Unemployment benefits & contesting a claim

When an employee quits or you fire someone, you may have to deal with the issue of unemployment benefits for that worker. There are two main reasons why you should care about whether your ex-workers are collecting unemployment, and why you should try to prevent an improper claim from being paid:

• You want to keep your tax rates as low as possible. Your state unemployment tax rate is directly affected by the number of ex-employees who collected unemployment after leaving your business.
• Your actions may discourage a lawsuit if there's a chance that the worker is going to sue you for discrimination or wrongful discharge. And, if a lawsuit is filed, you may increase your chances of winning. If you win an unemployment compensation hearing, you're more likely to win in a later suit for wrongful termination, where the stakes may be much higher. On the other hand, if you lose in the unemployment matter, you may opt to reduce your risks of a large judgment and settle with the worker rather than going to trial.

To determine when and how to contest claims, you must understand the workings of the unemployment system.

How the unemployment system works

The unemployment insurance system was designed with two major goals in mind:

• To provide workers who lose their jobs through no fault of their own with a weekly check.
• To promote economic stability by rewarding those employers who minimize their workforce turnover, and by maintaining the flow of dollars through the economy even when there is widespread unemployment.

The benefits paid to jobless workers are financed through federal and state unemployment taxes paid by employers. Every state's unemployment system bases the employer's tax rate on the amount of benefits paid to former workers.

Your Actions Affect Your Tax Rate

This is one of the few times in life when you can influence your tax rate by your own actions.

If you fire or lay off workers only when absolutely necessary, use the proper procedures to do it, and routinely contest unemployment benefit claims when you think the worker is ineligible, you can lower your unemployment tax rate. In some states, you can lower your rate to zero, and pay no unemployment taxes at all! On the other hand, if you don't pay attention to these things, you may well find your unemployment taxes eating into your bottom line.

Unemployment benefits eligibility

To be eligible for unemployment benefits, a person must have at least some minimum amount of work experience within the last one and one-half years before filing for benefits.

Each state has a different formula for determining the minimum amount of work needed to obtain benefits in that state. Most states require that the employee worked at least some part of two different calendar quarters within the past one and one-half years. A large percentage of states also have a specific dollar amount of wages that must have been earned.

Your local unemployment office should be able to tell you what the minimum is in your state.

You should know what your state's minimum is, and think about setting up a probationary period for new hires that is less than the minimum time that would qualify a worker for benefits.

In addition, there are a few other eligibility requirements. If you suspect your ex-employee doesn't meet them, consider contesting the payment of benefits.

• The worker must be truly unemployed. If the worker has a well-paying part-time job or is self-employed, he or she usually won't be eligible for benefits.
• The worker must make a claim for benefits at the local state employment office, and respond to any cards, letters or requests to appear from the government; otherwise benefits will be cut off.
• The worker must cooperate with the unemployment office. In most areas, the employment office requires the worker to file job applications, show up for interviews, and accept a suitable position. In some states the worker must report back to the agency with the number of job applications he or she has made each week, to prove that the job search is continuing.
• The worker must be ready, willing, and able to work. That means his or her health must be good enough for work in a reasonable number of jobs that are available in your area. It also means the worker did not decide to take a long vacation. If the worker has enrolled in some type of school or training course, it must be approved by the state unemployment agency, or the worker must be willing to leave the course if school hours would conflict with a suitable job offer.

Factors disqualifying otherwise eligible employees

Even workers who are eligible for benefits because they've worked and earned the minimum amount required and are available to work can still be disqualified from receiving benefits, depending upon how and why they lost their jobs.

Unemployment benefits are designed for people who are laid off because the employer doesn't have enough work for them, or who lose their jobs because of something the employer did wrong.

Therefore, a worker will be disqualified for benefits if:

• The worker turned down a "suitable" job offer during the period of unemployment. "Suitable" work generally means a job appropriate for the worker's prior training, experience, and salary level, but those who have been unemployed for a long time are expected to be less picky as time passes.
• The worker was fired for misconduct. This can mean violation of a specific work rule, or violation of an "unwritten rule" that the employee could be expected to know (for example, stealing, insubordination, excessive unexcused absences etc.).
  In most situations involving misconduct you should have documentation of warnings and progressive discipline that will enable you to easily prove what happened and keep the worker from receiving benefits at your expense.
  However, be aware that poor performance or incompetence is not usually considered misconduct. Although you have the right to fire a poor performer, he or she will probably be able to collect unemployment.
• The worker left the job voluntarily, without a good cause connected to the job. In all states, a worker who quits because the employer harassed or discriminated against him or her or made a significant change in wages, hours, job duties, location, or other working conditions, has "good cause" to quit and won't be denied benefits. States differ in their interpretation of whether good cause includes quitting for health-related or personal reasons such as a spouse's relocation — consult your attorney for the most up-to-date rules that apply to your area.
• The worker is unemployed because of a strike or other work stoppage caused by a labor dispute.
• The worker is receiving workers' compensation, Social Security, a private pension, or severance pay.
• The worker has lied on the benefit claim or has omitted some important information, in order to get or increase benefits.

When to contest an unemployment claim

There's no point in wasting your time and possibly running up legal bills, by contesting the payment of benefits to a worker who clearly deserves them. So, if you terminate someone because your business is not doing as well as you'd hoped or you want to hire another individual instead, don't bother to object when your ex-employee makes a claim.

On the other hand, if you have to fire someone for stealing or someone quits to start their own business, you can and should make an effort to prevent your tax rate from rising as a result.

It's also true that there may be times when it's not in your interest to prevent your worker from collecting benefits, even if you would probably win if you tried. The most common situation is where you want to get rid of someone but don't have a good (or a legal) reason for doing it, or you suspect the worker is going to sue you.

To solve the problem you "buy out" the worker by offering severance package. The package may include an agreement that you won't do anything to prevent the worker from collecting unemployment, along with some severance pay, continuation of health benefits, or other items.

If you go this route, just be sure to have the worker sign an adequate release of liability before he or she leaves.

How to defend unemployment claims

When one of your former employees files for benefits, you'll get an official report from the state unemployment agency. Fill it out and return it within the deadline stated on the form! These deadlines are rarely extended, even if you have a good excuse. If you don't respond, or respond too late, the worker will automatically get benefits in most states. And follow these guidelines:

• Just give the facts. Typically, the report will ask how long the employee worked for you, what his or her earnings were, whether the worker quit voluntarily or was dismissed, and what the facts surrounding the termination were. Don't give just a one-word explanation — but don't write a whole novel either! A few sentences should do it.

• Attend the hearing. You should attend all state unemployment hearings, whether formal or informal. This is the only effective way to present your side and to respond to any false or incomplete statements your ex-employee might make. The "burden of proof" is on the employer — that means it's up to you to prove your statements, by testifying or presenting documents. The supervisor who actually witnessed the misconduct or other action that led to the termination should be present to testify.

• If you learn new facts, report them to the state. If you later learn of facts that would disqualify the claimant for benefits (for example, he or she turned down a job offer, went on a long vacation without looking for work, or refused to take the old job back if you offered to rehire the worker), report these facts to the state unemployment agency.
• If you lose, file an appeal. If the employee is found eligible for benefits despite your objections, follow up with an appeal to the administrative agency, and (if you lose again) to the courts, unless, of course, your lawyer tells you this would be fruitless in your particular case.