260-RICR-40-05-1
260-RICR-40-05-1. Unemployment Insurance and Temporary Disability Insurance Programs (version Amendment, 08/07/2018 to 01/04/2022)
1.1 Authority
These rules and regulations
are promulgated pursuant to R.I. Gen. Laws §§ 28-41-19 and
28-42-34, as amended.
1.2 Employer Registration
Whenever an employing unit
becomes newly subject to the R.I. Employment Security Act, R.I. Gen.
Laws Chapters 28-42 through 28-44, or the R.I. Temporary Disability
Insurance Act, R.I. Gen. Laws Chapters 28-39 through 28-41, it shall
immediately inform the Director thereof in writing. On or before the
tenth day next following the date upon which said employing unit has
employed one or more individuals in employment, it shall file with
the Department of Labor and Training, Form DET-TX-8, Application for
Determination of Liability, or such other form(s) as may be required
by these rules or the R.I. Employment Security Act or the R.I.
Temporary Disability Insurance Act, containing all such information
as indicated thereon.
1.3 Interstate Reciprocal Coverage
Agreement
A. This rule shall govern the
Rhode Island Department of Labor and Training in its administrative
cooperation with other States subscribing to the Interstate
Reciprocal Coverage Arrangement, hereinafter referred to as “the
Arrangement.”
1. Definitions as used in this
Rule, unless context clearly indicates otherwise:
a. “Agency” means any
officer, board, commission, or other authority charged with the
administration of the unemployment compensation law of a
participating jurisdiction;
b. “Interested jurisdiction”
means any participating jurisdiction to which an election submitted
under this rule is sent for its approval; and
c. “Interested agency”
means the agency of such jurisdiction;
d. “Jurisdiction” means
any State of the United States, the District of Columbia, the Virgin
Islands, Puerto Rico, any Province of Canada or, with respect to the
Federal government, the coverage of any Federal unemployment
insurance law;
e. “Participating
jurisdiction” means a jurisdiction whose administrative agency has
subscribed to the arrangement and whose adherence thereto has not
been terminated;
f. “Services ‘customarily
performed’ by an individual in more than one jurisdiction” means
services performed in more than one jurisdiction during a reasonable
period, if the nature of the services gives reasonable assurance that
they will continue to be performed in more than one jurisdiction or
if such services are required or are expected to be performed in more
than one jurisdiction under the election.
2. Submittal and approval of
coverage elections under the Interstate Reciprocal Coverage
Arrangement.
a. Any employing unit may file
an election, on Form TX-36 to cover under the law of a single
participating jurisdiction all of the services performed for him/her
by any individual who customarily works for him/her in more than one
participating jurisdiction. Such an election may be filed, with
respect to an individual, with any participating jurisdiction in
which any part of the individual’s services are performed; the
individual has his/her residence; or the employing unit maintains a
place of business to which the individual’s services bear a
reasonable relation.
b. The agency of the elected
jurisdiction (thus selected and determined) shall initially approve
or disprove the election. If such agency approved the election, it
shall forward a copy thereof to the agency of each other
participating jurisdiction specified thereon, under whose
unemployment compensation law the individual or individuals in
question might, in the absence of such election, be covered. Each
such interested agency shall approve or disapprove the election, as
promptly as practical; and shall notify the agency of the elected
jurisdiction accordingly. In case its law so requires, any such
interested agency may, before taking such action, require from the
electing employing unit satisfactory evidence that the affected
employees have been notified of, and have acquiesced in, the
election.
c. If the agency of the
elected jurisdiction, or the agency of any interested jurisdiction,
disapproves the election, the disapproving agency shall notify the
elected jurisdiction and the electing employing unit of its action
and of its reason therefor.
d. Such an election shall take
effect as to the elected jurisdiction only if approved by its agency
and by one or more interested agencies.
e. An election thus approved
shall take effect, as to any interested agency, only if it is
approved by such agency.
f. In case any such election
is approved only in part, or is disapproved by some of such agencies,
the electing employing unit may withdraw it selection within ten days
after being notified of such action.
3. Effective Period of
Elections
a. Commencement. An election
duly approved under this Part shall become effective at the beginning
of the calendar quarter in which the election is submitted, unless
the election, as approved, specifies the beginning of a different
calendar quarter. If the electing unit requests an earlier effective
date than the beginning of the calendar quarter in which the election
is submitted, such earlier date may be approved solely as to those
interested jurisdictions in which the employer has no liability to
pay contributions for the earlier period in question.
b. Termination
(1) The application of an
election to any individual under this Rule shall terminate if the
agency of the elected jurisdiction finds that the nature of the
services customarily performed by the individual for the electing
unit has changed, so that they are no longer customarily performed in
more than one participating jurisdiction. Such termination shall be
effective as of the close of the calendar quarter in which notice of
such findings is mailed to all parties affected.
(2) Except as proved in §
1.3(A)(3)(a) of this Part, each election approved hereunder shall
remain in effect through the close of the calendar year in which it
is submitted, and thereafter until the close of the calendar quarter
in which the electing unit gives written notice of its termination to
all affected agencies.
(3) Whenever an election under
this Part ceases to apply to any individual, under §§
1.3(A)(3)(b)(1) or (2) of this Part, the electing unit shall notify
the affected individual accordingly.
4. Reports and Notices by the
Electing Unit
a. The electing unit shall
promptly notify each individual affected by its approved election, on
Form TX-36 supplied by the elected jurisdiction, and shall furnish
the elected agency a copy of such notice.
b. Whenever an individual
covered by an election under this Rule is separated from his/her
employment, the electing unit shall again notify him/her, forthwith,
as to the jurisdiction under whose unemployment compensation law his
services have been covered. If at the time of termination the
individual is not located in the elected jurisdiction, the electing
unit shall notify him/her as to the procedure for filing interstate
benefit claims.
c. The electing unit shall
immediately report to the elected jurisdiction any change which
occurs in the conditions of employment pertinent to its election,
such as cases where an individual’s services for the employer cease
to be customarily performed in more than one participating
jurisdiction or where a change in the work assigned to an individual
requires him/her to perform services in a new participating
jurisdiction.
5. Approval of Reciprocal
Coverage Elections
a. The authority to approve or
disapprove reciprocal coverage elections rests with the Director.
1.4 Meaning of Terms
A. The following words and
phrases used in the Rhode Island Employment Security Act and the
Temporary Disability Insurance Act and the Rules, forms,
interpretations or other official matters issued by the Department of
Labor and Training, shall, have the following meaning:
1. “Calendar quarter”
means a period of three consecutive calendar months ending March 31,
June 30, September 30, and December 31, or, in accordance with the
weekly payroll plan of any employer, any period of three consecutive
months ending within 6 days before or after March 31, June 30,
September 30, and December 31.
2. “Lag payments” means as
defined in R.I. Gen. Laws § 28-41-9: benefit payments for an
individual who is unemployed due to sickness and is in receipt of
benefits under said Act, who returns to work or recuperates from the
illness or injury prior to the end of the immediately succeeding
week, shall receive one-fifth (1/5) of his or her benefit rate for
each day of unemployment due to sickness in which work is ordinarily
performed in the occupation in which he or she is employed during the
week in which he or she returns to work or recuperates from the
illness or injury; provided, that in no case shall any individual be
entitled to more than four fifths (4/5) of his or her benefit rate
for that week.
3. “Qualified healthcare
provider" or "QHP" or "Medical practitioner”
means an individual licensed in the United States of America to
practice medicine, surgery, dentistry, optometry, osteopathy and
podiatry; also chiropractic and psychology within the scope of the
individual’s practice as defined by applicable laws of Rhode
Island, or of any other state of the United States, or such other
jurisdiction. This includes, licensed clinical social workers,
licensed independent clinical social workers, licensed nurse
midwives, nurse practitioners, physician assistants and psychiatric
clinical nurse specialists (PCNS) as the Director in his/her
discretion may allow; provided, however, that the Director may
require documentary evidence of the license to practice in any case
in which he/she deems such evidence to be necessary.
4. “Sickness” means an
individual shall be deemed to be sick in any week in which, because
of his or her physical or mental condition, is unemployed, has been
examined by a licensed Qualified Healthcare Provider and has been
deemed to be functionally unable to perform his or her regular or
customary work or services and is unable to attend classes or school.
