DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS/UNEMPLOYMENT INSURANCE AGENCY v LUCENTE; DEPARTMENT OF TALENT AND ECONOMIC DEVELOPMENT/UNEMPLOYMENT INSURANCE AGENCY v HERZOG
Docket Nos. 160843 and 160844
Michigan Supreme Court
July 30, 2021
Argued March 3, 2021 (Calendar No. 5).
Syllabus
Chief Justice: Bridget M. McCormack
Justices: Brian K. Zahra, David F. Viviano, Richard H. Bernstein, Elizabeth T. Clement, Megan K. Cavanagh, Elizabeth M. Welch
This syllabus constitutes no part of the opinion of the Court but has been prepared by the Reporter of Decisions for the convenience of the reader.
Reporter of Decisions: Kathryn L. Loomis
DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS/UNEMPLOYMENT INSURANCE AGENCY v LUCENTE
DEPARTMENT OF TALENT AND ECONOMIC DEVELOPMENT/UNEMPLOYMENT INSURANCE AGENCY v HERZOG
Docket Nos. 160843 and 160844. Argued March 3, 2021 (Calendar No. 5). Decided July 30, 2021.
The Unemployment Insurance Agency (UIA) brought actions in the Macomb and Wayne Circuit Courts against claimants Frank Lucente and Michael Herzog, respectively, to appeal the decisions of the Michigan Compensation Appellate Commission (MCAC) (whose duties have since been transferred, in part, to the Unemployment Insurance Appeals Commission) that the claimants were not required to pay restitution and fraud penalties under the Michigan Employment Security Act (MESA),
In an opinion by Chief Justice MCCORMACK, joined by Justices BERNSTEIN, CLEMENT, CAVANAGH, and WELCH (as to Parts I, II, III, IV(A), and V as it relates to
The Court of Appeals correctly held that
MCL 421.62(a) has long permitted the UIA to recover already-paid benefits when it determines that a person has obtained benefits to which that person is not entitled. AndMCL 421.62(b) provides that when the UIA determines that a person has intentionally made a false statement or misrepresentation or has concealed material information to obtain benefits, the person shall have their right to benefits canceled in addition to any other applicable penalties, e.g., the penalties for fraud described inMCL 421.54 . This language refers to the UIA making a “determination” that the claimant received an overpayment or engaged in fraud, and, significantly, a “determination” under § 62 is distinguishable from a “redetermination” under § 32a. The MESA plainly contemplates the issuance of the former before the latter. In light of this language and the different protest and appeal processes described in §§ 32a and 33, the UIA must issue an original determination that either requires restitution for an overpayment or assesses penalties for fraud. This conclusion is reinforced by the MESA‘s different time constraints for UIA action under § 62(a) and § 32a. Accordingly, the Court of Appeals correctly concluded that § 62 authorizes the UIA to make original determinations imposing restitution for an overpayment or penalties for fraud.- With respect to the “redeterminations” accusing the appellants of fraud and imposing fines and penalties under §§ 54 and 62(b), the issue of fraud does not relate to whether or not the claimant was eligible or qualified during any period of time. Whether a claimant satisfies the eligibility criteria described in § 28(1) (or might be disqualified under § 29) is distinct from whether the claimant has willfully violated or intentionally failed to comply with the MESA under
MCL 421.54(a) and from whether the claimant has made a false statement or representation knowing it to be false or has knowingly and willfully with intent to defraud failed to disclose a material fact underMCL 421.54(b) . The latter involves a culpable mental state; the former does not. Supreme Court precedent—specifically, Royster v Employment Security Comm, 366 Mich 415 (1962)—supported this understanding of the MESA. While the relevant language has changed slightly, the MESA still refers to UIA-initiated “redeterminations” as applying where there is a “disputed issue.” As in Royster, the issue of fraud was not disputed at the time these claimants received benefits; the UIA first alleged fraud when it issued the “Notice[s] of Redetermination.” The appellants’ characterization of the UIA‘s fraud decisions as untimely but otherwise valid “redeterminations” was incorrect, because the UIA must issue an original determination when it is alleging that a claimant engaged in fraud. - While the language of
MCL 421.32(f) would seem to support the view that the payment of benefits is a “determination” that these appellants were unemployed, because being unemployed is a criterion of eligibility, this conclusion was incongruous with other language in the MESA.MCL 421.62(a) allows the UIA to issue “determinations” that a claimant received a benefit to which they were not entitled. Because an overpayment necessarily involves the payment of a benefit, whenever the UIA issues a “determination requiring restitution” underMCL 421.62(a) , that same decision might be described as the UIA “redetermining” any determination on eligibility that is created by the benefit check pursuant to § 32(f). The reference in § 32(f) to a benefit check as a “determination” was best understood by reading that provision as a whole. That subsection explains that “[a] chargeable employer, upon receipt of a listing of the check as provided in [MCL 421.21(a) ], may protest by requesting a redetermination of the claimant‘s eligibility or qualification as to that period and a determination as to later weeks and benefits still unpaid that are affected by the protest.” But no text in § 32(f) refers to UIA-initiated redeterminations under § 32a. Instead, it is the employer‘s protest of the benefit-check determination that is the triggering event. This understanding is reinforced by § 32(f)‘s reference to the employer‘s receipt of a listing of the check as provided in § 21(a). Reading § 21(a) together with § 32 clarifies that, upon the filing of an initial application for benefits, every base-period employer will receive a monetary determination that indicates the claimant‘s reported reason for separation and the extent to which that employer‘s unemployment insurance account will be charged for any benefits that might be paid. The employer can protest the information reported in the monetary determination, and the employer should do so if it disagrees. If benefits are paid, the chargeable employer will receive the listing of the check as provided in § 21(a) and will have the opportunity to protest by requesting a redetermination of the claimant‘s eligibility or qualification as to that period and a determination as to later weeks and benefits still unpaid that are affected by the protest. When such a protest is made, it triggers the application of § 32(f) and the concept of the benefit-check-as-determination. Absent such a protest, the benefit check cannot serve as a “determination” for a UIA-initiated “redetermination” finding that a claimant received benefits to which they were not entitled, regardless of whether § 32a‘s time constraints have been satisfied. Moreover, construing the MESA as requiring the UIA to issue an original “determination requiring restitution” when it seeks to recover an overpayment (absent an employer‘s protest under § 32(f)) is consistent with other ways in which a claimant might receive a benefit to which they are not entitled. For these reasons, the MESA requires the UIA to proceed by way of an original “determination” when (in the absence of an employer protest) the UIA seeks to establish that a claimant received a benefit to which the claimant is not entitled and imposes restitution pursuant toMCL 421.62(a) . - The UIA‘s failure to issue “determinations” was grounds for setting aside the “redeterminations.” The MESA describes “determinations” and “redeterminations” as distinct decision-making steps, and the distinction is made plain in § 32a, which provides that a “redetermination” may affirm, modify, or reverse the prior determination. Although the MESA never provides a comprehensive definition of either term, it repeatedly refers to the process described in § 32a whenever it mentions “redeterminations.” The MESA requires the UIA to “review any determination” whenever an interested party makes a timely protest, which plainly contemplates some degree of UIA review in response to a protest, even if it ultimately affirms the prior determination or transfers the case for an administrative hearing. Such review is foreclosed if the UIA can simply begin with a “redetermination.” Holding that claimants would not suffer discernable prejudice if the UIA began at the “redetermination” step, so long as the claimant was adequately apprised of the issue and their right to appeal the decision, would allow the UIA to always begin at the “redetermination” step, without consequence. This holding would also run afoul of the rule that courts should avoid interpreting a statute in a way that renders any part of it nugatory or surplusage. While a claimant‘s right to protest the original determination and have the UIA review its decision might seem less important than the administrative hearing that follows, the wisdom of the statutory process is a question for the Legislature. The MCAC correctly concluded that the UIA must issue a “determination” before it issues a “redetermination” and that the failure to do so is grounds for setting aside a determinationless “redetermination.” To the extent the Court of Appeals held otherwise, its reasoning was rejected as incompatible with the MESA.
