WSR 19-19-005
PROPOSED RULES
EMPLOYMENT SECURITY DEPARTMENT
[Filed September 5, 2019, 12:34 p.m.]
Original Notice.
Preproposal statement of inquiry was filed as WSR 19-10-034.
Title of Rule and Other Identifying Information: WAC 192-500-035 Interested parties, 192-500-040 Aggrieved person, 192-500-180 Supplemental benefit payment, 192-510-030 How will the department determine the wages earned and hours worked for self-employed persons electing coverage?, 192-510-031 What are reportable wages for self-employed persons electing coverage?, 192-510-066 How are payments applied to paid family and medical leave premiums?, 192-510-080 What are the requirements to be eligible for a conditional premium waiver?, 192-530-030 Voluntary plans—Employee eligibility criteria, 192-530-050 Avoiding a duplication of benefits under state and approved voluntary plans, 192-530-060 How can approved voluntary plans end and what happens when they do?, 192-530-090 Can an employer with an approved voluntary plan make deductions from a benefit payment?, 192-560-010 Which businesses are eligible for small business assistance grants?, 192-570-010 Conference and conciliation, 192-600-030 Can an employer waive the employee's notice requirements?, 192-610-050 How are typical workweek hours determined?, 192-610-051 How is the weekly benefit calculated?, 192-610-052 How will the department obtain wages and hours that have not yet been reported by employers?, 192-620-026 What is the maximum amount of paid family or medical benefits to which an employee is entitled in a claim year?, 192-620-030 How do supplemental benefit payments affect employer requirements and weekly benefit payments?, 192-620-035 When will a weekly benefit amount be prorated?, 192-620-040 How will the department determine the number of hours of paid family or medical leave an employee claims each week?, 192-620-045 How will the department reduce a payment if the employee owes child support?, 192-620-046 How can an employee appeal a deduction from weekly benefit payments to satisfy child support obligations?, 192-800-025 Adoption of model rules, 192-800-030 Definitions, 192-800-035 Who can appeal or submit a petition for review?, 192-800-040 What are the timeliness requirements for submitting an appeal or a petition for review?, 192-800-045 When can an appeal be withdrawn?, 192-800-050 What happens after an appeal is submitted?, 192-800-055 Who will be notified if an appeal is filed and what will it include?, 192-800-060 What happens if an appeal or a petition has been filed and one of the parties has a change of contact information?, 192-800-065 How does the time computation work for perfecting an appeal or petition for review?, 192-800-070 Who can give testimony and examine witnesses during an appeal hearing?, 192-800-075 Who can request a postponement of a hearing?, 192-800-080 Will depositions and written discovery be permitted?, 192-800-085 When will administrative law judges hear consolidated cases?, 192-800-090 What is included in decisions issued by the office of administrative hearings?, 192-800-095 Can a decision of the commissioner incorporate a decision under review?, 192-800-100 What is the process for filing petition for review and any reply to the petition for review?, 192-800-105 When and how can an administrative law judge dispose of an appeal?, 192-800-110 What options are available for an aggrieved person who received an order of default?, 192-800-115 What is the process for filing a petition for reconsideration to the commissioner's review office?, 192-800-120 When would the commissioner not issue declaratory orders, 192-800-125 When is a petition for review considered delivered to the department? and 192-800-150 Can an employee designate a representative to act on their behalf?; and repealing WAC 192-800-002 Untimely appeals and 192-800-003 Designating an authorized representative.
Hearing Location(s): On November 7, 2019, at 9:00 a.m., at 640 Woodland Square Loop S.E., Park Place Conference Room, Lacey, WA 98503; and on November 12, 2019, at 9:00 a.m., at DoubleTree Hilton Spokane City Center, 322 North Spokane Falls Court, Spokane, WA 99201, conference room will be listed in the lobby of the hotel.
Date of Intended Adoption: November 12, 2019.
Submit Written Comments to: Christina Streuli, Employment Security Department, P.O. Box 9046, Olympia, WA 98507-9046, email Rules@esd.wa.gov, online portal https://www.peakdemocracy.com/portals/289/forum_home?phase=open, by November 12, 2019.
Assistance for Persons with Disabilities: Contact Teresa Eckstein, State EO Officer, phone 360-902-9354, TTY 711, email TEckstein@esd.wa.gov, by November 1, 2019.
Purpose of the Proposal and Its Anticipated Effects, Including Any Changes in Existing Rules: The rules will further define paid family and medical leave requirements for the assessing and collecting of premiums, requirements related to voluntary plans, eligibility for small business assistance grants, conference and conciliation, benefit application, weekly benefit processing, appeals, and changes made necessary through legislation.
Reasons Supporting Proposal: The rules will assist in meeting the requirements to implement payment of benefits to eligible employees by January 1, 2020, as mandated by Title
50A RCW.
Statute Being Implemented: RCW
50A.04.020,
50A.04.030,
50A.04.035,
50A.04.040,
50A.04.060,
50A.04.080,
50A.04.090, 50A.04.105,
50A.04.115,
50A.04.120,
50A.04.130,
50A.04.140,
50A.04.185,
50A.04.230,
50A.04.260,
50A.04.500,
50A.04.505,
50A.04.510,
50A.04.515,
50A.04.520,
50A.04.525,
50A.04.530,
50A.04.535,
50A.04.540,
50A.04.545,
50A.04.550,
50A.04.555,
50A.04.580,
50A.04.600,
50A.04.610,
50A.04.615,
50A.04.625,
50A.04.630,
50A.04.635,
50A.04.645,
50A.04.650,
50A.04.655,
50A.04.660.
Rule is not necessitated by federal law, federal or state court decision.
Name of Proponent: Employment security department, paid family and medical leave division, governmental.
Name of Agency Personnel Responsible for Drafting: Christina Streuli, Lacey, Washington, 360-791-6710; Implementation and Enforcement: April Amundson, Lacey, Washington, 360-485-2816.
A school district fiscal impact statement is not required under RCW
28A.305.135.
