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UI SIDES 2010 UI National Integrity Conference April 20-21, 2010
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CY 2009 National Benefit Payment Accuracy 2 UI benefits paid: $ 119.6 Billion Benefits Overpaid: $ 11.4 Billion or 9.6% Separation issues account for 19.64% of overpayments $1.167 Million Overpaid due to Separation Issues 2 nd largest cause of UI overpayments.
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Non-monetary Determination Performance Nonmonetary Determination Time Lapse CY 2009 Separation Determinations issued within 21 Days: 56.2%. (Criteria 80%) 41 States fail to meet the time lapse criteria Separation Determination Quality CY 2009 Separation Determinations scoring 95 points or more: 66.3%. (Criteria 75%) 35 States fail to meet the quality criteria 3
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Standardized UI Separation Information States, Employers and Third Party Administrators very interested in improving this process. NASWA UI Committee Work Group States, Employers, and TPAs Worked together in developing format and concept of operation Tested the format and approach. “Low Tech Test” (GA, WI, CO, ADP, TALX, JC Penney, GM, & Kelly Services) UI SIDES Consortium: (GA, WI, CO, OH, UT, NJ, ADP, TALX, & JC Penney) 4
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Project Goals Standard electronic exchange that would be accepted and implemented. Obtain quality and timely separation information. Allow a significant percent of separation determinations to be made w/o further contact. Secure method and a single point of exchange. Reduce the resources needed to gather information. Reduce follow-up phone calls Avoid unnecessary hearings and overpayments Computer to computer exchange methods: Web Services - SIDES Broker Web Site – SIDES Employer Web Site (SEW) 5
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General Concept – SIDES Web Services 6
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Send File - (Request / Response) Standard Format - Data Elements Required / Conditional / Optional Coded values list (i.e.: Separation Reason Codes) See UI SIDES Concept of Operations & Appendix E @ itsc.org File Structure Responsibility of each entity to create and to conform to business logic when creating the record (edits and validations) Each record may contain up to 10 attachments Each file may contain multiple records for one single entity Entity contacts Broker and transmits file Authenticated and encrypted for secure transmission 7
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SIDES Broker Parsing and Validating Data Files Error Handling / Confirmation of Receipt Metrics reporting and logging Transaction time stamp (Eastern Standard Time) Data Center facility: 99.9% System Availability Secure and redundant services 24 hour System Administration and Support Desk Disaster Recovery and COOP services 8
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Web Services - (Request / Response) Entity acquires the file Picked up from Broker Received from Broker Parse file (edits & validation) Send confirmation of receipt to Broker (logs) Entities Responsibility Store and Process data Business rules can automatically manage data quality 9
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Employer Objectives Solvent UI System Respond timely with complete and accurate info Confirmation of Receipt Reduce Phone Calls for information Reduce Work in Process Avoid unnecessary hearings Protect personal information by secure transmission 10
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Privacy Issues Social Security Number Critical identifier to safeguard Concern of SSNs printed on forms Concern of faxes being electronically intercepted Emails are not safe to send SSNs Full SSN is critical for employers to accurately identify claimants Unemployment Insurance Program Letter 21-05 UI SIDES offers protection of an SSN Electronic – no paper Single point of contact Encryption of records and files Authentication Certificates 11
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Employer Efficiency with UI SIDES Employer / TPA Efficiencies: Standard format for all states Secure exchange of information More accurate and complete response Fast response to claims that don’t need research Reduce Work in Process Gain “Request & Response” Time Eliminate concerns of a timely receipt Minimize Unnecessary Employer Charges Reduce Document Imaging Reduced need for hearings Reduced Postage Costs 12
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State Efficiency with UI SIDES 13 State efficiencies: Secure exchange of information Reduced scanning/imaging expenses Reduced staffing to handle paper forms Reduced Postage times (outbound and inbound) Reduced follow-up calls with employers Guaranteed receipt Shortened turn-around times Faster and easier electronic storage & retrieval Standardized form is easier to use & provides better information
