Attachment X - Function Blocks.xlsx
XLSX spreadsheet 361 KB Posted
- Attached to
- UI Modernization System
- Solicitation number
- RFP 758 2000000335 25
- Issued by
- Elliott County, Kentucky
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01 Claims Filing
| Attachment X - Function Block - RFP 758 2000000335 | ||||
| FB | Use Case | Req | ||
| Number | Function Block 01: Claims Filing |
| 01 | 002 | 01 | The system shall provide a method for claimants and authorized UI Staff to submit new claim applications for all claim programs. |
| 01 | 002 | 02 | The system shall provide an overview of process and requirements for filing a new claim for benefits per KY state requirements prior to completing the application for benefits. |
| 01 | 002 | 03 | The system shall use information provided by the claimant to determine if a claimant is filing in the correct state based on business rules. |
| 01 | 002 | 04 | The system shall provide information to the claimant regarding which state the claimant should file in with links to the state(s) web site when the system determines the claimant is not filing in the correct state. |
| 01 | 002 | 05 | The system shall determine the claim type based on the type of wages used in the claim. |
| 01 | 002 | 06 | The system shall retrieve claimant profile information from interface Interface with other workforce programs. |
| 01 | 002 | 07 | The system shall provide the ability for a claimant/UI staff to add/update profile information. |
| 01 | 002 | 08 | The system shall initiate identity verification processes and process responses per business rules. |
| 01 | 002 | 09 | The system shall interface with for the purpose of performing a deceased claimant cross-match during claim filing, where a claimant deceased hit will result in the creation of an issue. |
| 01 | 002 | 10 | The system shall interface with INT: Claimant ID verification for the purpose of performing a deceased claimant cross-match during claim filing, where a claimant deceased hit will result in the creation of an issue. |
| 01 | 002 | 11 | The system shall interface with INT: Claimant ID verification for the purpose of performing a deceased claimant cross-match during claim filing, where a claimant deceased hit will result in the creation of an issue. (System shall interface with SSA) Preferabley in real time |
| 01 | 002 | 12 | The system shall perform a prior claim earnings review during the filing of a new claim (subsequent UI or special program), to perform a cross-match of the current base year wages reported to earnings that were reported on the prior claim. |
| 01 | 002 | 13 | The system shall perform a wage file address cross-match on initial claim, where the system will create an issue if the claimant address on claim is matched against base year employer address file. |
| 01 | 002 | 14 | The system shall verify the claimant is not a Federal Railroad employee. |
| 01 | 002 | 15 | The system shall provide Federal Railroad filing information to the claimant when the claimant is identified as a Federal Railroad employee. |
| 01 | 002 | 16 | The system shall verify the claimant is not incarcerated. INT: Incarceration database (Real time) |
| 01 | 002 | 17 | The system shall interface with INT:Incarceration/Deaprtment of Correction for the purpose of performing an incarcerated claimant cross-match during claim filing, where a claimant incarceration hit will result in the creation of an issue. |
| 01 | 002 | 18 | The system shall interface with INT: Incarcerated Prisoner Data from SSA for the purpose of performing an incarcerated claimant cross-match during claim filing, where a claimant incarceration hit will result in the creation of an issue. |
| 01 | 002 | 19 | The system shall allow for the claimant to participate in identity proofing. |
| 01 | 002 | 20 | The system shall create an issue when the claimant chose to opt out of identity proofing. |
| 01 | 002 | 21 | The system shall provide the ability to associate identity proofing documentation to a claimant or a claim. Upload identification documents |
| 01 | 002 | 22 | The system shall be able to perform the identity proofing activity regardless of the method of claim submission. |
| 01 | 002 | 23 | The system shall create an issue for claimants that fail identity verification. Clarify ID verification parameters |
| 01 | 002 | 24 | The system shall determine if claimant has wages or claims in other states. INT:SIDI - ICON |
| 01 | 002 | 25 | The system shall use INT: Outgoing SID Request, INT: Incoming SID Response, INT: Outgoing IBIQ Request and INT: Incoming IBIQ Response to identify claims filed in other states and wages reported in other states and process results according to business rules. Read WIC screen for claims filed within Benefit Year |