A cost-benefit analysis is not required under RCW
34.05.328. All proposed rules are exempt under RCW
34.05.328(5). After review of the proposed rules, the agency determined the rules do not impose more-than-minor costs on businesses. Rules proposed are either interpretive or procedural. Definitions provided in these proposed rules clarify verbiage for processes in overpayment assessment and collection. The definitions do not impact procedures.
Please see significance analysis for more information.
This rule proposal, or portions of the proposal, is exempt from requirements of the Regulatory Fairness Act because the proposal:
Is exempt under RCW
19.85.025(3) as the rules relate only to internal governmental operations that are not subject to violation by a nongovernment party; and rules only correct typographical errors, make address or name changes, or clarify language of a rule without changing its effect.
Explanation of exemptions: RCW
34.05.328 (5)(c)(ii) creates an exemption for interpretive rules. This exemption applies to portions of the proposal. RCW
34.05.328 (5)(c)(i) creates an exemption for procedural rules. This exemption applies to portions of the proposal.
September 5, 2019
April Amundson
Policy and Rules Manager
for Paid Family and Medical Leave
AMENDATORY SECTION(Amending WSR 18-22-080, filed 11/2/18, effective 12/3/18)
WAC 192-500-035Interested parties.
(1) In all determinations, cases, and appeals adjudicated under Title
50A RCW the employment security department is an "interested party."
(2) Other interested parties in paid family or medical leave determinations related to the state plan and appeals include:
(a) The employee or former employee; and
(b) An employer or former employer of that employee that is required to provide information to the department related to the determination or appeal in question.
(3) Other interested parties in paid family or medical leave determinations related to ((a))an approved voluntary plan include:
(a) The employer or former employer; and
(b) An employee or former employee ((that is required to provide information to the department related to the determination or appeal in question)).
(4) ((Other interested parties in a determination related to a small business assistance grant include the employer requesting the grant.))The department may designate an employee or employer as an interested party in other determinations made by the department.
AMENDATORY SECTION(Amending WSR 18-22-080, filed 11/2/18, effective 12/3/18)
WAC 192-500-040Aggrieved person.
An "aggrieved person" is any interested party who receives an adverse decision from:
(1) The department for which the department has provided notice of appeal;
(2) The employer with an approved voluntary plan for which that employer has provided notice of appeal;
(3) The office of administrative hearings; or
(((3)))(4) The commissioner's review office.
NEW SECTION
WAC 192-500-180Supplemental benefit payment.
(1) A "supplemental benefit payment" is a payment offered by an employer to an employee who is taking leave under Title
50A RCW.
(2) Employers may, but are not required to, designate certain benefits including, but not limited to, salary continuation, vacation leave, sick leave, or other paid time off as a supplemental benefit.
(3) Nothing in Title
50A RCW requires an employee to receive supplemental benefit payments.
AMENDATORY SECTION(Amending WSR 18-12-032, filed 5/29/18, effective 6/29/18)
WAC 192-510-030How will the department determine the wages earned and hours worked for self-employed persons electing coverage?
(1) The department will use the self-employed person's wages reported ((income))in a quarter and divide it by the state's minimum wage to presume the number of hours worked for the quarter being reported.
((Example: For this example, the state's minimum wage is $12.00 per hour. The self-employed person electing coverage reports $10,000 of income in a quarter. The department will divide $10,000 by $12.00 and presume the self-employed person worked 833 hours in that quarter.))
(2) The self-employed person may overcome the presumption of hours in subsection (1) of this section by providing sufficient documentation to the department including, but not limited to, personal logs or contracts.
(3) If the determination of hours in subsection (1) or (2) of this section is greater than eight hundred twenty hours for that quarter, the number of hours worked will be considered eight hundred twenty hours.
Example: For this example, the state's minimum wage is $12.00 per hour. The self-employed person electing coverage reports $10,000 in wages in a quarter. The department will divide $10,000 by $12.00 and presume the self-employed person worked 833 hours in that quarter. The department will determine that the self-employed individual worked 820 hours in that quarter.
(4) The department may require copies of tax returns, bank records, or any other documentation deemed necessary by the department to verify or determine the self-employed person's hours and wages.
NEW SECTION
WAC 192-510-031What are reportable wages for self-employed persons electing coverage?
Each quarter, a self-employed individual who has elected coverage under Title
50A RCW will report to the department wages equal to the combined total of:
(1) The self-employed individual's net income related to their self-employment; and
(2) The gross amount of wages, if any, as defined in RCW
50A.04.010(24), paid to the self-employed individual from the self-employed individual's business entity.
Example 1: A sole-proprietor selling crafts online earns $3,000 in a quarter and incurred $2,000 in business-related expenses. The individual would report $1,000 to the department for that quarter.
Example 2: A member of a limited liability company pays herself a salary in the amount of $10,000 in a quarter. She also takes a draw from her company in the amount of $5,000. She would report $15,000 to the department for that quarter.
AMENDATORY SECTION(Amending WSR 18-22-080, filed 11/2/18, effective 12/3/18)
WAC 192-510-066How are ((premium)) payments applied to paid family and medical leave premiums?
(1) A payment received with a premium assessment will be applied to the quarter for which the premium assessment ((is filed))applies. A payment exceeding the legal fees, penalties, interest and premiums due for that quarter will be applied to any other debt as provided in subsection (((2)))(4) of this section.
(2) If no debt exists, ((a refund will be issued for any)) premium overpayments of less than fifty dollars ((or more))will be credited to future payments due.
(3) If no debt exists, premium overpayments of ((less than)) fifty dollars or more may be refunded to the employer at the employer's request. Otherwise, such overpayments will be credited to future ((premium assessments))payments due.
(((2)))(4) Payments received will be applied in the following order of priority:
(a) ((Most recently completed quarter's premium))Current quarter balance;
(b) Any previous quarter premium balance due starting with the oldest quarter;
(c) Then beginning with the oldest quarter in which a balance is owed:
(i) Penalties;
(ii) Fees; and
(iii) Interest charges.
AMENDATORY SECTION(Amending WSR 18-12-032, filed 5/29/18, effective 6/29/18)
WAC 192-510-080What are the requirements to be eligible for a conditional premium waiver?
