| Monetary Determinations | |
|---|---|
| Initial and transitional claims | 10,606 |
| Sufficient wage credits | 9,401 |
| Insufficient wage credits | 1,204 |
| Proportion with insufficient wage credits | 0.114 |
| Separation Determinations | |
| Initial and reopened claims | 15,470 |
| No Issue | 12,063 |
| Issue/adjudicated | 3,407 |
| Approved | 1,550 |
| Denied | 1,857 |
| Proportion of initial and reopened claims adjudicated | 0.220 |
| Proportion of adjudicated claims denied | 0.545 |
| Proportion of initial and reopened claims denied | 0.120 |
| Nonseparations Determinations | |
| Total claimant contacts | 131,614 |
| Week paid/no issue | 127,282 |
| Issue/adjudicated | 4,332 |
| Approved | 1,969 |
| Denied | 2,363 |
| Proportion of claimant contacts adjudicated | 0.033 |
| Proportion of adjudicated contacts denied | 0.545 |
| Proportion of claimant contacts denied | 0.018 |
Sources:ETA 218 (monetary determinations);ETA 207 (separation and nonseparation determinations).
| Before Appeal or Redetermination (%) |
After Appeal or Redetermination (%) |
|||
| Type of Denial | Average | 5-State Range | Average | 5-State Range |
|---|---|---|---|---|
| Monetary | 23 | $13,424.000 | 16 | $12,236.000 |
| Separation | 15 | $37,770.000 | 9 | $37,677.000 |
| Nonseparation | 14 | $37,825.000 | 11 | $37,793.000 |
Source:Belle and Casey 1988,Table 3.
| Type of Denial | Average (%) | 5-State Range (%) |
|---|---|---|
| Monetary | 27 | 20-33 |
| Separation | 73 | 47-100 |
| Nonseparation | 71 | 48-93 |
Source:Belle and Casey 1988,Tables J.1 -J.5.
Table 1-7
Agency Actions in Erroneous Denials,by Type,1987 Denials Pilot Project
(percentage of erroneous denials for which each action taken,5-state average with 5-
state range in parentheses)
| Agency Action | Monetary Average (range) |
Separation Average (range) |
Nonseparation Average (range) |
|---|---|---|---|
| Issue undetectable with existing procedures |
25 (12-43) | 22 (0-54) | 28 (0-62) |
| Already resolving | 55 (29-82) | 31 (17-41) | 23 (8-33) |
| Took wrong action | 4 (0-10) | 32 (22-53) | 29 (15-61) |
| Insuffficient follow-through | 10 (0-27) | 7 (0-14) | 12 (0-47) |
| Issue not detected – procedures not used |
6 (0-16) | 7 (3-12) | 9 (5-15) |
Source:Belle and Casey 1988,Table 4.
| Characteristic | Nebraska | New Jersey | South Carolina | West Virginia | Wisconsin |
|---|---|---|---|---|---|
| Population (thousands) |
1,665 | 8,053 | 3,760 | 1,816 | 5,170 |
| Labor force (thousands) | 906 | 4,194 | 1,913 | 805 | 2,928 |
| Percentage growth (1990-97) |
5.0% | 3.9% | 7.9% | 1.2% | 5.7% |
| Land area (square miles) | 76,878 | 7,491 | 30,111 | 24,087 | 54,314 |
| Population per square mile | 21.3 | 1,070.9 | 122.0 | 75.9 | 94.3 |
| Average annual pay | $23,291 | $35,928 | $24,093 | $24,075 | $26,021 |
| Unemployment rate | 2.6% | 5.1% | 4.5% | 6.9% | 3.7% |
Sources:U.S.Bureau of Labor Statistics and Statistical Abstract of the United States.
Notes:The unemployment rate in 1997 for the United States was 4.9%.The U.S.population grew by
7.6%between 1990 and 1997).
