AB 2886, as amended, Committee on Insurance. Disability benefits: eligibility determinations:begin insert benefit computations:end insert overpayment determinations: appeals.
Existing law authorizes the Employment Development Department to administer the disability compensation program, which provides for the partial compensation for the wage losses suffered by eligible individuals unemployed because of sickness or injury. Existing law requires, after a claim for benefits is filed, the department to determine the eligibility of the claimant for benefits and to notify the claimant of the determination. Existing law allows the claimant to appeal to an administrative law judge within 20 days from mailing or personal service of thebegin delete determination notice.end deletebegin insert determination, which may be extended for good cause.end insert
Thisbegin insert bill would provide that, before March 1, 2018, any individual who submits an appeal to an administrative law judge within 30 days from the mailing or personal service of the determination has good cause to extend the 20-day period. Theend insert bill wouldbegin insert, commencing March 1, 2018,end insert extend that appeal period to within 30 days from mailing or personal service of the determination notice.
begin insertExisting law generally requires, upon the filing of a claim for disability benefits, the Employment Development Department to promptly make a computation on the claim setting forth the maximum amount of benefits potentially payable during the disability benefit period and the weekly benefit amount and to promptly notify the claimant of the computation. Existing law allows the claimant to, within 20 days after the mailing or personal service of the notice of computation or recomputation, protest the accuracy of the computation or recomputation, requires the department to consider any protest and notify the claimant of the recomputation or denial of recomputation, and allows the claimant to appeal to an administrative law judge within 20 days from mailing or personal service of the notice of denial of recomputation, which may be extended for good cause.
end insertbegin insertThis bill would provide that, before March 1, 2018, any individual who submits an appeal to an administrative law judge within 30 days from the mailing or personal service of the notice has good cause to extend the 20-day period. The bill would, commencing March 1, 2018, extend that period allowed to the claimant to protest the accuracy of the computation or recomputation to the department to within 30 days of the mailing or personal service of the notice. The bill would also, commencing March 1, 2018, extend the appeal period to the administrative law judge to within 30 days from mailing or personal service of the notice of denial of recomputation.
end insertUnder existing law, any person who receives an overpayment of disability benefits is liable for the amount overpaid unless specified conditions apply. Existing law requires the Director of Employment Development to determine the amount of the overpayment and to notify the recipient of the basis of the overpayment determination by mail or personal service, as provided. Existing law allows the person affected to file an appeal to an administrative law judge within 20 days from the date of mailing or serving of the notice of overpayment determination. Existing law requires, after affording reasonable opportunity for a fair hearing, the administrative law judge to make a decision regarding the findings set forth in the overpayment determination notice, and requires that decision to be final unless within 20 days from the date of notification or mailing of the judge’s decision a further appeal is initiated to the California Unemployment Insurance Appeals Board, as specified.
Thisbegin insert bill would provide that, before March 1, 2018, any individual who submits an appeal to an administrative law judge within 30 days from the mailing or personal service of the notice has good cause to extend the 20-day period. Theend insert
billbegin delete wouldend deletebegin insert would, commencing March 1, 2018,end insert extend that appeal period to the administrative law judge to within 30 days of mailing or serving of the determination notice. The bill wouldbegin delete alsoend deletebegin insert also, commencing March 1, 2018,end insert extend the appeal period to the appeals board to within 30 days from the date of notification or mailing of the administrative law judge’s decision.
Vote: majority.
Appropriation: no.
Fiscal committee: begin deleteno end deletebegin insertyesend insert.
State-mandated local program: no.
The people of the State of California do enact as follows:
begin insertSection 2707.2 of the end insertbegin insertUnemployment Insurance
2Codeend insertbegin insert is amended to read:end insert
begin insert(a)end insertbegin insert end insert The department shall consider the facts submitted
4by the employer pursuant to Section 2707.1 and make a
5determination as to the eligibility of the claimant for benefits. The
6department shall promptly notify the claimant of the determination
7and the reasons therefor. The claimant may appeal therefrom to
8an administrative law judge within 20 days from mailing or
9personal service of the notice of determination. The 20-day period
10may be extended for good cause. The director shall be an interested
11party to any appeal.
