Section 303(a)(1) of the Social Security Act requires a method
of administration "reasonably calculated to insure full payment of
unemployment compensation when due." In light of the intent of
Congress to make payments available at the earliest stage of
unemployment as is administratively feasible, in order to provide a
substitute for wages, the language "when due" must be construed to
mean when benefits are allowed as a result of a hearing of which
both parties have notice and at which they are permitted to present
their respective positions. California's initial interview provides
such a hearing, and, accordingly, enforcement of § 1335 of the
California Unemployment Insurance Code, providing for the
withholding of insurance benefits upon an employer's appeal from
the initial eligibility determination, must be enjoined, because it
conflicts with the requirement of § 303(a)(1) of the Social
Security Act. Pp.
402 U. S.
124-135.
317 F.
Supp. 875, affirmed.
BURGER, C.J., delivered the opinion for a unanimous Court.
DOUGLAS, J., filed a concurring opinion,
post, p.
402 U. S.
135.
Page 402 U. S. 122
MR. CHIEF JUSTICE BURGER delivered the opinion of the Court.
This case raises the issue of whether a State may, consistent
with § 303(a)(1) of the Social Security Act, suspend or
withhold unemployment compensation benefits from a claimant when an
employer takes an appeal from an initial determination of
eligibility. Section
Page 402 U. S. 123
303(a)(1) of the Social Security Act, 49 Stat. 626, as amended,
42 U.S.C. § 503(a)(1), provides that benefits must be paid
"when due."
In late summer, 1969, appellees Judith Java and Carroll Hudson,
having been discharged from employment, applied for unemployment
insurance benefits under the California Unemployment Insurance
Program. Appellees were given an eligibility interview at which the
employer did not appear, although such an appearance was permitted.
As a result of that interview, both employees were ruled eligible
for benefits. Payments began immediately. In each case, the former
employer filed an appeal after learning of the grant of benefits,
contending that benefits should be denied because the claimants
were discharged for cause. In accordance with the practice of the
agency and pursuant to § 1335 of the California Unemployment
Insurance Code, [
Footnote 1]
payments automatically stopped. At the subsequent hearings before
an Appeals Board Referee, which stage is essentially an appeal from
the preliminary determination under
Page 402 U. S. 124
California Unemployment Insurance Code §§ 1328, 1334,
appellee Hudson's eligibility was affirmed, but appellee Java was
ruled ineligible and the initial determination was reversed.
Prior to the hearings before the Referee, appellees commenced a
class action in the United States District Court on behalf of
themselves and other claimants similarly situated. They sought a
declaration that § 1335 of the California Unemployment
Insurance Code is unconstitutional and inconsistent with the
requirements of § 303(a)(1) of the Social Security Act, and an
order enjoining the operation of § 1335.
A thee-judge court was convened, and it concluded that §
1335 is defective on both constitutional and statutory grounds. The
District Court held that, by not providing for a pre-termination
hearing, the California procedure constitutes a denial of
procedural due process, relying on
Goldberg v. Kelly,
397 U. S. 254
(1970). It further held that the application of § 1335, so as
to result in a median seven-week delay in payments to claimants who
have been found eligible for benefits, constituted a failure to pay
unemployment compensation "when due" within the meaning of §
303(a)(1) of the Social Security Act. The court granted appellees'
motion for a preliminary injunction, ordering the State of
California not to suspend unemployment benefits pursuant to §
1335 because an eligibility determination has been appealed.
(1)
We agree with the conclusion of the District Court that §
1335 of the California Unemployment Insurance Code conflicts with
the requirements of § 303(a)(1) of the Social Security Act.
This holding makes it unnecessary to reach the constitutional issue
involved in
Goldberg v. Kelly, supra, on which the
District Court relied.
Page 402 U. S. 125
The importance of this case to workers is obvious. Because an
understanding and the resolution of the basic issue depends on
familiarity with a series of detailed procedures, we set out fully
the administrative scheme.