Court of Appeals judgment reversed.
Justice WELCH, concurring in part, dissenting in part, and concurring in the judgment, joined Parts I, II, III, and IV(A) of the majority opinion, and also joined Part V as it relates to
Justice ZAHRA, joined by Justice VIVIANO, concurring in part and dissenting in part, agreed with the majority that the Court of Appeals correctly held that
OPINION
DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS/UNEMPLOYMENT INSURANCE AGENCY, Appellee, v FRANK LUCENTE, Claimant-Appellant, and DART PROPERTIES II, LLC, Employer-Appellee; DEPARTMENT OF TALENT AND ECONOMIC DEVELOPMENT/UNEMPLOYMENT INSURANCE AGENCY, Appellee, v MICHAEL HERZOG, Claimant-Appellant, and CUSTOM FORM, INC., Employer-Appellee.
No. 160843; No. 160844
STATE OF MICHIGAN SUPREME COURT
FILED July 30, 2021
Chief Justice: Bridget M. McCormack; Justices: Brian K. Zahra, David F. Viviano, Richard H. Bernstein, Elizabeth T. Clement, Megan K. Cavanagh, Elizabeth M. Welch
BEFORE THE ENTIRE BENCH
In these cases we consider the process the defendant Unemployment Insurance Agency (the Agency) must follow when it seeks to establish that a claimant received benefits to which they were not entitled—an overpayment. Relatedly, we consider the process the Agency must follow to establish that the claimant committed fraud when the Agency seeks to impose penalties for that fraud.
Frank Lucente and Michael Herzog, the appellants, applied for and received unemployment benefits. Each found new employment before their benefits expired. Only “unemployed” individuals are eligible to receive benefits, but they continued to claim benefits while employed full-time.
The Agency issued decisions finding that the appellants received benefits they were not entitled to receive. The Agency also found, in separate decisions, that the appellants had intentionally misrepresented or concealed their employment status—that they had committed fraud. The Agency identified these decisions as “redeterminations.”
The Agency now acknowledges that it should have issued original “determinations” and not “redeterminations.” Characterizing its error as a mere mislabeling, the Agency argues that its mistake does not provide grounds for setting aside the “redeterminations” because the decisions adequately apprised the appellants of the Agency‘s various findings and did not prevent the appellants from pursuing administrative
We conclude otherwise. Allowing the Agency to begin at the “redetermination” step would deprive unemployment claimants of their statutory right to protest an allegation of benefit fraud and have the Agency review that decision before the claimant files an administrative appeal. The Michigan Employment Security Act (MESA),
I. THE STATUTORY PROCESS
The statutory provisions that govern the timelines and procedures the Agency must follow when it evaluates a claim for unemployment benefits, including review for overpayments and benefit fraud, are not especially user-friendly. But understanding this statutory process is the first step to understanding the parties’ disagreements.
Subsection 32(a) of the MESA directs the Agency to “promptly examine claims,” “make a determination on the facts,” and “promptly notif[y]” the “claimants and other interested parties . . . of the determination and the reasons for the determination.”
The MESA does not define the term “determination,” but the act tells us in what circumstances a “determination” can be made. In the context of a claim for benefits, a “determination” is an official decision by the Agency that involves agency fact-finding and application of law (the MESA) to those facts. See Black‘s Law Dictionary (11th ed) (defining “determination” as “[t]he act of deciding something officially“).
The MESA requires the Agency to issue a specific type of determination when an application for benefits is filed. This is the “monetary determination,” and it is described in § 32(b):
The unemployment agency shall mail to the claimant, to each base period employer or employing unit, and to the separating employer or employing unit, a monetary determination. The monetary determination shall notify each of these employers or employing units that the claimant has filed an application for benefits and the amount the claimant reported as earned with the separating employer or employing unit, and shall state the name of each employer or employing unit in the base period and the name of the separating employer or employing unit. The monetary determination shall also state the claimant‘s weekly benefit rate, the amount of base period wages paid by each base period employer, the maximum benefit amount that could be charged to each employer‘s account or experience account, and the reason for separation reported by the claimant. The monetary determination shall also state whether the claimant is monetarily eligible to receive unemployment benefits. Except for separations under section 29(1)(a), no further reconsideration of a separation from any base period employer will be made unless the base period employer notifies the unemployment agency of a possible disqualifying separation within 30 days of the separation in accordance with this subsection. Charges to the employer and payments to the claimant shall be as described in section 20(a). New, additional, or corrected information received by the unemployment agency more than 10 days after mailing the monetary determination shall be considered a request for reconsideration by the employer of the monetary determination and shall be reviewed as provided in section 32a. [
MCL 421.32(b) (emphasis added).]
The monetary determination will indicate whether the claimant is “monetarily eligible“; that is, whether the claimant‘s base-period1 wages are sufficient. See id. The (somewhat misnamed) monetary determination will also include non-monetary information: namely, the claimant‘s reported
The MESA does not require the Agency to issue any additional “determinations” in connection with an application for benefits unless the claimant‘s reported reason(s) for separation are disputed by an employer, see id., “the claimant‘s most recent base period or benefit year separation was for a reason other than the lack of work,”
Subsections (a) through (c) facilitate the expeditious resolution of whether the applicant is due unemployment benefits.
If the claimant‘s application for benefits is approved, they will be allowed to claim (certify for) benefits. See
Sometimes a claimant is paid a benefit they were not entitled to receive. The MESA directs the Agency to recover these overpayments. See
MESA also directs the Agency to
If a claimant or employer disagrees with any “determination” made by the Agency, the MESA provides them with the right to request a “review of [the] determination.” This is known as a “protest,” and it is described in
Upon application by an interested party for review of a determination, upon request for transfer to an administrative law judge for a hearing filed with the unemployment agency within 30 days after the mailing or personal service of a notice of determination, or upon the unemployment agency‘s own motion within that 30-day period, the unemployment agency shall review any determination. After review, the unemployment agency shall in its discretion issue a redetermination affirming, modifying, or reversing the prior determination and stating the reasons for the redetermination, or may transfer the matter to an administrative law judge for a hearing. If the unemployment agency issues a redetermination, it shall promptly notify the interested parties of the redetermination. The redetermination is final unless within 30 days after the mailing or personal service of a notice of the redetermination an appeal is filed with the unemployment agency for a hearing on the redetermination before an administrative law judge pursuant to section 33.
