A. Holmes v. UCBR
A. Holmes v. UCBR - 1329 C.D. 2016
| Pa. Commw. Ct. | May 24, 2017Background
- Claimant Armella Holmes worked full-time as a team leader for Three Rivers Youth since 2013.
- On October 19, 2015, Claimant’s provider restricted her to five hours/week; Employer accommodated the restriction.
- Claimant reported working five hours for the week ending October 24, 2015, and for each week from November 7, 2015 through January 30, 2016, and collected $410/week (total benefits $5,740).
- Claimant did not inform the Department that the reduced hours were due to a medical restriction.
- The Department found Claimant ineligible under sections 401 and 4(u) for most weeks and assessed a fault overpayment; the Referee affirmed.
- The Board reversed as to the week ending October 24, 2015 (finding insufficient evidence that she had worked all available hours), affirmed ineligibility for subsequent weeks, and found a fault overpayment of $5,330. Claimant appealed solely contesting the fault classification.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether Claimant’s failure to tell the Department that her five-hour workweek was a medical maximum constitutes "fault" for overpayment under 43 P.S. §874(a) | Holmes: omission was a non-intentional miscommunication; she notified Employer and, as a layperson, reasonably believed that sufficed; therefore overpayment should be non-fault. | Board: withholding material information about limiting hours made Claimant ineligible; intentional state of mind not required—withholding is sufficient for fault. | Court: Remanded. Fault requires a culpable state of mind (knowing recklessness or gross negligence) per Fugh; Board made no findings on Claimant’s state of mind, so record must be developed and Board must reconsider. |
Key Cases Cited
- Daniels v. Unemployment Compensation Board of Review, 309 A.2d 738 (Pa. Cmwlth.) (definition of "fault" as blameworthy conduct)
- Amspacher v. Unemployment Compensation Board of Review, 479 A.2d 688 (Pa. Cmwlth.) (false or untruthful statements to service center can support fault)
- Carter v. Unemployment Compensation Board of Review, 442 A.2d 1245 (Pa. Cmwlth.) (withholding information that surely would have resulted in denial supports fault)
- Fugh v. Unemployment Compensation Board of Review, 153 A.3d 1169 (Pa. Cmwlth.) (fault requires mens rea—knowing recklessness or gross negligence)
- Reading Area Water Authority v. Unemployment Compensation Board of Review, 137 A.3d 658 (Pa. Cmwlth.) (discussion of culpable conduct standard)
- Grieb v. Unemployment Compensation Board of Review, 827 A.2d 422 (Pa.) (negligence alone does not constitute willful misconduct)
- Giant Eagle, Inc. v. Unemployment Compensation Board of Review, 700 A.2d 600 (Pa. Cmwlth.) (medical restrictions, employer accommodations, and eligibility analysis)