(1) An employer and employee may be eligible for a conditional waiver of premium payments by satisfying the requirements of RCW
50A.04.120.
Example: A storm hits Washington. An employer in Oregon hires a new employee who lives in Oregon to help with repair work. The employee only works in Washington for the employer for one week and is then laid off. The employer and the employee could submit a conditional premium waiver request for this employee.
(2) A conditional premium waiver is not required for work that is not subject to premiums under WAC 192-510-070 or fails to meet the definition of employment in RCW
50A.04.010 (7)(a).
(3) Any conditional premium waiver request must be submitted to the department online or in another format approved by the department.
(4) As a condition to granting the conditional premium waiver, the employer must file quarterly reports to verify that the employee((s))for whom a conditional premium waiver has been granted is still ((qualify for the conditional premium))eligible for the waiver.
(5) Once an employee works eight hundred twenty hours in a ((qualifying)) period of four consecutive complete calendar quarters localized in Washington for an employer, the conditional premium waiver expires.
(6) The department may require the employer to submit additional documentation as necessary.
(7) If the employee exceeds eight hundred twenty hours ((or more)) in a ((qualifying)) period of four consecutive complete calendar quarters, the conditional waiver expires and the employer and employee will be responsible for their shares of all premiums that would have been paid during the ((qualifying)) period of four consecutive complete calendar quarters in which the employee exceeded eight hundred twenty hours had the waiver not been granted. The employer and employee will each receive a notice of premium assessment. Payment of the missed premiums is due on the date provided in the notice. Upon payment of the missed premiums, the employee will be credited for the hours worked and will be eligible for benefits under this chapter as if the premiums were originally paid.
((Example: A storm hits Washington. An employer in Oregon hires a new employee who lives in Oregon to help with repair work. The employee only works in Washington for the employer for one week and is then laid off. The employer could request a conditional premium waiver for this employee.))
(8) A request for a conditional premium waiver may be denied if the department finds that the employee does not satisfy the requirements of RCW 50A.04.120. (9) A conditional premium waiver may be canceled if the department finds that the employee no longer satisfies the requirements of RCW 50A.04.120. AMENDATORY SECTION(Amending WSR 18-12-032, filed 5/29/18, effective 6/29/18)
WAC 192-530-030Voluntary plans—Employee eligibility criteria.
(1) To qualify for an employer's approved voluntary plan, an employee must have been:
(a) In employment for at least eight hundred twenty hours during the qualifying period and in employment with that employer for at least three hundred forty hours; or
(b) Covered by an approved voluntary plan through their most recent previous employer in the employee's qualifying period.
(2) An employer may waive the requirements of subsection (1) of this section, in whole or in part, to allow an employee to be eligible for benefits through the voluntary plan.
(3) Employees working for an employer with a voluntary plan who have not yet met eligibility requirements for that plan are eligible for benefits under the state plan so long as all other requirements are met.
(((3)))(4) When an employee files a claim for benefits, an employer will access the employee's weekly benefit amount and typical workweek hours information online, or in another format approved by the department, and ensure the employee qualifies for at least an equivalent benefit amount from its voluntary plan.
(((4)))(5) Upon hiring an employee previously covered under a state plan, the employer with an existing voluntary plan must report to the department online, or in another format approved by the department, the new employee's status for the voluntary plan after the employee becomes eligible for that plan.
AMENDATORY SECTION(Amending WSR 18-12-032, filed 5/29/18, effective 6/29/18)
WAC 192-530-050Avoiding a duplication of benefits under state and approved voluntary plans.
(1) Employees cannot collect benefits from both the state plan and ((a))an approved voluntary plan for the same period. To ensure compliance, employers with an approved voluntary plan must report:
(a) All information required of employers by the state plan; and
(b) Weekly benefit and leave duration information for any employee who takes leave under that plan for reasons that would have qualified for leave under the state plan((; and
(c) Premiums, if any, withheld from employee wages)).
(2) Upon request, the department will provide weekly benefit, typical workweek hours, and leave duration information to any employer with an approved voluntary plan that requests it for an employee who intends to take leave under that plan.
(3) If the employee is covered by more than one plan, whether state, voluntary, or a combination of either, the employee is considered covered by the employer for which the employee worked the most hours during the qualifying period.
(a) If the employee worked an equal number of hours for more than one employer during the qualifying period, then the employee is considered covered by the employer for which the employee worked the most hours since the qualifying period.
(b) If the employee worked an equal number of hours for more than one employer since the qualifying period, then the employee is considered covered by the employer for which the employee has an earlier start date.
AMENDATORY SECTION(Amending WSR 18-22-080, filed 11/2/18, effective 12/3/18)
WAC 192-530-060((What happens at the end of a voluntary plan?))How can approved voluntary plans end and what happens when they do?
(((1) If the employer chooses to withdraw from a voluntary plan due to a legally required increase in the benefit amounts or any change in the rate of employee premiums, the employer must provide notice to the department at least thirty days prior to the date that the change goes into effect. The plan will be considered withdrawn on the date of the change. The employer must remit any deductions from the wages of an employee remaining in the possession of the employer to the department within thirty days of the effective date of the withdrawal.
(2)(a) If the employer chooses to withdraw from a voluntary plan for any other reason, the employer must provide notice to the department at least thirty days prior to the end of a calendar quarter. The plan will be considered withdrawn on the first day of the following calendar quarter.
(b) If notice is provided less than thirty days prior to the end of a quarter, the plan will be considered withdrawn on the first day of the second calendar quarter following notice of the withdrawal.
(c) The employer must remit any deductions from the wages of an employee remaining in the possession of the employer to the department within thirty days of the effective date of the withdrawal.
(3) If the department terminates an employer's voluntary plan, the department will notify the employer of the effective date and the reason for termination. The department will calculate the amount owed by the employer and send an invoice for payment. The amount due will consist of all moneys in the plan, including premiums paid by the employer, premiums paid by the employees, moneys owed to the voluntary plan by the employer but not yet paid to the plan, and any interest accrued on all these moneys. The amount will be due immediately. Any balance owed will not start collecting interest until thirty calendar days after the date of the invoice.