12“Good
end delete
13begin insert(b)end insertbegin insert end insertbegin insert“Goodend insert cause,” as used in this section, shall include, but not
14be limited to, mistake, inadvertence, surprise, or excusable neglect.
15
(c) This section shall remain in effect only until March 1, 2018,
16and as of that date is repealed.
begin insertSection 2707.2 is added to the end insertbegin insertUnemployment
18Insurance Codeend insertbegin insert, to read:end insert
(a) The department shall consider the facts submitted
20by the employer pursuant to Section 2707.1 and make a
21determination as to the eligibility of the claimant for benefits. The
22department shall promptly notify the claimant of the determination
23and the reasons therefor. The claimant may appeal therefrom to
24an administrative law judge within 30 days from mailing or
25personal service of the notice of determination. The 30-day period
P4 1may be extended for good cause. The director shall be an interested
2party to any appeal.
3
(b) “Good cause,” as used in this section, shall include, but not
4be limited to, mistake, inadvertence, surprise, or excusable neglect.
5
(c) This section shall
become operative on March 1, 2018.
begin insertSection 2707.4 of the end insertbegin insertUnemployment Insurance Codeend insert
7
begin insert is amended to read:end insert
begin insert(a)end insertbegin insert end insert The claimant may, within 20 days after the mailing
9or personal service of the notice of computation or recomputation,
10protest the accuracy of the computation or recomputation. The
1120-day period may be extended for good cause. The department
12shall consider any such protest and shall promptly notify the
13claimant of the recomputation or denial of recomputation. The
14claimant may appeal from a notice of denial of recomputation in
15the manner prescribed in Sectionbegin delete 2707. 2.end deletebegin insert
2707.2.end insert The director
16shall be an interested party to any appeal.
17“Good
end delete
18begin insert(b)end insertbegin insert end insertbegin insert“Goodend insert cause,” as used in this section, shall include, but not
19be limited to, mistake, inadvertence, surprise, or excusable neglect.
20
(c) This section shall remain in effect only until March 1, 2018,
21and as of that date is repealed.
begin insertSection 2707.4 is added to the end insertbegin insertUnemployment
23Insurance Codeend insertbegin insert, to read:end insert
(a) The claimant may, within 30 days after the mailing
25or personal service of the notice of computation or recomputation,
26protest the accuracy of the computation or recomputation. The
2730-day period may be extended for good cause. The department
28shall consider any such protest and shall promptly notify the
29claimant of the recomputation or denial of recomputation. The
30claimant may appeal from a notice of denial of recomputation in
31the manner prescribed in Section 2707.2. The director shall be an
32interested party to any appeal.
33
(b) “Good cause,” as used in this section, shall include, but not
34be limited to, mistake, inadvertence, surprise, or excusable neglect.
35
(c) This section
shall become operative on March 1, 2018.
begin insertSection 2707.7 is added to the end insertbegin insertUnemployment
37Insurance Codeend insertbegin insert, to read:end insert
(a) Notwithstanding Sections 2707.2 and 2707.4, any
39individual who submits an appeal under one or more of those
40sections to an administrative law judge within 30 days from mailing
P5 1or personal service of the applicable notice shall be considered
2to have good cause to extend the 20-day period.
3
(b) This section shall remain in effect only until March 1, 2018,
4and as of that date is repealed.
begin insertSection 2707.8 is added to the end insertbegin insertUnemployment
6Insurance Codeend insertbegin insert, to read:end insert
(a) An administrative law judge, after affording a
8reasonable opportunity for fair hearing, shall, unless the appeal
9is withdrawn, affirm, reverse, modify, or set aside any
10determination that is appealed under this article. The claimant
11and the director shall be promptly notified in writing of the
12administrative law judge’s decision, together with reasons for the
13decision. The decision shall be final unless, within 30 days after
14mailing of the decision, further appeal is initiated to the appeals
15board pursuant to Section 1336. The 30-day limitation may be
16extended for good cause.