In order to be timely, a protest must be made “within 30 days after the mailing or personal service of [the] notice of determination[.]”
also review a prior determination in the absence of a protest so long as it does so within the same 30-day period. Id. In either situation, the Agency “shall review [the] determination” and either (i) issue a “redetermination” that affirms, modifies, or reverses the determination, or (ii) transfer the matter for an administrative hearing. Id.
Agency-initiated review of a prior determination can occur outside the 30-day period. See
A claimant or employer who disagrees with a redetermination can appeal the decision to an administrative law judge (ALJ). See
can be taken from the ALJ‘s decision to the Michigan Compensation Appellate Commission (MCAC)7 and then from the MCAC to the circuit court.
With this understanding of the MESA, we turn to the disputed questions.
II. BASIC FACTS AND PROCEDURAL HISTORY
Claimant-appellants Frank Lucente and Michael Herzog filed applications for unemployment insurance benefits. The Agency determined that benefits were due, and the appellants began the every-other-week process of certifying for benefits.
Both appellants became employed full-time after the initial approval of their claims. This new employment made them ineligible to receive further benefits. See
Eventually the Agency discovered the overpayments and suspected fraud. The Agency issued documents entitled “Notice[s] of Redetermination.” Two notices were issued to each appellant. One of the notices described the appellant‘s new employment and explained that it made the appellant ineligible to receive the already-paid benefits. The other notice alleged that the appellant had intentionally concealed their new employment from the Agency (on the basis of the answers provided while certifying). The notices
further explained that the appellants had the right to appeal these “redeterminations” under § 33 and provided instructions on how to exercise that right. The Agency also mailed each appellant a separate document that stated the appellants’ repayment obligations: restitution for the overpayment and financial penalties for the fraud.
Both sets of notices were issued within a year of the benefit payments at issue but more than 30 days after the last payment.8 The appellants appealed both of the “redeterminations,” as the MESA allows.
In Lucente, the ALJ affirmed both of the Agency‘s November 30, 2010 redeterminations following a hearing at which Lucente testified, but the MCAC reversed. Regarding the finding of ineligibility due to full-time employment, the MCAC concluded that the November 30, 2010 redetermination was not a valid “redetermination” unless the payment of benefits was considered an original determination that Lucente was unemployed for those weeks. See
for benefits.“). The MCAC further reasoned that the redetermination (if in fact it was a “redetermination“) wasn‘t issued within 30 days of any benefit check and the Agency had failed to establish (or even assert) “good cause” for reviewing a prior determination outside the 30-day window for a timely protest.10 See
In a separate opinion that addressed the alleged fraud, the MCAC similarly concluded that the Agency‘s failure to issue an original “determination” on the issue of fraud was grounds for setting aside that “redetermination.” In addressing the Agency‘s contention that the benefit check could serve as the original determination for the fraud decision, see
In Herzog, the ALJ issued an order setting aside both “redeterminations” prior to the scheduled hearing. The order cited the Agency‘s failure to issue original “determinations” on eligibility and fraud. The MCAC affirmed in a single opinion that adopted the ALJ‘s factual findings and conclusions of law.
In each case the Agency appealed the MCAC‘s decisions in the circuit court, which affirmed the MCAC.
The Agency sought leave to appeal in the Court of Appeals, which granted the applications, consolidated the appeals, and in a published opinion “conclude[d] that in each consolidated case, the circuit court did not apply the correct legal principles when it affirmed the decisions of the MCAC.” Dep‘t of Licensing & Regulatory Affairs/Unemployment Ins Agency v Lucente, 330 Mich App 237, 266; 946 NW2d 836 (2019).11
The panel held that the Agency‘s identification of its decisions as “redeterminations” was not grounds for setting aside the decisions. Id. at 259-260, 264, 266. The panel reasoned that the appellants hadn‘t suffered any prejudice as a result of the Agency‘s failure to first issue determinations because the redeterminations adequately described the reason for the appellants’ ineligibility and the alleged fraud (their full-time employment and failure to disclose it), stated the relevant time period, informed the appellants what they owed in restitution and penalties, and explained that the appellants could appeal the “redeterminations.” Id.
Addressing the claimants’ argument that the Agency must issue a “redetermination” within 30 days of the underlying determination, the panel held that in both cases the Agency was not proceeding under § 32a but rather § 62; thus, the Agency
We granted the appellants’ joint application for leave to appeal to decide two issues:
whether the Court of Appeals erred in its analysis of §§ 32, 32a, and 62 of the Michigan Employment Security Act of 1936 (MESA),
MCL 421.1 et seq., when it held that: (1) the Unemployment Insurance Agency is not required to comply with the time requirements set forth in § 32a when seeking to recoup payment of fraudulently obtained benefits under § 62 of the Act; and (2) the label that the agency used on its decisions was not determinative of its ability to seek to recoup improperly obtained benefits. [Dep‘t of Licensing & Regulatory Affairs/Unemployment Ins Agency v Lucente, 505 Mich 1127, 1127 (2020).]
III. APPLICABLE STANDARDS OF REVIEW
In reviewing administrative adjudication decisions, our task is “to determine whether the lower court[s] applied correct legal principles and whether [they] misapprehended or misapplied the substantial evidence test to the agency‘s factual findings[.]‘” Hodge v US Sec Assoc, Inc, 497 Mich 189, 194; 859 NW2d 683 (2015) (citation omitted). Whether an administrative agency exceeded its scope of authority or misapplied the law are questions of law that are reviewed de novo. See In re Reliability Plans of Electric Utilities for 2017-2021, 505 Mich 97, 118; 949 NW2d 73 (2020). Questions of statutory interpretation are also reviewed de novo. Id.
IV. DISCUSSION
The appellants present two reasons for reinstating the MCAC‘s decisions.
The first concerns timeliness. Quoting the first sentence of
payments (and not mislabeled “determinations“) and therefore subject to the time limitations in
The Court of Appeals rejected this first argument because it concluded that the Agency was proceeding under
Accepting the Court of Appeals’ recharacterization of the Agency‘s process as having taken place under
In other words, the appellants accuse the Agency of having its cake and eating it too. Either the decisions are untimely “redeterminations,” or the Agency failed to follow the statutory process for making a valid “determination.”
A. SECTION 62 REQUIRES THE AGENCY TO ISSUE ORIGINAL “DETERMINATIONS” ON OVERPAYMENTS AND FRAUD
Starting with
A “determination” under
In light of this language, and mindful of the different protest and appeal processes described in
Our conclusion is reinforced by the MESA‘s various time constraints for Agency action. During the periods here at issue,
For these reasons, we agree with the Court of Appeals that
B. A DECISION REQUIRING RESTITUTION OR ALLEGING FRAUD CANNOT BEGIN WITH A “REDETERMINATION” UNDER § 32a
We next consider the appellants’ argument that the Agency did not mislabel its decisions as “redeterminations” and that the true mistake relates to the timeliness of the decisions.
