Hasratian v. Department of Workforce Services ( 2013 )


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    2013 UT App 79
    _________________________________________________________
    THE UTAH COURT OF APPEALS
    HYKE A. HASRATIAN,
    Petitioner,
    v.
    DEPARTMENT OF WORKFORCE SERVICES,
    WORKFORCE APPEALS BOARD AND NEW ROADS, LLC,
    Respondents.
    Memorandum Decision
    No. 20111069‐CA
    Filed March 28, 2013
    Original Proceeding in this Court
    David J. Holdsworth, Attorney for Petitioner
    Amanda B. McPeck, Attorney for Respondent Department of
    Workforce Services, Workforce Appeals Board
    JUDGE STEPHEN L. ROTH authored this Memorandum Decision,
    in which JUDGES GREGORY K. ORME
    and CAROLYN B. MCHUGH concurred.
    ROTH, Judge:
    ¶1     Claimant Hyke A. Hasratian appeals a decision by the
    Workforce Appeals Board (the Board) that he committed fraud by
    receiving unemployment benefits to which he was not entitled and
    should be assessed a fraud penalty. We decline to disturb the
    Board’s decision.
    ¶2    On Tuesday, January 18, 2011, Hasratian’s employer
    terminated his employment. That day was his last day of work. At
    the end of that week, on Friday, January 21, Hasratian sent an
    Hasratian v. Department of Workforce Services
    email to his employer, requesting six months of pay. The next
    week, on Monday, January 24, the employer responded, agreeing
    to pay Hasratian but only through the end of that week, Friday,
    January 28. That same day, after he had received the response from
    the employer, Hasratian opened a claim for unemployment
    benefits with the Department of Workforce Services (the
    Department). In the course of the application process, the
    Department asked Hasratian, “Have you received or are you
    entitled to receive . . . severance pay?” Hasratian answered, “No.”
    Hasratian received waiting‐week credit for that week ending on
    January 29, and then received payment for the following week
    ending February 5.1
    ¶3     Sometime before February 5, Hasratian received the
    Claimant Guide. The Claimant Guide defines “[s]everance pay,”
    instructs the claimant about the obligation to report the receipt of
    severance pay, and explains how severance pay will be treated in
    the determination of benefits:
    [Severance pay is] a payment made by an employer
    that would not have been made except for the
    severance of the employment relationship. All
    vacation, holiday, severance or separation pay you
    have received or will receive must be reported to the
    [Department]. These types of payments are usually
    considered earnings. You will not be eligible for
    waiting‐week credit or unemployment benefits for
    1
    The Claimant Guide explains that claimants “will not be
    paid for the first eligible week claimed,” which is referred to as
    the waiting‐week. Rather, claimants “must file for th[at] week
    and meet all eligibility requirements in order to establish the
    claim and receive waiting week credit.” The claimant will then
    receive the first payment for the following week that he or she is
    eligible for benefits.
    20111069‐CA                      2                 
    2013 UT App 79
    Hasratian v. Department of Workforce Services
    weeks in which those payments equal or exceed your
    weekly benefit amount.
    Hasratian concedes that after receiving and reading the Claimant
    Guide he knew that the wages he received through January 28
    constituted severance pay. Yet, Hasratian took no further action
    with respect to the claim he had filed on January 24, which enabled
    him to receive waiting‐week credit for the week of January 29 and
    payment for the week of February 5.
    ¶4     In considering whether Hasratian had received
    unemployment benefits to which he was not entitled, the Board
    concluded that the employer’s agreement to pay Hasratian his
    wages through January 28 constituted severance pay. The Board
    further concluded that Hasratian committed fraud by failing to
    report his receipt of severance pay and assessed a fraud penalty
    against him. Hasratian now challenges the Board’s conclusion that
    he committed fraud.2
    ¶5      In the context of unemployment insurance, “fraud is ‘a
    willful misrepresentation or concealment of information for the
    purpose of obtaining unemployment benefits.’” Smith v. Department
    of Workforce Servs., 
    2010 UT App 382
    , ¶ 9, 
    245 P.3d 758
     (quoting
    Utah Admin. Code R994‐406‐401(2)). There are “three elements . . .
    [that] must be proved to establish an intentional misrepresentation