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14 Savings – SWAs (e.g.) Annual Savings and cost avoidanceColoradoWisconsinUtahGeorgiaOhioTotal annual Outbound postage and mail processing$22,195.22$120,941.54$13,216.26$96,866.63$123,519.10$376,739 Inbound mail processing and data entry$38,001.76$121,816.32$17,687.68$104,048.15$126,563.13$408,117 Separation processing and adjudication$27,752.83$52,177.70$12,120.71$36,590.10$51,048.22$179,690 Appeals hearing cost avoidance$54,544.65$27,995.66$9,589.35$50,398.92$80,878.56$223,407 Overpayment recovery cost avoidance$26,946.52$9,273.17$2,748.98$41,446.92$30,644.98$111,061 Total Annual cost avoidance and benefits$169,440.98$332,204.39$55,362.98$329,350.71$412,653.99$1,299,013 Reversal Overpayment avoidance$526,779.68$181,282.04$53,739.97$810,249.14$599,081.16$2,171,132
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Savings – TPA/Employer (large e.g.) 15 TPA / Employer Savings and avoidance - pilot SWAsAnnual Outbound postage and mail processing$401,899.65 Inbound mail processing and data entry$267,528.10 Separation processing and adjudication$183,086.46 Appeals cost avoidance$254,035.41 Total Annual cost avoidance and benefits$1,106,549.63 Intangibles - Government relations* Overpayment avoidance$2,124,718.96 Overpayment recovery cost avoidance$108,686.39 *Wisconsin integrity law to hold employer liable for failure to respond completely? Avoidance of additional Federal or State regulation
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UI SIDES BROKER – Web Services 16
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UI SIDES – Web Services Schedule SIDES Software – Broker Software development completed Oct 10, 2008 Acceptance Testing completed – January 8, 2010 Fully Operation – February 2, 2010 State Systems UtahIn Production, Feb. 2, 2010 New JerseyApril 2010 OhioApril 2010 Colorado May 2010 Wisconsin July 2010 Georgia Late 2010 17
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UI SIDES – Web Services Schedule Employers already involved: ADP – In Production – Feb. 2, 2010 Talx – UCeXpress - Late 2010 JCPenney – 2011 18
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UI SIDES – Expansion 19 Current 6 States represent 14% of National Workload 12 new States have joined adding another 20.5% Arizona Connecticut Iowa Kansas Maryland Michigan Mississippi New York North Carolina Rhode Island Texas Virginia
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UI SIDES – Expansion Increase Participation States Upcoming SBR for new states Recruitment of Additional TPAs Paychex Inc. Barnett Associates, Inc. J Dunn Inc. Recruitment of Additional Employers 20
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UI SIDES – Expansion 21 Need to expand participation Employers & TPAs want to know: How many States are/will participate? States want to know: How many Employers and TPAs are/will participate? The larger volume reduces cost per transaction needed to operate the system. Expand the number and types of standard data formats that can be exchanged.
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UI SIDES Early Development was focused on Web Services Recent focus on Web Site addition to SIDES States have same interface SIDES Web Service. State can reach out to smaller Employers/TPAs Lower volume of UI claims Avoids cost of setting up web services Manually access and enter data Same format, validation and business rules Employers/TPAs use a combination of account numbers and Access Code/PIN 22
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UI SIDES – Current Schedule 23 SIDES Web Site Software Requirements completed January 30, 2009 Design completed February 27, 2009 Software development completed May 22, 2009 System Test completed July 31, 2009 Final Testing and debugging - February 28, 2010 Ready for Full Production
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24 UI SIDES – Web Services & Website
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29 Information Technology Support Center (ITSC)
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30 Information Technology Support Center (ITSC) V1.0 30
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32 Information Technology Support Center (ITSC)
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Additional Exchange Formats Additional standard formats for: Wage Verification (two way communication) Monetary Determination Benefit Charge Notice Nonmonetary Determination Appeal Decision Others….(File an Appeal, Appeal a Charge, submit Wage Records) 34
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What can your state do? Consider joining SIDES Contact the us with your interest and get more detailed information on SIDES Submit SBR for funding Get SIDES on your work schedule State commitment to join will help get more employers and TPAs to participate For technical information on SIDES: Go to the ITSC website www.itsc.org for the format, requirements and design documentation. 35
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Contacts: John Sharkey john.sharkey@itsc.org or 202-744-2649john.sharkey@itsc.org Joe Vitale, ITSC Director joe.vitale@itsc.orgjoe.vitale@itsc.org SIDES Development Consortium – Hal Bergen, Chairman SIDES and UI Director for WI Hal.Bergan@dwd.state.wi.us US Department of Labor – ETA - OWS: Dale Ziegler – Deputy Administrator Ziegler.Dale@dol.gov 36
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