(4) Benefit eligibility under a voluntary plan must be maintained for all employees covered by that plan until the effective date of termination or withdrawal.
(a) On the effective date of a voluntary plan termination, employees currently receiving paid family or medical leave benefits are, if otherwise eligible, immediately entitled to benefits from the state program.
(b) For employees currently receiving paid family or medical leave benefits on the effective date of a voluntary plan withdrawal, the employer will have the option to:
(i) Continue to pay benefits under the terms of the voluntary plan until the total amount of the benefit is paid or the duration of leave ends, whichever happens first; or
(ii) Immediately pay the employee the maximum remaining amount of benefits available to the employee under the terms of the voluntary plan, regardless of the duration of leave that is actually taken.
(c) On the effective date of a voluntary plan termination or withdrawal, employees currently taking family or medical leave under this chapter are, if otherwise eligible, entitled to the job protection provisions of RCW 50A.04.600(5) until the duration of leave ends. (5) Employers are required to notify employees of any plan withdrawal or termination within five business days of notification by the department of the effective date of termination or withdrawal.))(1) An approved voluntary plan ends when either the employer withdraws the plan or the agency terminates the plan for good cause. When a voluntary plan ends either through termination or withdrawal the following requirements must be satisfied:
(a) Benefits and benefit eligibility under a voluntary plan must be maintained for all employees covered by that plan until the effective date of termination or withdrawal.
(b) On the effective date of a voluntary plan termination or withdrawal, employees currently taking family or medical leave under this chapter are entitled to employment restoration under RCW 50A.04.600 (5)(h) until the leave ends. (c) Employers must notify employees of any plan withdrawal or termination within five business days of notification by the department of the effective date of the termination or withdrawal.
(2) Withdrawal. Employers have the right to withdraw a voluntary plan under RCW 50A.04.600 (5)(e) and as provided herein: (a) If an employer chooses to withdraw a voluntary plan due to a legally required increase in the benefit amounts or any change in the rate of employee premiums, the employer must provide notice to the department at least thirty days prior to the date the change goes into effect, stating the reason for the withdrawal. The plan will be considered withdrawn on the date of the change. Within thirty days of the effective date of withdrawal, the employer must remit to the department any employee wages withheld for the purpose of paying paid family or medical leave benefits that were not used to pay paid family or medical leave benefits.
(b) If the employer chooses to withdraw a voluntary plan for any other reason, the employer must provide notice to the department at least thirty days prior to the end of a calendar quarter. The plan will be considered withdrawn on the first day of the calendar quarter following the properly provided notice. If notice is provided less than thirty days prior to the end of a quarter, the plan will be considered withdrawn on the first day of the second calendar quarter following notice of the withdrawal. Within thirty days of the effective date of withdrawal, the employer must remit to the department any employee wages withheld for the purpose of paying paid family or medical leave benefits that were not used to pay paid family or medical leave benefits.
(c) On the effective date of a voluntary plan withdrawal, for employees currently receiving paid family or medical leave benefits under the voluntary plan, the employer will have the option to:
(i) Continue to pay benefits under the terms of the voluntary plan until the total amount of the benefit is paid or the duration of leave ends, whichever happens first; or
(ii) Immediately pay the employee the maximum remaining amount of benefits available to the employee under the terms of the voluntary plan, regardless of the duration of leave that is actually taken.
(d) Any benefit payments made by an employer to an employee on leave at the time of a voluntary plan withdrawal under (b) of this subsection will be deducted from any monies owed to the department as described in (a) of this subsection.
(3) Termination. The department may terminate an employer's voluntary plan for good cause as defined under WAC 192-530-070 and as provided herein:
(a) If the department terminates an employer's voluntary plan, the department will notify the employer of the effective date of and reason for the termination. The department will calculate the amount owed by the employer and send an invoice for payment. The amount due will consist of all monies in the plan, including any contributions held in trust as required by RCW 50A.04.635, monies owed to the voluntary plan by the employer but not yet paid to the plan, and any interest accrued on all these monies. The amount is due immediately. Any balance owed will begin accruing interest on the thirtieth calendar day after the date of the invoice. (b) On the effective date of a voluntary plan termination, employees currently receiving paid family or medical leave benefits under the voluntary plan are, if otherwise eligible under the state plan, immediately entitled to benefits from the state plan.
NEW SECTION
WAC 192-530-090Can an employer with an approved voluntary plan make deductions from a benefit payment?
Employers are permitted, with express written agreement from the employee, to make deductions from voluntary plan benefit payments including, but not limited to, health insurance premium payments, retirement contributions, applicable federal taxes, or other purposes, unless prohibited by law.
AMENDATORY SECTION(Amending WSR 18-22-080, filed 11/2/18, effective 12/3/18)
WAC 192-560-010Which businesses are eligible for small business assistance grants?
(1) Employers determined to have one hundred fifty or fewer employees in the state that are assessed the employer share of the premium are eligible to apply for small business assistance grants.
(2) Employers determined to have fewer than fifty employees are only eligible ((to apply)) for a small business assistance grant if ((they))those employers opt to pay the employer share of the premiums. ((The))Such employers will be assessed the employer share of the premium for a minimum of three years after any grant is received. An employer may provide notice for opting out after the three-year period.
(3)
An employer is not eligible for a small business assistance grant if, at the time of application, the employer has outstanding and delinquent reports, outstanding and delinquent payments, or due and owing penalties or interest under Title 50A RCW.(4) An employer may request only one grant per year for each ((period of))employee who takes paid family or medical leave ((taken by an employee))under this title. Submissions under (a) and (b) of this subsection do not qualify as grant applications and therefore do not count against the employer's limit of ten applications per year.
(a) An employer that qualifies for a grant under RCW
50A.04.230 (3)(b) for an amount that is less than one thousand dollars may submit documentation of significant additional wage-related costs incurred after filing the initial grant application in an attempt to qualify for additional grant funds.
(b) An employer may submit a revised application for a grant under RCW
50A.04.230 (3)(c) in an attempt to qualify for additional grant funds.