| 01 | 002 | 26 | The system shall notify a claimant of their options in which states they can file when the claimant indicates they have CWC wages or identified through their SIDI or IBIQ check. Real time would be desired |
| 01 | 002 | 27 | The system shall interface with INT: NDNH Request and INT: NDNH Cross Match Response to perform a new hire cross-match during claim filing; to determine if benefits were paid after the Claimant has been newly hired, where a new hire hit will result in the creation of an issue based on configurable business rules. |
| 01 | 002 | 28 | The system shall interface with INT: SDNH Request and INT: SDNH Response to perform a New Hire cross-match during claim filing, to determine if benefits were paid after the claimant has been newly hired, where a new hire hit will result in the creation of an issue based on configurable business rules. |
| 01 | 002 | 29 | The system shall allow an identity verified claimant to view and confirm employers and wages reported in another state. |
| 01 | 002 | 30 | The system shall allow identity verified claimants/UI staff to view and confirm employers and reported wages during configurable time period. |
| 01 | 002 | 31 | The system shall allow identity verified claimants to report errors (e.g. incorrect wages, unrecognized employers, etc.) in their employment to the state. Internal staff mode of communication is email or IM |
| 01 | 002 | 32 | The system shall allow claimant/UI staff to provide information about out-of-state, military, and/or federal employment/separation and wages in the claim base period. Auto Type 1 generation, MSDES ICON real time interaction. |
| 01 | 002 | 33 | The system shall determine, based on business rules, which state is the owner of the wages (or that the wages are not assignable) when federal wages are provided. |
| 01 | 002 | 34 | The system shall mark base period wages that a claimant identifies as not correct (incorrect amount, unrecognized employment, missing employment). |
| 01 | 002 | 35 | The system shall allow identity verified claimants/UI staff to provide employment information for missing employers in the base period. |
| 01 | 002 | 36 | The system shall allow claimants to acknowledge that they have to provide proof of employment and wages to the state when they provide missing employment information. |
| 01 | 002 | 37 | The system shall create a wage investigation issue when missing employment information is provided by a claimant. |
| 01 | 002 | 38 | The system shall provide a way for claimant to identify maritime employment (base & separating) by collecting name of vessel with/and employer. |
| 01 | 002 | 39 | The system shall create an issue if there's any non-preferred employment information from the employer in the system when the claimant files a claim. Please Clarify |
| 01 | 002 | 40 | The system shall collect employment information from claimants whose identity is unverified. |
| 01 | 002 | 41 | The system shall collect employment information from claimants that have opted-out of identity proofing. |
| 01 | 002 | 42 | The system shall collect employment information from claimants that fail identity proofing. |
| 01 | 002 | 43 | The system shall provide a configurable field that identifies the number of searches allowed when adding an employer as part of the claim. |
| 01 | 002 | 44 | The system shall allow a claimant to self-identify as being unemployed due to a disaster that has been declared. |
| 01 | 002 | 46 | The system shall capture all separation information for employment within the base period through the claim filing date. |
| 01 | 002 | 47 | The system shall collect eligibility information from claimants/UI staff during claim filing that may trigger monetary and non-monetary issues based on non-preferred answers. |
| 01 | 002 | 48 | The system shall allow claimants/UI staff to indicate that the claimant received worker’s compensation during the claim period when there are not entitled to UI benefits. |
| 01 | 002 | 49 | The system shall interface with the INT: Workers Compensation Board to confirm payments. |
| 01 | 002 | 50 | The system shall allow claimant/UI staff to provide claimant statistical information. |
| 01 | 002 | 51 | The system shall allow claimant/UI staff to provide information for employment services. |
| 01 | 002 | 52 | The system shall allow the claimant/U staff to review and change answers prior to claim submittal. |
| 01 | 002 | 53 | The system shall collect an attestation from the claimant that all information provided is correct. |
| 01 | 002 | 54 | The system shall establish a claim record based on business rules. |