All federal-state cooperative unemployment insurance programs
are financed in part by grants from the United States pursuant to
the Social Security Act, 42 U.S.C. §§ 501-503. No grant
may be made to a State for a fiscal year unless the Secretary of
Labor certifies the amount to be paid, 42 U.S.C. § 502(a). The
Secretary of Labor may not certify payment of federal funds unless
he first finds that the State's program conforms to federal
requirements. In particular, § 303(a)(1) of the Act requires
that state methods of administration be found "to be reasonably
calculated to insure full payment of unemployment compensation when
due." [
Footnote 2]
The California Unemployment Insurance Compensation Program,
certified by the Secretary of Labor under § 303 of the Act,
provides for payment of insurance benefits, over an extended period
of time, to persons who find themselves unemployed through no fault
of
Page 402 U. S. 126
their own. Cal.Unemp.Ins.Code § 1251
et seq. In
order to be eligible for benefits a claimant is required to have
earned a specified amount of wages during his base period.
Id. § 1281. Benefits are paid from the State
Unemployment Fund, which consists of funds collected from private
employers,
id. § 976
et seq., and money
credited to the State's account in the federal Unemployment Trust
Fund pursuant to 42 U.S.C. §§ 501-503, 1101-1105. The
amount of money an employer is required to pay into the State Fund
is based on benefits paid to terminated employees which are charged
to its reserve account and disbursements from the State
Unemployment Fund. Cal.Unemp.Ins.Code §§ 1025-1032,
976-978.
A claimant, appearing at an unemployment insurance office to
assert a claim, initially is asked to fill out forms which, taken
together, indicate the basis of the claim, the name of the
claimant's previous employer, the reason for his unemployment, his
work experience, etc. The claimant is asked to return to the office
three weeks later for the purpose of receiving an Eligibility
Benefits Rights Interview. The issue most frequently disputed, the
claimant's reason for termination of employment, is answered on
Form DE 1101, and the Department immediately sends copies of this
form to the affected employer for verification. Meanwhile, the
employer is asked to furnish, within 10 days, "any facts then known
which may affect the claimant's eligibility for benefits."
Cal.Unemp.Ins.Code §§ 1327, 1030. If the employer
challenges eligibility, the claimant may then be asked to complete
Form DE 4935, which asks for detailed information about the
termination of claimant's previous job. The interviewer has,
according to the Local Office Manual (L.O.M.) used in California,
the "responsibility to seek from any source the facts required to
make a prompt and proper determination of eligibility." L.O.M.
Page 402 U. S. 127
§ 1400.3(2).
"Whenever information submitted is not clearly adequate to
substantiate a decision, the Department has an obligation to seek
the necessary information."
L.O.M. § 1400.5(1)(a). This clearly contemplates inquiry to
the latest employer, among others.
The claimant then appears for his interview. At the interview,
the eligibility interviewer reviews available documents, makes
certain that required forms have been completed, and clarifies or
verifies any questionable statements. If there are inconsistent
facts or questions as to eligibility, the claimant is asked to
explain and offer his version of the facts. The interviewer is
instructed to make telephone contact with other parties, including
the latest employer, at the time of the interview, if possible.
L.O.M. § 1404.4(20). Interested persons, including the
employer, are allowed to confirm, contradict, explain, or present
any relevant evidence. L.O.M. § 1404.4 (21).
The eligibility interviewer must then consider all the evidence
and make a determination as to eligibility. Normally, the
determination is made at the conclusion of the interview. L.O.M.
§ 1404.6(2). However, if necessary to obtain information by
mail from any source, the determination may be placed in suspense
for 10 days after the date of interview, or, if no response is
received, no later than claimant's next report day. L.O.M. §
1400.3(2)(a).
From the foregoing, it can be seen that the interview for the
determination of eligibility is the critical point in the
California procedure. [
Footnote
3] In the Department's own terms, it is
"the point at which any issue affecting the claimant's
eligibility is decided and fulfills the Department's legal
obligation to insure that . . . [b]enefits
Page 402 U. S. 128
are paid promptly if claimant is eligible."
L.O.M. § 1400.1(1) (emphasis added). If the initial
determination is favorable to the claimant, [
Footnote 4] payments begin immediately, and for
95-98% of the claims, former employers do not appear or seek a
hearing; [
Footnote 5] no
further problem arises as to initial eligibility. The Department
sends out a notice to the employer informing him that the claimant
has been found eligible, and that the employer may appeal within 10
days. Cal.Unemp.Ins.Code § 1328. The 10-day period may be
extended for "good cause."