(((4)))(5) An employer must apply for the grant no later than four months following the last day of the employee's paid family or medical leave.
AMENDATORY SECTION(Amending WSR 18-22-080, filed 11/2/18, effective 12/3/18)
WAC 192-570-010Conference and conciliation.
(1)(a) The department will engage employers in conference and conciliation when the employer fails to make all required:
(i) Premium payments;
(ii) Payments on penalties assessed by the department for the failure to submit required reports; or
(iii) Payments on penalties assessed by the department for violations related to voluntary plans.
(b) "Conference and conciliation" for the purpose of this chapter means to encourage an amicable resolution of disputes between the employer and the department prior to the issuance of a warning letter.
(2) The department will promptly attempt to contact the employer to engage in conference and conciliation when appropriate under subsection (1) of this section. If the department does not receive a response from the employer by the deadline given, the department will attempt the contact again, for a total of two attempts. A warning letter will be sent to the employer if no contact can be made.
(3)(a) Through conference and conciliation employers will be given an opportunity to provide information and to explain their reasons for failing to meet the department's requirements in subsection (1) of this section. The department will not issue a warning letter if:
(i) The employer provides good cause;
(ii) The department determines ((that)) the good cause provided prevented compliance; and
(iii) The parties agree to an approved ((repayment))payment schedule.
(b) "Good cause" for the purpose of this section means:
(i) Death or serious illness of one or more persons directly responsible for discharging the employer's duties under Title
50A RCW;
(ii) Destruction of the employer's place of business or business records not caused by, or at the direction of, the employer; or
(iii) Fraud or theft against the employer.
(4) The burden of proof is on the employer to provide all pertinent facts and evidence or documentation for the department to determine good cause.
(5) Conference and conciliation is only available to employers ((
that meet the requirements of RCW 50A.04.080, 50A.04.090, and 50A.04.655. Those employers that do not meet these requirements will be issued a warning letter without entering conference and conciliation. Penalties and interest will be assessed thereafter under Title 50A RCW and the rules adopted pursuant thereto))
in the circumstances described in subsection (1)(a) of this section.
(6) If an employer is eligible for conference and conciliation, the department will issue a warning letter when:
(a) The employer does not comply with the approved repayment schedule; or
(b) A resolution is not reached through conference and conciliation.
NEW SECTION
WAC 192-600-030Can an employer waive the employee's notice requirements?
Employers may waive the notice requirements of this chapter.
AMENDATORY SECTION(Amending WSR 19-08-016, filed 3/22/19, effective 4/22/19)
WAC 192-610-050How are typical workweek hours determined?
(1) The department determines typical workweek hours based on whether the employee is salaried or otherwise at the time of filing the initial application for benefits.
(a) For salaried employees, as defined in WAC 192-500-100, the typical workweek hours are forty hours, regardless of the number of hours worked in ((a week are assumed to be forty, regardless of how many hours are actually worked. Typical workweek hours are determined by multiplying the number of weeks in the qualifying period the employee held the salaried position by forty, adding any other hours that were not salaried, if any, and then dividing that amount by fifty-two.
(2)))the employee's qualifying period.
(b) For all other employees, the department will determine typical workweek hours ((are determined)) by dividing the sum of all hours reported in the qualifying period by fifty-two and rounded down to the nearest hour.
(2) For a qualifying period that includes the fourth quarter of 2018, the typical workweek hours for an employee described in subsection (1)(b) of this section will be determined by dividing the sum of all hours reported in the first three quarters of 2019 by thirty-nine.
NEW SECTION
WAC 192-610-051How is the weekly benefit calculated?
After a valid claim year is established, the department will calculate the weekly benefit amount using the following process:
(1) The department will establish the employee's average weekly wage by dividing the total reported wages in the employee's two highest-paid quarters in the qualifying period by twenty-six. If the result is not a multiple of one dollar, the result is rounded down to the next lower multiple of one dollar.
(2) If the employee's average weekly wage is equal to or less than one-half of the state's average weekly wage on the date the calculation is made, the benefit amount is ninety percent of the employee's average weekly wage.
Example 1: For this example, the state's average weekly wage is $1,400. An employee's average weekly wage is $600. Since this amount is less than half of the state's average weekly wage, the employee receives 90% of their weekly wage. The weekly benefit is $540.
(3) If the employee's average weekly wage is more than fifty percent of the state's average weekly wage on the date the calculation is made, the weekly benefit amount is the sum of:
(a) Ninety percent of one-half of the state average weekly wage; and
(b) Fifty percent of the difference between one-half of the state average weekly wage and the employee's average weekly wage.
Example 2: For this example, the state's average weekly wage is $1,400. An employee's average weekly wage is $950. Since this number is more than half of the state's average weekly wage, calculate the values for subsection (3)(a) and (b) of this section, then add them together. The first number is equal to 90% of half the state's average weekly wage. Half of $1,400 is $700, and 90% of this number makes the first number $630. The second number is equal to 50% of the amount of the employee's average weekly wage that is higher than half the state's average weekly wage. The amount of the employee's average weekly wage that is higher than half the state's average weekly wage is $250 ($950 - $700). 50% of this amount makes the second number $125. Add the two numbers together. The weekly benefit is $755.
(4) If the result of the weekly benefit calculation is not a multiple of one dollar, the result is rounded down to the next lower multiple of one dollar.
(5) All weekly benefit amount calculations are subject to the minimum and maximum weekly benefit amounts under RCW
50A.04.020 (5)(a) and (b).
(6) The weekly benefit amount determined in subsections (1) through (4) of this section is prorated by the number of hours claimed for paid family or medical leave compared to the number of typical workweek hours.
Example 3: An employee has a weekly benefit amount determined to be $1,000. The employee worked 20 hours each week in the qualifying period. The employee is now full-time and salaried, causing the department to consider that employee's typical workweek hours to be 40. The employee can claim 40 hours on each weekly claim. No proration would occur because the hours claimed compared to the typical workweek hours are the same. As a result, the employee would receive 100% of their weekly benefit amount.
NEW SECTION
WAC 192-610-052How will the department obtain wages and hours that have not yet been reported by employers?