| 01 | 002 | 55 | The system shall create an issue if the claimant's DOB is out of range, as determined by Interface INT: Claimant ID Verification with SSA |
| 01 | 002 | 56 | The system shall allow claimant/UI staff to choose claim effective date. It should allow claimants only if claimant allowed backdating is turned on. |
| 01 | 002 | 57 | The system shall allow the state to turn on and off claimant allowed backdating. |
| 01 | 002 | 58 | The system shall provide a configurable field that identifies how many weeks a claimant is given to backdate without adjudication. |
| 01 | 002 | 59 | The system shall create a non-monetary issue if the claimant exceeds the maximum weeks to backdate without adjudication. |
| 01 | 002 | 60 | The system shall determine claimant’s entitlement and benefit amounts per business rules. |
| 01 | 002 | 61 | The system shall provide tentative benefit information to identity verified claimants |
| 01 | 002 | 62 | The system shall generate correspondence to both the claimant and employer(s) associated to the claim record. |
| 01 | 002 | 63 | The system shall display a confirmation that a claim has been filed. |
| 01 | 002 | 64 | The system shall allow the claimant/UI staff to file an interstate claim. |
| 01 | 002 | 65 | The system shall send interstate claims to other states through the interface INT: LADT or INT: ICON |
| 01 | 002 | 66 | The system shall give the claimant/UI staff an option to save information entered during the claim filing process and return to complete the claim within configurable deadline for filing. |
| 01 | 002 | 67 | The system shall provide the ability for authorized system administrators to set deadlines configurable for the amount of time to complete claim filing. |
| 01 | 002 | 68 | The system shall set a date to follow-up with the claimant and ensure they are meeting job search and other requirements, in addition to their certification for benefits. |
| 01 | 002 | 69 | The system shall identify and initiate fact finding that corresponds to the issue identified on the claim application. |
| 01 | 002 | 70 | The system shall ensure that all issues have been detected and created (and downstream actions have been performed) prior to generating fact finding to the interested parties. Business Rules/Claim progression |
| 01 | 002 | 71 | The system shall determine if the work authorization date has passed prior to initial claim filing date, as determined by the Department of Homeland Security via interface INT: SAVE Request and INT: SAVE Response |
| 01 | 002 | 72 | The system shall create an issue if the work authorization date has expired upon confirmation from Department of Homeland Security. |
| 01 | 002 | 73 | The system shall allow for automated exceptions if work authorization expiration exists for countries on the work authorization expiration exception list. |
| 01 | 002 | 74 | The system shall create an issue if the claimant's non-citizen indicator is updated from non-citizen to citizen. |
| 01 | 002 | 75 | The System shall interface with NASWA Integrity DATA Hub for Automating SAR Reports. |
02 Monterary Determination
| Attachment X - Function Block - RFP 758 2000000335 | ||||
| FB | Use Case | Req | ||
| Number | Function Block 02: Monetary Determination |
| 02 | 201 | 01 | The system shall allow UI Staff based on their security role to select to update Monetary Parameters. |
| 02 | 201 | 02 | The system shall display current and future effective monetary parameters. |
| 02 | 201 | 03 | The system shall allow UI Staff to manage parameter(s) and set effective date and end date for which the parameters are valid. |
| 02 | 201 | 04 | The system shall create new audit records of parameter for given dates. |
| 02 | 201 | 05 | The system shall audit all changes/updates to Monetary Parameters. |
| 02 | 201 | 06 | The system shall determine when new min Weekly Benefit Rate (WBR) and new Max Weekly Benefit Rate (WBR) parameters go into effect, which claims should receive the new min/max rates and change the Weekly Benefit Rate (WBR) and Maximum Benefit Amount (MBA). |
| 02 | 201 | 07 | The system shall allow UI Staff to view monetary calculation parameter audit records. |
| 02 | 201 | 08 | The system shall provide a state configurable field, with start and end dates, to set monetary parameters including: Average Weekly Wage (AWW) percent, minimum $Weekly Benefit Rate (WBR) – minimum weekly payable amount, maximum $Weekly Benefit Rate (WBR) – maximum weekly payable amount, maximum $Maximum Benefit Amount (MBA) – maximum UI payments over benefit year, Monetary Requalification Factor, State Wage Factor, State Minimum Hourly Wage, minimum number of base weeks required for an Average Weekly Wage (AWW) benefits calculation, minimum Average Weekly Wage Benefit Rate (AWWBR) threshold required to use Average Weekly Wage Benefit Rate (AWWBR) calculation in lieu of default Weekly Benefit Rate (WBR) calculation, Benefits Duration (in effective days) used in determining the claim’s MBA, High Quarter Earnings Factor, Base Period Earnings Factor, Minimum Work Quarters, Minimum Wage Quarters, Entitlement Earnings Cap Factor and the Range Weekly Benefit Rate (WBR). |