    sufficient to constitute fraud”: materiality, knowledge, and
    willfulness. Utah Admin. Code R994‐406‐401(1). First,
    “[m]ateriality is established when a claimant makes false
    2
    The benefit Hasratian received that he was not entitled to
    is the payment for the week of February 5. Had Hasratian re‐
    ported his receipt of severance pay through January 29, his first
    week of eligibility would have been the week of February 5, so
    he would have received waiting‐week credit for that week, and
    the first payment he received would have been for the following
    week.
    20111069‐CA                      3                
    2013 UT App 79
    Hasratian v. Department of Workforce Services
    statements or fails to provide accurate information for the purpose
    of obtaining . . . any benefit payment to which the claimant is not
    entitled.” 
    Id.
     R994‐406‐401(1)(a)(i)(A). Second, to establish
    knowledge “[a] claimant must have known or should have known
    the information submitted to the Department was incorrect or that
    he or she failed to provide information required by the
    Department.” 
    Id.
     R994‐406‐401(1)(b); see also 
    id.
     (“Knowledge can
    also be established when a claimant recklessly makes
    representations knowing he or she has insufficient information
    upon which to base such representations.”). Further, “[a] claimant
    has an obligation to read material provided by the Department or
    to ask a Department representative if he or she has a question
    about what information to report.” 
    Id.
     Consequently, a claimant is
    held accountable for the information provided in the Claimant
    Guide. Smith, 
    2010 UT App 382
    , ¶ 11. Third, “[w]illfulness is
    established when a claimant files claims or other documents
    containing false statements, responses or deliberate omissions.”
    Utah Admin. Code R994‐406‐401(1)(c). “The absence of an
    admission or direct proof of intent to defraud does not prevent a
    finding of fraud” in the context of unemployment insurance. 
    Id.
    R994‐406‐401(3); Smith, 
    2010 UT App 382
    , ¶ 9 (“An admission or
    direct proof of intent to defraud is not required.”). Rather, “[t]he
    intention to defraud is shown by the claims themselves which
    contain false statements and fail to set forth material facts required
    . . . .” Mineer v. Board of Review of Indus. Comm’n., 
    572 P.2d 1364
    ,
    1366 (Utah 1977).
    ¶6     In reviewing a challenge to the Board’s decision that a
    claimant committed fraud, we will not disrupt the Board’s findings
    unless they are unsupported by substantial evidence, and we will
    not disturb its application of law to the factual findings unless the
    Board’s determination “exceeds the bounds of reasonableness and
    rationality.” Smith, 
    2010 UT App 382
    , ¶ 6 (citation and internal
    quotation marks omitted). On appeal, Hasratian does not challenge
    the Board’s conclusion that the wages he received through January
    28 constitute severance pay. Rather, he challenges only its
    conclusion that he committed fraud. In particular, Hasratian
    20111069‐CA                       4                 
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    Hasratian v. Department of Workforce Services
    challenges the knowledge element, arguing that at the time he
    submitted his claim for unemployment benefits he did not know
    that the employer’s agreement to pay him through January 28
    constituted severance pay. Hasratian explains that when he
    submitted his claim for unemployment benefits, he “knew he had
    asked the [e]mployer to pay him six months of severance pay.” He
    also knew, at that time, that the employer had rejected the terms of
    his demand, but he also “knew that [the] employer had agreed to
    continue paying [his] wages through January 28.” He explains that
    he “did not consider his employer’s decision to do so to be
    payment of severance pay”; rather, he thought his employer’s
    agreement to pay his wages for an additional week after his
    discharge “was a simple courtesy.” According to Hasratian, he only
    realized that the employer’s payment of his wages through January
    28 constituted severance pay after reviewing the Claimant Guide,
    which he received sometime before February 5.
    ¶7     However, even if for the sake of argument we accept
    Hasratian’s explanation that at the time he applied for
    unemployment benefits he did not realize that his employer’s
    payment of wages after his employment ended amounted to
    severance pay, he was nevertheless required to notify the
    Department once he became aware that his response to the