If an employee's qualifying period includes a quarter for which the employer has not yet submitted a report to the department, the department will contact the employer to request the employee's hour and wage information for that quarter.
NEW SECTION
WAC 192-620-026What is the maximum amount of paid family or medical benefits to which an employee is entitled in a claim year?
(1) In any given claim year, an employee is not entitled to paid family or medical leave benefit payments that exceed an amount equal to:
(a) The employee's weekly benefit amount multiplied by twelve for family leave;
(b) The employee's weekly benefit amount multiplied by twelve for medical leave; or
(c) The employee's weekly benefit amount multiplied by sixteen for a combination of family and medical leave.
(2) The amounts in subsection (1)(b) and (c) of this section may be increased by an amount equal to the employee's weekly benefit amount for medical leave multiplied by two if the employee experiences a serious health condition with a pregnancy that results in incapacity.
(3) An overpayment waived under WAC 192-640-015 shall be charged against the employee's applicable entitlement for the claim year containing the weeks to which the overpayment was attributed as though such benefits had been properly paid.
NEW SECTION
WAC 192-620-030How do supplemental benefit payments affect employer requirements and weekly benefit payments?
(1) Supplemental benefits made by an employer to an employee are excluded from the definition of wages in RCW
50A.04.010.
(2) Employers should not report supplemental benefit payments or associated hours to the department.
(3) Employees should not report hours of paid time off that have been designated as supplemental benefit payments by the employer to the department on the weekly application for benefits.
NEW SECTION
WAC 192-620-035When will a weekly benefit amount be prorated?
For an employee on paid family or medical leave, a weekly benefit amount is prorated when:
(1) The employee works hours for wages; or
(2) The employee uses paid sick leave, paid vacation leave, or other paid time off that is not considered a supplemental benefit payment as defined in WAC 192-500-180.
Example 1: An employee has already served a waiting period in the claim year and files a claim for a week of paid medical leave. The employee typically works forty hours a week at eight hours per day. In the week for which the employee is claiming, the employee claimed one day of paid medical leave and worked the other four days. This employee's weekly benefit is usually $800. The weekly benefit would then be prorated by the hours on paid medical leave (eight hours) relative to the typical workweek hours (40 hours). Eight hours is 20% of 40 hours. The employee's weekly benefit would be prorated to 20% for a total of $160.
Example 2: An employee files a claim for eight hours of paid family and medical leave and takes sick leave from the employer for the same day. The employer does not designate the sick leave as a supplemental benefit payment. The sick leave is considered hours worked by the employee. The employee is being paid for the same hours claimed on paid family and medical leave. This employee is not eligible for benefits for this week.
NEW SECTION
WAC 192-620-040How will the department determine the number of hours of paid family or medical leave an employee claims each week?
(1) When the employee submits a weekly application for benefits as described in WAC 192-620-020, the department will determine the number of hours claimed by the employee for that week by determining the typical workweek hours as described in WAC 192-610-050, then deducting the number of hours:
(a) Physically worked by the employee; and
(b) Claimed by the employee as sick leave, vacation leave, or other paid time off that has not been designated as a supplemental benefit by the employer.
(2) The result of the calculation in subsection (1) of this section will be deducted from the employee's duration of paid family and medical leave for the current claim year and, if necessary, for the purposes of proration as described in WAC 192-620-035.
NEW SECTION
WAC 192-620-045How will the department reduce a payment if the employee owes child support?
(1) After being properly notified by a child support agency, the department will withhold a portion of an employee's benefit payment to send to the agency to satisfy child support obligations.
(2) The child support agency is responsible for notifying the employee of the order to deduct child support from paid family or medical leave benefits.
(3) Benefits deducted to satisfy child support obligations are considered paid to the employee. If an employee receives benefits to which the employee is not entitled, the amount deducted to satisfy child support obligations will be included in the overpayment.
(4) The child support agency is responsible for reimbursing the employee if the amount deducted from the employee's benefits is greater than the employee is required to pay to satisfy the employee's child support obligations. If an amount less than the employee is required to pay is deducted from the employee's benefits, the department will deduct the additional amount from future benefit weeks.
NEW SECTION
WAC 192-620-046How can an employee appeal a deduction from weekly benefit payments to satisfy child support obligations?
(1) The employee must file an appeal concerning the validity of the child support order, the total amount due, or the amount to be deducted from the employee's benefits, with the child support agency.
(2) The employee may file an appeal concerning the department's authority to deduct child support from paid family or medical leave benefits, the weeks for which the deduction is made, and the accuracy of the amount deducted with the department in the same manner as eligibility decisions are appealed. All laws and rules pertaining to benefit appeals apply to appeals under this subsection.
Chapter 192-800 WAC
((PRACTICE))APPEALS AND PROCEDURE
NEW SECTION
WAC 192-800-025Adoption of model rules.
The model rules of procedure contained in chapter 10-08 WAC, are, to the extent they are not inconsistent with the rules contained in this chapter, adopted as the rules of procedure for Title
50A RCW. The rules contained in this title will, to the extent of any conflict with the model rules of procedure, be deemed to supersede the conflicting provisions of the model rules of procedure.
NEW SECTION
WAC 192-800-030Definitions.
Unless context clearly indicates otherwise, the following terms and phrases shall have these meanings for this chapter:
(1) "Appeal" means a request for a hearing before and decision by the office of administrative hearings in a matter involving paid family or medical leave premiums or penalty assessments or any determinations under Title
50A RCW.
(2) "Petition for review" means a request directed to the commissioner for a review of the proceedings held and decision issued by the office of administrative hearings.
(3) "Commissioner" means the commissioner's review office of the employment security department.
NEW SECTION
WAC 192-800-035Who can appeal or submit a petition for review?
(1) An aggrieved person as defined in WAC 192-500-040 may file an appeal to the department by using the department's online services, or in another format approved by the department.
(2) Any aggrieved person who receives a decision from the office of administrative hearings, other than an order approving a withdrawal of appeal, a consent order, or an interim order, may file a written petition for review, including filing by using the department's online services, or in another format approved by the department.