| 02 | 202 | 09 | The system shall determine if claimant meets employment and wages criteria based on business rules. |
| 02 | 202 | 10 | The system shall determine base period based on business rules. |
| 02 | 202 | 11 | The system shall determine a claimant's UI entitlement first using a Regular base period. |
| 02 | 202 | 13 | The system shall determine claimant’s claim type based on business rule. |
| 02 | 202 | 14 | The system shall calculate benefit amounts for UI program based on business rules. |
| 02 | 202 | 15 | The system shall determine employers’ potential charges |
| 02 | 202 | 16 | The system shall determine if the claimant is entitled to UI Benefits |
| 02 | 202 | 17 | The system shall generate appropriate correspondence |
| 02 | 202 | 18 | The system shall set the benefit amount to $0 if the claimant is not entitled to UI benefits. |
| 02 | 202 | 19 | The system shall identify if Federal extensions are in effect |
| 02 | 202 | 20 | The system shall determine if a claimant is eligible for a Federal Extension if they are not eligible for regular UI. |
| 02 | 202 | 21 | The system shall identify if State Extensions are in effect |
| 02 | 202 | 22 | The system shall determine if a claimant is eligible for a State Extension if they are not eligible for regular UI. |
| 02 | 202 | 23 | The system shall detect if a disaster declaration is in the system |
| 02 | 202 | 24 | The system shall identify if claimant is marked as potentially eligible for Disaster Unemployment Assistance |
| 02 | 202 | 25 | The system shall generate disaster applications |
| 02 | 202 | 26 | The system shall associate all data used in the monetary calculations/determination to the claim. |
| 02 | 202 | 27 | The system shall only use wages in the base period being evaluated that are not used on another claim (in state or transfer) and portions thereof that have not been marked as “unusable.” |
| 02 | 202 | 28 | The system shall record the date, time, wages used in calculation, used by state, method of calculation (regular, AWW, CWO, etc.) and reason for calculation (ICON receipt, ICON request, Manual, Initial, Reconsideration, etc.). |
| 02 | 202 | 29 | The system shall provide a configurable field to store the list of calculation methods used to determine entitlement and benefit amounts, with a default method. |
| 02 | 202 | 30 | The system shall provide a configurable field to store the list of reasons a monetary calculation was performed, with a default reason. |
| 02 | 202 | 31 | The system shall use the appropriate parameters in determining benefit amount as of the effective date of legislative change (because certain claims get new WBR – new Min WBR and potentially new Max WBR). |
| 02 | 202 | 32 | The system shall recalculate monetary entitlement, benefit amounts (and subsequent adjustments and charging) when the base period wages of a UI claim are modified (amount or usability) whether claim has expired or not. |
| 02 | 202 | 33 | The system shall record, each time, all data used to determine entitlement including but not limited to; wages, base period type, base period wages, excluded wages. |
| 02 | 202 | 34 | The system shall determine if a claimant is eligible to apply for Disaster Unemployment Assistance (DUA) if they are not eligible for regular UI. |
| 02 | 202 | 35 | The system shall round dollar amounts for Weekly Benefit Rate (WBR) and Maximum Benefit Amount (MBA) down to the nearest dollar. |
| 02 | 202 | 37 | The system shall generate correspondence when a monetary determination is made. |
| 02 | 203 | 38 | The system shall allow UI staff to identify a claim record. |
| 02 | 203 | 39 | The system shall allow UI Staff based on their security role to select monetary determination to be managed. |
| 02 | 203 | 40 | The system shall allow UI Staff to adjust the base period type (regular, extended, etc.) |
| 02 | 203 | 41 | The system shall allow UI Staff to adjust the base period begin/end dates for all base periods except regular and alternative |
| 02 | 203 | 42 | The system shall allow UI Staff to mark wages usable/non usable |
| 02 | 203 | 43 | The system shall allow UI Staff to add, revise employer wages (new employer or update current wages) |
| 02 | 203 | 44 | The system shall allow UI Staff to split employer wages into partial usable amounts or mark not usable Chargeability |