This includes attending clinical classes/training for specific
programs following accepted and approved Medical Duration Guidelines,
unless the classes or school and its demands or requirements are
materially different from his or her regular or customary work or
services.
5. “Valid claim” means for
the purpose of establishing a benefit year for Temporary Disability
Insurance benefits any claim for waiting period or benefit credits
made by an individual unemployed because of sickness, who, during the
individual’s base period, has been paid sufficient wages for
employment by employers to meet the requirements set forth in R.I.
Gen. Laws § 28-41-11.
6. “Week of unemployment due
to sickness” means a calendar week as defined in the Act, during
which an individual is unable to perform his/her regular or customary
work because of sickness, as defined in R.I. Gen. Laws §
28-39-2(20 ).
1.5 Payroll Records
A. Every employing unit shall
establish, maintain and preserve all payroll records for a period of
at least four years from the date when taxes under the Employment
Security and Temporary Disability Insurance Acts are due thereon, or
the date such taxes are paid, whichever is the later. All such
records shall be available at all reasonable times within this state
for inspection by duly authorized representatives of the Director.
Such payroll records shall, in addition to recording the name of the
employing unit and place of employment, show the following data for
each worker:
1. Name and address
2. Social Security Account
Number
3. Rate of pay per hour, day
or week and effective date of such rate
4. Number of hours worked by
each employee during each week from date of accession to date of
termination
5. Computation of gross wages
earned for each payroll period showing separately:
a. Amount of money wages
b. Cash value of wages when
payment is made in any medium other than cash
c. Commissions and special
payments such as bonuses, gifts, tips, gratuities, dismissal wages,
and the like, and the period for which such payments were made.
d. The amount of money paid to
an employee as an allowance or reimbursement for traveling or other
expenses attributable to business.
e. Time lost because the
worker was not available for work during any part of his normal
customary full-time hours in any calendar week.
1.6 Posting of Notices
Every employing unit in the
State of Rhode Island shall post and maintain printed notices of such
form and design and in such numbers containing such information as
the Director, Department of Labor and Training, may determine to be
necessary to administer the Employment Security Act, R.I. Gen. Laws
Chapters 28-42 through 28-44, and Temporary Disability Insurance Act,
R.I. Gen Laws Chapters 28-39 through 28-41. Such notices shall be
posted in conspicuous places where the workers’ services are
performed.
1.7 Contributions and Reports
A. All contributions with
respect to employment required by law shall be made on a quarterly
basis, and all reports relating thereto shall be made on forms
supplied or approved by the Director. Such quarterly payments and
reports shall be due on or before the last day of the calendar month
next following the close of each calendar quarter, with exceptions
set out therein below:
1. Any employer who shall fail
to make such reports or to pay contributions when required by this
Rule shall, at the discretion of the Director, immediately become
liable to pay required contributions on a monthly basis. An employer
who had transmitted contributions for twelve (12) consecutive months
without delinquency and who is not indebted to the Department of
Labor and Training for any previous contributions may, with the
approval of the Director, revert to the quarterly basis contributions
and reporting.
2. Whenever an employer
desires to report and pay contributions on a monthly basis, a request
for permission to do so shall be submitted to the Director in
writing, and the Director may grant such request; provided, however,
that until the written permission of the Director has been received,
such employer shall continue to report and pay contributions on a
quarterly basis.
3. Monthly reports and
payments shall be due on or before the last day of the calendar month
next following the month for which said report or contributions are
required.
B. The Director may require
contributions to be paid by certified or registered check, cash, or
money order.
C. Whenever the day on which
contributions are due falls on a Sunday or legal holiday, payment
thereof shall be made on the next following business day.
D. The postmark affixed on the
envelope enclosing the required contributions and reports shall
determine the date of receipt thereof by the Director.
E. Notwithstanding the
provisions of §1.7(A) of this Part, the Director may require the
monthly payment of contributions by all covered employers if such
action would be beneficial to the financial position of the
Employment Security Fund or the Temporary Disability Insurance Fund.
Notice of such determination shall be given to such employers, and
they shall immediately thereafter be required to make contributions
and reports thereof on a monthly basis until the Director shall
otherwise decree.
1.8 Extended Benefit Work Search
Requirement
A. Any individual claiming
payment for any week of extended benefits shall maintain written
evidence of a systematic and sustained search for work and will be
required to submit this documentation at the request of the Director.
Union workers who are members of a hiring hall are not exempt from
the work search requirements while on State Extended Benefits and
will be required to seek work outside of the hiring hall and provide
a work search as indicated in the Department’s work search policy.
B. The work search must
consist of a minimum of three (3) employer contacts during each week
for which benefits are claimed. For union workers on Extended
Benefits who are members of a union hiring hall, checking with the
hiring hall may constitute one of the three required job search
contacts per week. Records must be kept in accordance with the
Department’s work search policy.
C. Work search records should
contain the following information:
1. The name and address of the
company,
2. The date you applied for
work,
3. The manner by which you
applied for work: in person, sent resume, via the internet, etc.,
4. The specific position and
shift for which you applied, and,
5. A copy of your confirmation
number or response from an employer if applying on-line and that
information is available.
D. The number of contacts and
the number of days on which the contacts are made should be increased
as the period of unemployment lengthens and when labor market
conditions warrant additional activity. No claimant, however, should
be required to make an unreasonable search for work.
E. The claimant should keep
copies of his/her work searches for a period of one year following
the conclusion of the claim in the event the claim is audited by the
Department.
1.9 Cash Value Of Remuneration
Otherwise Paid
A. Each employing unit
required to report wages and make contributions for individuals in
employment covered by the Employment Security Act, R.I. Gen Laws
Chapters 28-42 through 28-44, or the Rules adopted thereunder, or
each employing unit required to report wages and withhold and
transmit contributions of individuals under any section of the
Temporary Disability Insurance Act, R.I. Gen. Laws Chapters 28-39
through 28-41, or the Rules adopted thereunder, where such wages
include remuneration paid in any medium other than cash (excepting
meals or lodging) shall estimate and determine such remuneration at
the fair market value thereof at the time such remuneration became
payable.
B. The reasonable cash value
of meals or lodging payable as part or all of the wages for personal
services of individuals in employment by any employing unit shall be
reported and contributions made thereon in accordance with the
determination of such cash value resulting from an agreement entered
into between the employing unit and such individuals; provided,
however, that if the cash value so determined is less than the
amounts in the schedule hereinafter set forth, then such schedule
shall be used to determine the cash value of such remuneration; and
provided, further, that the Director or his/her representative may
set the amounts of such cash value based upon an investigation in
individual cases.
C. In the absence of a bona
fide agreement entered into in accordance with §1.9(B) of this Part
hereinabove between an employing unit and any individual in
employment for the purpose of determining the cash value of meals and
lodging, such cash value shall be determined in accordance with the
following schedule:
Meals
and Lodging
Weekly
$80.00
Meals
Per
Week
$40.00
Meals
Less
than one week
$2.00
per meal
Lodging
Per
Week
$40.00
Lodging
Less
than one week
$6.00
per day
1.10 Gratuities and Tips
The amount of tips and
gratuities customarily received by an individual which is claimed by
his/her employer as a credit against the minimum wage for such
individual under the laws of the State of Rhode Island and the Rules
applicable thereto, shall constitute wages of such individual and
shall be reported as such; provided, however, that if in any week of
employment the individual, in agreement with his employer shall
certify that he/she has received tips and gratuities in an amount
exceeding said credit, then such amount shall be reported on the
regular quarterly reports required under § 1.7 of this Part. The
said certification shall be retained by the employer and shall be
kept with his/her payroll records and a copy shall be furnished to
the employee; provided, further, however that if in any week of
employment the employer and employee shall disagree on the amount of
such tips and gratuities, the Director, or his/her authorized
representative, shall determine the amount to be credited to tips and
gratuities. The wages reported for any employee shall in no event be
less than the minimum wage provided by law.
1.11 Traveling and Business
Expenses
A. When an employee, under a
contract of hire, receives a commission or salary for personal
services and the contract does not provide for an allowance or
reimbursement for traveling or other business expenses incurred by
the employee, then the total amount of commissions and salary must be
reported as wages by the employer. Employer contributions must be
made, and employee contributions withheld, on the total amount paid
to the employee.