This argument is premised on statutory language that is now located at
The issuance of each benefit check shall be considered a determination by the unemployment agency that the claimant receiving the check was covered during the compensable period, and eligible and qualified for benefits. A chargeable employer, upon receipt of a listing of the check as provided in section 21(a), may protest by requesting a redetermination of the claimant‘s eligibility or qualification as to that period and a determination as to later weeks and benefits still unpaid that are affected by the protest. Upon receipt of the protest or request, the unemployment agency shall investigate and redetermine whether the claimant is eligible and qualified as to that period. If, upon the redetermination, the claimant is found ineligible or not qualified, the unemployment agency shall proceed as described in section 62. In addition, the unemployment agency shall investigate and determine whether the claimant obtained benefits for 1 or more preceding weeks within the series of consecutive weeks that includes the week covered by the redetermination and, if so, shall proceed as described in section 62 as to those weeks. [
MCL 421.32(f) , as amended by 2013 PA 144.]13
Focusing on the phrase “eligible and qualified for benefits,” the appellants urge that the “Notice[s] of Redeterminations” here are properly viewed as untimely “redeterminations” of the “determination” created by the benefit payment.
We address this argument with respect to each “redetermination” separately—that these appellants were not “unemployed” and owe restitution for the overpayments, and that they committed fraud and are subject to fines and penalties.
1. A BENEFIT CHECK IS NOT A “DETERMINATION” ON THE ISSUE OF FRAUD
Starting with the “redeterminations” accusing the appellants of fraud and imposing fines and penalties under
Our precedent supports this understanding of the MESA. In Royster v Employment Security Comm, 366 Mich 415; 115 NW2d 106 (1962), the plaintiff filed a claim for unemployment benefits with the benefit year commencing on January 12, 1958. On March 6, 1959, more than a year after the plaintiff received a benefit check, the employer charged for the benefit discovered that it had paid the plaintiff wages for the same week as the benefit. The Agency later issued a decision finding that the plaintiff had intentionally failed to disclose his earnings for the week ending January 25, 1958, resulting in an overpayment. Royster, 366 Mich at 417-418. The plaintiff challenged the Agency‘s decision by arguing that, pursuant to
the [Agency‘s] issuance and providing of a copy of [the] benefit check to the employer constitutes a determination of the charge to the rating account . . . . Then plaintiff stresses that section 32a14 limits to 1 year, after such mailing
to the employer, the period within which a commission redetermination of eligibility may be made. Here it did not occur until after [the employer‘s protest] on February 4, 1959. At that time, says plaintiff, no jurisdiction longer remained in the commission to make a redetermination. [Id. at 419-420.]
The employer rejoined that the Agency did have jurisdiction, even though its decision issued more than a year after the benefit was paid. Focusing on the statutory phrase “no such reconsideration shall be made after 1 year from the date of mailing of the original determination on the disputed issue,” see
Chrysler says that the matter of plaintiff‘s intentional concealment of his earnings for the week ending January 25, 1958, is now the disputed issue but was not at issue at the time when the January 29, 1958, original determination of eligibility was made by giving him a benefit check for $44 and sending Chrysler a copy. Plaintiff responds that the issue, both at the time the original determination was made and after Chrysler‘s February 4, 1959, protest and request for redetermination, was whether plaintiff was eligible for benefits for the week ending January 25, 1958. To that, Chrysler says that if that view be adopted, then there is always a disputed issue at the time of original determination and issuance of a benefit check and mailing of copy of same to employer, and that, hence, the words “on the disputed issue” are useless and redundant in the statute, because use of the term “original determination” would have sufficed to fix the time for commencement of the 1-year limitation period, to which the modifying quoted words then would add nothing. So, says Chrysler, the presently disputed issue is whether plaintiff intentionally concealed his earnings for the week in question, and that it became the disputed issue only after [Chrysler‘s] protest on February 4, 1959.
* * *
The words “disputed issue,” as used in section 32a, refer to a contested issue or a matter in dispute between the employer and the commission. In such disputed matters relief must be requested within 15 days or within 1 year for good cause shown. In our opinion matters not in dispute, such as payments voluntarily made and accepted, do not fall within the restrictions of section 32a. [Id. at 420-421 (quotation marks and citations omitted; emphasis added).]
While the language has changed slightly, the MESA still refers to Agency-initiated “redeterminations” as applying where there is a “disputed issue.” See
For these reasons, we disagree with the appellants’ characterization of the Agency‘s fraud decisions as untimely but otherwise valid “redeterminations.” The Agency must issue an original “determination” when it is alleging that a claimant engaged in fraud.
2. THE AGENCY WAS REQUIRED TO ISSUE ORIGINAL “DETERMINATIONS” ADDRESSING THE APPELLANTS’ INELIGIBILITY
The interplay between
At first glance, the language of
We believe that
This understanding is reinforced by
The [Agency] shall currently provide each employer with copies or listings of the benefit checks charged against that employer‘s account. An employer determined by the agency to be a successor employer shall begin receiving the listings effective for weeks beginning after the mailing of the determination of successorship. The copies or listings shall show the name and social security account number of the payee, the amount paid, the date of issuance, the week of unemployment for which the check was issued, the name or account number of the chargeable employer, upon request a code designation of the place of employment by the chargeable employer, and additional information as may be deemed pertinent. The copies or listings shall constitute a determination of the charge to the employer‘s account. The determination shall be final unless further proceedings are taken in accordance with section 32a.
The [Agency] shall furnish at least quarterly, to each employer, a statement summarizing the total of the benefits charged against the employer‘s account during the period. If the employer requests, the summary shall be broken down by places of employment.
The [Agency] shall notify each employer, not later than 6 months after the computation date, of his rate of contributions as determined for any calendar year pursuant to section 19. The statement or determination shall be final unless further proceedings are taken in accordance with section 32a. However, on request an employer shall be given an extension of 30 days’ additional time in which to apply for the review and redetermination. [
MCL 421.21(a) .]
Reading
Moreover, construing the MESA as requiring the Agency to issue an original “determination requiring restitution” when it seeks to recover an overpayment (absent an employer‘s protest under
For these reasons, we conclude that the MESA requires the Agency to proceed by way of an original “determination” when (in the absence of an employer protest) the Agency seeks to establish that a claimant received a “benefit to which [the claimant] is not entitled” and imposes restitution pursuant to
C. THE AGENCY‘S FAILURE TO ADHERE TO THE STATUTORY PROCESS IS GROUNDS FOR INVALIDATING ITS DECISIONS
Finally, we consider whether the Agency‘s failure to issue “determinations” is grounds for setting aside the “redeterminations.”