    question about his receipt of severance pay was incorrect. His
    failure to do so once he became aware of his error satisfied the
    knowledge element of fraud because at that point he “[knew] or
    should have known the information submitted to the Department
    was incorrect.” Utah Admin. Code R994‐406‐401(1)(b).
    ¶8     The Claimant Guide instructs claimants that they “are
    responsible for any inaccurate or incomplete information . . .
    provide[d]” and that they should contact the Department with any
    “questions about reporting . . . earnings.” And specifically with
    regard to severance pay, the Claimant Guide provides that “[a]ll . . .
    severance or separation pay you have received or will receive must
    be reported to the [Department].” So even if Hasratian genuinely
    believed that his employer’s agreement to pay him through
    20111069‐CA                       5                 
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    Hasratian v. Department of Workforce Services
    January 28 was not severance pay before he received the Claimant
    Guide,3 he nonetheless had an obligation to report the receipt of
    those wages. And once he discovered that those wages did, in fact,
    amount to severance pay, he had an obligation to correct the
    misinformation he had earlier provided to the Department and on
    which the Department had relied in determining his eligibility to
    receive benefits. See, e.g., Smith, 
    2010 UT App 382
    , ¶¶ 2–3, 11–12
    (concluding that by receiving and reading the Claimant Guide, a
    claimant had been charged with the knowledge that her receipt of
    a lump sum separation payment constituted severance pay that she
    was required to report to the Department, and her failure to report
    her receipt of severance pay was sufficient to prove that she had
    committed fraud).
    ¶9     Hasratian further argues that he lacked the requisite intent
    to commit fraud. However, “direct proof of intent to defraud is not
    required.” Id.¶ 9; see also Utah Admin. Code R994‐406‐401(3) (“The
    absence of an admission or direct proof of intent to defraud does
    not prevent a finding of fraud.”). Rather, “[t]he intention to
    defraud is shown by the claims themselves which contain false
    statements and fail to set forth material facts required . . . .” Mineer,
    572 P.2d at 1366. And instead the willfulness element is established
    “when a claimant files claims or other documents containing false
    statements, responses or deliberate omissions.” Utah Admin. Code
    3
    Although for the sake of argument we have accepted
    Hasratian’s representation that when he initially submitted his
    claim he did not know that the wages he received through
    January 28 constituted severance pay, we do so with some skep‐
    ticism. Hasratian himself has described his request that his
    employer pay him six months of wages as severance pay. And
    although the employer did not agree to pay Hasratian his wages
    for six months, it did agree to pay him his wages through Janu‐
    ary 28. So although the amount was considerably less than he
    had asked for, it seems that the nature of the payment was
    unchanged.
    20111069‐CA                        6                  
    2013 UT App 79
    Hasratian v. Department of Workforce Services
    R994‐406‐401(1)(c). Because Hasratian submitted a claim containing
    a false statement regarding his receipt of severance pay and failed
    to correct it once he knew it was false, the willfulness element is
    established.
    ¶10 Finally, Hasratian’s representation to the Department that
    he had not received severance pay is material. If Hasratian had
    provided accurate information about his receipt of severance pay
    or if he had corrected the inaccurate information once he became
    aware of his error, he would not have received waiting week credit
    for the week of January 29 and payment for the following week. See
    
    id.
     R994‐406‐401(1)(a)(i)(A) (“Materiality is established when a
    claimant makes false statements or fails to provide accurate
    information for the purpose of obtaining . . . any benefit payment
    to which the claimant is not entitled.”). Thus, materiality is
    established.
    ¶11 Accordingly, because all three elements of fraud are
    reasonably established based on the evidence, we decline to disturb
    the Board’s decision.
    20111069‐CA                     7                 
    2013 UT App 79
                                

Document Info

Docket Number: 20111069-CA

Judges: Roth, Orme, McHugh

Filed Date: 3/28/2013

Precedential Status: Precedential

Modified Date: 11/13/2024