B. When an employee, under a
contract of hire, receives from his/her employer allowances or
reimbursement for traveling or other business expenses incurred by
said employee in furthering the business of his/her employer, which
are in excess of the actual expenses incurred and accounted for by
receipt or voucher submitted by the employee to his employer, such
excess amounts are to be considered as wages paid by the employer to
the employee for services rendered, and such amounts must be included
in all reports of wages paid for the required reporting periods.
Employer contributions must be made, and employee contributions
withheld, on the basis thereof for those periods during which they
were received.
C. All payments made by an
employer to an employee, as an allowance or reimbursement for
traveling or other business expenses, must be recorded in the books
of the employer in a separate expense account maintained for each
employee receiving the same.
1.12 Adjustments
A. When an error in computing,
reporting or paying contributions for any reporting period has been
discovered, either by an employer or by the Director, an appropriate
adjustment of the account shall be made following documentation of
the error; provided, however, that if such error shall be discovered
by an employer, he/she hall promptly notify the Director thereof.
B. If such error results in an
underpayment of contributions, the employer shall receive a statement
of account indicating the amount of such underpayment, and shall
forward such amount immediately upon receipt of the statement.
C. If such error results in an
overpayment of contributions, upon verification, the Director shall
immediately refund the overpaid amount. If the error is discovered by
the employer, he/she shall request such refund in writing and shall
provide documentation of the payroll figures for the period in
question.
1.13 Estimate of Amount of Taxable
Wages For Period Not Reported By An Employer
If any employer shall have
failed to report his/her taxable wages for any period during the
twelve (12) months ending on any June 30, as required under R.I. Gen.
Laws § 28-43-7.1, the Director shall, prior to the next succeeding
October 31 estimate the amount of taxable wages for such period. Such
estimate shall be used for experience rating purposes. As a basis for
such estimate, the Director may use any information available in the
Department files, including reports filed for any period within the
twelve (12) months immediately preceding the beginning of the period
for which such estimate is made.
1.14 Termination of Accounts
A. No employer’s account
with the Rhode Island Department of Labor and Training shall be
terminated unless and until the employer has provided the following:
1. A completed Termination of
Account form.
2. Any and all completed
quarterly tax forms.
B. Any employer who terminates
a business shall provide a completed Form DET- TX-17, Quarterly Tax
and Wage Report, to the Department within ten (10) days of the
termination.
1.15 Transfer of Assets
A. Every employing unit,
immediately upon becoming the transferee or purchaser of a
substantial part of the assets of any business from a previous owner,
whether by sale, lease, merger, consolidation, reorganization, or
otherwise, shall report such transfer and the date when it takes
place, in writing to the Director. Such report must be received by
the Director within ten (10) days of the date such transfer becomes
effective.
B. Every executor or
administrator of the estate of a deceased person who at the time of
death was an employing unit, shall notify the Director, in writing,
concerning:
1. the date of death of such
person, and
2. the date upon which such
executor or administrator qualified.
C. Such report must be
received by the Director within ten (10) days after the date of
qualification.
D. Every custodian, guardian,
receiver, trustee in bankruptcy, and other person designated by order
of any court of competent jurisdiction within the State of Rhode
Island to assume control of the assets of any employing unit, shall
immediately notify the Director, in writing, concerning:
1. the date of such order, and
2. the provisions thereof.
E. Such report must be
received by the Director within ten (10) days of the promulgation of
such order.
1.16 Revocation Hearing Procedure
Under R.I. Gen. Laws § 28-42-63.1
A. Rules of Practice and
Procedure
1. Appearance and Practice.
Any attorney-at-law or any
person authorized by law to practice accountancy may represent any
employer in any hearings or other proceedings before the Director.
Such person must officially enter his or her appearance with the
Director.
a. Any person may appear and
act for himself or herself, or for a partnership of which he or she
is a member, or for a corporation of which he or she is an officer,
or for an association or other organization of which he or she is a
member or official, and being duly authorized by such association or
organization to represent it, in any hearings or other proceedings
before the Director.
b. Notice of any change of
attorney, accountant, or other duly authorized representative, shall
be given promptly to the Director. Said notice of change or
withdrawal must be consented to by the employer in writing.
2. Form and Style of Papers.
a. All papers filed with the
Director shall be either printed or typewritten, and if typewritten
shall be on white paper of the usual legal size (8-1/2" x 14")
or the usual letter size (8-1/2" x 11") and shall be
clearly legible.
3. Continuances of Hearings.
a. When notice of hearing has
been sent to an employer and his or her representative, if known, the
date assigned may be postponed at the discretion of the Director for
good cause shown.
b. If the tax has been paid,
continuances as requested will be freely made. Otherwise, inordinate
delays will be cause for refusal of continuances, and the hearing
will proceed as scheduled, with or without the presence of the
employer or his or her representative.
4. Scope of Hearing.
a. Hearing Officers to Hear
Case.
(1) Hearings shall be
conducted by a hearing officer appointed by the Director who shall
have authority to examine witnesses, to rule on motions, and to rule
upon the admissibility of evidence. He or she shall have the
authority to continue or recess any hearing, to keep the record open
for the submission of additional evidence, and to make
recommendations to the Director. If for any reason, a hearing officer
cannot continue on a contested case, another hearing officer will
become familiar with the record and perform any function remaining to
be performed without the necessity of repeating any previous
proceedings in the case.
b. Conduct of Hearing.
(1) The hearing shall be
convened by the hearing officer, appearance shall be noted, any
motions or preliminary matters shall be taken up, and then each party
shall have opportunity to present its case generally on an issue by
issue basis, by calling and examining witnesses and introducing
documentary evidence. The Department of Labor and Training shall
first present its case followed by presentation of the employer’s
case. Each party shall also have opportunity to cross-examine
opposing witnesses on any matter relevant to the issue. Any objection
to testimony or evidentiary offers should be made, and the basis of
the objection stated. The hearing officer may question any party or
any witness for the purpose of clarifying his or her understanding or
to clarify the record. Proceedings are not open to the public.
c. Oral Evidence, Witnesses,
and Penalty for False Statements.
(1) Any party may request a
hearing officer to subpoena witnesses or the hearing officer may do
so on his or her own motion. A hearing officer may require the
parties in a case to indicate the persons they expect to call as
witnesses. The testimony of witnesses shall be made under oath or
affirmation and the making of false statements may subject a person
to criminal prosecution under R.I. Gen. Laws Chapter 11-33-1, as
amended.
d. Requests for Subpoena Duces
Tecum .
Any party may request a
hearing officer to issue a subpoena duces tecum or the hearing
officer may do so on his or her own motion. Said request shall set
forth, in detail, the information sought, the relevance thereof, and
the reasonableness of the scope of the subpoena. The party requesting
the issuance of said subpoena shall have the burden of showing the
relevance and reasonableness of the scope of the subpoena. A subpoena
duces tecum may be quashed after its issuance if it is subsequently
determined that the matters sought to be adduced are not relevant or
the subpoena is not reasonable in scope.
e. Ex Parte
Communications.
(1) There shall be no verbal
communications with the hearing officer regarding any issue of fact
or law in a case, without notice and opportunity for all parties to
participate and there shall be no written communications that are not
transmitted at the same time to all parties, except that an
individual involved in rendering the decision in a case may
communicate ex parte with employees of the agency who have not
participated in any hearing in the case for the purpose of utilizing
their special skills or knowledge in evaluating the evidence.
5. Agreed Statement of Facts.
a. The parties may, by
stipulation in writing, filed with the Director, agree upon any facts
involved in any request for hearing. Where an agreed statement of
facts is contemplated, a proposed statement shall be submitted on
behalf of the employer well in advance of the hearing date. To the
extent that all the facts are not agreed upon, testimony or exhibits
may be presented at the oral proceedings. If for any reason the
parties are unable to reach agreement on the facts prior to the
scheduled date of the hearing, the oral proceedings shall go forward
as scheduled without further notice to the parties unless postponed
in accordance with these regulations.
6. Transcript of Oral
Proceedings.
a. All proceedings before the
hearing officer will be electronically recorded and shall be
available for the use of either party by request to the hearing
officer. No other electronic recording devices will be allowed in the
hearing room.
7. Upon the completion of the
hearing, the hearing officer shall promptly render a decision and
each party shall be furnished a copy of the decision.