We first note that in both of these cases the Agency issued the “Notice[s] of Redetermination” well within the three-year time limit described in
The MESA describes “determinations” and “redeterminations” as distinct decision-making steps. This makes sense given the ordinary understanding of both words: the former necessarily precedes the latter. The distinction is made plain in
The Agency accepts this basic distinction between “determinations” and “redeterminations.” Perhaps recognizing the problem created by its failure to assert “good cause” when it issued these decisions, the Agency‘s position in this Court is that these “Notice[s] of Redetermination” were “for all intents and purposes . . . original written ‘determination[s]’ on the ineligibility and fraud issues[.]” Nevertheless, the Agency contends that invalidating the decisions because they were “redeterminations” would “elevate form over substance.” The Agency takes the view that it doesn‘t really matter if it begins with a “redetermination” because there is always the opportunity for de novo review by an ALJ. See
The Agency‘s argument might be a good one if the question was whether these appellants received constitutionally adequate process. After all, “the right to a hearing before an unbiased and impartial decisionmaker is a basic requirement of due process.” Livonia v Dep‘t of Social Servs, 423 Mich 466, 508; 378 NW2d 402 (1985).
But that‘s not the question we are answering. Just as we require claimants and chargeable employers to follow the procedural and substantive requirements of the MESA, so too must the Agency. See In re Reliability Plans, 505 Mich at 119; see also Coffman v State Bd of Examiners in Optometry, 331 Mich 582, 589; 50 NW2d 322 (1951) (explaining that an administrative agency cannot “enlarge its authority or exceed the powers given to it by the statute, the source of its power“) (quotation marks and citations omitted).
Here, the MESA provides that “the unemployment agency shall review any determination” whenever an interested party makes a timely protest.
But when we interpret a statute, we try to avoid an interpretation that makes nugatory or surplusage any part of it. See, e.g., Jesperson v Auto Club Ins Ass‘n, 499 Mich 29, 34; 878 NW2d 799 (2016) (“[W]hen determining [legislative] intent we must give effect to every word, phrase, and clause in a statute and avoid an interpretation that renders nugatory or surplusage any part of a statute.“) (quotation marks and citation omitted). The Agency‘s “no harm, no foul” argument and the Court of Appeals’ endorsement of it are contrary to this basic principle.
We can‘t ignore the statutory right to protest a “determination” simply because other sections of the MESA provide further (and arguably greater) process. Affirming the reasoning of the Court of Appeals would allow the Agency to begin at the “redetermination” step without ever issuing a “determination” in every instance. And while a claimant‘s right to protest the original determination and have the Agency review its decision might seem less important than the administrative hearing that follows, the wisdom of the statutory process is a question for the Legislature.
The MCAC correctly concluded that the Agency must issue a “determination” before it issues a “redetermination” and that the failure to do so is grounds for setting aside a determinationless “redetermination.” To the extent the Court of Appeals held otherwise, its reasoning is rejected as incompatible with the MESA.
V. CONCLUSION AND RELIEF
We agree with the Court of Appeals that
We disagree, however, that the Agency‘s decision to issue “redeterminations” in these cases was of no substantive effect.
We hold that the Agency must issue an original determination alleging fraud and that the Agency‘s failure to do so is grounds for invalidating the “redeterminations” in this case. On this issue the payment of benefits cannot serve as an original “determination” on the alleged fraud, and the Agency‘s issuance of determinationless “redeterminations” deprives claimants of their right to protest.
We likewise conclude that the Court of Appeals erred in its analysis of the “redeterminations,” finding the claimants not unemployed and imposing restitution for the overpayments. When Agency-initiated review of a past-paid benefit results in a decision that the claimant received benefits
Accordingly, the judgment of the Court of Appeals is reversed.
Bridget M. McCormack
Richard H. Bernstein
Elizabeth T. Clement
Megan K. Cavanagh
Elizabeth M. Welch (as to Parts I, II, III, IV(A), and V as it relates to MCL 421.62 and determinations concerning fraud and restitution)
STATE OF MICHIGAN
SUPREME COURT
DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS/UNEMPLOYMENT INSURANCE AGENCY,
Appellee,
v
FRANK LUCENTE,
Claimant-Appellant,
and
DART PROPERTIES II, LLC,
Employer-Appellee.
No. 160843
DEPARTMENT OF TALENT AND ECONOMIC DEVELOPMENT/UNEMPLOYMENT INSURANCE AGENCY,
Appellee,
v
MICHAEL HERZOG,
Claimant-Appellant,
and
CUSTOM FORM, INC.,
Employer-Appellee.
No. 160844
WELCH, J. (concurring in part, dissenting in part, and concurring in the judgment).
I agree with much of the majority opinion and concur in the judgment. I agree that allegations of fraud and the imposition of restitution are distinct from the redetermination of a claimant‘s eligibility or qualification for benefits, and thus such matters and associated penalties must be raised in an original determination invoking
On the other hand, I read certain portions of the Michigan Employment Security Act (MESA),
I. FACTS AND ADMINISTRATIVE PROCEDURAL BACKGROUND
I join Part II of the majority opinion because it is an accurate statement of the “basic facts and procedural history,” but I believe the statement is incomplete as to certain relevant details and nuances. Accordingly, I offer the following for additional context that is relevant to my understanding of these cases.
A. LUCENTE
Claimant Frank Lucente applied for extended unemployment benefits on February 2, 2010, and he was approved and received benefits from the UIA. See
On or about July 7, 2010, the UIA mailed a request for information to Lucente‘s address on file and to Dart Properties, which soon responded and notified the UIA of Lucente‘s employment. On or about November 30, 2010, the UIA sent
The first redetermination (the eligibility redetermination) involved Lucente‘s eligibility for unemployment benefits from February 20, 2010, through June 19, 2010, and stated:
YOU WORKED FULL-TIME FOR DART PROPERTIES II LLC BEGINNING 2/16/10. AS SUCH, YOU ARE INELIGIBLE FOR BENEFITS UNDER SECTION 48 [MCL 421.48] OF THE [MESA]. YOU WERE PAID, SO RESTITUTION IS REQUIRED, AS SHOWN, UNDER SECTION 62 [MCL 421.62] OF THE ACT.
The second redetermination (the fraud redetermination) involved Lucente‘s use of fraud to improperly obtain unemployment benefits from February 20, 2010, through June 19, 2010, and stated:
YOUR ACTIONS ARE CONSIDERED TO HAVE BEEN INTENTIONAL BECAUSE YOU FAILED TO NOTIFY THIS AGENCY THAT YOU WERE WORKING FULL-TIME AND CONTINUED TO COLLECT BENEFITS FOR FOUR MORE MONTHS. YOU INTENTIONALLY WITHHELD INFORMATION TO OBTAIN BENEFITS. YOU ARE DISQUALIFIED UNDER SECTIONS 62(B) AND 54(B) [MCL 421.54(b)] OF THE [MESA].
[Dep‘t of Licensing & Regulatory Affairs/Unemployment Ins Agency v Lucente, 330 Mich App 237, 242; 946 NW2d 836 (2019) (alterations in original).]
The UIA also sent a “Non-Protestable Summary of Previously (Re) Determined Restitution” on December 1, 2010, stating that Lucente was obligated to repay $4,794 in wrongfully received benefits and $18,276 in penalties for wrongfully obtained benefits from February 20, 2010 through June 19, 2010.
