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<chapter num="07" heading="Reconsideration of Unemployment Insurance Overpayment Recovery and Waiver Request" title_num="09" subtitle_num="32">
  <regulation prefix="Regulation" num=".01" heading="Purpose.">
    <text>The purpose of these regulations is to establish procedures and interpret the standards for waiver of recovery of overpayments of unemployment insurance benefits, and to establish procedures for appealing the correctness of the application of an overpayment, in accordance with Labor and Employment Article, §8-809, Annotated Code of Maryland.</text>
  </regulation>
  <regulation prefix="Regulation" num=".02" heading="Scope and Applicability.">
    <text>These regulations apply to any claimant who has been found to have received an overpayment of unemployment insurance benefits and requested a waiver, unless the overpayment was determined to have resulted from fraud on the part of the claimant.</text>
  </regulation>
  <regulation prefix="Regulation" num=".03" heading="Definitions.">
    <paragraph num="A.">
      <text>In this chapter, the following terms have the meanings indicated.</text>
    </paragraph>
    <paragraph num="B.">
      <text>Terms Defined.</text>
      <paragraph num="(1)">
        <text>“Claimant” means any individual who has filed a claim for unemployment insurance benefits.</text>
      </paragraph>
      <paragraph num="(2)">
        <text>“Deliver” or “delivery” means the Department’s transmission of a communication to a claimant in accordance with the claimant’s preferred communication method. In cases involving notices of a decision of an overpayment waiver request, the term “deliver” or “delivery” means to also require transmission by first-class mail to the claimant’s last known address.</text>
      </paragraph>
      <paragraph num="(3)">
        <text>“Deliver” or “delivery” means the Department's transmission of a communication to a claimant in accordance with the claimant's preferred communication method. In cases involving notices of a decision of an overpayment waiver request, the term “deliver” or “delivery” means to also require transmission by first-class mail to the claimant's last known address.</text>
      </paragraph>
      <paragraph num="(4)">
        <text>“Department” means the Maryland Department of Labor.</text>
      </paragraph>
      <paragraph num="(5)">
        <text>“Overpaid claimant” means any claimant who has been determined to have received an overpayment of unemployment insurance benefits.</text>
      </paragraph>
      <paragraph num="(6)">
        <text>“Overpayment” means any amount of unemployment insurance benefits received by an individual which has been determined to be in excess of that which the individual was entitled to receive under the applicable law.</text>
      </paragraph>
      <paragraph num="(7)">
        <text>“Secretary” means the Secretary of Labor, or the Secretary's authorized representative.</text>
      </paragraph>
      <paragraph num="(8)">
        <text>“Unemployment insurance benefits” means any monetary payments of benefits, including dependents' allowances, which are made pursuant to:</text>
        <paragraph num="(a)">
          <text>The Unemployment Insurance Law and intended to replace income lost by reason of unemployment; or</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Another state's unemployment insurance law or an unemployment insurance benefit program of the United States, where the benefits paid are subject to a governmental offset agreement.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(9)">
        <text>“Unemployment Insurance Law” means Labor and Employment Article, Title 8, Annotated Code of Maryland.</text>
      </paragraph>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".04" heading="Recovery of Overpayments.">
    <text>The Department may recover overpayments by beginning civil actions or, in the discretion of the Secretary, overpayment may be offset against current or future payments of unemployment insurance benefits to which the overpaid claimant is entitled. If the Department chooses to recover the overpayment by offset, the amount of the offset may be 100 percent of the current or future weekly benefit entitlement. The Department may not recover an overpayment before the time for requesting an overpayment waiver has expired, while a timely filed waiver request is pending decision by the Secretary or the Secretary’s designee, or while a timely filed appeal of the denial of an overpayment waiver request is pending.</text>
  </regulation>
  <regulation prefix="Regulation" num=".05" heading="Waiver of Recovery of Overpayments.">
    <paragraph num="A.">
      <text>Waiver of recovery of the overpayment will be approved when, in the judgment of the Secretary, the overpaid claimant:</text>
      <paragraph num="(1)">
        <text>Is without fault; and</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Lacks the ability to pay now and in the foreseeable future, or is likely to be below the federal minimum poverty level and is likely to remain there for the foreseeable future.</text>
      </paragraph>
    </paragraph>
    <paragraph num="B.">
      <text>If an overpaid claimant is found to be without fault because the overpayments were caused exclusively by agency error, the waiver request may be recommended.</text>
    </paragraph>
    <paragraph num="C.">
      <text>In any proceedings under these regulations, the overpaid claimant shall have the burden of proving entitlement to a waiver.</text>
    </paragraph>
    <paragraph num="D.">
      <text>An overpayment found to have been illegally received pursuant to Labor and Employment Article, §8-809, Annotated Code of Maryland, may not be waived.</text>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".06" heading="Determination of Fault.">
    <paragraph num="A.">
      <text>“Fault”, as used in the phrase “without fault”, applies only to the fault of the overpaid claimant. Fault on the part of the Department in making the overpayment does not relieve the overpaid claimant of liability for repayment if the claimant's fault contributed to the overpayment.</text>
    </paragraph>
    <paragraph num="B.">
      <text>In determining whether an individual is at fault, the Secretary may consider the nature and cause of the overpayment and the capacity of the particular claimant to have recognized the error causing the overpayment. The elements which constitute fault on the part of the overpaid claimant depend upon whether the facts show:</text>