8. All decisions of the
Director may be appealed in accordance with R.I. Gen. Laws §
28-43-14.
1.17 Filing of Claims For
Temporary Disability Insurance Benefits
A. Every individual who files
a claim under the provisions of the Rhode Island Temporary Disability
Insurance Act shall file such claims in writing, or otherwise as the
Director may prescribe.
B. Every otherwise eligible
claimant who files a claim for benefit credits shall be entitled to
such for each week of unemployment due to sickness only if:
1. He/she is examined by a
licensed Qualified Healthcare Provider, as defined by the Director,
within the calendar week in which the first day of unemployment due
to sickness occurs or within the calendar week prior or subsequent
thereto; provided, however, that for good cause as shall be
determined by the Director, an examination by a licensed Qualified
Healthcare Provider within any other period may be considered as
having been made within the period herein set forth.
2. The notice of the claim for
benefits is mailed, delivered or otherwise sent to the Department of
Labor and Training.
C. There shall be no
determination made of the validity of a claim to waiting period or
benefit credits unless the claimant’s attending licensed Qualified
Healthcare Provider shall have certified, on a form having his/her
signature, to the inability of the claimant, due to sickness, to
perform his/her regular or customary work; provided, however, that
the Director or his/her authorized representative may for good cause,
as determined by the Director, permit such determination without such
signature.
D. Whenever an individual is
physically or mentally incapable of filing or continuing a claim for
benefits under the Rhode Island Temporary Disability Insurance Act,
R.I. Gen. Laws Chapters 28-39 through 28-41, the Director, or
his/her authorized representative, may appoint, upon request made
prior to the death of such individual, an agent in fact to act for
and in behalf of such individual for the purpose of filing and
continuing claims and receiving temporary disability benefits;
provided, however, that no such agent in fact shall be appointed
unless and until he/she shall present a power of attorney or such
other affidavit or evidence of responsible relationship to the
individual for whom he/she is to act, as may be required by the
Director or his/her authorized representative, together with a
licensed Qualified Healthcare Provider's certificate stating the
physical or mental incapacity of the individual to act for
himself/herself; provided, further, however, that in the discretion
of the Director, or his/her authorized representative, a bond, or
such other lawful surety, may be required up to and including the
total amount of benefit credits which may be available to the
individual.
E. Whenever an otherwise
eligible claimant shall die before filing a claim, such claim may be
filed in his/her behalf by the duly appointed executor, or
administrator, as the case may be, upon receipt by the Director of a
certified copy of such appointment, together with an application for
the payment of such benefits.
F. In the discretion of the
Director, or his/her authorized representative, a claimant may, at
any time, be required:
1. To submit to the Department
of Labor and Training, medical or laboratory reports, transcripts of
hospital records, affidavits, certificates, evidence of separation
from or accession to employment, or any other type of documentary
evidence, and
2. To undergo examination by
an impartial licensed Qualified Healthcare Provider appointed and
compensated by the Department of Labor and Training; provided,
however, that if a claimant shall fail or refuse to submit such
evidence when requested, or shall fail or refuse to under examination
by such impartial licensed Qualified Healthcare Provider, unless such
failure or refusal shall be based on good cause, as shall be
determined by the Director, such failure or refusal shall be deemed
to be prima facie evidence of an inability to meet the eligibility
requirements with respect to proof of sickness.
G. New claims filed with a
Benefit Year Begin Date of July 1, 2012 or later will not be required
to serve a nonpaid waiting period week. Claims filed with a Benefit
Year Begin Date prior to July 1, 2012 will be required to serve a
non-paid waiting period week. Claimants are still required to be
certified by a Qualified Healthcare Provider to be out of work, due
to the illness/injury for seven (7) consecutive days or longer to be
eligible for benefit payments.
1.18 Filing Of Claims For
Unemployment Insurance Benefits
A. Every individual who wants
to file a claim for waiting period credit or benefits shall contact
the Department’s Call Center utilizing the telephone or by any
other method prescribed by the Director. Said individual shall:
1. Have in their possession
his/her social security card with a valid social security number.
2. File the claim in
accordance with the procedures, methods and on forms as prescribed by
the Director.
3. Register for work and make
themselves available for Profiling Services as prescribed by law with
the Employment Service.
B. A “valid claim” for the
purpose of establishing a benefit year shall mean any claim for
waiting period or benefit credits made by an unemployed individual
who, during the individual’s base period, has been paid sufficient
wages for employment by employers to meet the requirements set forth
in R.I. Gen. Laws § 28-44-11 and appropriate § 1.18 of this Part in
effect at the time.
C. The effective date of a new
valid claim or additional claim shall be established as the Sunday of
the week in which the individual contacts the Department and files a
claim in accordance with procedures described by the Director. Any
individual who fails without good cause to contact the Call Center in
accordance with these provisions shall not be eligible to receive
benefits for the week(s) in which such failure occurs.
D. Every individual claiming
weekly benefits shall contact the Department’s Call Center
utilizing the Automated Telephone Payment System or Online/Internet
Payment Application, or submit a written payment certification form
to the Department’s Call Center, or by any method prescribed by the
Director. Upon each contact with the Department for said benefits;
the individual shall have their Social Security Account Number,
Personal Identification Number (PIN), claims information and other
pertinent documents necessary to complete the transaction.
E. Whenever an otherwise
eligible individual who has already served a waiting period for the
benefit year during which he/she claims benefits shall contact the
department’s Call Center to refile or reopen a claim for benefits
during a week of total or partial unemployment, the effective date of
said claim shall be established as the Sunday of the week in which
the individual contacts and refiles or reopens his/her claim in
accordance with procedures prescribed by the Director. Any individual
who fails without good cause to contact the Call Center in accordance
with these provisions shall not be eligible to receive benefits for
the week(s) in which such failure occurs.
F. Every claimant shall make
such personal efforts to find suitable work as are customarily made
by persons in the same occupation or in any other occupation for
which the claimant is reasonably suited, commensurate with current
economic conditions. These efforts include but are not limited to:
1. registering for work with
the Employ RI,
2. conducting an active,
independent work search with at least three (3) work search contacts
in each week that benefits are claimed and maintain a written record
of the work search,
3. submitting a weekly work
search to the department as prescribed by the director and as
indicated in the Department of Labor and Training’s guidelines for
an active and independent search for work. The following information
must be included in the record about each contact:
a. The name and address of the
company
b. The date you applied for
work
c. The manner by which you
applied for work: in person, sent résumé, via the internet, etc.,
d. The specific position and
shift for which you applied , and
e. A copy of your confirmation
number or response from an employer if applying on-line and that
information is available.
4. posting a resume on the
Employment Services’ online job seeker tool kit and inquiring upon
any job opportunities presented by the department,
5. completing a skills review
or similar activity through Employment Service as prescribed by the
Director, and
6. registering on the Virtual
Recruiter or similar tool through Employment Service as prescribed by
the Director.
G. The Director has discretion
in determining whether to require one or all activities identified in
§§ 1.18(F)(4), (5), and (6) of this Part. Furthermore, the
department is an equal opportunity service provider. Accordingly, the
Director has discretion to afford claimants alternative means for
satisfying the above requirements if the Director finds that the
claimants are Limited English Proficiency (LEP) individuals and/or
qualified individuals with a disability as defined by federal and
state law.
H. In addition to the above
activities identified in § 1.18(F) of this Part, all individuals
will make themselves available for Profiling Services when offered,
provided, however, that no claimant shall in order to establish
his/her availability be required to perform any unreasonable act in
seeking work to pursue a search which has no definite expectation
that it would result in re-employment. The Department of Labor and
Training shall provide every claimant with written guidelines for an
active and independent search for work. Individuals who qualify for a
work search waiver under §1.36 of this Part will also qualify for a
waiver from the additional activities listed above.
I. Any individual who fails to
contact the department utilizing the Telephone Automated Payment
System or Online/Internet Payment Application, or who fails to
contact the Department for their scheduled telephone interview, or
who fails to contact the department by any other method prescribed by
the Director, or who fails to return to the department’s Call
Center the mail payment certification form by the end of the week
following the week or weeks requested, shall not be eligible to
establish credit for a waiting period or to receive benefits for the
week or weeks during which such failure occurs, unless the reason for
such failure is based upon good cause as shall be determined by the
Director.