Ibid.
If the employer appeals, payment of the claimant's benefits is
stopped pending determination on appeal before an Appeals Board
Referee.
Id. § 1335;
see L.O.M. § 1474.
The automatic suspension of benefits upon the employer's appeal,
after an initial determination of eligibility, is the aspect of the
California procedure challenged here. By that time, the claimant
may have received one or perhaps two payments. When the employer
appeals, a hearing is then scheduled at which both the parties may
appear and be represented, call witnesses, and present
evidence.
"A referee after affording a reasonable opportunity for fair
hearing, shall, unless such appeal is withdrawn, affirm, reverse,
or modify any determination which is appealed. . . ."
Cal.Unemp.Ins.Code § 1334. The appeal affords a
de
novo consideration. Generally, processing of the employer's
appeal takes between six and seven weeks, between the date of
filing the appeal and the date of mailing the decision or
dismissal. [
Footnote 6]
If, upon appeal, the Referee finds the claimant eligible,
Page 402 U. S. 129
payments are reinstated at once and continue even if the
employer exercises his right to appeal further to the Appeals
Board. Cal.Unemp.Ins.Code § 1335(b). Meanwhile, as much as
seven to 10 weeks may have elapsed. The record indicates that
employers are successful in less than 50% of their appeals from
initial determinations of eligibility. [
Footnote 7] The Referee's decision is final unless, within
10 days, further appeal is initiated to the Appeals Board.
Cal.Unemp.Ins.Code §§ 1334, 1336. The Appeals Board must
render a decision within 60 days after the filing of an appeal to
it, unless it requires the taking of further evidence.
Id.
§ 1337. If the claimant is successful on appeal, he receives a
lump sum payment for weeks of unemployment prior to the Referee's
decision.
Id. § 1338. If the employer is successful
on appeal, his reserve account is immediately credited with all
monies that have been paid his former employee. He has no
responsibility for recoupment.
Id. §§ 1335,
1380. [
Footnote 8]
(3)
The dispositive issue is the determination of whether §
1335 of the California Unemployment Insurance Code violates the
command of 42 U.S.C. § 503(a)(1) that state unemployment
compensation programs must "be
Page 402 U. S. 130
reasonably calculated to insure full payment of unemployment
compensation when due." The purpose of the federal statutory scheme
must be examined in order to reconcile the apparent conflict
between the provision of the California statute and §
303(a)(1) of the Social Security Act.
It is true, as appellants argue, that the unemployment
compensation insurance program was not based on need in the sense
underlying the various welfare programs that had their genesis in
the same period of economic stress a generation ago. A kind of
"need" is present in the statutory scheme for insurance, however,
to the extent that any "salary replacement" insurance fulfills a
need caused by lost employment. The objective of Congress was to
provide a substitute for wages lost during a period of unemployment
not the fault of the employee. Probably no program could be devised
to make insurance payments available precisely on the nearest
payday following the termination, but, to the extent that this was
administratively feasible, this must be regarded as what Congress
was trying to accomplish. The circumstances surrounding the
enactment of the statute confirm this.
The Social Security Act received its impetus from the Report of
the Committee on Economic Security, [
Footnote 9] which was established by executive order of
President Franklin D. Roosevelt to study the whole problem of
financial insecurity due to unemployment, old age, disability, and
health. In its report, transmitted to Congress by the President on
January 17, 1935, the Committee recommended a program of
unemployment insurance compensation
Page 402 U. S. 131
as a
"first line of defense for. . . [a worker] ordinarily steadily
employed . . . for a limited period during which there is
expectation that he will soon be reemployed. This should be a
contractual right not dependent on any means test. . . . It will
carry workers over most, if not all, periods of unemployment in
normal times without resort to any other form of assistance.
[
Footnote 10]"
Estimates of possible amounts and duration of unemployment
benefits were made by the actuarial staff of the Committee. On the
basis of 1922-1933 statistics, it was estimated that 12 weeks of
benefits could be paid with a two-week waiting period at a 4%
employer contribution rate. [
Footnote 11] The longest waiting period entering into the
estimates was four weeks, indicating an intent that payments should
begin promptly after the expiration of a short waiting period.
