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Mar 31, 2023 ... The following is an alphabetical listing of the most common eligibility issues that may result in a denial, suspension or reduction of benefits. Unemployment Insurance Handbook for Employers (UCB-201-P) The Social Security Act requires that unemployment insurance benefits be promptly paid to an individual when due, but it is the responsibility of the department to ensure that benefits are only paid to those claimants who are eligible. To meet this requirement, we must investigate all eligibility issues which could suspend, reduce or cancel benefits, obtaining and recording the information necessary to determine the claimant's eligibility regardless of its source. When an eligibility issue is raised, a fact-finding investigation is conducted and the claimant is always given an opportunity to give a statement about the issue. Usually we need additional information from employers to resolve the issue. If the issue being investigated is a discharge, we often send a letter to the employer before the claimant’s interview to find out why the claimant was discharged, what prior incidents, if any, were also a factor, if progressive discipline was used, etc. The adjudicator may also follow-up the letter with a telephone call for clarification. The claimant can then respond to the specific allegations the employer has made when (s)he gives a statement. If you are contacted for information about an eligibility issue, respond by the deadline you are given. Your account will be charged for all benefits erroneously paid if you fail to provide correct and complete information requested during a fact-finding investigation, including erroneously paid benefits that were originally charged to other employers' accounts.
Unemployment insurance is a joint state-federal program that provides cash benefits to eligible workers. Each state administers a separate unemployment ... An official website of the United States government. How Do I File for Unemployment Insurance? The U.S. Department of Labor's unemployment insurance programs provide unemployment benefits to eligible workers who become unemployed through no fault of their own and meet certain other eligibility requirements. Unemployment insurance is a joint state-federal program that provides cash benefits to eligible workers. Each state administers a separate unemployment insurance program, but all states follow the same guidelines established by federal law. Each state sets its own unemployment insurance benefits eligibility guidelines, but you usually qualify if you: Are unemployed through no fault of your own. In most states, this means you have to have separated from your last job due to a lack of available work. Meet work and wage requirements. You must meet your state’s requirements for wages earned or time worked during an established period of time referred to as a "base period." (In most states, this is usually the first four out of the last five completed calendar quarters before the time that your claim is filed.) Meet any additional state requirements. Find details of your own state’s program. To receive unemployment insurance benefits, you need to file a claim with the unemployment insurance program in the state where you worked. Depending on the state, claims may be filed in person, by telephone, or online. You should contact your state's unemployment insurance program as soon as possible after becoming unemployed.
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All plans offered in the Marketplace cover these 10 essential health benefits: Ambulatory patient services (outpatient care you get without being admitted to a ... An official website of the United States government What Marketplace health insurance plans cover All plans offered in the Marketplace cover these 10 essential health benefits: Ambulatory patient services (outpatient care you get without being admitted to a hospital) Hospitalization (like surgery and overnight stays) Pregnancy, maternity, and newborn care (both before and after birth) Mental health and substance use disorder services, including behavioral health treatment (this includes counseling and psychotherapy) Rehabilitative and habilitative services and devices (services and devices to help people with injuries, disabilities, or chronic conditions gain or recover mental and physical skills) Preventive and wellness services and chronic disease management Pediatric services, including oral and vision care (but adult dental and vision coverage aren’t essential health benefits) Plans must also include the following benefits: Essential health benefits are minimum requirements for all Marketplace plans. Specific services covered in each broad benefit category can vary based on your state’s requirements. Plans may offer additional benefits, including: Medical management programs (for specific needs like weight management, back pain, and diabetes) When comparing plans, you’ll see exactly what each plan offers. Are the benefits the same in each state? What if I need a specific treatment that's not on this list? Do all types of Marketplace plans cover essential health benefits?