17
(b) “Good cause,” as used in this section, shall include, but not
18be limited to, mistake, inadvertence, surprise, or excusable
neglect.
begin insertSection 2737 of the end insertbegin insertUnemployment Insurance Codeend insertbegin insert is
20amended to read:end insert
begin insert(a)end insertbegin insert end insert Within 20 days from the date of mailing or serving
22of the notice of overpayment determination, the person affected
23may file an appeal to an administrative law judge. The director
24shall be an interested party to any such appeal. The administrative
25law judge, after affording reasonable opportunity for a fair hearing,
26begin delete shallend deletebegin insert shall,end insert unless the appeal is withdrawn, affirm, reverse,
modify,
27or set aside the findings set forth in the notice of overpayment
28determination. The party and the director shall be notified of the
29administrative law judge’s decision, together with hisbegin insert
or herend insert
30 reasons therefor, which shall be final unless within 20 days from
31the date of notification or mailing of the decision a further appeal
32is initiated to the appeals board pursuant to Section 1336. The
3320-day period for an appeal to the administrative law judge or to
34the appeals board may be extended for good cause.
35“Good
36begin insert(b)end insertbegin insert end insertbegin insert“Goodend insert cause,” as used in this section, shall include, but not
37be limited to, mistake, inadvertence, surprise, or excusable neglect.
38
(c) This section shall remain in effect only until March 1, 2018,
39and as of
that date is repealed.
begin insertSection 2737 is added to the end insertbegin insertUnemployment Insurance
2Codeend insertbegin insert, to read:end insert
(a) Within 30 days from the date of mailing or serving
4of the notice of overpayment determination, the person affected
5may file an appeal to an administrative law judge. The director
6shall be an interested party to any such appeal. The administrative
7law judge, after affording reasonable opportunity for a fair
8hearing, shall, unless the appeal is withdrawn, affirm, reverse,
9modify, or set aside the findings set forth in the notice of
10overpayment determination. The party and the director shall be
11notified of the administrative law judge’s decision, together with
12his or her reasons therefor, which shall be final unless within 30
13days from the date of notification or mailing of the decision a
14further appeal is initiated to the appeals board pursuant to Section
151336. The 30-day period for an appeal to the
administrative law
16judge or to the appeals board may be extended for good cause.
17
(b) “Good cause,” as used in this section, shall include, but not
18be limited to, mistake, inadvertence, surprise, or excusable neglect.
19
(c) This section shall become operative on March 1, 2018.
begin insertSection 2737.5 is added to the end insertbegin insertUnemployment
21Insurance Codeend insertbegin insert, to read:end insert
(a) Notwithstanding Section 2737, any individual who
23submits an appeal under that section to an administrative law
24judge within 30 days from mailing or personal service of the notice
25of overpayment determination shall be considered to have good
26cause to extend the 20-day period.
27
(b) This section shall remain in effect only until March 1, 2018,
28and as of that date is repealed.
Section 2707.2 of the Unemployment Insurance
30Code is amended to read:
The department shall consider the facts submitted by
32the employer pursuant to Section 2707.1 and make a determination
33as to the eligibility of the claimant for benefits. The department
34shall promptly notify the claimant of the determination and the
35reasons therefor. The claimant may appeal therefrom to an
36administrative law judge within 30 days from mailing or personal
37service of the notice of determination. The 30-day
period may be
38extended for good cause. The director shall be an interested party
39to any appeal.
P7 1“Good cause,” as used in this section, shall include, but not be
2limited to, mistake, inadvertence, surprise, or excusable neglect.
Section 2737 of the Unemployment Insurance Code
4 is amended to read:
Within 30 days from the date of mailing or serving of
6the notice of overpayment determination, the person affected may
7file an appeal to an administrative law judge. The director shall
8be an interested party to any such appeal. The administrative law
9judge, after affording reasonable opportunity for a fair hearing,
10shall unless the appeal is withdrawn, affirm, reverse, modify, or
11set aside the findings set forth in the notice of overpayment
12determination. The party and the director shall be notified of the
13administrative law judge’s decision, together with his reasons
14therefor, which shall be final unless within
30 days from the date
15of notification or mailing of the decision a further appeal is initiated
16to the appeals board pursuant to Section 1336. The 30-day period
17for an appeal to the administrative law judge or to the appeals
18board may be extended for good cause.
19“Good cause,” as used in this section, shall include, but not be
20limited to, mistake, inadvertence, surprise, or excusable neglect.
O
98