| Eligibility Criteria | Nebraska | New Jersey | South Carolina | West Virginia | Wisconsin | |
|---|---|---|---|---|---|---|
| Monetary | ||||||
| Formula | Flat | 20 weeks | 1.5 x HQ | Flat | 30 x WBA | |
| Minimum earnings | $1,200 | $2,020 | $900 | $2,200 | $1,590 | |
| Distribution requirement |
>$400 outside HQ | 2Q | 2Q | 2Q | 8 x WBA outside HQ | |
| Seasonal restriction |
no | no | no | yes | yes | |
| Separation | ||||||
| Voluntary leaving: | ||||||
| Good cause restricted to work-related issues |
no | yes | no | yes | yes | |
| Number of inclusions | 0 | 0 | 0 | 2 | 4 | |
| Disqualification period |
7-10 weeks |
Duration | Duration | Duration | Duration | |
| Earnings to requalify |
-- | 6 WBA | 8 WBA | 30 days | 4 WBA | |
|  Misconduct: | ||||||
| Disqualification period (weeks) |
7-10 weeks | 5 | 5-26 | 6 | 7 | |
| Earnings to requalify |
-- | -- | -- | -- | 14 x WBA | |
| Benefits reduced | yes | no | yes | yes | yes | |
| Added penalty for gross misconduct |
yes | yes | yes | yes | no | |
| Nonseparation | ||||||
| Able and available for: | ||||||
| any work | yes | yes | no | no | yes | |
| Suitable work | no | no | no | no | no | |
| Usual work | no | no | yes | yes | no | |
| Refusing suitable work: | ||||||
| Disqualification period |
7-10 weeks | 3 weeks | Duration | 4 weeks | Duration | |
| Benefits reduced | yes | no | no | yes | no |
Note:See section 2.3 for discussion. Sources:U.S.Department of Labor,Comparison of State Unemployment Insurance Laws (1997); Advisory Council on Unemployment Insurance (1995,Chapters 7 and 8 ),Nicholson (1997),Anderson (1997),and the laws of each of the five pilot states.
| Week Ending | Counter Denials | Formal Monetary Denials |
|---|---|---|
| April 4 | 61 | 45 |
| April 10 | 105 | 107 |
| April 17 | 103 | 67 |
| April 24 | 92 | 60 |
| May 1 | 62 | 55 |
| May 8 | 82 | 54 |
| May 15 | 75 | 51 |
| May 12 | 83 | 55 |
| May 29 | 89 | 57 |
| Nine-week Total | 752 | 551 |
Source:West Virgina Bureau of Employment Programs.
| State | Monetary | Separation | Nonseparation |
|---|---|---|---|
| Nebraska | 10.1 (20/198) | 4.0 (8/200) |
14.0 (28/200) |
| New Jersey | 12.6 (23/182) |
11.3 (22/195) |
14.4 (28/195) |
| South Carolina | 23.4 (45/192) |
5.0 (10/200) |
18.5 (37/200) |
| West Virginia | 15.1 (19/126) |
3.4 (7/208) |
6.8 (14/206) |
| Wisconsin | 18.2 (37/203) |
19.7 (40/203) |
21.7 (44/203) |
| All Five Pilot States | 16.0 (144/901) |
8.7 (87/1,006) |
15.0 (151/1,004) |
Source:Tabulated from Denied Claims Accuracy Pilot records for September 1997 through September 1998.Missing cases excluded.
| A. All five pilot states | |||
|---|---|---|---|
| Reason | improper | proper | Total |
| Sufficient wages/hours/weeks/days | 0 (0) | 3 (100) | 3 (100) |
| Insufficient wages | 98 (14) | 585 (68) | 683 (100) |
| Insufficient hours/weeks/days | 1 (100) | 0 (0) | 1 (100) |
| Failure of high quarter wage test | 26 (17) | 125 (83) | 151 (100) |
| Failed transitional work requirement | 12 (27) | 32 (73) | 44 (100) |
| Other | 7 (37) | 12 (63) | 19 (100) |
| Total | 144 (16) | 757 (84) | 901 (100) |
| B. Nebraska | |||
| Reason | improper | proper | Total |
| Insufficient wages | 19 (10) | 173 (90) | 192 (100) |
| Insufficient hours/weeks/days | 1 (100) | 0 (0) | 1 (100) |
| Other | 0 (0) | 5 (100) | 5 (100) |
| Total | 20 (10) | 178 (90) | 198 (100) |
| C. New Jersey | |||
| Reason | improper | proper | Total |
| Sufficient wages/hours/weeks/days | 0 (0) | 2 (100) | 2 (100) |
| Insufficient wages | 21 (12) | 154 (88) | 175 (100) |
| Failed transitional work requirement | 0 (0) | 2 (100) | 2 (100) |
| Other | 2 (67) | 1 (33) | 3 (100) |
| Total | 23 (13) | 159 (87) | 182 (100) |
| D. South Carolina | |||
| Reason | improper | proper | Total |
| Insufficient wages | 22 (22) | 78 (78) | 100 (100) |
| Failure of high quarter wage test | 22 (25) | 66 (75) | 88 (100) |
| Failed transitional work requirement | 0 (0) | 1 (100) | 1 (100) |
| Other | 1 (33) | 2 (67) | 3 (100) |
| Total | 45 (23) | 147 (77) | 192 (100) |
| E. West Virginia | |||
| Reason | improper | proper | Total |
| Sufficient wages/hours/weeks/days | 0 (0) | 1 (100) | 1 (100) |
| Insufficient wages | 19 (18) | 89 (82) | 108 (100) |
| Failure of high quarter wage test | 0 (0) | 1 (100) | 1 (100) |
| Failed transitional work requirement | 0 (0) | 15 (100) | 15 (100) |
| Other | 0 (0) | 1 (100) | 1 (100) |
| Total | 19 (15) | 107 (85) | 126 (100) |
| F. Wisconsin | |||
| Reason | improper | proper | Total |
| Insufficient wages | 17 (16) | 91 (84) | 108 (100) |
| Failure of high quarter wage test | 4 (6) | 58 (94) | 62 (100) |
| Failed transitional work requirement | 12 (46) | 14 (54) | 26 (100) |
| Other | 4 (57) | 3 (43) | 7 (100) |
| Total | 37 (18) | 166 (82) | 203 (100) |
Source: Tabulated from Denied Claims Accuracy Pilot records for September 1997 through September
1998.