| 02 | 203 | 47 | The system shall allow UI Staff to add or change chargeable account(s).The system shall allow UI Staff to select a reason for the new monetary. |
| 02 | 203 | 48 | The system shall allow UI Staff to save any changes made. |
| 02 | 203 | 49 | The system shall record an audit record of the original monetary data. |
| 02 | 203 | 50 | The system shall allow UI Staff to initiate a claim’s monetary determination/calculation (and adjustment process) after making adjustments to the claim’s monetary information. |
| 02 | 203 | 51 | The system shall allow UI Staff to indicate a benefit claim penalty should be assessed. |
| 02 | 203 | 52 | The system shall allow UI staff to input self-employment earnings for DUA claims. |
| 02 | 203 | 53 | The system shall process an amended INT: ICON Incoming IB5 Response received from another state and correct any charges made to a general account. |
| 02 | 203 | 54 | The system shall determine if the claim was previously paid. |
| 02 | 203 | 55 | The system shall determine that the UI staff has updated the charging information on the claim. |
| 02 | 203 | 56 | The system shall allow UI Staff to select from a state-managed list of reasons the wages are not usable. |
| 02 | 203 | 57 | The system shall confirm the sum of split wages for an employer equals the amount reported by the employer. |
| 02 | 204 | 58 | The system shall allow a claimant to request a change to their monetary for a current claim. Monetary Reconsideration. |
| 02 | 204 | 59 | The system shall allow a claimant to choose one of the following types of monetary change requests: Change in base period, Average Weekly Wage (AWW) Calculation, Correction/Re-consideration of wages on monetary, or withdrawal of Combined Wage Claim (CWC) claim. |
| 02 | 204 | 60 | The system shall allow a claimant to provide information for the request type. |
| 02 | 204 | 61 | The system shall allow a claimant to submit their request. |
| 02 | 204 | 62 | The system shall create a monetary issue |
| 02 | 204 | 65 | The system shall collect lag quarter wage amounts for each employer to use for Alternative base period. UCFE/UCX |
| 02 | 204 | 66 | The system shall notify claimant of procedures for providing proof of employment or workers’ compensation. |
| 02 | 204 | 68 | The system shall allow claimant to select choice of total withdrawal or keep state claim, if claimant selected withdrawal of Combined Wage Claim (CWC) Claim. |
| 02 | 204 | 69 | The system shall allow claimant to provide a form of electronic signature and acknowledge of action. |
| 02 | 204 | 70 | The system shall visually identify requests as received timely or not timely. |
| 02 | 204 | 71 | The system shall provide a configurable field, with start and end dates, for the following timeliness rules including: Combined Wage Claim (CWC) Choice timeliness, Base Period change timeliness, and Monetary Request timeliness. |
03 Claims Maitenance
| Attachment X - Function Block - RFP 758 2000000335 | ||||
| FB | Use Case | Req | ||
| Number | Function Block 03: Claims Maintenance |
| 03 | 500 | 01 | The system shall allow claimant to select to manage their profile. |
| 03 | 500 | 02 | The system shall allow claimant to view/update profile information including but not limited to: Name, Address (multiple types and history of addresses), Contact Phone, Preferred Method of Contact, Email address, Veteran Status, Union, Education, Preferred Language, Citizenship (to include country of origin if not US Citizen), Special Accommodation, Race / Ethnicity, SSN (view only)-Masked digit except last four, DOB (view only), One Stop (view only), Federal and State Withholding, Payment preference and bank information, PIN/Password (update only)-Masked, Security Questions. |
| 03 | 500 | 03 | The system shall allow claimant to submit their profile updates. |
| 03 | 500 | 04 | The system shall determine if the verification process is necessary ? |
| 03 | 500 | 05 | The system shall identify if there are new issues |
| 03 | 500 | 06 | The system shall generate correspondence |
| 03 | 500 | 07 | The system shall initiate INT: Claimant ID Verification with SSA verification when SSA information is changed. |
| 03 | 500 | 08 | The system shall initiate INT: ICON UIQ (Unemployment Insurance Query) |
| 03 | 500 | 09 | The system shall initiate alien verification via INT: SAVE Request and INT: SAVE Response when alien verification information is changed. |
| 03 | 500 | 10 | The system shall update the associated FIPS state codes, county codes and city codes when the physical address changes. |
| 03 | 500 | 11 | The system shall update the associated FIPS state codes, county codes and city codes when there is no physical address, and the mailing address changes. |
