Paul L. Yapp v. LIRC

CourtCourt of Appeals of Wisconsin
DecidedDecember 10, 2020
Docket2020AP000252
StatusUnpublished

This text of Paul L. Yapp v. LIRC (Paul L. Yapp v. LIRC) is published on Counsel Stack Legal Research, covering Court of Appeals of Wisconsin primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Paul L. Yapp v. LIRC, (Wis. Ct. App. 2020).

Opinion

COURT OF APPEALS DECISION NOTICE DATED AND FILED This opinion is subject to further editing. If published, the official version will appear in the bound volume of the Official Reports. December 10, 2020 A party may file with the Supreme Court a Sheila T. Reiff petition to review an adverse decision by the Clerk of Court of Appeals Court of Appeals. See WIS. STAT. § 808.10 and RULE 809.62.

Appeal No. 2020AP252 Cir. Ct. No. 2019CV1982

STATE OF WISCONSIN IN COURT OF APPEALS DISTRICT IV

PAUL L. YAPP,

PLAINTIFF-APPELLANT,

V.

LABOR AND INDUSTRY REVIEW COMMISSION AND DEPARTMENT OF WORKFORCE DEVELOPMENT,

DEFENDANTS-RESPONDENTS,

WAYNE YAPP (DECEASED),

DEFENDANT.

APPEAL from an order of the circuit court for Dane County: VALERIE BAILEY-RIHN, Judge. Affirmed.

Before Fitzpatrick, P.J., Blanchard, and Graham, JJ. No. 2020AP252

¶1 GRAHAM, J. Paul Yapp was formerly employed by his ailing father as a personal caregiver, and his employment ended when his father moved to a nursing home.1 The Labor and Industry Review Commission (LIRC) determined that Paul was not eligible for unemployment benefits based on what we refer to as the “personal care exemption” found in WIS. STAT. § 108.02(15)(km) (2017-18).2 LIRC also determined that Paul was required to repay the benefits that he had received in error. The circuit court affirmed LIRC’s decision, and we affirm the circuit court.

BACKGROUND

¶2 Wayne Yapp was diagnosed with dementia, and his son Paul became his caretaker in 2006. Paul did not have any formal medical training, and he was not licensed to provide nursing or medical care. Among other things, Paul distributed medication to Wayne, monitored his conditions, and performed other tasks that LIRC has referred to as “personal cares.”

¶3 Paul was initially paid with funds from Wayne’s checking account. Then, in April 2015, Wayne enrolled in Wisconsin’s family care program for self- directed support. See WIS. STAT. § 46.2897 (pertaining to Wisconsin’s “self- directed services option” under which an “enrolled individual selects his or her own services and service providers”); WIS. ADMIN. CODE § DHS ch. 10 (through

1 Because Paul and his father, Wayne Yapp, share a last name, we refer to them by their first names. 2 All references to the Wisconsin Statutes are to the 2017-18 version unless otherwise stated.

2 No. 2020AP252

November 2020)3 (setting forth parameters of the family care program through which elders and disabled individuals may employ family members to care for them using medical assistance funds). Wayne continued to be Paul’s “employing unit,” see WIS. STAT. § 108.02(14m), but from that point forward, Paul was paid using federal funds distributed through Care Wisconsin.4

¶4 Care Wisconsin provided Wayne with a fiscal agent who was responsible for managing his payroll and related financial obligations. Wayne’s fiscal agent did not report Paul’s wages to the Wisconsin Department of Workforce Development (the Department), nor did the agent make contributions related to Paul’s employment to the Wisconsin unemployment reserve fund that the Department administers. As discussed below, this is consistent with Wisconsin’s unemployment law, which defines “employment” for purposes of Wisconsin’s unemployment insurance fund and determines which employees are eligible for unemployment benefits. WIS. STAT. § 108.02(15).

¶5 Paul’s employment ended in December 2016 when Wayne entered a nursing home. Paul later testified that prior to filing a claim, he spoke with several individuals, including an unnamed Department employee, about whether he was

3 All references to the Wisconsin Administrative Code are to the November 2020 Register. 4 According to LIRC, Care Wisconsin is a managed care organization that provides and coordinates services that allow qualified elders and adults with disabilities to remain in their homes using funds from the federal Medicare and Medicaid programs.

During the unemployment appeals hearing that is the subject of this appeal, Paul testified that he believed that Care Wisconsin was his employer, and LIRC credited Paul’s testimony that he believed as much. However, Paul’s testimony reflects a misunderstanding of how Wisconsin’s family care program works. Although Care Wisconsin and the appointed fiscal agent handled various administrative aspects of Paul’s employment, LIRC determined that Wayne remained Paul’s employer.

3 No. 2020AP252

eligible for unemployment benefits. According to Paul, he specifically told the employee that he had been providing care to his father, and the employee advised him that he was eligible for benefits.

¶6 If given, the unnamed Department employee’s alleged advice would have been contrary to WIS. STAT. § 108.02(15)(km). That statute provides that, under most circumstances,5 individuals are not eligible for unemployment benefits if the employment consisted of “personal care” service “provided by [the] individual to an ill or disabled family member who is the employing unit for such service.” Id. For ease of reference, we refer to this statute as the “personal care exemption.”

¶7 Paul applied for unemployment benefits in June 2017.6 The Department did not have any reported wages on file for Paul, so it sent out two requests for wage information: a “Form UCB-19” addressed to Paul; and a “Form UCB-719” addressed to his employer, Wayne Yapp. By the time the Department sent these forms, Wayne was no longer enrolled in the family care program and no longer represented by a fiscal agent. Paul, acting as Wayne’s power of attorney, completed Form UCB-719 by entering his own wages from 2016. The form instructed the employer to write “excluded” after any wage entry for which wages

5 Employing units can elect to make contributions into the unemployment reserve fund when they hire family members as caregivers, thereby rendering the caregivers eligible to receive unemployment benefits. See WIS. STAT. § 108.02(15)(km) (providing an exception to the personal care exemption if “the employer elects otherwise with the department’s approval”). It is undisputed that Wayne did not elect to make contributions for Paul, so we discuss this exception to the personal care exemption no further. 6 The parties dispute whether the Department asked Paul if he was related to his employer at the time he filed the claim. This dispute is discussed in greater detail in the discussion section below.

4 No. 2020AP252

“were for work performed in excluded employment.” Paul did not indicate that his wages were “excluded” on the Form UCB-719; he later testified that he did not believe that his wages were excluded based on the conversation he allegedly had with the unnamed Department employee before he filed his claim.

¶8 The Department issued an initial determination approving Paul’s application, and it paid Paul nearly $6,000 in benefits over the next year. Then, in June 2018,7 the Department initiated an investigation because it had discovered that Paul was Wayne’s son. The Department concluded that Paul was not eligible for benefits, and it required him to repay the benefits that it determined he had already received in error.

¶9 Paul appealed the Department’s decision, and the matter was heard by an administrative law judge (ALJ) employed by the Department. See WIS. STAT. § 108.09(3)(a). Paul argued that the personal care exemption did not apply to his employment because he had provided nursing and medical care—in addition to personal care—for Wayne. In the alternative, he argued that any error was exclusively the fault of the Department, and therefore, that the Department should waive his obligation to repay the benefits he had already received. See WIS. STAT.

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Cite This Page — Counsel Stack

Bluebook (online)
Paul L. Yapp v. LIRC, Counsel Stack Legal Research, https://law.counselstack.com/opinion/paul-l-yapp-v-lirc-wisctapp-2020.