| A. All five pilot states | |||
|---|---|---|---|
| Reason | improper | proper | Total |
| No separation issue | 1 (100) | 0 (00) | 1 (100) |
| Lack of work | 1 (33) | 2 (67) | 3 (100) |
| Voluntary quit | 56 (9) | 548 (91) | 604 (100) |
| Discharge | 26 (7) | 362 (93) | 388 (100) |
| Not separated (e.g., job attached, leave of absence) |
3 (30) | 7 (70) | 10 (100) |
| Total | 87 (9) | 919 (91) | 1006 (100) |
| B. Nebraska | |||
| Reason | improper | proper | Total |
| Lack of work | 0 (0) | 2 (100) | 2 (100) |
| Voluntary quit | 7 (5) | 143 (95) | 150 (100) |
| Discharge | 1 (2) | 47 (98) | 48 (100) |
| Total | 8 (4) | 192 (96) | 200 (100) |
| C. New Jersey | |||
| Reason | improper | proper | Total |
| No separation issue | 1 (100) | 0 (00) | 1 (100) |
| Lack of work | 1 (100) | 0 (00) | 1 (100) |
| Voluntary quit | 12 (11) | 100 (89) | 112 (100) |
| Discharge | 7 (9) | 69 (91) | 76 (100) |
| Not separated (e.g., job attached, leave of absence) |
1 (20) | 4 (80) | 5 (100) |
| Total | 22 (1) | 173 (89) | 195 (100) |
| D. South Carolina | |||
| Reason | improper | proper | Total |
| Voluntary quit | 5 (6) | 77 (94) | 82 (100) |
| Discharge | 5 (4) | 113 (96) | 118 (100) |
| Total | 10 (5) | 190 (95) | 200 (100) |
| E. West Virginia | |||
| Reason | improper | proper | Total |
| Voluntary quit | 4 (3) | 119 (97) | 123 (100) |
| Discharge | 3 (4) | 82 (96) | 85 (100) |
| Total | 7 (3) | 201 (97) | 208 (100) |
| F. Wisconsin | |||
| Reason | improper | proper | Total |
| Voluntary quit | 28 (20) | 109 (80) | 137 (100) |
| Discharge | 10 (16) | 51 (84) | 61 (100) |
| Not separated (e.g., job attached, leave of absence) |
2 (40) | 3 (60) | 5 (100) |
| Total | 40 (20) | 163 (80) | 203 (100) |
Source: Tabulated from Denied Claims Accuracy Pilot records for September 1997 through September 1998.
| A. All five pilot states | |||
|---|---|---|---|
| Reason | improper | proper | Total |
| No nonseparation issue | 0 (0) | 2 (100) | 2 (100) |
| Able issue | 12 (10) | 108 (90) | 120 (100) |
| Available issue | 37 (16) | 199 (84) | 236 (100) |
| Work search issue | 7 (10) | 64 (90) | 71 (100) |
| Disqualifying/unreported income | 46 (25) | 139 (75) | 185 (100) |
| Refusal of work | 3 (17) | 15 (83) | 18 (100) |
| Reporting/registration violation | 36 (12) | 263 (88) | 299 (100) |
| Other | 10 (14) | 63 (86) | 73 (100) |
| Total | 151 (15) | 853 (85) | 1004 (100) |
| B. Nebraska | |||
| Reason | improper | proper | Total |
| No nonseparation issue | 0 (0) | 2 (100) | 2 (100) |
| Able issue | 1 (9) | 10 (91) | 11 (100) |
| Available issue | 2 (13) | 13 (87) | 15 (100) |
| Work search issue | 0 (0) | 10 (100) | 10 (100) |
| Disqualifying/unreported income | 18 (27) | 47 (72) | 65 (100) |
| Reporting/registration violation | 5 (6) | 78 (94) | 83 (100) |
| Other | 2 (14) | 12 (86) | 14 (100) |
| Total | 28 (14) | 172 (86) | 200 (100) |
| C. New Jersey | |||
| Reason | improper | proper | Total |
| Able issue | 2 (6) | 29 (94) | 31 (100) |
| Available issue | 9 (12) | 65 (88) | 74 (100) |
| Work search issue | 0 (0) | 5 (100) | 5 (100) |
| Disqualifying/unreported income | 1 (100) | 0 (0) | 1 (100) |
| Refusal of work | 0 (0) | 2 (100) | 2 (100) |
| Reporting/registration violation | 14 (19) | 61 (81) | 75 (100) |