J. An individual who fails to
contact the department’s Call Center, during a week succeeding a
week in which the individual did make proper contact to the
Department of Labor and Training, shall not be barred from
establishing a waiting period or receiving benefits for such week in
which he/she did make proper contact; provided, however, that the
individual must establish ability to work and availability for work
for such week and provided, further, that no claim shall be valid
unless the individual makes proper contact not later than thirty (30)
days subsequent to the termination of the benefit year in which the
week for such claim occurs.
K. An individual who fails to
report for an adjudication appointment with the Department of Labor
and Training, when notified of an appointment, shall be denied
benefits for the week in which such failure occurs unless the reason
for such failure to comply with the Department’s requirements is
based upon good cause as shall be determined by the Director.
L. An individual who fails to
report as notified by the Department of Labor and Training shall be
denied benefits beginning with the week in which such failure occurs
and until the individual complies, unless the reason for such failure
to comply with the Department’s requirements is based upon good
cause as shall be determined by the Director.
M. An individual who fails to
provide any documentation requested by the Department or fails to
comply with an instruction given by the Director or his/her designee
shall be denied benefits for the week(s) in which such failure occurs
and until the individual complies unless the reason for such failure
to comply with the Department’s requirements is based upon good
cause as shall be determined by the Director.
1.19 Wage and Employment Reports -
T.D.I.
A. Whenever an individual
files a claim for waiting period credit and/or benefits, the Director
shall forward a Claimant Employment Report containing the
individual’s name, social security number and last day of work to
the individual’s most recent employer.
B. The employer shall return
such completed report to the Department. The completed report shall
contain the following information:
1. The reason for the
individual’s separation from employment.
2. The last date the
individual actually performed services prior to his/her disability.
3. Whether or not the
individual has returned to work following the period of disability
and, if so, the date of return.
4. If applicable, the name of
the employer’s Workers’ Compensation insurance carrier.
5. Any discrepancy in the
individual’s name or social security number from those shown on the
form.
C. Whenever an individual
files a claim for waiting period credit and/or benefits and such
individual’s base period earnings are not on file, the Director
shall forward an employee Wage and Employment Report to the employers
for whom the individual has worked during his/her base period. The
report shall contain the individual’s name and social security
number and the time period for which wage information is needed.
D. The employer shall return
such completed report to the Department. The completed report shall
contain the following information:
1. The gross wages earned by
the individual during the time period indicated on the report.
2. The last date the
individual actually performed services prior to his/her disability.
3. The reason for the
individual’s separation from employment.
4. If applicable, the name of
the employer’s Workers’ Compensation insurance carrier.
5. The employer’s Rhode
Island Employer Registration Number.
6. Any discrepancy in the
individual’s name or social security number from those shown on the
form.
E. Any employer who fails to
complete and return either of the reports referred to in §§
1.19(A), (C) or (D) of this Part within five working days of the
mailing dates indicated on the form shall be deemed to have violated
the reporting requirements of R.I. Gen. Laws Chapters 28-39 through
28-41.
1.20 Wage and Employment Reports -
U.I.
A. Whenever an individual
files a claim for waiting period or benefits, the Director shall
forward a notice of claim filed and termination report to the last
separating employer and any base period employers.
B. The employer shall return
the form with the following information:
1. The last date the worker
actually performed services.
2. Whether or not the claimant
had four weeks of work preceding the separation in which the claimant
earned at least twenty times the minimum hourly wage in each of the
four weeks.
3. Wage information, whether
it be quarterly or weekly, if requested.
4. The reason for
unemployment.
5. The expected return to work
date, if any.
6. Pension information if the
claimant is receiving a company pension or payments under any other
type of company retirement plan.
7. Vacation information if the
separation is due to a personal vacation and/or an official vacation
shutdown.
8. Severance and/or dismissal
pay amount and the number of weeks that the severance and/or
dismissal pay represent.
C. Whenever an individual
refiles a claim, the Director shall forward a form requesting the
separating employer to provide the reason for the individual’s
separation and last date of employment. The failure of any employer
to complete and return such report within the time limit set forth in
accordance with R.I. Gen. Laws § 28-44-38(c) of the Act shall be
considered a representation on the part of the employing unit that
the individual was not separated from employment for any reason or
any circumstances on the basis of which such individual could be
disqualified under the provisions of the Act, and a further
representation that the individual did not work for the employer
beyond the date indicated on the report.
D. Any employer who fails to
complete and return wage and termination reports within the time
limit set forth in accordance with R.I. Gen. Laws § 28-44-38(c) of
the Act shall be deemed to have violated the reporting requirements
of this Section. Any employer who fails to return the notice within
that time shall pay a penalty of twenty-five dollars ($25) for each
failure.
1.21 Affidavit in Lieu of Wage and
Termination/Employment Report
A. After an individual has
filed a claim for benefits and the employer(s) has failed within a
reasonable time as determined by the Director to return the required
wage and termination/employment report(s), the individual may file an
affidavit with the Department of Labor and Training setting forth the
following information:
1. The name and address of any
employer for whom the individual performed services for wages during
his/her base period.
2. The total wages earned by
the individual during the base period from each such employer.
3. The beginning and ending
dates of the individual’s employment from each such employer.
4. The reason for the
individual’s separation from employment from each such employer.
5. Such other information as
may be required by this Part or the Employment Security Act, R.I.
Gen. Laws Chapters 28-42 through 28-44, or the Temporary Disability
Insurance Act, R.I. Gen. Laws Chapters 28-39 through 28-41.
B. Such affidavit shall be
supported when possible by payroll receipts, check stubs, internal
revenue forms, or such other documents, forms, or papers, which
substantiate in whole or in part the information set forth in said
affidavit.
C. When such affidavit and
evidentiary documents have been submitted, the Director shall
determine whether or not the employer named therein is subject to the
Act. If it is found that such employer is subject to the Act, the
wage information as contained in said affidavit shall be accepted and
the claim shall thereupon be processed in the same manner as all
other claims: provided, however, if it shall subsequently be
determined that the individual was not entitled to any benefits or to
a lesser sum of benefits than received, the individual shall be
required to repay such excess in accordance with the Act and Rules in
effect.
1.22 Vacation Pay
A. When an individual meets
the eligibility requirements as set forth in R.I. Gen. Laws §
28-44-21 for the receipt of waiting period credit or benefits during
a bona-fide vacation period at the establishment in which the
individual was employed, any vacation pay received for such period
shall be allocated as follows:
1. If the total amount
received is less than or equal to his/her average weekly wage, such
amount shall be apportioned to the first week of unemployment during
such vacation period.
2. If the total amount
received is more than his/her average weekly wage, such amount shall
be apportioned to each week of unemployment during such vacation
period in such a manner that no more than an amount equal to his/her
average weekly wage will be apportioned to any one week; provided,
however, that where vacation pay is paid on the basis of a contract
designed to give the employee a week’s pay for each week of
vacation, such amounts may be substituted for the “Average Weekly
Wage.”
a. The term “Average Weekly
Wage” as used in this Part means the average straight time weekly
earnings exclusive of bonuses or overtime during an employee’s last
four weeks of employment immediately preceding his/her vacation
period.
3. Vacation pay will be
allocated as indicated in the two preceding subsections even though
the claimant has been separated by the employer prior to the last
working day preceding the vacation period except as follows:
a. The employer has
discontinued operations in whole or in part on a permanent basis.
b. The claimant has
permanently retired.
c. The claimant has been
separated by two weeks or more prior to the start of the vacation
period.
B. Upon request of the
Director, an employer shall furnish information regarding the
individual’s total amount of vacation pay, the dates of the
vacation period prescribed, and the individual’s average weekly
wage.
C. If the claimant is not
unemployed during a bona fide vacation period as described in R.I.
Gen. Laws § 28-44-21, and is not unemployed due to a request on
his/her part for a vacation, the vacation pay shall be considered as
wages received by the individual and shall be allocated to the last
day of work.
D. If the employer pays the
claimant excess vacation pay which is not in conjunction with an
official vacation period shutdown, this vacation pay shall be
considered as wages allocated to the last day of work.