| 03 | 500 | 12 | The system shall validate payment method for all payment types. |
| 03 | 500 | 17 | The system shall have the ability to set a default payment method type. |
| 03 | 500 | 18 | The system shall generate SSA_INFORMATION_REVIEW_TASK for UI Staff to review evidence uploaded by the Claimant when validation is required, in the event that SSA cannot verify identity. |
| 03 | 500 | 19 | The system shall enable the Claimant to update their citizenship, authorization to work in the US and/or alien authorization. |
| 03 | 500 | 20 | The system shall maintain an address history for claimants, including the date each address was added to the system and how it was added, and the date each address was changed in the system and how it was changed. |
| 03 | 500 | 21 | The system shall maintain a history of all profile information changes for claimants, including the date each data item was added to the system and how it was added, and the date each data item was changed in the system and how it was changed. |
| 03 | 500 | 22 | The system shall perform a Cross-match on address updates, where the system will create an issue if the Claimant address is matched against the employer address for the base period, lag and/or filing quarters of a claim. |
| 03 | 500 | 23 | The system shall ensure that the Claimant cannot directly update SSN or DOB; only authorized UI Staff will have this capability. |
| 03 | 502 | 24 | The system shall allow Claimant to identify and select a claim to update. Default to current claim |
| 03 | 502 | 25 | The system shall display the claim information. |
| 03 | 502 | 26 | The system shall allow Claimant to update the following including but not limited to: federal and state tax election(once), pension details, workers compensation details, disability details, employer contact information, and claimant’s “To-Do List”. |
| 03 | 502 | 27 | The system shall determine which weekly claim(s) can be updated by the claimant based on business rule. |
| 03 | 502 | 28 | The system shall identify if there is a new issue |
| 03 | 502 | 29 | The system shall create a new issue when it identifies that there is one. |
| 03 | 502 | 31 | The system shall allow the claimant to make a payment. |
| 03 | 502 | 32 | The system shall allow the claimant to select to backdate claim based on Business Requirements. |
| 03 | 502 | 34 | The system shall allow the state to configure the time period within which claim(s) can be updated by the Claimant. Within the current BYE |
| 03 | 502 | 35 | The system shall allow the Claimant to view the following including but not limited to: detailed Payment information by week, including any additions or subtractions (incl. reason) due to earnings, reductions, offsets, deductions, and withholdings, including but not limited to date paid, payment status, payment method (incl. check/batch number, if applicable), certification method (and operator, if applicable), certification time, program type, WBR, weekly benefit amount (before subtractions) and total payment amount. |
| 03 | 502 | 36 | The system shall allow the Claimant to easily access associated overpayment information from the Payment detail for the Claimant. Need this Functionality |
| 03 | 502 | 37 | The system shall allow the Claimant to view detailed Overpayment information by week, principal, penalty, including but not limited to program type, program allocation percentage, total overpayment amount, other state (if applicable), offsets, withholdings, deductions, and total overpayment amount. |
| 03 | 503 | 38 | The system shall allow UI Staff to select to manage a claimant profile. |
| 03 | 503 | 39 | The system shall allow UI Staff to manage/update claimant profile information, including but not limited to: Name, Address (all on file), Phone, Contact method, Veteran Status, email address, Union, Education, Preferred Language, Citizenship, SSN, DOB, One Stop (View Only), Federal and State Withholding, Payment preference and bank information, PIN/Password (update/reset only), Driver’s license/State ID information. |
| 03 | 503 | 40 | The system shall determine if the verification process is necessary |
| 03 | 503 | 41 | The system shall identify if there are new issues |
| 03 | 503 | 42 | The system shall create a new issue when it identifies there is one. |
| 03 | 503 | 43 | The system shall generate correspondence |
| 03 | 503 | 44 | The system shall initiate the INT: Claimant ID verification with SSA verification when SSA information has been updated. |
| 03 | 503 | 45 | The system shall initiate INT: ICON UIQ (Unemployment Insurance Queue) |
| 03 | 503 | 46 | The system shall initiate INT: Claimant ID verification with DMV |