| Other | 2 (29) | 5 (71) | 7 (100) |
| Total | 28 (14) | 167 (86) | 195 (100) |
| D. South Carolina | |||
| Reason | improper | proper | Total |
| Able issue | 4 (9) | 40 (91) | 42 (100) |
| Available issue | 4 (11) | 33 (89) | 37 (100) |
| Work search issue | 5 (17) | 24 (83) | 29 (100) |
| Disqualifying/unreported income | 15 (36) | 27 (64) | 42 (100) |
| Refusal of work | 1 (20) | 4 (80) | 5 (100) |
| Reporting/registration violation | 6 (16) | 31 (84) | 37 (100) |
| Other | 2 (33) | 4 (67) | 6 (100) |
| Total | 37 (19) | 163 (82) | 200 (100) |
| E. West Virginia | |||
| Reason | improper | proper | Total |
| Able issue | 1 (6) | 17 (94) | 18 (100) |
| Available issue | 3 (5) | 53 (95) | 56 (100) |
| Work search issue | 1 (8) | 11 (92) | 12 (100) |
| Disqualifying/unreported income | 2 (6) | 30 (94) | 32 (100) |
| Refusal of work | 1 (11) | 8 (89) | 9 (100) |
| Reporting/registration violation | 5 (9) | 53 (91) | 58 (100) |
| Other | 1 (5) | 20 (95) | 21 (100) |
| Total | 14 (7) | 192 (93) | 206 (100) |
| F. Wisconsin | |||
| Reason | improper | proper | Total |
| Able issue | 4 (25) | 12 (75) | 16 (100) |
| Available issue | 19 (35) | 35 (65) | 54 (100) |
| Work search issue | 1 (7) | 14 (93) | 15 (100) |
| Disqualifying/unreported income | 10 (22) | 35 (78) | 45 (100) |
| Refusal of work | 1 (50) | 1 (50) | 2 (100) |
| Reporting/registration violation | 6 (13) | 40 (87) | 46 (100) |
| Other | 3 (12) | 22 (88) | 25 (100) |
| Total | 44 (22) | 159 (78) | 203 (100) |
Source: Tabulated from Denied Claims Accuracy Pilot records for September 1997 through September 1998.
| Error Rate Adjusted for: | ||||
|---|---|---|---|---|
| (1) | (2) | (3) | (4) | |
| State | Error rate unadjusted |
Appeals & re- determinations |
Agency resolution |
All factors |
| Nebraska | 10 | 10 | 10 | 10 |
| (20/198) | (20/198) | (19/198) | (19/198) | |
| New Jersey | 13 | 13 | 8 | $8.200 |
| (23/182) | (23/182) | (15/182) | (15/182) | |
| South Carolina | 23 | 23 | 16 | 16 |
| (45/198) | (45/198) | (31/192) | (31/192) | |
| West Virginia | 15 | 15 | 14 | 14 |
| (19/126) | (19/126) | (17/126) | (17/126) | |
| Wisconsin | 18 | 18 | 9 | 9 |
| (37/203) | (37/203) | (19/203) | (19/203) | |
| All Five Pilot States | 16 | 16 | 11 | 11 |
| (144/901) | (144/901) | (101/901) | (101/901) | |
Source: Tabulated from Denied Claims Accuracy Pilot records for September 1997 through September 1998. Missing cases excluded.
| Error Rate Adjusted for: | ||||
|---|---|---|---|---|
| (1) | (2) | (3) | (4) | |
| State | Error rate unadjusted |
Appeals & re- determinations |
Agency resolution |
All factors |
| Nebraska | 4 | 4 | 4 | 4 |
| (8/200) | (7/200) | (8/200) | (7/200) | |
| New Jersey | 11 | 7 | 10 | $6.200 |
| (22/195) | (14/195) | (19/195) | (12/195) | |
| South Carolina | 05 | 3 | 4 | 3 |
| (10/200) | (6/200) | (8/200) | (6/200) | |
| West Virginia | 3 | 3 | 3 | 3 |
| (7/208) | (6/208) | (7/208) | (6/208) | |
| Wisconsin | 20 | 17 | 19 | 16 |
| (40/203) | (35/203) | (38/203) | (33/203) | |
| All Five Pilot States | 09 | 7 | 8 | 6 |
| (87/1,006) | (68/1,006) | (80/1,006) | (64/1,006) | |
Source: Tabulated from Denied Claims Accuracy Pilot records for September 1997 through September 1998. Missing cases excluded.