1.23 Waiting Period Credit and
Benefits For Total and Partial Unemployment
A. Pursuant to R.I. Gen. Laws
§ 28-44-14, every otherwise eligible individual who is totally
unemployed shall be deemed to have established the first day of the
required seven (7) day waiting period as of the Sunday of the
calendar week in which the individual filed a claim on the Department
of Labor and Training’s online website or contacted the Department
of Labor and Training’s Call Center to file a claim. To receive a
waiting period as provided in this paragraph, an individual must have
filed a claim for such waiting period in accordance with the
requirements of § 1.18 of this Part.
B. Any otherwise eligible
individual claiming a waiting period based on partial unemployment,
as defined in R.I. Gen. Laws § 28-42-3 of the Employment Security
Act, may file his/her claim within a period of twenty-nine (29) days
after the receipt of appropriate notice from the employer of the
amount of wages earned with respect to such week of partial
unemployment. The waiting period shall be deemed to have been
effective as of the Sunday of the week in which the claim is filed
provided that the individual files the claim in accordance with §
1.18 of this Part, and grosses less than his/her benefit rate.
C. For good cause shown, an
individual who failed to file a claim for a waiting period or
benefits based on partial unemployment within the time limit set
forth in § 1.23(B) of this Part, above, shall be permitted to file
such claim at any time thereafter, but in no case subsequent to a
thirty (30) day period after the end of the benefit year during which
the period of partial unemployment occurred.
D. Every employing unit shall
furnish written evidence of the amount of gross wages earned to each
individual who worked within any calendar week less than the normal,
customary, full-time hours. Such evidence shall include the following
information:
1. The individual’s name and
social security number
2. The name and address of the
employing unit
3. The week-ending date of the
calendar week involved
4. The number of hours worked
within said week
5. The gross wages earned for
such period, and
6. An entry indicating
“unavailable” when the individual worked less than full time
although there was more work available.
E. If an individual has been
partially unemployed due to lack of work for seven (7) consecutive
days, within two (2) calendar weeks, the employing unit shall, upon
request, furnish written evidence specifying:
1. The exact days of
unemployment
2. The amount earned on each
day worked, and
3. That the unemployment was
due to lack of work.
F. Any individual who claims a
waiting period or benefits based on partial unemployment shall
present to the department’s Call Center the evidence required to
support the claim. However, nothing contained in this Part shall
prevent the establishment of a waiting period or the payment of
benefits based on partial unemployment because of the failure or
refusal by the employing unit to supply the individual with the
required evidence. In such case the waiting period may be established
and benefits may be paid on the basis of such other evidence as the
Director may obtain; provided, however, that the claim is filed in
accordance with the provisions of this Rule as set forth herein
above.
1.24 Dependents’ Allowance
A. At the beginning of a
benefit year, each individual who makes a claim for Dependents’
Allowance(s), as provided for in R.I. Gen. Laws §§ 28-44-6(B) or
28-41-5(B), shall establish to the satisfaction of the Director that
he/she shall have contributed to the support of each dependent.
B. While the claimant who
first established a current benefit year is in receipt of benefits,
including dependents’ allowances, for any week or weeks of
unemployment during the said benefit year, no other claimant shall be
entitled to a dependents’ allowance for the same dependent for any
such week.
C. Any individual claiming
dependents’ allowance must supply the dependents’ date of birth,
dependent’s social security number, and any other information the
Director specifies to verify the claim for dependency. Dependents
must have a birth date prior to the claim’s Benefit Year Begin
date.
1.25 Payment for Benefits for
Interstate Claimants
A. This Rule shall govern the
RI Department of Labor and Training in its administrative cooperation
with other states adopting a similar Rule for the payment of benefits
to interstate claimants.
B. Definitions
As used in this Rule the
following terms shall have the following meanings, unless the context
clearly requires otherwise:
1. “Agent state” means any
State in which an individual files a claim for benefits from another
State or States.
2. “Benefits” means the
compensation payable to an individual, with respect to his/her
unemployment, under the unemployment insurance law of any State.
3. “Interstate benefit
payment plan” means the plan approved by the Interstate Conference
of Employment Security Agencies under which benefits shall be payable
to unemployed individuals absent from the State (or States) in which
benefit credits have been accumulated.
4. “Interstate claimant”
means an individual who claims benefits under the unemployment
insurance law of one or more liable States through the facilities of
an agent State. The term “interstate claimant” shall not include
any commuter; provided, however, that the RI Department of Labor and
Training may, by arrangement with any adjoining State Employment
Security Agency, treat certain commuters as interstate claimants if
they reside in geographical areas from which the liable State finds
that requiring commuters to file their benefit claims in the State of
their last employment would cause undue hardship to such claimants.
As herein used, the term “commuter” applies to each individual
who, customarily commuted from his/her residence in the agent State
to his/her work in the liable State.
5. “Liable state” means
any State against which an individual files, through another State, a
claim for benefits.
6. “State” includes Puerto
Rico, Virgin Islands and the District of Columbia.
7. “Week of unemployment”
includes any week of unemployment as defined in the law of the liable
state from which benefits with respect to such week are claimed.
C. Registration for Work
1. Each interstate claimant
shall be registered for work, through any public employment office in
the agent State when and as required by the law, rules, and
procedures of the agent State. Such registration shall be accepted as
meeting the registration requirements of the liable State.
2. Each agent State shall duly
report, to the liable State in question, whether each interstate
claimant meets the registration requirements of the agent State.
D. Benefit Rights of
Interstate Claimants
1. If a claimant files a claim
against any State, and it is determined by such State that the
claimant has available benefit credits in such State, then claims
shall be filed only against such State as long as benefit credits are
available in that State. Thereafter, the claimant may file claims
against any other State in which there are available benefit credits.
2. For the purposes of this
Part benefit credits shall be deemed to be unavailable whenever
benefits have been exhausted, terminated, or postponed for an
indefinite period or for the entire period in which benefits would
otherwise be payable, or whenever benefits are affected by the
application of a seasonable restriction.
E. Claims for Benefits
1. Claims for benefits or
waiting period shall be filed using the Call Center telephone system,
or Internet system, or any other system that the Director prescribes
and in accordance with §§ 1.18 and 1.28 of this Part.
2. Claims shall be filed by
contacting the department’s Call Center, in local offices, or by
mail in accordance with agent State rule for interstate mail claims.
F. Extension of Interstate
Benefit Payments to Include Claims Taken in and for Canada
1. This Part shall apply in
all its provisions to claims taken in and for Canada.
1.26 Application of Funds -
Partial Payment by Employers
A. Whenever an employer
becomes liable for overdue contributions and is assessed interest
and/or penalties for one or more taxable periods and partial payment
is tendered and accepted by the Director, such payment will be
applied in the following order:
1. to penalties assessed due
to the late filing of reports, or the late or non-payment of E.S.
contributions.
2. to interest assessed due to
the late or non-payment of E.S. contributions.
3. to E.S. contributions
outstanding.
4. to penalties assessed due
to the late filing of reports, or the late or non-payment of T.D.I.
contributions.
5. to interest assessed due to
the late or non-payment of T.D.I. contributions.
6. to T.D.I. contributions
outstanding.
7. to penalties assessed due
to the late or non-payment of J.D.F. contributions.
8. to interest assessed due to
the late or non-payment of J.D.F. contributions.
9. to J.D.F. contributions
outstanding.
B. Whenever contributions,
penalties and/or interest are due for more than one taxable period
the earliest period will be paid in full, in the order specified in §
1.26(A) of this Part, before any monies are applied to the next
earliest period.
1.27 Wage Record Reporting
A. All employers are required
to report their employee wages on the Quarterly Tax and Wage Report
(DET-TX-17). Employers must enter the social security number, name,
the total number of weeks for which the employee received pay during
the quarter, the total number of hours for which the employee
received pay during the quarter and total wages paid to each employee
during the quarter in the Wage Report Section of the form. Alternate
methods of reporting, such as computer reports, diskettes, or compact
discs (CDs) may be used, subject to the approval of the Director.
Employers who have twenty-five (25) employees or more are required to
file electronically.
B. Payroll service providers
who provide payroll services to twenty (20) or more clients are
required to file Quarterly Tax and Wage Reports (DET-TX-17) for their
clients electronically.
C. These reports must be
submitted by the last day of the month following the end of each
calendar quarter.