      <paragraph num="(1)">
        <text>An incorrect statement made by the claimant which the claimant knew or should have known to be incorrect;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Failure to furnish information which the claimant knew or should have known to be material, including failure to correct a monetary determination; or</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Acceptance of a payment which the claimant knew or should have known was incorrect.</text>
      </paragraph>
    </paragraph>
    <paragraph num="C.">
      <text>The determination of what an overpaid claimant “should have known” is an issue of fact to be found by the administrative agency.</text>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".07" heading="Notice of Recovery and Right to Request Waiver.">
    <text>When the Secretary decides to recover an overpayment, the Secretary shall notify the overpaid claimant in writing. The notice shall include:</text>
    <paragraph num="A.">
      <text>The amount to be recovered;</text>
    </paragraph>
    <paragraph num="B.">
      <text>The weeks with respect to which the benefits were paid;</text>
    </paragraph>
    <paragraph num="C.">
      <text>The provision of the law under which it was determined that the claimant was ineligible for benefits;</text>
    </paragraph>
    <paragraph num="D.">
      <text>A brief explanation of the means available to the Department for recovery of the overpayment;</text>
    </paragraph>
    <paragraph num="E.">
      <text>A statement directing the claimant to the claimant's local office to obtain an application for waiver of overpayment; and</text>
    </paragraph>
    <paragraph num="F.">
      <text>A statement advising that the claimant has 30 days from the date of the notice to submit an application for waiver of overpayments, unless the claimant can show good cause for not meeting the 30-day requirement.</text>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".08" heading="Processing of Application for Waiver of Overpayment.">
    <paragraph num="A.">
      <text>After an application for waiver of overpayment is received, the local office representative shall determine the cause of the overpayment and forward the application to the Department's recoveries section. The recoveries section shall make the initial recommendation to recover or waive the overpayment.</text>
    </paragraph>
    <paragraph num="B.">
      <text>If the recommendation is to recover the overpayment and deny waiver, written notice shall be given to the claimant. The notice shall include a statement:</text>
      <paragraph num="(1)">
        <text>Of the reasons for the proposed denial in accordance with Regulation .05 of this chapter, including a determination of fault and the claimant's ability to pay. If the waiver request is denied on the ground that the overpaid claimant was at fault, however, no further finding will be made.</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Advising the claimant of the right to provide additional information within 15 days to the Secretary for the Secretary's consideration.</text>
      </paragraph>
    </paragraph>
    <paragraph num="C.">
      <text>Applications recommended for approval shall be forwarded to the Secretary.</text>
    </paragraph>
    <paragraph num="D.">
      <text>The Secretary may grant a waiver of overpayment only within 1 year of the initial determination establishing the overpayment. The 1-year period shall be stayed pending the outcome of any appeal.</text>
    </paragraph>
    <paragraph num="E.">
      <text>Following the grant or denial of a request for waiver of recovery of an overpayment, the Department shall promptly deliver to the claimant a written notice setting out the basis for grant or denial of the request and explaining the claimant's appeal rights.</text>
    </paragraph>
    <paragraph num="F.">
      <text>Within 30 days of the delivery of a denial of a request for waiver of a recovery of overpayment, a claimant may appeal the denial in accordance with COMAR 09.32.11 or, if the claimant disagrees with the decision issued, in accordance with COMAR 09.32.06, as applicable.</text>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".09" heading="Interest on Overpayments.">
    <text>Interest on overpayments shall be calculated from the initial determination of the overpayment.</text>
  </regulation>
  <annotations>
    <annotation type="Authority">Labor and Employment Article, §§8-305 and 8-809, Annotated Code of Maryland</annotation>
    <annotation type="History" subtype="Administrative History">Effective date:</annotation>
    <annotation type="History" subtype="Administrative History">Regulations .01—.09 adopted as an emergency provision effective March 14, 1989 (16:7 Md. R. 809); emergency status expired July 14, 1989</annotation>
    <annotation type="History" subtype="Administrative History">Regulations .01—.09 adopted permanently effective November 13, 1989 (16:22 Md. R. 2366)</annotation>
    <annotation type="History" subtype="Administrative History">Chapter recodified from COMAR 24.02.07 to COMAR 09.32.07, May 1996</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .02 amended as an emergency provision effective August 17, 2022 (49:20 Md. R. 909); emergency provision expired effective November 22, 2022</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .02 amended effective December 26, 2022 (49:26 Md. R. 1079)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .03B amended as an emergency provision effective August 17, 2022 (49:20 Md. R. 909); emergency provision expired effective November 22, 2022</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .03B amended effective December 26, 2022 (49:26 Md. R. 1079)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .04 amended as an emergency provision effective August 17, 2022 (49:20 Md. R. 909); emergency provision expired effective November 22, 2022</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .04 amended effective December 26, 2022 (49:26 Md. R. 1079)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .08E, F adopted as an emergency provision effective August 17, 2022 (49:20 Md. R. 909); emergency provision expired effective November 22, 2022</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .08E, F adopted effective December 26, 2022 (49:26 Md. R. 1079)</annotation>
  </annotations>
</chapter>