| Error Rate Adjusted for: | ||||
|---|---|---|---|---|
| (1) | (2) | (3) | (4) | |
| State | Error rate unadjusted |
Appeals & re- determinations |
Agency resolution |
All factors |
| Nebraska | 14 | 14 | 14 | 14 |
| (28/200) | (28/200) | (27/200) | (27/200) | |
| New Jersey | 14 | 12 | 14 | $11.800 |
| (28/195) | (24/195) | (27/195) | (23/195) | |
| South Carolina | 19 | 18 | 18 | 17 |
| (37/200) | (36/200) | (35/200) | (34/200) | |
| West Virginia | 7 | 6 | 6 | 6 |
| (14/206) | (13/206) | (13/206) | (12/206) | |
| Wisconsin | 22 | 20 | 18 | 16 |
| (44/203) | (41/203) | (36/203) | (33/203) | |
| All Five Pilot States | 15 | 14 | 14 | 13 |
| (151/1,004) | (142/1,004) | (138/1,004) | (129/1,004) | |
Source: Tabulated from Denied Claims Accuracy Pilot records for September 1997 through September 1998. Missing cases excluded.
| Number of Cases |
Percent CWC |
Error Rate (percent) | ||
|---|---|---|---|---|
| CWC | Non-CWC | |||
| Monetary Investigations | ||||
| Nebraska | 198 | 5.6 | 36.4 | 9 |
| New Jersey | 182 | 0 | -- | 12.6 |
| South Carolina | 192 | 2.1 | 25.0 | 23.4 |
| West Virginia | 126 | 13.5 | 76.5 | 5.5 |
| Wisconsin | 203 | 4.4 | 11.1 | 18.7 |
| All Five Pilot States | 901 | 4.6 | 46.3 | 14.5 |
| Separation Investigations | ||||
| Nebraska | 200 | 4.5 | 0.0 | 4.2 |
| New Jersey | 195 | 3.6 | 14.3 | 11.2 |
| South Carolina | 200 | 3.5 | 14.3 | 4.7 |
| West Virginia | 208 | 8.7 | 0.0 | 3.7 |
| Wisconsin | 203 | 2.0 | 25.0 | 19.6 |
| All Five Pilot States | 1,006 | 4.4 | 6.7 | 8.7 |
| Nonseparation Investigations | ||||
| Nebraska | 200 | 1.5 | 0.0 | 14.2 |
| New Jersey | 195 | 3.6 | 14.3 | 14.4 |
| South Carolina | 200 | 2.0 | 25.0 | 18.4 |
| West Virginia | 206 | 5.3 | 0.0 | 7.2 |
| Wisconsin | 203 | 1.0 | 0.0 | 21.9 |
| All Five Pilot States | 1,004 | 2.7 | 7.4 | 15.3 |
Source: Tabulations of variables for Combined Wage Claims in DCA subsystem data base.
| Method Used to Obtain information | ||||
|---|---|---|---|---|
| In-person | Telephone | Nonresponse | ||
| Monetary Investigations | ||||
| Nebraska | 4.0 | 48.0 | 12.6 | 35.4 |
| New Jersey | 7.7 | 13.7 | 21.4 | 57.1 |
| South Carolina | 46.9 | 50.0 | 0.5 | 2.6 |
| West Virginia | 0.8 | 31.0 | 46.8 | 21.4 |
| Wisconsin | 51.2 | 19.2 | 6.9 | 22.7 |
| Separation Investigations | ||||
| Nebraska | 8.0 | 55.0 | 13.5 | 23.5 |
| New Jersey | 28.2 | 31.8 | 18.5 | 21.5 |
| South Carolina | 67.0 | 30.0 | 0.0 | 3.0 |
| West Virginia | 2.9 | 31.7 | 42.3 | 23.1 |
| Wisconsin | 48.8 | 17.7 | 7.4 | 26.1 |
| Nonseparation Investigations | ||||
| Nebraska | 3.0 | 61.0 | 15.5 | 20.5 |
| New Jersey | 20.0 | 26.7 | 21.5 | 31.8 |
| South Carolina | 62.0 | 36.5 | 0.0 | 1.5 |
| West Virginia | 3.9 | 17.5 | 61.2 | 17.5 |
| Wisconsin | 51.2 | 23.2 | 8.4 | 17.2 |
Source: Tabulations of variable for "primary method claimant information obtained" in DCA subsystem data base.