D. All employers will be
required to report the hours and weeks worked information beginning
with the filing of the Quarterly Tax and Wage Report (DET-TX-17) for
fourth quarter 2007, which is due on or before January 31, 2008.
1.28 Automated Telephone Payment
System
A. Once the claimant has
established a valid claim as prescribed under § 1.18 of this Part,
in accordance with the procedures as prescribed by the Director, and
in accordance with inclusive of the R.I. Gen. Laws Chapter 42-44,
shall claim weekly benefits in the following manner:
1. The claimant must call the
Department of Labor and Training to establish a Personal
Identification Number (PIN).
2. Commencing with 12:01 AM of
the Sunday immediately following the compensable week ending date for
which an individual is claiming benefits, he/she shall utilize the
Department’s Automated Telephone Payment System, or Online/Internet
Payment Application, or by any method prescribed by the Director to
request benefits.
3. Each claimant requesting
benefits will provide their social security number, benefit year
ending date, and Personal Identification Number (PIN).
4. The claimant will be
required to answer questions, as prescribed by the Director, to
establish their availability and continuing eligibility for benefits
for the week in question.
B. Each claimant is
responsible for establishing and activating their own Personal
Identification Number (PIN)
1. It is the responsibility of
the claimant to safeguard this number and must not release it to
anyone for any purpose. The PIN is the claimant’s electronic
signature meant to identify the claimant to the Automated Telephone
Payment System or Online/Internet Payment Application, so that proper
payment can be authorized.
2. If this PIN becomes lost or
known to another person, it becomes the responsibility of the
claimant to immediately contact an authorized representative of the
Department of Labor and Training’s Call Center in order to delete
the PIN so that a new PIN can be authorized by the claimant alone.
3. The claimant is responsible
for all payment authorized utilizing his/her PIN through the
Automated Telephone Payment System or Online/Internet Payment
Application.
1.29 Holiday Pay
A. Holiday Pay issued by an
employer will be:
1. Considered wages under R.I.
Gen. Laws § 28-42-3(29) and will be used in the base period when
computing a claim.
2. Deducted from the gross
earnings during the week in which the holiday occurs and prior to
computing a weekly benefit amount or recording a waiting period, if
the individual performed work on the holiday. Wages for work
performed on the holiday shall be deducted from an individual’s
weekly benefit rate in accordance with R.I. Gen. Laws §
28-42-3(26)(ii).
3. Considered for a holiday
under R.I. Gen. Laws § 28-44-61 if the holiday is a declared holiday
under R.I. Gen. Laws § 25-1-1.
1.30 TDI Partial Return to Work
and Earnings Offset
Any individual who is in
partial return to work status and is collecting Temporary Disability
Insurance (TDI) partial return to work benefits is required to report
all wages earned in employment for the compensable week in which they
are claiming partial benefits. Wages will include: any wages earned
and/or received, including any sick pay, vacation pay or supplemental
wages and/or salary. If the person earns less than their weekly
benefit amount (WBA), they can keep the first twenty percent (20%) of
their weekly benefit amount without any penalty. Any wages earned (as
defined above) that exceed twenty percent (20%) of their WBA, will be
deducted (offset) dollar for dollar from their WBA.
1.31 TDI - Limit on Partial
Payments
The Temporary Disability
Insurance (TDI) partial return to work law allows people collecting
TDI to return to work on a partial basis (reduced hours) without
cutting off their TDI benefits entirely. The spirit and intent of the
legislation is for individuals to transition back into the workforce
from an illness or injury. As such, partial return to work benefits
facilitates transition for the individual to return to their normal
working hours while continuing their recuperation. Partial payments
are available for a short term basis to allow the individual to
transition back to their customary work and work schedule; therefore,
a standard of an eight (8) week maximum is allowed under this
benefit. Partial payments may be extended up to twelve (12) weeks
total when clearly supported by medical documentation provided by the
Qualified Healthcare Provider and subject to agency review and
approval. No more than twelve (12) weeks total maximum may be paid
under the Partial Return to Work Program.
1.32 Work-Share Benefits Program
A. This rule is intended to
clarify employer participation in the Work-Share Benefits Program.
1. If an employer participates
in the Work-Share Program for 18 months or more, within two
consecutive years, the reduced hours shall become the standard for
the usual weekly hours of work for the subsequent third year. The
reduction will be computed based on the previous years’ hours.
2. An employer will not be
allowed to participate in the Work-Share Program for the same period
of time each year for more than three (3) consecutive years as
defined by “seasonal employment” in R.I. Gen. Laws §
28-44-69(a)(6).
3. All affected units will be
reduced by the maximum amount of hours before any layoffs are
allowed, unless justification can be given as to why the layoff must
occur in an affected unit.
4. Modifications to the
original plan are subject to the approval of the Director.
5. If dissatisfied with an
initial determination, an employer may seek reconsideration by the
Director, whose decision shall be final with no further appeal.
6. A Work-Share employer may
not participate in the program during any week of a bona-fide
vacation shut down or an economic shut down.
1.33 Counsel Fees
In appeals from a director’s
determination to an appeals body other than a court of law, if a
claimant retains an attorney at-law to represent him or her, the
attorney shall be entitled to a counsel fee of ten (10%) percent of
amount of the benefits at issue before the appeals body but not less
than fifty ($50.00) dollars, which the director shall pay out of the
employment security administrative funds; provided, however, the
attorney-at-law must submit his or her request for a counsel fee to
the director not later than two (2) years from a final adjudication
of the case by the appeals body. Any requests for counsel fees after
the two (2) year period will not be allowed by the director.
1.34 Severance and Dismissal Pay
A. When an individual is in
receipt of severance or dismissal pay under R.I. Gen. Laws §
28-44-59 severance or dismissal pay issued by an employer will be:
1. Allocated on a weekly basis
from the individual’s last day that he or she performed physical
work for the employer for a time period as determined under §
1.34(A)(3) of this Part.
2. Considered wages under R.I.
Gen. Laws § 28-42-3(29) and will be used in the base period,
attributable to the last day of employment for services performed
prior to that date, when computing a claim for benefits. The amount
of any payments, whether or not under a plan or system, made to or on
behalf of an employee by his or her employer after the expiration of
six (6) calendar months following the last calendar month in which
the employee performed actual bona fide personal services for his or
her employer, shall not be deemed to be wages either for the purpose
of reporting wages received under R.I. Gen. Laws § 28-44-13, or for
the purpose of wages considered in computing benefits under R.I. Gen.
Laws § 28-44-3.
3. Deducted from the weekly
“benefit rate” as defined in R.I. Gen. Laws § 28-42-3(6) for
each week severance or dismissal pay is received. The weekly benefit
rate shall be reduced by the full amount of that severance or
dismissal pay, which is attributable for that week, for a period not
to exceed twenty-six (26) weeks. Within the period, not to exceed
twenty-six (26) weeks, an individual shall be disqualified from
receiving benefits for any week of his or her unemployment within any
period with respect to which the individual is receiving severance or
dismissal pay in an amount greater than or equal to his or her weekly
benefit rate. Within the period, not to exceed twenty-six (26) weeks,
the total amount of severance pay paid in the form of a lump sum to
an employee will be attributed to each week it represents. The total
amount of severance pay and the number of weeks it represents will be
provided by the employer. If the employer does not specify a set
number of weeks, such severance or dismissal pay shall be allocated
using the individual’s weekly benefit rate.
1.35 Wages Paid After Last Day of
Employment
A. Wages paid after the last
day of employment for services performed prior to that date for
benefit years beginning on or after July 1, 2012:
1. For benefit years beginning
on or after July 1, 2012, wages paid to an individual after the last
day of employment by an employer for services performed prior to that
date shall be considered wages under R.I. Gen. Laws § 28-42-3(29)
and will be used in the base period, attributable to the last day of
employment for services performed prior to that date, when computing
a claim for benefits.
2. The amount of any payments,
whether or not under a plan or system, made to or on behalf of an
employee by his or her employer after the expiration of six (6)
calendar months following the last calendar month in which the
employee performed actual bona fide personal services for his or her
employer, shall not be deemed to be wages either for the purpose of
reporting wages received under R.I. Gen. Laws § 28-44-13, or for the
purpose of wages considered in computing benefits under R.I. Gen.
Laws § 28-44-3.