I agree with the majority opinion‘s summary of the litigation history of Lucente‘s case but wish to add two additional details. First, if the notices sent to Lucente were redeterminations issued under
B. HERZOG
In February 2016 claimant Michael Herzog applied and was approved for unemployment benefits. For reasons that are not clear from the record, Herzog did not receive his first benefit check until June 2016. On October 10, 2016, Herzog obtained full-time employment with Custom Form, Inc. Despite this, Herzog continued to certify that he was unemployed and continued to receive benefits for the period covering October 15, 2016, through November 12, 2016.
On October 11, 2017, the UIA sent Herzog a “Notice of Redetermination” for Case No. 0-009-757-100, which stated the following:
There is a question in regard to your employment status.
You began working full-time for CUSTOM FORM, INC from October 10, 2016 through March 3, 2017. You are not eligible for benefits while working full-time.
You are ineligible for benefits under MES Act, Sec. 48 from October 9, 2016 through March 4, 2017. You will not receive benefit payments during this period. * * *
Calculation of interest and penalty amount is shown later on this form.
If you disagree with this redetermination, refer to Appeal Rights” [sic] on the reverse side of this form.
Herzog received a second “Notice of Redetermination” from the UIA, also dated October 11, 2017, for Case No. 0-009-757-101, stating as follows:
This (re)determination is being issued as a result of the determination in case 0-009-757-100 involving Not Unemployed 48.
You received benefits based on the case referenced above. These payments . . . are now found to be improper because you were found ineligible for benefits due to reporting your earnings improperly. Your actions indicate you intentionally misled and/or concealed information to obtain benefits you were not entitled to receive. Benefits will be terminated on any claims active on October 8, 2016.
You are disqualified for benefits under MES Act Sec. 62(b). Restitution is due under MES Act, Sec. 62(a). The wages used to establish your claim are cancelled and no further benefits will be paid based on those wages. In addition, you are required to pay the penalty assessed based on this determination under MES Act, Sec. 54(b). . . .
* * *
Calculation of interest and penalty amount is shown later on this form.
In a separate document dated October 11, 2017, titled “Restitution” and citing ”
Unlike Lucente, Herzog promptly contested the redeterminations. As later explained in two letters sent to the UIA, Herzog claimed a mistaken understanding of how many weeks of benefits he was entitled to, agreed to make payments for the principal amount, challenged the fraud penalties, and invoked his right to appeal. An ALJ entered an order setting aside the redetermination notices before the scheduled hearing. As in Lucente‘s case, the UIA did not argue that the redeterminations should be treated as mislabeled determinations until the appeal to circuit court.
II. LEGAL ANALYSIS
I join the majority opinion‘s overview of the MESA in Part I and agree with the standard of review provided in Part III. I further agree with the majority opinion‘s conclusion that
A. THE MESA PROVIDES A SAFETY NET DESIGNED TO MITIGATE THE FINANCIAL HARMS OF INVOLUNTARY UNEMPLOYMENT WHILE AVOIDING FRAUDULENT ABUSES OF THE SYSTEM
In 1936, during the Great Depression, the Michigan Legislature created the MESA to “protect the welfare of the people of this state through the establishment of an unemployment compensation fund,” to “provide for the protection of the people of this state from the hazards of unemployment,” and to “provide for . . . compliance with the provisions of the social security act and the Wagner-Peyser act passed by the Congress of the United States of America[.]” 1936 (Ex Sess) PA 1, title. The Legislature summarized these purposes as an explicit statement of public policy in 1936 (Ex Sess) PA 1, § 2, which was codified at
Michigan‘s modern unemployment insurance benefits program was born from and is governed by the MESA. It was thus designed as a social safety net “primarily for the benefit of persons involuntarily unemployed. Its purpose is to lighten the burden of economic insecurity on those who become unemployed through no fault of their own.” Empire Iron Mining Partnership v Orhanen, 455 Mich 410, 417; 565 NW2d 844 (1997). “As the MESA is a remedial statute, it should be liberally construed to achieve its intended goal.” Id. These consolidated cases demonstrate the tension between the state‘s administration of the unemployment insurance program and its efforts to prevent fraudulent abuses of the program.
B. REDETERMINATION CHECKS ARE DETERMINATIONS OF A CLAIMANT‘S CONTINUED ELIGIBILITY AND QUALIFICATION TO RECEIVE BENEFITS
Lucente‘s and Herzog‘s challenged redeterminations were issued on or about November 30, 2010, and October 11, 2017, respectively. At those times, the MESA provided that once “a determination, redetermination, or decision is made that benefits are due an unemployed individual,” those benefits “become payable . . . and continue to be payable to the unemployed individual,” subject to monetary entitlement limitations, “until the determination, redetermination, or decision is reversed, [or] a determination, redetermination, or decision on a new issue holding the individual disqualified or ineligible is made . . . .”
During the administrative proceedings, the parties did not dispute that a benefit check constitutes a determination under the MESA. This is unsurprising considering longstanding statutory language on this precise point. “[T]he issuance of each benefit check shall be considered a determination by the [UIA] that
While this portion of the MESA has been modified and renumbered over time, for more than 50 years
This makes sense when one considers the biweekly certification requirements for claimants receiving benefits under the MESA. As
C. REDETERMINATION OF ELIGIBILITY
I would analyze the contested notices sent as what they purport to be—redeterminations. I disagree with the majority opinion‘s conclusion in Part IV(B)(2) that a benefit-check determination cannot serve as the basis for redetermining a claimant‘s eligibility to receive benefits. I would hold that the redeterminations issued were appropriate, subject to a finding on the timeliness requirement of
(1) Upon application by an interested party for review of a determination, upon request for transfer to an administrative law judge for a hearing filed with the unemployment agency within 30 days after the mailing or personal service of a notice of determination, or upon the unemployment agency‘s own motion within that 30-day period, the unemployment agency shall review any determination. After review, the unemployment agency shall issue a redetermination affirming, modifying, or reversing the prior determination and stating the reasons for the redetermination, or may in its discretion transfer the matter to an administrative law judge for a hearing. If a redetermination is issued, the unemployment agency shall promptly notify the interested parties of the redetermination, the redetermination is final unless within 30 days after the mailing or personal service of
a notice of the redetermination an appeal is filed with the unemployment agency for a hearing on the redetermination before an administrative law judge in accordance with section 33. (2) The unemployment agency may, for good cause, including any administrative clerical error, reconsider a prior determination or redetermination after the 30-day period has expired and after reconsideration issue a redetermination affirming, modifying, or reversing the prior determination or redetermination, or transfer the matter to an administrative law judge for a hearing. A reconsideration shall not be made unless the request is filed with the unemployment agency, or reconsideration is initiated by the unemployment agency with notice to the interested parties, within 1 year from the date of mailing or personal service of the original determination on the disputed issue. [MCL 421.32a, as amended by 2011 PA 269 (emphasis added).]