| 03 | 503 | 47 | The system shall initiate INT: Claimant ID verification with Vital Statistics |
| 03 | 503 | 48 | The system shall verify if there are Labor Department prior claims. DOL INT ? |
| 03 | 503 | 49 | The system shall enable a UI Staff to update the claimant’s Citizenship, authorization to work in the US and/or Alien Authorization. |
| 03 | 503 | 50 | The system shall initiate the INT: SAVE Request and INT: SAVE Response verification when alien verification information is changed. |
| 03 | 503 | 51 | The system shall update the associated FIPS state codes, county codes and city codes when the physical address changes. |
| 03 | 503 | 52 | The system shall update the associated FIPS state codes, county codes and city codes when there is no physical address, and the mailing address changes. |
| 03 | 503 | 55 | The system shall validate payment method for all payment types. |
| 03 | 503 | 56 | The system shall block the UI Staff from entering a banned vendor payment types. |
| 03 | 503 | 57 | The system shall have the ability to set a default payment method type. |
| 03 | 503 | 58 | The system shall perform a Cross-match on address updates, where the system will create an issue if the Claimant address is matched against the employer address for the base period, lag and/or filing quarters of a claim. |
| 03 | 504 | 59 | The system shall allow UI Staff to identify and select a claim to update |
| 03 | 504 | 60 | The system shall display the claim information. |
| 03 | 504 | 61 | The system shall allow the UI Staff to update the following including but not limited to: federal and state tax election, pension details, workers compensation details, disability details, overpayment balance, remaining forfeit penalty days, monetary penalty balance, claim status, claim effective date, claim ending date, claim type, appointments, work seeking status and waiver. |
| 03 | 504 | 62 | The system shall allow the UI Staff to edit weekly certifications (includes work search requirement) based on configurable fields and time period. |
| 03 | 504 | 63 | The system shall determine if the weekly claim update is within the time period based on business rules |
| 03 | 504 | 64 | The system shall identify if there is a new issue |
| 03 | 504 | 65 | The system shall create a new issue when it identifies there is one. |
| 03 | 504 | 66 | The system shall generate ICON requests/messages as required. |
| 03 | 504 | 67 | The system shall run the adjustment process as required |
| 03 | 504 | 68 | The system shall allow the UI Staff to generate and/or send 1099G. |
| 03 | 504 | 69 | The system shall allow the UI Staff to view payment history summary and details, Employer charging information, and audit history of all changes made to claim. |
| 03 | 504 | 70 | The system shall allow the UI Staff to take the following actions, including but not limited to: cancel or reinstate a claim, to withdraw a claim, update claimant’s To-Do List, update claim employment information, accept repayment from claimant for overpayment, backdate a claim, add weekly certification(s), release held certifications, send overpayment waiver, add issues, and update claimant's weekly earnings. |
| 03 | 504 | 71 | The system shall allow the UI Staff to add to claimant interaction history. |
| 03 | 504 | 72 | The system shall perform the adjustment process when updates are made that affect payment on the claim. |
| 03 | 504 | 73 | The system shall allow UI staff to initiate appointments. |
| 03 | 504 | 74 | The system shall provide the UI Staff the ability to denote an overpayment as TOPS eligible or ineligible. |
| 03 | 504 | 75 | The system shall provide the ability for the UI Staff to request a check for a claimant. With appropriate documentation |
| 03 | 504 | 77 | The system shall provide the ability for UI Staff to override the suggested payment allocation. |
| 03 | 504 | 78 | The system shall provide the ability for the UI Staff to generate a payment on prior BYE. |
| 03 | 504 | 79 | The system shall allow the UI Staff to update indicator(s) for deceased claimants, bankrupt claimants, and incarcerated claimants. INT ? |
| 03 | 504 | 80 | The system shall allow the UI Staff to view detailed payment information by week, including any additions or subtractions (incl. reason) due to earnings, reductions, forfeit days, offsets, deductions, and withholdings, including but not limited to date paid, payment status, payment method (incl. check/batch number, if applicable), certification method (and operator, if applicable), certification time, program type, WBR, program allocation percentage, weekly benefit amount (before subtractions) and total payment amount. |
