UIPL38-96_Attach1.pdf

ETA Advisory File Text

Attachment A to UIPL No. 38-96 LIABLE AGENT DATA TRANSFER RECORD Background . The IB Committee requested that the size of the data exchange record be expanded to provide for 1 the exchange of initial claims data and 2 to accommodate the reservation of other data fields in anticipation of future needs and 3 to diminish the need to again expand the record. At this time States will only need to exchange the data identified with a single asterisk on the attached records with respect to interstate initial claims and weeks claimed and commuter weeks claimed. States will be notified when any other of the data elements on the Liable Agent Data Transfer LADT record are required to be exchanged. The following instructions are to be followed in reporting initial claims and weeks claimed via the ICON weekly statistical data exchange. 1. Initial Claims Data Exchange a. Interstate Initial Claims . At the end of each report week each State will report data to the residence State with respect to each liable initial claim filed directly with the liable State. The data report will include the claimant characteristics. In reporting this data the residence State is assumed to be the agent State unless the initial claim being reported is an additional claim and the liable State has on file an identifiable agent State that is different from the residence State and there is no change in the claimant s address at the time of the additional claim. If there is an address change the old agent State FIPS information should be removed from the record. An initial claim will be reported in field 30 for claims taken during the report week only and will not again be reported. When an initial claim is reported entries will be required for fields 1 2 3 4 5 6 7 8 13 14 15 16 18 19 22 25 26 27 28 29 30 45 46 and 59. Fields 9 10 11 and 12 will be completed when the liable State can provide a residence address that is different from the mailing address. Fields 23 and 24 will be completed at the option of the liable State. 2. Weeks Claimed Data Exchange a. Interstate Weeks Claimed . The liable State will report all weeks claimed with respect to all interstate claims filed from a State whether directly with the liable State via remote electronic procedures or mail or through the agent State. The weeks claimed report shall include the same data items presently exchanged with the following exception If fields 23 and 24 are not completed at the option of the liable State then the claimants address must be completed and transmitted. b. Commuter Weeks Claimed . At the end of the report week that includes the 12th of the month each State will report data with respect to each intrastate week claimed filed by a commuter to the State of residence under the same procedures as apply to interstate claims except that the field designated for the Commuter Identification Code will be completed. LIABLE AGENT DATA TRANSFER RECORD FIELD NO.CURREN T FIELD FIELD NAME FIELD TYPEFIELD LENGT HDESCRIPTION 1 1 SOCIAL SECURITY NO.N 9 Enter Claimant s Social Security Number. 2 CLT S NAME - 1STA 12 Enter at least one alphabetic character. This is the claimant s first name. First position cannot be blank. 3 CLT S NAME - MIDDLE INITIALA 1 Claimant s middle initial. 4 CLT S NAME - LASTA 23 Enter at least one alphabetic character. This is the claimant s last name. First position cannot be blank. 5 MAILING ADDRESS - STREETA N 30 Enter Claimant s - Mailing Street 6 MAILING ADDRESS - CITYA 19 Enter Claimant s - Mailing City 7 MAILING ADDRESS - STATEA N 2 Enter Claimant s - Mailing State 8 19 MAILING ADDRESS - ZIP CODEN 9 Enter Claimant s - Mailing Zip code 9 RESIDENCE ADDRESS - STREETA N 30 Enter Claimant s - Residence Street 10 RESIDENCE ADDRESS - CITYA 19 Enter Claimant s - Residence City LIABLE AGENT DATA TRANSFER RECORD 11 RESIDENCE ADDRESS - STATEA N 2 Enter Claimant s - Residence State 12 RESIDENCE ADDRESS- ZIP CODEN 9 Enter Claimant s - Residence Zip code 13 CLAIMANT S TELEPHONE NO.N 10 Enter Area Code Exchange and Extension of the Claimant s Telephone Number. 14 3 YEAR OF BIRTH N 4 Claimant s year of birth - Format is CCYY. CC century is not required at this time. Included for future use. LIABLE AGENT DATA TRANSFER RECORD FIELD NO.CURREN T FIELDFIELD NAME FIELD TYPEFIELD LENGT HDESCRIPTION 15 2 SEX N 1 Enter the sex of the claimant. 1 Male 2 Female 3 Unknown 16 8 ETHNIC N 1 Claimant s Ethnic Code. 1 White not Hispanic 2 Black not Hispanic 3 Hispanic 4 American Indian Alaskan Native 5 Asian Pacific Islander 6 Information not available 17 EDUCATION N 2 Highest Grade Completed. 1 - 12 Actual grade completed 12 GED 13 1 year of college or technical school 14 2 years of college or Associate degree tech sch 15 3 years of college 16 4 years of college or Undergraduate degree 17 1 year post graduate study 18 2 years of post graduate study or Masters degree 19 Doctorate 18 16 LIABLE STATE FIPSN 2 Liable State FIPS Code. The Liable State cannot be the same as the Agent State. 