Other evidence in the legislative history of the Act and the
commentary upon it supports the conclusion that "when due" was
intended to mean at the earliest stage of unemployment that such
payments were administratively feasible after giving both the
worker and the employer an opportunity to be heard. The purpose of
the Act was to give prompt, if only partial, replacement of wages
to the unemployed, to enable workers "to tide themselves over,
until they get back to their old work or find other employment,
without having to resort to relief." [
Footnote 12] Unemployment benefits provide cash to a
newly unemployed worker "at a time when otherwise he would have
nothing to spend," [
Footnote
13] serving to maintain the
Page 402 U. S. 132
recipient at subsistence levels without the necessity of his
turning to welfare or private charity. Further, providing for
"security during the period following unemployment" [
Footnote 14] was thought to be a means of
assisting a worker to find substantially equivalent employment. The
Federal Relief Administrator testified that the Act
"covers a great many thousands of people who are thrown out of
work suddenly. It is essential that they be permitted to look for a
job. They should not be doing anything else but looking for a job.
[
Footnote 15]"
Finally, Congress viewed unemployment insurance payments as a
means of exerting an influence upon the stabilization of
industry.
"Their only distinguishing feature is that they will be
specially earmarked for the use of the unemployed at the very times
when it is best for business that they should be so used. [
Footnote 16]"
Early payment of insurance benefits serves to prevent a decline
in the purchasing power of the unemployed, which, in turn, serves
to aid industries producing goods and services. The following
extract from the testimony of the Secretary of Labor, in support of
the Act, describes the stabilization mechanism contemplated:
"I think that the importance of providing purchasing power for
these people, even though temporary, is of very great significance
in the beginning of a depression. I really believe that putting
purchasing power in the form of unemployment insurance benefits in
the hands of the people at the moment when the depression begins
and when the first groups begin to be laid off is bound to have a
beneficial effect.
Page 402 U. S. 133
Not only will you stabilize their purchases, but, through
stabilization of their purchases, you will keep other industries
from going downward, and immediately you spread work by that very
device. [
Footnote 17]"
We conclude that the word "due" in § 303(a) (1), when
construed in light of the purposes of the Act, means the time when
payments are first administratively allowed as a result of a
hearing of which both parties have notice and are permitted to
present their respective positions; any other construction would
fail to meet the objective of early substitute compensation during
unemployment. Paying compensation to an unemployed worker promptly
after an initial determination of eligibility accomplishes the
congressional purposes of avoiding resort to welfare and
stabilizing consumer demands; delaying compensation until months
have elapsed defeats these purposes. It seems clear, therefore,
that the California procedure, which suspends payments for a median
period of seven weeks pending appeal, after an initial
determination of eligibility has been made, is not "reasonably
calculated to insure full payment of unemployment compensation when
due." [
Footnote 18]
(4)
We are not persuaded by appellants' suggestion that the initial
determination is clouded with sufficient uncertainty as to warrant
withholding benefits until the appeal is decided to protect the
interests of the State or of employers. The California procedure
for initial determinations is effective in insuring that benefits
are limited to legally eligible claimants. From 95-98% of
ineligible
Page 402 U. S. 134
claimants are screened out at this stage. The primary inquiry at
the preliminary interview is to examine the claimant's basic
eligibility under the California statute. It is an occasion when
the claims of both the employer and the employee can be heard,
however. The regulations contemplate that the interviewer shall
make inquiries of the employer informally. This may not always
flush out objections based on discharge for cause, as this case
illustrates. Nonetheless, if the employer has notice of the time
and place of the preliminary interview, as was the case here, it is
his responsibility to present sufficient data to make clear his
objections to the claim for benefits and put the interviewer in a
position to broaden the inquiry, if necessary. Any procedure or
regulation that fails to give notice to the employer would, of
course, be violative of the statutory scheme as we construe it.
Although the eligibility interview is informal, and does not
contemplate taking evidence in the traditional judicial sense, it
has adversary characteristics, and the minimum obligation of an
employer is to inform the interviewer and the claimant of any
disqualifying factors. So informed, the interviewer can direct the
initial inquiry to identifying a frivolous or dilatory contention
by either party.