NEW SECTION
WAC 192-800-040What are the timeliness requirements for submitting an appeal or a petition for review?
(1) An appeal or a petition for review from a determination, redetermination, order and notice of assessment of premiums or penalties, appeals decision, or commissioner's decision is deemed filed and received if the provisions within RCW
50A.04.515 are met.
(2) An appeal must be filed within thirty days of the date the notification or mailing, whichever is the earlier. The appeal must be filed in accordance with the provisions of RCW
50A.04.500.
(3) The petition for review must be filed within thirty days of the date of delivery or mailing of the decision of the office of administrative hearings, whichever is the earlier. The petition for review must be filed in accordance with the provisions of RCW
50A.04.535.
(4) The following factors shall be considered in determining whether good cause exists under RCW
50A.04.555 for the late filing of an appeal or a petition for review:
(a) The length of the delay;
(b) The excusability of the delay; and
(c) Whether acceptance of the late filed appeal or petition for review will result in prejudice to other interested parties, including the department.
(5) In determining the excusability for the late filing of an appeal or petition for review, the office of administrative hearings or the commissioner's review office will consider:
(a) Whether any physical, mental, educational or linguistic limitations of the appealing or petitioning party exist, including any lack of facility with the English language; and
(b) The length of the delay in filing. Untimely appeals filed after the filing deadline require a more compelling reason commensurate with the length of the delay.
NEW SECTION
WAC 192-800-045When can an appeal be withdrawn?
An aggrieved person may withdraw their appeal or petition for review upon approval by the office of administrative hearings or the commissioner's review office, respectively, at any time prior to the decision, in which case the determination, redetermination, order and notice of assessment of premiums or penalties, or other decision appealed, shall be final in accordance with the provisions of Title
50A RCW.
NEW SECTION
WAC 192-800-050What happens after an appeal is submitted?
Upon receipt of a notice of appeal, the commissioner shall request the assignment of an administrative law judge under chapter
34.12 RCW to conduct a hearing in accordance with chapter
34.05 RCW and issue an initial order.
NEW SECTION
WAC 192-800-055Who will be notified if an appeal is filed and what will it include?
(1) All interested parties to an appeal will be notified when an appeal has been filed.
(2) The notice will contain information related to the determination or redetermination being appealed.
NEW SECTION
WAC 192-800-060What happens if an appeal or a petition has been filed and one of the parties has a change of contact information?
(1) Once an appeal has been filed, any interested party must notify the office of administrative hearings of any change of contact information.
(2) Once a petition for review has been filed, any interested party must notify the commissioner's review office of any change of contact information.
(3) Any interested party who fails to comply with this section will not have good cause for failure to appear at a hearing or for late filing of a petition for review or untimely submission of a reply or petition for reconsideration.
NEW SECTION
WAC 192-800-065How does the time computation work for perfecting an appeal or petition for review?
The time within which an appeal or a petition for review is to be perfected under Title
50A RCW is computed by excluding the day of delivery or mailing of the determination or redetermination, and by including the last day. If the last day is a Saturday or Sunday or a holiday, as defined in RCW
1.16.050, the appeal or petition for review must be perfected no later than the next business day.
NEW SECTION
WAC 192-800-070Who can give testimony and examine witnesses during an appeal hearing?
In an appeal hearing, any interested party, or legally authorized representative of an interested party, has the right to give testimony and to examine and cross-examine any other interested party or witnesses with respect to facts material and relevant to the issues involved.
NEW SECTION
WAC 192-800-075Who can request a postponement of a hearing?
(1) Any party to a hearing may request a postponement of a hearing at any time prior to the actual convening of the hearing. The granting or denial of the request will be at the discretion of the presiding administrative law judge.
(2) The presiding administrative law judge may in the exercise of sound discretion grant a continuance of a hearing at any time at the request of any interested party or on the judge's own motion.
NEW SECTION
WAC 192-800-080Will depositions and written discovery be permitted?
The presiding administrative law judge has the discretion to allow taking of depositions and submission of interrogatories or requests for production either on the judge's own motion or at the request of any interested party.
NEW SECTION
WAC 192-800-085When will administrative law judges hear consolidated cases?
The presiding administrative law judge may hear individual matters on a consolidated record if there is a substantial identity of issues and the rights of no interested party will be adversely affected. This procedure should provide for the hearing of additional or unique issues relating to individual cases.
NEW SECTION
WAC 192-800-090What is included in decisions issued by the office of administrative hearings?
Every decision issued by the office of administrative hearings, other than an order approving a withdrawal of appeal, a consent order, or an interim order, and every decision issued by the commissioner under RCW
50A.04.540, other than an interim order or an order granting or denying a motion for reconsideration or a stay, shall:
(1) Be captioned and include the name of the agency and name of the proceeding;
(2) Designate all parties and representatives participating in the proceeding;
(3) Include a concise statement of the nature and background of the proceeding;
(4) Contain appropriate numbered findings of fact meeting the requirements in RCW
34.05.461;
(5) Contain appropriate numbered conclusions of law, including citations of statutes and rules relied upon;
(6) Contain an initial or final order disposing of all contested issues; and
(7) Be accompanied by or contain a statement of petition for review or petition for judicial review rights.
NEW SECTION
WAC 192-800-095Can a decision of the commissioner incorporate a decision under review?
A decision of the commissioner issued under RCW
50A.04.540 may incorporate by reference any portion of the decision under review. Such incorporation satisfies the requirements of WAC 192-800-090.
NEW SECTION
WAC 192-800-100What is the process for filing petition for review and any reply to the petition for review?
(1) The written petition for review must be filed by using the department's online services or by mailing it to the Commissioner's Review Office, Employment Security Department, Post Office Box 9555, Olympia, WA 98507-9555, within thirty days of the date of mailing or delivery of the decision of the office of administrative hearings, whichever is earlier.
(2) Any written argument in support of the petition for review must be attached to the petition for review and be filed at the same time. The commissioner's review office will acknowledge receipt of the petition for review by assigning a review number to the case, entering the review number on the face of the petition for review, and setting forth the acknowledgment date on the petition for review. The commissioner's review office will also send copies of the acknowledged petition for review and attached argument in support thereof to the petitioning party, nonpetitioning party, and their representatives of record, if any.
