New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 69 - AFDC-RELATED MEDICAID
Subchapter 8 - OTHER GOVERNMENTAL PROGRAMS
Section 10:69-8.5 - Department of Labor and Workforce Development

Universal Citation: NJ Admin Code 10:69-8.5

Current through Register Vol. 56, No. 18, September 16, 2024

(a) The Department of Labor and Workforce Development is responsible for the administration of Unemployment Insurance and Temporary Disability Benefits.

(b) The Department of Labor and Workforce Development maintains local offices and provides itinerant services at necessary points, which vary from time to time with economic conditions, on specified days or during specified seasons of the year. The CWA may obtain copies of a published list of the local and itinerant offices from the Department of Labor and Workforce Development, PO Box 110, Trenton, New Jersey 08625-0110.

(c) It is essential that the CWA staffs familiarize themselves with the general rules of eligibility for receipt of unemployment insurance and temporary disability benefits, payment provisions, and duration of weekly payments for persons who have been engaged in "covered" employment.

(d) The following concern the verification of the status of a claim for unemployment insurance:

1. Claims for unemployment insurance benefits are filed at the appropriate local Reemployment Call Center or online at www.njuifile.net.

2. It should be possible for the agency to secure from the client all the necessary information about his or her eligibility for and the receipt of unemployment insurance benefits.

3. The CWA shall obtain unemployment status verifications via access to the Department of Labor and Workforce Development's Local Office Online Payment System (LOOPS).

(e) The following concern the verification of the status of a claim for temporary disability benefits:

1. Unlike claimants for unemployment insurance benefits, persons who have filed for temporary disability are not provided with proof of application for benefits. However, they receive an Entitlement Statement from Disability Insurance Service.

2. It is the responsibility of the client to notify the agency of the status of his or her claim for benefits. The agency shall inquire from him or her whether he or she is covered under a private plan or State plan.

3. If the client still has not received payment, or notice of ineligibility for benefits for a claim made under the private plan, a direct inquiry in writing shall be sent to the employer. If filed under the State plan, the CWA shall confirm the status of the claim via access to the Department of Labor and Workforce Development's Disability Automated Benefit System (DABS). In such instances, Medicaid coverage shall be continued until receipt of a payment or indefinitely if payment does not cause ineligibility for AFDC-related Medicaid.

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