It would frustrate one of the Act's basic purposes -- providing
a "substitute" for wages -- to permit an employer to ignore the
initial interview or fail to assert and document a claimed defense,
and then effectuate cessation of payments by asserting a defense to
the claim by way of appeal. If the employer fails to present any
evidence, he has, in effect, defaulted, and neither he nor the
State can with justification complain if, on a
prima facie
showing, benefits are allowed. If the employer's defenses are not
accepted and the claim is allowed, that also constitutes a
determination that the benefits are "due."
Page 402 U. S. 135
As we have noted, this construction of the statutory scheme
vindicates the congressional objective; California's approach tends
to frustrate it. Our reading of the statute imposes no hardship on
either the State or the employer, [
Footnote 19] and gives effect to the congressional
objective of getting money into the pocket of the unemployed worker
at the earliest point that is administratively feasible. That is
what the Unemployment Insurance program was all about.
For the reasons stated enforcement of § 1335 must be
enjoined because it is inconsistent with § 303(a)(1) of the
Social Security Act.
See King v. Smith, 392 U.
S. 309,
392 U. S. 333
(1968);
Rosado v. Wyman, 397 U. S. 397,
397 U. S.
420-421 (1970).
Affirmed.
[
Footnote 1]
Section 1335 of the California Unemployment Insurance Code
provides:
"
If an appeal is filed, benefits with respect to the period
prior to the final decision on the appeal shall be paid only after
such decision, except that: "
"(a) If benefits for any week are payable in accordance with a
determination by the department irrespective of any decision on the
issues set forth in the appeal, such benefits shall be promptly
paid regardless of such appeal, or"
"(b) If a referee affirms a determination allowing benefits,
such benefits shall be paid regardless of any appeal which may
thereafter be taken, and regardless of any action taken under
Section 1336 or otherwise by the director, Appeals Board, or other
administrative body or by any court."
"If such determination is finally reversed, no employer's
account shall be charged with benefits paid because of that
determination."
(Emphasis added.)
[
Footnote 2]
Section 303(a)(1) of the Social Security Act, 42 U.S.C. §
503(a)(1), provides in part:
"(a) The Secretary of Labor shall make no certification for
payment to any State unless he finds that the law of such State,
approved by the Secretary of Labor under the Federal Unemployment
Tax Act, includes provision for -- "
"(1) Such methods of administration (including after January 1,
1940, methods relating to the establishment and maintenance of
personnel standards on a merit basis, except that the Secretary of
Labor shall exercise no authority with respect to the selection,
tenure of office, and compensation of any individual employed in
accordance with such methods) as are found by the Secretary of
Labor to be
reasonably calculated to insure full payment of
unemployment compensation when due."
(Emphasis added.)
[
Footnote 3]
Of the 226,066 claimants ruled ineligible in 1968, only 2,602
(1%) were found ineligible by a state referee upon an employer's
appeal.
[
Footnote 4]
Of 667,993 determinations on eligibility in 1968, 441,927 were
favorable to the claimant.
[
Footnote 5]
In 1968 there were only 5,526 decisions on appeals filed by
employers.
[
Footnote 6]
In 1968, the period was 49 days; in 1969, it was 40.5 days.
[
Footnote 7]
Of 4,159 appeals filed by an employer between January 1, 1969,
and September 30, 1969, 2,023 resulted in decisions favorable to
the employer. (During the same period, there were 14,768 appeals
filed by claimants, 4,838 of which were successful.) In 1968, there
were 5,526 decisions on appeals filed by employers, resulting in
2,602 decisions favorable to the employer, and 2,924 favorable to
the claimant.
[
Footnote 8]
Counsel informed the Court that recoupment is effected by the
Department as to approximately 65% of the amounts erroneously paid;
this is generally accomplished by way of offset against benefits
subsequently granted in a later unemployment claim. The Department
may also file a civil action for recovery.
See
Cal.Unemp.Ins.Code § 2739.
[
Footnote 9]
Report of the Committee on Economic Security, Hearings on S.
