefits.
- Child Care Management Services (CCMS) – This program provides for subsidized child care for low income families who meet certain eligibility requirements imposed by the State of Texas. The primary eligibility consideration, however, is that the parents of the children in such care be working, in training, or in school.
- Because of the complexity of these programs, most Hearing Officers will not conduct such hearings. Hearing Officers who are designated for these special federal programs receive additional training concerning the individual rules and regulations.
Please e-mail questions or comments to appeals@twc.state.tx.us.
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