| Information Obtained | No response | |
|---|---|---|
| Monetary Investigations | ||
| Nebraska | 10.9 (14/128) |
8.6 (6/70) |
| New Jersey | 18.0 (14/78) |
8.6 (9/104) |
| South Carolina | 24.1 (45/187) |
0.0 (0/5) |
| West Virginia | 15.2 (15/99) |
14.8 (4/27) |
| Wisconsin | 22.3 (35/157) |
4.4 (2/46) |
| Separation Investigations | ||
| Nebraska | 5.2 (8/153) |
0.0 (0/47) |
| New Jersey | 11.8 (18/153) |
9.5 (4/42) |
| South Carolina | 5.2 (10/194) |
0.0 (0/6) |
| West Virginia | 4.4 (7/160) |
0.0 (0/48) |
| Wisconsin | 20.7 (31/150) |
17.0 (9/53) |
| Nonseparation Investigations | ||
| Nebraska | 15.1 (24/159) |
9.8 (4/41) |
| New Jersey | 17.3 (23/133) |
8.1 (5/62) |
| South Carolina | 18.8 (37/197) |
0.0 (0/3) |
| West Virginia | 7.1 (12/170) |
5.6 (2/36) |
| Wisconsin | 20.8 (35/168) |
25.7 (9/35) |
Source: Tabulations of variable for "primary method claimant information obtained" and "action flag"in DCA subsystem data base.
| A. All five pilot states | |||
|---|---|---|---|
| QPI score | |||
| DCA finding | fail | pass | Total |
| Improper denial | 54 (67) | 27 (33) | 81 (100) |
| Proper denial | 233 (28) | 603 (72) | 836 (100) |
| Total | 287 (31) | 630 (69) | 917 (100) |
| B. Nebraska | |||
| QPI score | |||
| DCA finding | fail | pass | Total |
| Improper denial | 7 (88) | 1 (13) | 8 (100) |
| Proper denial | 48 (25) | 141 (75) | 189 (100) |
| Total | 55 (28) | 142 (72) | 197 (100) |
| C. New Jersey | |||
| QPI score | |||
| DCA finding | fail | pass | Total |
| Improper denial | 19 (95) | 1 (5) | 20 (100) |
| Proper denial | 100 (59) | 69 (41) | 169 (100) |
| Total | 119 (63) | 70 (37) | 189 (100) |
| D. South Carolina | |||
| QPI score | |||
| DCA finding | fail | pass | Total |
| Improper denial | 5 (50) | 5 (50) | 10 (100) |
| Proper denial | 24 (13) | 166 (87) | 190 (100) |
| Total | 29 (15) | 171 (86) | 200 (100) |
| E. West Virginia | |||
| QPI score | |||
| DCA finding | fail | pass | Total |
| Improper denial | 2 (40) | 3 (60) | 5 (100) |
| Proper denial | 22 (18) | 103 (82) | 125 (100) |
| Total | 24 (18) | 106 (82) | 130 (100) |
| F. Wisconsin | |||
| QPI score | |||
| DCA finding | fail | pass | Total |
| Improper denial | 21 (55) | 17 (45) | 38 (100) |
| Proper denial | 39 (24) | 124 (76) | 163 (100) |
| Total | 60 (30) | 141 (70) | 201 (100) |
Source: Tabulated from Denied Claims Accuracy Pilot records.
| A. All five pilot states | |||
|---|---|---|---|
| QPI score | |||
| DCA finding | fail | pass | Total |
| Improper denial | 78 (55) | 65 (45) | 143 (100) |
| Proper denial | 161 (21) | 607 (79) | 768 (100) |
| Total | 239 (26) | 672 (74) | 911 (100) |
| B. Nebraska | |||
| QPI score | |||
| DCA finding | fail | pass | Total |
| Improper denial | 20 (80) | 5 (20) | 25 (100) |
| Proper denial | 29 (17) | 139 (83) | 168 (100) |
| Total | 49 (25) | 144 (75) | 193 (100) |
| C. New Jersey | |||
| QPI score | |||
| DCA finding | fail | pass | Total |
| Improper denial | 20 (71) | 8 (29) | 28 (100) |
| Proper denial | 50 (30) | 114 (70) | 164 (100) |
| Total | 70 (36) | 122 (64) | 192 (100) |
| D. South Carolina | |||
| QPI score | |||
| DCA finding | fail | pass | Total |
| Improper denial | 16 (43) | 21 (57) | 37 (100) |
| Proper denial | 35 (21) | 128 (79) | 163 (100) |
| Total | 51 (26) | 149 (75) | 200 (100) |
| E. West Virginia | |||
| QPI score | |||
| DCA finding | fail | pass | Total |
| Improper denial | 3 (27) | 8 (73) | 11 (100) |
| Proper denial | 21 (18) | 97 (82) | 118 (100) |
| Total | 24 (19) | 105 (81) | 129 (100) |
| F. Wisconsin | |||
| QPI score | |||
| DCA finding | fail | pass | Total |
| Improper denial | 19 (45) | 23 (55) | 42 (100) |
| Proper denial | 26 (17) | 129 (83) | 155 (100) |
| Total | 45 (23) | 152 (77) | 197 (100) |
Source: Tabulated from Denied Claims Accuracy Pilot records.