A redetermination under the MESA is thus a reversal, affirmation, or modification of a prior determination based on some change in the relevant facts or law. The UIA is generally limited to 30 days to self-initiate reconsideration of a prior determination under
Juxtaposing
As I read the statute, there are no limitations in
In light of my conclusion about benefit checks and the lack of subject-matter limitations imposed on agency-initiated redeterminations, I conclude that the UIA did not exceed its authority by reconsidering Lucente‘s and Herzog‘s eligibility to receive benefits through redeterminations. Had these redeterminations been made within 30 days of and limited to a specific benefit check, or in Lucente‘s case his approval for extended benefits, then
The majority opinion states that the UIA-initiated redeterminations of eligibility issued in these cases were invalid. But the MESA requires a claimant to continue filing claims for benefits during each biweekly period,
I disagree with the majority opinion‘s attempt to limit the UIA‘s authority under
But triggering event of what? An employer protest triggers a protest-initiated reconsideration and, if appropriate, further proceedings under
D. ACCUSATIONS OF FRAUD AND RESTITUTION
Despite my reservations about relying on Royster, I agree with the majority opinion that whether Lucente or Herzog intentionally concealed information from the UIA was not a “disputed issue” when the initial eligibility determinations or benefit-check determinations were made for the purposes of
I also agree that
(a) If the commission determines that a person has obtained benefits to which that person is not entitled, the commission may recover a sum equal to the amount received by 1 or more of the following methods: . . . The commission shall not recover improperly paid benefits from an individual more than 3 years, or more than 6 years in the case of a violation of section 54(a) or (b)11 or sections 54a to 54c, after the date of receipt of the improperly paid benefits unless: (1) a civil action is filed in a court by the commission within the 3-year or 6-year period, (2) the individual made an intentional false statement, misrepresentation, or concealment of material information to obtain the benefits, or (3) the commission issued a determination requiring restitution within the 3-year or 6-year period. . . .
(b) . . . For benefit years beginning after the conversion date prescribed in section 75, if the commission determines that a person has intentionally made a false statement or misrepresentation or has concealed material information to obtain benefits, whether or not the person obtains
benefits by or because of the intentional false statement, misrepresentation, or concealment of material information, the person shall, in addition to any other applicable penalties, have his or her rights to benefits for the benefit year in which the act occurred canceled
(c) Any determination made by the commission under this section is final unless an application for a redetermination is filed with the commission in accordance with section 32a.
(d) The commission shall take the action necessary to recover all benefits improperly obtained or paid under this act, and to enforce all penalties under subsection (b). [MCL 421.62, as amended by 1995 PA 125 (emphasis added).]
The repeated use of “determines” throughout
Section 62 is less clear, however, with regard to Herzog‘s case. In October 2017, the time relevant to Herzog‘s case,
(a) If the unemployment agency determines that a person has obtained benefits to which that person is not entitled, or a subsequent determination by the agency or a decision of an appellate authority reverses a prior qualification for benefits, the agency may recover a sum equal to the amount received plus interest by 1 or more of the following methods: . . . The unemployment agency shall issue a determination requiring restitution
within 3 years after the date of finality of a determination, redetermination, or decision reversing a previous finding of benefit entitlement. Except in the case of benefits improperly paid because of suspected identity fraud, the unemployment agency shall not initiate administrative or court action to recover improperly paid benefits from an individual more than 3 years after the date that the last determination, redetermination, or decision establishing restitution is final. Except in the case of benefits improperly paid because of suspected identity fraud, the unemployment agency shall issue a determination on an issue within 3 years from the date the claimant first received benefits in the benefit year in which the issue arose, or in the case of an issue of intentional false statement, misrepresentation, or concealment of material information in violation of section 54(a) or (b) or sections 54a to 54c, within 3 years after the receipt of the improperly paid benefits unless the unemployment agency filed a civil action in a court within the 3-year period; the individual made an intentional false statement, misrepresentation, or concealment of material information to obtain the benefits; or the unemployment agency issued a determination requiring restitution within the 3-year period. . . .
(b) For benefit years beginning on or after October 1, 2000, if the unemployment agency determines that a person has intentionally made a false statement or misrepresentation or has concealed material information to obtain
benefits, whether or not the person obtains benefits by or because of the intentional false statement, misrepresentation, or concealment of material information, the person shall, in addition to any other applicable interest and penalties, have his or her rights to benefits for the benefit year in which the act occurred canceled as of the date the claimant made the false statement or misrepresentation or concealed material information, and wages used to establish that benefit year shall not be used to establish another benefit year. . . . (c) Any determination made by the unemployment agency under this section is final unless an application for a redetermination is filed in accordance with section 32a.
(d) The unemployment agency shall take the action necessary to recover all benefits improperly obtained or paid under this act, and to enforce all interest and penalties under subsection (b). [MCL 421.62, as amended by 2016 PA 522 (emphasis added).]
In November 2017,
If the unemployment agency determines that a person has obtained benefits to which that person is not entitled, or a subsequent determination by the agency or a decision of an appellate authority reverses a prior qualification for benefits, the agency may recover a sum equal to the amount received plus interest .... The [UIA] shall issue a determination requiring restitution within 3 years after the date of finality of a determination, redetermination, or decision reversing a previous finding of benefit entitlement. [MCL 421.62(a), as amended by 2016 PA 522 (emphasis added).]
In 2010,
III. REMEDY
I join Part IV(C) of the majority opinion to the extent that it invalidates the UIA‘s decisions as to fraud and restitution and requires the UIA to respect the legal and procedural distinctions between a determination and redetermination. However, I believe the Court should uphold the redetermination notices as they relate to the claimant‘s eligibility, subject to the “good cause” requirement of
Elizabeth M. Welch
STATE OF MICHIGAN
SUPREME COURT
DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS/UNEMPLOYMENT INSURANCE AGENCY,
Appellee,
v
FRANK LUCENTE,
Claimant-Appellant,
and
DART PROPERTIES II, LLC,
Employer-Appellee.
No. 160843
DEPARTMENT OF TALENT AND ECONOMIC DEVELOPMENT/UNEMPLOYMENT INSURANCE AGENCY,
Appellee,
v
MICHAEL HERZOG,
Claimant-Appellant,
and
CUSTOM FORM, INC.,
Employer-Appellee.
No. 160844
ZAHRA, J. (concurring in part and dissenting in part).