1.36 Employment Security Benefit
Work Search Exemption
A. Any individual claiming
payment for any week of Employment Security benefits that is
temporarily laid off with a definite return to work date within
twelve (12) weeks is not required to search for work within the
twelve (12) week period after the lay off.
B. The employer must provide a
definite return to work date within the twelve (12) week period after
the lay off for the individual to be exempt from the work search
requirements.
C. If the employer does not
specify a definite return to work date and/or the individual does not
return to work within the twelve (12) week period after the lay off,
the individual must make an active, independent search for suitable
work and will be subject to the provisions set forth in R.I. Gen.
Laws § 28-44-12.
D. Any individual that is an
active member and in good standing of a labor union that uses a
"Hiring Hall" or business agent to find suitable work will
be exempt from the work search requirements while collecting
Employment Security Benefits.
1.37 Self-Employment Assistance
Program
A. This rule is intended to
clarify the Self-Employment Assistance (SEA) Program.
B. To participate in the
Self-Employment Assistance Program an individual must have a viable
business idea and be willing to work full-time in developing the
business. The proposed business, when established, shall meet all
legal requirements with regard to taxes, zoning and other applicable
laws.
C. Individuals may receive up
to 26 weeks of Self-Employment Assistance allowance in lieu of
regular benefits or Emergency Unemployment Compensation (EUC).
1. An individual will not be
eligible for Emergency Unemployment Compensation if he or she
exhausts Self-Employment Assistance in lieu of regular benefits as he
or she is not a Unemployment Compensation exhaustee as defined in the
Supplemental Appropriation Act, 2008, Pub. L. 110-252, H.R. 2642.
2. An Individual receiving
Self-Employment Assistance in lieu of Emergency Unemployment
Compensation is not required to be identified pursuant to the State
worker profiling system as individuals likely to exhaust regular
benefits as specified in the Middle Class Tax Relief and Job Creation
Act of 2012, Pub. L. 112-96, H.R. 3630.
3. The Director may terminate
participation in the SEA program for failure to meet SEA program
requirements. An individual who fails to participate on a full-time
basis, as defined in R.I. Gen. Laws § 28-44-70(a)(4), in
self-employment assistance activities or who fails to actively engage
on a full-time basis in activities, which may include training and
work assignments related to establishing a business and becoming
self-employed is denied benefits for the week the failure occurs;
unless, the individual submits an official waiver from the partnering
vendor indicating that the individual is meeting the Self-Employment
Assistance requirements and participating on a full-time basis, as
defined in R.I. Gen. Laws § 28-44-70(a)(4).
4. If the Director determines
that an individual failed to actively engage in self-employment
activities whether scheduled or in general, the individual must be
issued an appealable determination.
5. An individual must have
remaining entitlement to at least 13 weeks of regular benefits or
Emergency Unemployment Compensation to be approved for participation
in the Self-Employment Assistance Program.
6. Self-Employment Assistance
allowance will terminate the week in which the individual exhausts
his or her balance of regular benefits or Emergency Unemployment
Compensation not to exceed 26 weeks.
1.38 Filing of Claims for
Temporary Caregiver Insurance Benefits
A. Every individual who files
a claim for Temporary Caregiver Insurance (TCI) under the provisions
of the Rhode Island Temporary Disability Insurance Act shall file
such claims in writing or otherwise as the Director may prescribe.
B. Every otherwise eligible
claimant who files a claim for benefit credits shall be entitled to
such for each week of unemployment due to the need to care for a
seriously ill child, spouse, domestic partner, parent, parent-in-law,
grandparent, or to bond with a newborn child, adopted child, or
foster child only if:
1. The notice of the claim for
benefits is mailed, delivered, or otherwise sent to the Department of
Labor and Training no later than thirty (30) days after the first day
of leave is taken.
C. New claims filed with a
Benefit Year Begin Date of January 5, 2014 or later will not be
required to serve a nonpaid waiting period week.
D. Claimants are required to
be out of work, due to the need to provide care for a seriously ill
child, spouse, domestic partner, parent, parent-in-law, grandparent,
or to bond with a new child, adopted child, or foster child for seven
(7) consecutive days or longer to be eligible for benefit payments.
E. At the discretion of the
Director, or his/her authorized representative, a claimant may, at
any time, be required:
1. To submit to the Department
of Labor and Training, medical or laboratory reports, transcripts of
hospital records, affidavits, certificates, evidence of separation
from or accession to employment, or any other type of documentary
evidence the Director deems necessary to validate the claim.
F. As used in the context of
R.I. Gen. Laws § 28-41-34, “Continuing medical treatment or
continuing supervision by a health care provider” means:
1. A period of incapacity
(that is the inability to work, attend school or perform regular
daily activities due to a serious health condition, treatment
therefore and recovery therefrom) of at least seven (7) consecutive
days for the same condition that also involves:
a. Treatment two or more times
by a health care provider, or treatment by a health care provider on
one occasion which results in a regimen of continuing treatment under
the supervision of a health care provider.
G. A bonding leave claim must
be for a period of at least seven (7) consecutive days.
H. A claimant shall provide
written documentation of the parental relationship when filing a
bonding leave claim, acceptable forms of documentation are: child’s
birth certificate, declaration of paternity, proof of foster
placement certificate of adoption placement, or an independent
adoption placement agreement.
I. Temporary Caregiver
Insurance benefits are paid from the balance of credits a claimant
qualifies for as determined according to R.I. Gen. Laws § 28-41-7.
J. Temporary Caregiver
Insurance benefits weekly benefit rate and dependents’ allowances
are determined according to R.I. Gen. Laws § 28-41-5.
K. The first valid claim
filed, for either Temporary Disability Insurance benefits or
Temporary Caregiver Insurance benefits, under the provisions of the
Rhode Island Temporary Disability Insurance Act, R.I. Gen. Laws
Chapters 28-39 through 28-41, shall establish the claim’s benefit
year according to R.I. Gen. Laws § 28-39-2. Any subsequent claims
for either Temporary Disability Insurance benefits or Temporary
Caregiver Insurance benefits within the same benefit year shall only
be payable from any remaining balance of credits.
L. Eligibility for Temporary
Caregiver Insurance benefits shall be determined according to R.I.
Gen. Laws § 28-41-11.
M. Medical documentation,
indicating the serious health condition of the family member, is to
be obtained and provided to the department by the claimant according
to the department’s eligibility requirements. Claims will not be
determined without the required medical documentation.
1. Medical documentation must
be signed by an approved licensed provider as specified in § 1.4 of
this Part.
N. Temporary Caregiver
Insurance benefit payments are taxable and the department will
provide a statement, IRS Form 1099 G, of the total amount of benefits
received during the year. This information will also be provided to
the Internal Revenue Service (IRS).
1. If your home and/or mailing
address changes, you must notify the department in writing.
O. Every individual claimant
is required to inform the department when he/she returns to work in
order to prevent overpayments of benefit payments.
P. A legal guardian or a
person who stands in “ loco parentis ” will be required to
provide proof as determined by the Department’s Director to show
the relationship with child and need for “bonding” as defined by
R.I. Gen. Laws § 28-41-34 which shall involve being in one another’s
physical presence and day to day financial support.
Q. The Partial Return to Work
(PRTW) option (R.I. Gen. Laws § 28-41-5(d)) is not applicable to
Bonding and Caregiving claims. The PRTW option exists to facilitate
the transition for an individual to return to their normal working
hours while continuing their recuperation; and, therefore, is not
pertinent to the Temporary Caregiver Program.
R. Temporary Caregiver
Insurance (TCI) benefits are payable under R.I. Gen. Laws Chapter
28-41. Therefore, R.I. Gen. Laws § 28-41-6 applies to TCI and no
individual shall be entitled to receive waiting period credit
benefits or dependents' allowances with respect to which benefits are
paid or payable to that individual under any workers' compensation
law of this state, any other state, or the federal government, on
account of any disability caused by accident or illness.
S. An employee shall file a
written intent with their employer indicating the need to file for
Temporary Caregiver Insurance (TCI) benefits. The written notice
shall be delivered to the employer a minimum of 30 days prior to the
commencement of the family leave except in the event that the time of
need for the leave is unforeseeable or the time of the leave changes
for unforeseeable reasons. The notice to the employer shall indicate
the date that the leave will commence and the expected return to work
date.