| Finding of DCA Investigation | Not appealed | Appealed | Total |
|---|---|---|---|
| Denial Erroneous | 63 (72%) |
24 (28%) |
87 (100%) |
| Denial Proper | 769 (84%) |
150 (16%) |
919 (100%) |
| Result of QPI Assessment | Not appealed | Appealed | Total |
| Failed QPI | 228 (78%) |
63 (22%) |
291 (100%) |
| Passed QPI | 539 (85%) |
94 (15%) |
633 (100%) |
Source: Tabulated from Denied Claims Accuracy Pilot records.
| Finding of DCA Investigation | Not appealed | Appealed | Total |
|---|---|---|---|
| Denial Erroneous | 138 (91%) |
13 (9%) |
151 (100%) |
| Denial Proper | 795 (93%) |
58 (7%) |
853 (100%) |
| Result of QPI Assessment | Not appealed | Appealed | Total |
| Failed QPI | 216 (90%) |
24 (10%) |
240 (100%) |
| Passed QPI | 632 (94%) |
43 (6%) |
675 (100%) |
Source: Tabulated from Denied Claims Accuracy Pilot records.
| Type of Denial | ||
| Component of QPI | Separation | Nonseparation |
|---|---|---|
| Claimant information adequate | -0.116 (0.029)* |
-0.072 (0.033)* |
| Employer information adequate | -0.023 (0.027) |
0.012 (0.041) |
| Other information adequate | 0.166 (0.034) |
0.093 (0.039)* |
| Rebuttal opportunity provided | -0.041 (0.017)* |
-0.010 (0.036) |
| Provisions of law and policy met | 0.228 (0.031)** |
0.0200 (0.035)** |
| Written determination adequate | 0.039 (0.022) |
0.076 (0.028)** |
| Constant | 0.708 (0.037)** |
0.610 (0.055)** |
| Number of observations | 902 | 895 |
| R-squared | 0.15 | 0.14 |
Notes: Dependent variable is a dummy variable equal to 1 if the denial was correct, 0 otherwise.
* denotes significance at 5% level;
** denotes significance at 1% level.
| Independent variable | Monetary | Separation | Nonseparation |
|---|---|---|---|
| Age | -0.003 (0.001)* |
-0.002 (-0.001) |
0.001 (0.001) |
| Male | -0.065 (-0.034) |
-0.005 (0.023) |
0.031 (0.028) |
| U.S. citizen | 0.007 (0.111) |
-0.126 (0.066) |
0.087 (0.078) |
| Ethnicity: Black |
0.044 (0.041) |
0.003 (0.026) |
-0.007 (0.036) |
| Hispanic | -0.039 (0.073) |
-0.084 (0.057) |
-0.068 (0.069) |
| American Indian | -0.209 (0.225) |
-0.401 (0.201)* |
-0.137 (0.207) |
| Asian/Pacific Islander | -0.008 (0.157) |
0.042 (0.131) |
0.004 (0.099) |
| Caucasian | ref | ref | ref |
| Schooling: less than high school |
-0.006 (0.038) |
-0.003 (0.028 |
0.007 (0.037) |
| some college | 0.055 (0.051) |
-0.014 (0.030) |
0.011 (0.036) |
| college degree | 0.003 (0.066) |
-0.055 (0.038) |
-0.021 (0.043) |
| high school graduate | ref | ref | ref |
| Wage in usual job: less than $6 per hour |
0.166 (0.059)** |
-0.017 (0.038) |
-0.014 (0.047) |
| $6 to $7 per hour | 0.136 (0.064)* |
0.008 (0.040) |
0.008 (0.049) |
| $7 to $9 per hour | -0.003 (0.059) |
-0.032 (0.034) |
-0.076 (0.041) |
| $9 to $12 per hour | 0.029 (0.063) |
0.002 (0.036) |
-0.064 (0.040) |
| greater than $12 per hour | |||
| State: | |||
| New Jersey | -0.019 (0.049) |
0.089 (0.033)** |
0.042 (0.042) |
| South Carolina | -0.115 (0.046)* |
0.145 (0.033)** |
-0.005 (0.041) |
| West Virginia | 0.069 (0.050) |
0.162 (0.031)** |
0.110 (0.039)** |
| Wisconsin | ref | ref | ref |
| Combined wage claim | -0.437 (0.081)** |
na | na |
| Separation issues: Voluntary quit |
na | -0.003 (0.022) |
na |
| Other separation issue | na | -0.401 (0.098)** |
na |
| Discharge | na | ref | na |
| Nonseparation issues: available issue |
na | na | -0.057 (0.044) |
| work search issue | na | na | 0.022 (0.059) |
| disqualifying income | na | na | -0.129 (0.053)* |
| refusal of work | na | na | -0.100 (0.094) |
| reporting/registration violation |
na | na | -0.065 (0.044) |
| other nonseparation issue | na | na | -0.036 (0.063) |
| able issue | ref | ref | ref |
| Constant | 0.867 (0.146)** |
1.008 (0.088)** |
0.777 (0.108)** |
| Number of observations R-squared |
569 0.13 |
733 0.09 |
733 0.05 |
Notes: Standard errors in parentheses. * denotes significance at 5% level; ** denotes significance at 1% level. "ref" denotes reference category in a set of dummy variables. "na" denotes variable not included in the equation. -- denotes variable dropped because there are no corresponding observations in the sample.