19 LIABLE STATE OFFICE NO.N 4 Liable Office where the claimant filed the claim. System generated from your user ID information. 20 18 AGENT STATE FIPSN 2 Agent State FIPS Code. The Agent State cannot be the same as the Liable State. LIABLE AGENT DATA TRANSFER RECORD 21 12 AGENT STATE LOCAL OFFICE NO.N 4 Local Office where the claimant filed the claim. System generated from your user ID information. 22 9 RESIDENCE STATE FIPSN 2 Residence State FIPS Code. The Residence State cannot be the same as the Liable State. 23 10 RESIDENCE COUNTY FIPSN 3 Residence County FIPS Code. 24 11 RESIDENCE CITY TOWN FIPSN 4 Residence City Town FIPS Code. LIABLE AGENT DATA TRANSFER RECORD FIELD NO.CURREN T FIELD FIELD NAME FIELD TYPEFIELD LENGT HDESCRIPTION 25 DATE CLAIM TAKENN 8 Enter the date the claim was taken. Format is CCYYMMDD. CC century is not required at this time. Included for future use. 26 EFFECTIVE DATE OF CLAIMN 8 Enter effective date of the claim. Correlates with today s date backdate reason and liable State. Format is CCYYMMDD. CC century is not required at this time. Included for future use. 27 13 PROGRAM TYPE N 1 Enter the program type 1 UI 5 UCFE 7 UCX 28 14 ENTITLEMENT N 1 Enter the entitlement type 0 Regular 1 Extended Benefits EB 2 Federal Benefit Extension 3 Additional Benefits AB 29 4 DOT SOC CODE N 4 Claimant s Occupational Code. 30 INITIAL CLAIM N 1 Enter Status of Claim 1 New 2 Additional 31 BYB N 8 Benefit Year Beginning date. Format is CCYYMMDD. CC century is not required at this time. Included for future use. 32 BYE N 8 Benefit Year Ending date. Format is CCYYMMDD. CC century is not required at this time. Included for future use. LIABLE AGENT DATA TRANSFER RECORD 33 WBA N 3 Weekly Benefit Amount Include Dependents Allowance . 34 MBA N 5 Maximum Benefit Amount Include Dependents Allowance . 35 BASE PERIOD WAGES - 1st qtrN 7 Enter BP Wages for 1st qtr. 36 BASE PERIOD WAGES - 2nd qtrN 7 Enter BP Wages for 2nd qtr. LIABLE AGENT DATA TRANSFER RECORD FIELD NO.CURREN T FIELDFIELD NAME FIELD TYPEFIELD LENGT HDESCRIPTION 37 BASE PERIOD WAGES - 3rd qtrN 7 Enter BP Wages for 3rd qtr. 38 BASE PERIOD WAGES - 4th qtrN 7 Enter BP Wages for 4th qtr. 39 BASE PERIOD WAGES - 5th qtrN 7 Enter BP Wages for 5th qtr. 40 BASE PERIOD WAGES - TOTALN 8 Enter Total BP Wages for all qtrs. 41 SIC Employer with Most Wages N 6 Standard Industrial Classification of the Claimant s Employer for which he she had the most wages. 42 LAST EMPLOYER - NAMEA N 30 Enter name of Last Employer. 43 DATE EMPLOYMENT BEGANN 8 Enter date employment began with Last Employer. Format is CCYYMMDD. CC century is not required at this time. Included for future use. 44 DATE EMPLOYMENT ENDEDN 8 Enter date Employment ended with Last Employer. Format is CCYYMMDD. CC century is not required at this time. Included for future use. 45 5 LAST EMPLOYER - SICN 6 Standard Industrial Code of the Claimants Last Employer. If n a use primary base period employer. LIABLE AGENT DATA TRANSFER RECORD 46 6 LAST EMPLOYER - OWNERSHIP CODEN 1 Valid entries are 1 through 5 . Default is 5 . 47 SEPARATION N 1 Separation 1 Permanent 2 Temporary 48 RECALL DATE N 6 Enter date claimant is to return to work. If no recall date enter zeros. Format is CCYYMMDD. CC century is not required at this time. Included for future use. 49 UNION A 1 Y Yes N No 50 US CITIZENSHIP A 1 Y Yes N No 51 ALIEN REG. NO. A N 20 Enter claimant s Alien Registration Number if applicable and available. LIABLE AGENT DATA TRANSFER RECORD FIELD NO.FIELD NAME FIELD TYPEFIELD LENGT HDESCRIPTION 52 17 WEEK ENDING DATEN 8 Week ending date of week claimed. Format is CCYYMMDD. CC century is not required at this time. Included for future use. 53 15 EARNINGS DURING WEEK CLAIMEDN 1 X Yes. Indicates that claimant had earnings during the week claimed. 54 DATE 1ST PAYMENT ISSUEDN 8 Enter the date the first payment was issued. Format is CCYYMMDD. CC century is not required at this time. Included for future use. 55 EXHAUSTEE A 1 X Yes. Complete only upon exhaustion. 56 WEEKS COMPENSATEDN 2 Enter the number of weeks compensated during the benefit year. 57 AMOUNT OF BENEFITS PAIDN 7 Enter the total amount of benefits paid during the benefit year. 58 COMMUTER IDENTIFICATION CODEA 1 X Yes. Complete to identify claims filed by commuters from residence State. 59 21 PROCESS DATE N 8 Format is CCYYMMDD. CC century is not required at this time. Included for future use. NOTE Indicates data elements that State must be able to send and receive. This column shows the data elements with the current field identified that are currently being transmitted except that the date fields have been expanded to include the century. Non-asterisked fields will be identified on the new record for potential future use exchange of this information will not be implemented at this time.