1130 before the Senate Committee on Finance, 74th Cong., 1st Sess.,
1311 (1935);
see generally Larson & Murray, The
Development of Unemployment Insurance in the United States, 8
Vand.L.Rev. 181 (1955); Witte, Development of Unemployment
Compensation, 55 Yale L.J. 21, 29-34 (1945).
[
Footnote 10]
Report of the Committee on Economic Security,
supra,
n 9, at 1321-1322.
See
Note, Charity versus Social Insurance in Unemployment Compensation
Laws, 73 Yale L.J. 357 (1963).
[
Footnote 11]
Hearings,
supra, n
9, at 1321, 1319.
[
Footnote 12]
H.R.Rep. No. 615, 74th Cong., 1st Sess., 7 (1935).
[
Footnote 13]
Statement of the Secretary of Labor, Hearings,
supra,
n 9, at 119.
Cf. Nash v.
Florida Industrial Comm'n, 389 U. S. 235,
389 U. S. 239
(1967).
[
Footnote 14]
See S.Rep. No. 628, 74th Cong., 1st Sess., 12
(1935).
[
Footnote 15]
Statement of Federal Relief Administrator and Member of the
Committee on Economic Security, Hearings on H.R. 4120 before the
House Committee on Ways and Means, 74th Cong., 1st Sess., 214
(1935).
[
Footnote 16]
Statement of Sen. Robert F. Wagner, Hearings,
supra,
n 9, at 3.
[
Footnote 17]
Statement of the Secretary of Labor, Hearings,
supra,
n 15, at 182.
See
Clague, The Economics of Unemployment Compensation, 55 Yale L.J.
53, 69 (1945).
[
Footnote 18]
It was uncontested in argument before the District Court that
the average period of unemployment in California is approximately
nine weeks.
[
Footnote 19]
For example, an employer's reserve account is not charged if a
claimant is ruled ineligible because of voluntary termination or
discharge for cause, unless the employer fails to furnish the
information required. Cal.Unemp.Ins.Code §§ 1032,
1030.
In disposing of the prayer for a permanent injunction, it may be
appropriate to join the Secretary of Labor as a party in order that
complete relief may be accorded.
MR. JUSTICE DOUGLAS, concurring.
While I agree with the opinion of the Court, I add a few
words.
The argument of California in this case is surprisingly
disingenuous. First, it seeks to distinguish
Goldberg v.
Kelly, 397 U. S. 254, on
the ground that "welfare is based on need; unemployment insurance
is not." But that simply is not true, for the history makes clear
that the thrust of the scheme for unemployment benefits was to take
care of the need of displaced workers, pending a search for other
employment. Second, California argues that delay in payment of
benefits until the employer's appeal is ended is necessary in terms
of due process because "it is
Page 402 U. S. 136
the employer's money which is used to pay the claimant," his
account being "charged" and his experience rating "adversely
affected" each time an employee is paid benefits. It is true that
the amount of taxes contributed by each employer to the
unemployment fund varies directly with the number of his former
employees who qualify for unemployment benefits. Under the
California scheme, however, an employer's account is not finally
charged with benefit payments until after he has exhausted all
appeals in the administrative chain and also obtained judicial
review. If he wins at any appellate level, he is not charged with
any benefits paid to his former employee pending his appeal.
Cal.Unemp.Ins.Code § § 1335, 1380. He has no
responsibility for recoupment. Thus, regardless of whether benefits
to his former employees are suspended pending his appeal, an
employer is assured of a complete opportunity to be heard before
effective action is taken against him.
Therefore here, as in
Goldberg, the requirements of
procedural due process protect the payment of benefits owing the
displaced employee, and the employer has notice and hearing before
his account is charged.
Whether due process would require the latter is a question we do
not reach.
*
*
Cf. Labor Board v. Gillett Gin Co., 340 U.
S. 361. Though that case involved a question whether the
Labor Board must deduct unemployment insurance payments from back
pay awards, we said:
"Payments of unemployment compensation were not made to the
employees by respondent, but by the state out of state funds
derived from taxation. True, these taxes were paid by employers,
and thus, to some extent, respondent helped to create the fund.
However,
the payments to the employees were not made to
discharge any liability or obligation of respondent, but to carry
out a policy of social betterment for the benefit of the entire
state."
Id. at
340 U. S. 364.
(Italics added.)