| State | Monetary | Separation | Nonseparation | Total Hours Charged to DCA Pilot |
|---|---|---|---|---|
| Nebraska | 4.1 | 4 | 4 | 3,692.5 |
| New Jersey | 9-11 | 9-11 | 9-11 | -- |
| South Carolina | -- | -- | -- | -- |
| West Virginia | 3.8 | 3.8 | 4 | 4,720 |
| Wisconsin | 9 | 8.4 | 8 | -- |
Sources: Nebraska estimates are from Joyce (1998); New Jersey estimates are verbal estimates provided during the site visit; West Virginia estimates on hours per investigation are verbal estimates provided during the site visit; West Virginia data on total hours charged are from Redden (1998); Wisconsin estimates are from Mand (1998).
Notes: New Jersey's and West Virginia's estimates are for all three types of denial investigations combined. West Virginia also noted that some staff stopped charging hours to the DCA Pilot Project when it was determined that more time was being charged than was allocated.
| Error Rate (%) Adjusted for: | ||||
|---|---|---|---|---|
| Type of Denial | Error rate (%) unadjusted |
Appeals & re- determinations |
Agency resolution |
All factors |
| 1997-98 Pilot | ||||
| Monetary | 16 (10 - 23) |
16.0 (10 - 23) |
11.2 (8 - 16) |
11.2 (8 - 16) |
| Separation | 8.7 (3 - 20) |
6.8 (3 - 17) |
8 (3 - 19) |
6.4 (3 - 16) |
| Nonseparation | 15 (7 - 22) |
14.1 (6 - 20) |
13.8 (6 - 18) |
12.9 (6 - 17) |
| 1987 Pilot | ||||
| Monetary | 23 (10 - 36) |
16 (7 - 33) |
na | na |
| Separation | 15 (5 - 29) |
9 (2 - 25) |
na | na |
| Nonseparation | 14 (7 - 23) |
11 (6 - 21) |
na | na |
Source: Tables 1-5, 4-10A, 4-10B, and 4-10C.
| Five-State Average (%) | Five-State Range (%) | |||
|---|---|---|---|---|
| Type of Denial | Agency alone | Agency jointly | Agency alone | Agency jointly |
| 1997-98 Pilot | ||||
| Monetary | 33 | 46 | 15-61 | 32 - 74 |
| Separation | 66 | 78 | 50-88 | 60 - 100 |
| Nonseparation | 67.0 | 79.0 | 52-86 | 68 - 100 |
| 1987 Pilot | ||||
| Monetary | 27 | na | 20-33 | na |
| Separation | 73 | na | 47-100 | na |
| Nonseparation | 71 | na | 48-93 | na |
Note: Results from the 1987 and 1997-98 pilots are not directly comparable because in 1987, responsibility was assigned to a single party, whereas in 1997-98, responsibility could be assigned either to a single party or jointly to multiple parties.
Source: Tables 1-6 and 4-5.
| A. Separation Denial Accuracy by Modified QPI Pass/Fail | |||
|---|---|---|---|
| QPI score | |||
| DCA finding | fail | pass | Total |
| Improper denial | 54 (67) | 27 (33) | 81 (100) |
| Proper denial | 233 (28) | 603 (72) | 836 (100) |
| Total | 287 (31) | 630 (69) | 917 (100) |
| B. Nonseparation Denial Accuracy by Modified QPI Pass/Fail | |||
| QPI score | |||
| DCA finding | fail | pass | Total |
| Improper denial | 78 (55) | 65 (45) | 143 (100) |
| Proper denial | 161 (21) | 607 (79) | 768 (100) |
| Total | 239 (26) | 672 (74) | 911 (100) |
Source: Tables 4-14 and 4-15.