Digest of Benefit Entitlement Principles - Chapter 18
- 18.3.0 MISREPRESENTATION
- 18.3.1 Definitions
- 18.3.1.1 Misrepresentation
- 18.3.1.2 Completed Action
- 18.3.1.3 False
- 18.3.1.4 Misleading
- 18.3.1.5 Knowingly
- 18.3.2 Onus of Proof
- 18.3.2.1 Evidence and Proof: The Balance of Probabilities
- 18.3.2.2 Resolving Equally Balanced Probabilities
- 18.3.3 Discretionary Decisions and Penalties
- 18.3.4 Voluntary Disclosure
- 18.3.4.1 Voluntary Disclosure Policy
- 18.3.4.2 Error Correction and Voluntary Disclosure
- 18.3.5 Non Compliance and Social Insurance Number
- 18.4.0 PENALTY
- 18.4.1 Definition
- 18.4.2 Limitations and Restrictions on Penalties
- 18.4.3 Reconsideration, Monetary Penalty and Warning Letters: Timeframes
- 18.4.4 Counting False Statements
- 18.4.4.1 The Legal Validation Amount
- 18.4.4.2 Misrepresentation
- 18.4.4.3 Claimant Reports
- 18.4.4.4 Claimant Report: Separation from Employment
- 18.4.4.5 Exception Reporting (No Cards)
- 18.4.4.6 Cashing a Warrant
- 18.4.4.7 Outside of Canada
- 18.4.4.8 Records of Employment
- 18.4.4.9 Totalling the False Statements
- 18.5.0 CALCULATING A CLAIMANT PENALTY
- 18.5.1 Calculating a Claimant Penalty
- 18.5.1.1 Factors in Calculating a Penalty
- 18.5.1.2 Levels of Misrepresentation – A Percentage Value
- 18.5.1.3 Reducing a Penalty
- 18.5.2 Mitigating Circumstances
- 18.5.2.1 Definition
- 18.5.2.2 Application
- 18.5.3 Legal Validation Amount
- 18.5.4 Caps on Penalties
- 18.5.5 Record of Employment: Reason for Separation Altered
- 18.5.6 Claim not Established or Cancelled Retroactively
- 18.5.7 Counting the False Statements: The Impact of a False ROE or ROE Containing False Information
- 18.5.7.1 Record of Employment and Application
- 18.5.8 Claimant Reports and Payments
- 18.5.9 The Penalty Calculation under EIA 38(2)(c)
- 18.5.10 Violation
- 18.5.11 Subsequent Investigation for the Same Period
- 18.6.0 EMPLOYER PENALTIES
- 18.6.1 Employer Penalties
- 18.6.1.1 Scope
- 18.6.1.2 Who Can Be Penalized
- 18.6.1.3 Defining Employer Misrepresentation
- 18.6.2 Level of Misrepresentation: Calculating a Penalty under EIA 39(2)
- 18.6.3 Level of Misrepresentation: Calculating a Penalty under EIA 39(2): A Fixed Maximum
- 18.7.0 THIRD PARTY PENALTIES
- 18.7.1 Introduction
- 18.7.2 Defining Third Party Responsibility
- 18.7.3 Consent
- 18.7.3.1 Express Consent
- 18.7.3.2 Implied Consent
- 18.7.4 A Claimant and Third Party
- 18.7.5 Employer and Third Party
- 18.7.6 Directors and Officers of the Corporation
- 18.10.0 VIOLATION
- 18.10.1 Issuing a Record of Violation
- 18.10.2 Determining the Kind of Violation
- 18.10.3 The Classified Violation
- 18.10.3.1 The Value of the Violation
- 18.10.3.2 Calculating the Net Overpayment
- 18.10.3.3 Calculating the Potential Overpayment
- 18.10.3.4 When the File has Net (Real) and Potential Overpayments
- 18.10.4 Subsequent Violations: An Exception in the Classified Violations
- 18.10.5 The Unclassified Violation
- 18.10.6 Impact of a Violation: Increased Entrance Requirement
- 18.10.7 Limitations
- 18.10.8 Violations on Fishing Claims