I join the Court in affirming the Court of Appeals’ holding that
I dissent, however, from the majority‘s form-over-substance holding: that the notices sent to these claimants are really redeterminations.1 In my view, the Agency‘s notices are, in substance,
The majority‘s ruling—that the notices are redeterminations because they are labeled as such—is contrary to well-settled administrative law, which plainly supports my substance-over-form approach. Azar v Allina Health Servs dealt with whether the federal Department of Health and Human Services—which administers Medicare through one of its operating divisions, the Centers for Medicare & Medicaid Services—was required to go through a notice-and-comment process to issue any “‘statement of policy . . . that establishes or changes a substantive legal standard . . . .‘”3 The Supreme Court of the United States held that a period of notice and comment was required. In so holding, it explained that agencies cannot “avoid notice and comment simply by mislabeling their substantive pronouncements. On the contrary, courts have long looked to the contents of the agency‘s action, not the agency‘s self-serving label, when deciding whether statutory notice-and-comment demands apply.”4
Two other areas of law support my position. First, it is well settled in the law of pleadings that “[a] party‘s choice of label for a cause of action is not dispositive. We are not bound by the choice of label because to do so ‘would exalt form over substance.’ ”7 I see no reason not to transplant that principle from the law of pleadings and apply it to this Court‘s de novo examination of whether the Agency‘s notices were
The Supreme Court of the United States has also recognized that substance predominates over form with regard to the use of titles and headings in statutory interpretation. The majority in Yates v United States explained that statutory titles (and section headings) are “not commanding” but nonetheless are “tools available for the resolution of a doubt about the meaning of a statute.”9 Yates stands for the elementary proposition that statutory titles do not control what statutes mean, but their text does. As with the pleadings principle, I see no reason not to explicitly extend Yates’ teaching on statutory titles to the Agency‘s actions. If courts can look beyond statutes’ titles to see what the statutes actually say and do, then they should do the same with things like these notices’ labels to see what the notices actually say and do. Administrative law, the law of pleadings, and the relevant principles of statutory interpretation all point in
Moreover, claimants were not prejudiced by the Agency‘s purported “redetermination” actions. As ably cataloged by the Court of Appeals, the notices informed claimants that they had been disqualified from receiving benefits and why, that they had fraudulently received benefits and were required to pay restitution and fraud penalties, that they owed the Agency money and how much, and that they had the right to appeal.11 In other words, the decisions provided claimants “precisely the process contemplated by the [MESA] . . . .”12 Any potential confusion caused by the mislabeling did not prejudice claimants. The determinations of fraud were made within the proper time frame, claimants were informed of their right to protest,13 and claimants were able to, and did, seek de novo appellate review—before two administrative bodies and the state‘s entire appellate court system.
Because the notices were simply
Brian K. Zahra
David F. Viviano
Notes
In October 2017 (applicable to appellant Herzog), § 62 provided as follows:(a) If the commission determines that a person has obtained benefits to which that person is not entitled, the commission may recover a sum equal to the amount received by 1 or more of the following methods: . . . The commission shall not recover improperly paid benefits from an individual more than 3 years, or more than 6 years in the case of a violation of section 54(a) or (b) or sections 54a to 54c, after the date of receipt of the improperly paid benefits unless: (1) a civil action is filed in a court by the commission within the 3-year or 6-year period, (2) the individual made an intentional false statement, misrepresentation, or concealment of material information to obtain the benefits, or (3) the commission issued a determination requiring restitution within the 3-year or 6-year period.
(b) . . . [I]f the commission determines that a person has intentionally made a false statement or misrepresentation or has concealed material information to obtain benefits, whether or not the person obtains benefits by or because of the intentional false statement, misrepresentation, or concealment of material information, the person shall, in addition to any other applicable penalties, have his or her rights to benefits for the benefit year in which the act occurred canceled as of the date the commission receives notice of, or initiates investigation of, a possible false statement, misrepresentation, or concealment of material information, whichever date is earlier, and wages used to establish that benefit year shall not be used to establish another benefit year. . . .
(c) Any determination made by the commission under this section is final unless an application for a redetermination is filed with the commission in accordance with section 32a.
(d) The commission shall take the action necessary to recover all benefits improperly obtained or paid under this act, and to enforce all penalties under subsection (b). [
MCL 421.62 , as amended by 1995 PA 125.]
The UIA has defined “interested party” to mean “anyone whose statutory rights or obligations might be affected by the outcome or disposition of the determination, redetermination, or decision.” Mich Admin Code, R 421.201(1). Azar v Allina Health Servs, ___ US ___, ___; 139 S Ct 1804, 1809; 204 L Ed 2d 139 (2019), quoting(a) If the unemployment agency determines that a person has obtained benefits to which that person is not entitled, or a subsequent determination by the agency or a decision of an appellate authority reverses a prior qualification for benefits, the agency may recover a sum equal to the amount received plus interest by 1 or more of the following methods: . . . . The unemployment agency shall issue a determination requiring restitution within 3 years after the date of finality of a determination, redetermination, or decision reversing a previous finding of benefit entitlement. Except in the case of benefits improperly paid because of suspected identity fraud, the unemployment agency shall not initiate administrative or court action to recover improperly paid benefits from an individual more than 3 years after the date that the last determination, redetermination, or decision establishing restitution is final. Except in the case of benefits improperly paid because of suspected identity fraud, the unemployment agency shall issue a determination on an issue within 3 years from the date the claimant first received benefits in the benefit year in which the issue arose, or in the case of an issue of intentional false statement, misrepresentation, or concealment of material information in violation of section 54(a) or (b) or sections 54a to 54c, within 3 years after the receipt of the improperly paid benefits unless the unemployment agency filed a civil action in a court within the 3-year period; the individual made an intentional false statement, misrepresentation, or concealment of material information to obtain the benefits; or the unemployment agency issued a determination requiring restitution within the 3-year period. . . .
(b) For benefit years beginning on or after October 1, 2000, if the unemployment agency determines that a person has intentionally made a false statement or misrepresentation or has concealed material information to obtain benefits, whether or not the person obtains benefits by or because of the intentional false statement, misrepresentation, or concealment of material information, the person shall, in addition to any other applicable interest and penalties, have his or her rights to benefits for the benefit year in which the act occurred canceled as of the date the claimant made the false statement or misrepresentation or concealed material information, and wages used to establish that benefit year shall not be used to establish another benefit year.
(c) Any determination made by the unemployment agency under this section is final unless an application for a redetermination is filed in accordance with section 32a.
(d) The unemployment agency shall take the action necessary to recover all benefits improperly obtained or paid under this act, and to enforce all interest and penalties under subsection (b). . . . [
MCL 421.62 , as amended by 2016 PA 522.]
CLS 1956, § 421.21, as amended by PA 1957, No 311, . . . provides in subdivision (a):
“The commission shall currently provide each employer with copies of the benefit checks charged against his rating account. Such copies shall show the name and social security account number of the payee, the amount paid, the date of issuance, the week of unemployment for which the check was issued, the name or account number of the chargeable employer, upon request a code designation of the place of employment by the chargeable employer, and such additional information as may be deemed pertinent, and such copies shall constitute a determination of the charge to the rating account. Such determination shall be final unless further proceedings are taken in accordance with section 32a of this act.”
CLS 1956, § 421.32a, as amended by PA 1957, No 311 ..., provides, in part:
“The commission shall upon application by an interested party filed within 15 days after the mailing of a notice of determination, or may upon its own motion within said period, review any determination and thereafter issue a redetermination affirming, modifying or reversing the prior determination and stating the reasons therefor. The commission shall promptly notify the interested parties of such redetermination which shall become final unless within 15 days after the mailing of a notice thereof an appeal is filed for a hearing on such redetermination before a referee in accordance with the provisions of section 33 of this act: Provided, That the commission may, for good cause, including any administrative clerical error, reconsider any prior determination or redetermination after the 15-day period has expired and issue a redetermination affirming, modifying or reversing the prior determination or redetermination, but no such reconsideration shall be made after 1 year from the date of mailing of the original determination on the disputed issue.” [Royster, 366 Mich at 418-419.]