(3) Any reply to the petition for review and any argument in support thereof by the nonpetitioning party must be filed by using the department's online services or by mailing it to the Commissioner's Review Office, Employment Security Department, Post Office Box 9555, Olympia, WA 98507-9555. The reply must be received by the commissioner's review office within fifteen days of the date of the acknowledged petition for review. An informational copy must be mailed by the nonpetitioning party to all other parties of record and their representatives, if any.
(4) The petition for review and argument in support thereof, and the reply to the petition for review and argument in support thereof, must:
(a) Be captioned, and include the docket number of the decision of the office of administrative hearings, and be signed by the party submitting it or by a designated representative of that party; and
(b) Be legible, reproducible, and five pages or less.
(5) Arrangements for representation and requests for copies of the hearing record and exhibits will not extend the period for the filing of a petition for review, argument in support thereof, or a reply to the petition for review.
(6) Any argument in support of the petition for review or in reply thereto not submitted in accordance with the provisions of this regulation is not considered in the disposition of the case unless it is determined that the failure to comply with these provisions was beyond the reasonable control of the individual seeking relief.
NEW SECTION
WAC 192-800-105When and how can an administrative law judge dispose of an appeal?
(1) The presiding administrative law judge may dispose of any appeal through:
(a) An order approving a withdrawal of appeal;
(b) A consent order; or
(c) An order of default.
(2) There will be no petition for review rights from an order approving a withdrawal of appeal or a consent order.
NEW SECTION
WAC 192-800-110What options are available for an aggrieved person who received an order of default?
(1) Any person aggrieved by the entry of an order of default may:
(a) File a motion to vacate the order of default with the office of administrative hearings within seven days of issuance of the order; or
(b) File a petition for review from such order by complying with the filing requirements set forth in WAC 192-800-100.
(2) The provisions in subsection (1)(a) of this section toll the appeal period for filing a timely petition for review with the commissioner's review office until the office of administrative hearings issues a ruling on the motion. However, should a petition for review be filed while a ruling on a motion to vacate is pending, the office of administrative hearings no longer has jurisdiction to vacate the default order.
(3) Under subsection (1)(b) of this section, an order of default will be set aside by the commissioner's review office only upon a showing of good cause for failure to appear or to request a postponement prior to the scheduled time for hearing. In the event such an order of default is set aside, the commissioner will remand the matter to the office of administrative hearings for hearing and decision.
NEW SECTION
WAC 192-800-115What is the process for filing a petition for reconsideration to the commissioner's review office?
(1) A written petition for reconsideration and argument in support thereof must be filed within ten days of the date of the decision of the commissioner. It must be filed by using the department's online services or by mailing it to the Employment Security Department, Post Office Box 9555, Olympia, WA 98507-9555.
(2) The petitioner must provide the petition for reconsideration in subsection (1) of this section to all interested parties.
(3) No matter will be reconsidered by the commissioner unless it clearly appears from the face of the petition for reconsideration and the argument submitted in support thereof that:
(a) There is obvious material, clerical error in the decision; or
(b) The petitioner, through no fault of the petitioner, was denied a reasonable opportunity to present argument or respond to argument under WAC 192-800-100.
(4) A petition for reconsideration is deemed to have been denied if, within twenty days from the date the petition for reconsideration is filed, the commissioner does not either:
(a) Dispose of the petition for reconsideration; or
(b) Mail or deliver to the parties a written notice specifying the date by which the parties will act on the petition for reconsideration. If no action is taken by the date specified in such written notice, the petition will be deemed to have been denied.
(5) A petition for reconsideration does not stay the effectiveness of the decision of the commissioner. The filing of a petition for reconsideration is not a prerequisite for filing a petition for judicial review. An order denying reconsideration or a written notice specifying the date upon which action will be taken on the petition for reconsideration is not subject to judicial review.
NEW SECTION
WAC 192-800-120When would the commissioner not issue declaratory orders.
The commissioner will not issue a declaratory order on any matter that may be adjudicated under any statute, regulation, or other provision of law. No declaratory order will be issued that is merely an advisory opinion.
Reviser's note: The typographical error in the above section occurred in the copy filed by the agency and appears in the Register pursuant to the requirements of RCW
34.08.040.
NEW SECTION
WAC 192-800-125When is a petition for review considered delivered to the department?
Delivery under RCW
34.05.542(4) is made when a copy of the petition for judicial review is received by the Commissioner's Office at 212 Maple Park Avenue S.E., Olympia, WA or received by mail at the Commissioner's Review Office, Post Office Box 9555, Olympia, WA 98507-9555.
NEW SECTION
WAC 192-800-150Can an employee designate a representative to act on their behalf?
(1) The department may authorize another individual to act on the employee's behalf for the purposes of paid family and medical leave benefits if:
(a) An employee designates an authorized representative by submitting written documentation as required by the department;
(b) A court-appointed legal guardian with authority to make decisions on a person's behalf submits documentation as required by the department;
(c) An individual designated as a power of attorney submits documentation satisfactory to the department to act on the employee's behalf; or
(d) If an employee is unable to designate an authorized representative due to a serious health condition, an individual may represent the employee by submitting a complete and signed authorized representative designation form made available by the department, which must include:
(i) Documentation from the employee's health care provider certifying that the employee is incapable of completing the administrative requirements necessary for receiving paid family and medical leave benefits and is unable to designate an authorized representative to act on the employee's behalf; and
(ii) An affidavit or declaration authorized by RCW
9A.72.085 attesting to the responsibility to act in the employee's best interest.
(2) The department will terminate the authority given to the authorized representative:
(a) When the employee or authorized representative notifies the department verbally or in writing; or
(b) At the department's discretion.
(3) For the purposes of paid family and medical leave the term employee is used for both employee and authorized representative.
REPEALER
The following sections of the Washington Administrative Code are repealed:
WAC 192-800-002 | Untimely appeals. |
WAC 192-800-003 | Designating an authorized representative. |