| 03 | 504 | 81 | The system shall allow the UI Staff to easily access associated overpayment and benefit charge information from the payment detail for the claimant. |
| 03 | 504 | 82 | The system shall allow the UI Staff to view detailed overpayment information by week, principal, penalty, including but not limited to program type, program allocation percentage, other state (if applicable), offsets, forfeits, withholdings, deductions, and total overpayment amount. |
04 Lower Authority Appeals
| Attachment X - Function Block - RFP 758 2000000335 | ||||
| FB | Use Case | Req | ||
| Number | Function Block 04: Lower Authority Appeals |
| 04 | 030 | 01 | The system shall allow an appeal requestor to enter an appeal request. | |
| 04 | 030 | 02 | The system shall display all benefit determinations and lower authority decisions. | |
| 04 | 030 | 03 | The system shall run business rules to determine which determinations/decisions can be appealed or reopened. | |
| 04 | 030 | 04 | The system shall allow an appeal requestor to select a decision or determination to appeal or reopen. | |
| 04 | 030 | 05 | The system shall allow the appeal requestor to enter information about their appeal. | |
| 04 | 030 | 06 | The system shall display a request summary. | |
| 04 | 030 | 07 | The system shall allow the appeal requestor to confirm appeal request information. | |
| 04 | 030 | 08 | The system shall allow the appeal requestor to submit the appeal request. | |
| 04 | 030 | 09 | The system shall run business rules to determine if the appeal request is timely. | |
| 04 | 030 | 10 | The system shall assign a confirmation number for the appeal request. | |
| 04 | 030 | 11 | The system shall generate a notice of request to the appeal requestor. | |
| 04 | 030 | 12 | The system shall allow the appeal requestor to request an interpreter. | |
| 04 | 030 | 13 | The system shall allow the appeal requestor to identify their language preference. | |
| 04 | 030 | 14 | The system shall allow the appeal requestor to request ADA reasonable accommodation. | |
| 04 | 030 | 16 | The system shall allow Office Staff to search for appeal requests based on criteria including but not limited to claimant SSN/unique identifier, Employer FEIN, docket/case #. | |
| 04 | 030 | 17 | The system shall allow Office Staff to remove issues from remanded cases. | |
| 04 | 030 | 18 | The system shall allow Office Staff to add issues to remanded cases. | |
| 04 | 030 | 19 | The system shall allow Office Staff to add issues to reopen cases. | |
| 04 | 030 | 20 | The system shall display issues associated to both decisions and determinations to the appeal requestor. | |
| 04 | 030 | 21 | The system shall capture the reason for the hearing request. | |
| 04 | 030 | 22 | The system shall allow the appeal requestor to indicate that a representative will be participating in the hearing. | |
| 04 | 030 | 23 | The system shall allow the appeal requestor to attach/upload relevant documents. | Add access and listen to recorded hearing sessions |
| 04 | 030 | 24 | The system shall route the appeal request based on rules. | Add system shall notify Div Staff when an appeal request is made |
| 04 | 030 | 25 | The system shall generate the appropriate correspondence based on the appeal request. | |
| 04 | 030 | 26 | The system shall allow Office Staff to enter decision/determination information to request an appeal if a prior decision/determination has been purged from the system. | |
| 04 | 030 | 27 | The system shall display decisions/determinations based on newest first | |
| 04 | 030 | 28 | The system shall allow the appeal requestor to sort/filter decisions/determinations based on their role and criteria including but not limited to determination date, appellant name, claimant SSN/unique identifier, employer registration number, docket/case #. | |
| 04 | 030 | 29 | The system shall capture the work location of a claimant. | |
| 04 | 030 | 30 | The system shall be able to capture requests for multiple issues at one time. | |
| 04 | 030 | 31 | The system shall allow the appeal requestor to select one, multiple or all issues associated to a decision or determination to appeal. | |
| 04 | 030 | 32 | The system shall allow the appeal requestor to submit additional information based on the status of the initial request. | Add info |
| 04 | 030 | 33 | The system shall verify that a prior hearing exists where the appeal requestor did not participate for rehearing requests. | |
| 04 | 030 | 34 | Upon reopening, the system shall prompt the user to input the reason for missing hearing if the previous decision was due to a default/non-appearance. |
This is the start of the file's text. The full file is on GovTribe.
File details come from the government source that posted it. Updated .