Rhode Island Code of Regulations › Title 260 - Department of Labor and Training › Chapter 40 - Income Support › Subchapter 05 - Unemployment And Temporary Disability Insurance › Part 1 - Unemployment Insurance and Temporary Disability Insurance Programs (260-RICR-40-05-1) › Section 260-RICR-40-05-1.4 - Meaning of Terms

Current through June 14, 2024
A. The following
				 words and phrases used in the Rhode Island Employment Security Act and the
				 Temporary Disability Insurance Act and the Rules, forms, interpretations or
				 other official matters issued by the Department of Labor and Training, shall,
				 have the following meaning:
1. "Calendar
				 quarter" means a period of three consecutive calendar months ending March 31,
				 June 30, September 30, and December 31, or, in accordance with the weekly
				 payroll plan of any employer, any period of three consecutive months ending
				 within 6 days before or after March 31, June 30, September 30, and December
				 31.
2. "Lag payments" means as
				 defined in R.I. Gen. Laws §
											28-41-9: benefit
				 payments for an individual who is unemployed due to sickness and is in receipt
				 of benefits under said Act, who returns to work or recuperates from the illness
				 or injury prior to the end of the immediately succeeding week, shall receive
				 one-fifth (1/5) of his or her benefit rate for each day of unemployment due to
				 sickness in which work is ordinarily performed in the occupation in which he or
				 she is employed during the week in which he or she returns to work or
				 recuperates from the illness or injury; provided, that in no case shall any
				 individual be entitled to more than four fifths (4/5) of his or her benefit
				 rate for that week.
3. "Qualified
				 healthcare provider" or "QHP" or "Medical practitioner" means an individual
				 licensed in the United States of America to practice medicine, surgery,
				 dentistry, optometry, osteopathy and podiatry; also chiropractic and psychology
				 within the scope of the individual's practice as defined by applicable laws of
				 Rhode Island, or of any other state of the United States, or such other
				 jurisdiction. This includes, licensed clinical social workers, licensed
				 independent clinical social workers, licensed nurse midwives, nurse
				 practitioners, physician assistants and psychiatric clinical nurse specialists
				 (PCNS) as the Director in his/her discretion may allow; provided, however, that
				 the Director may require documentary evidence of the license to practice in any
				 case in which he/she deems such evidence to be necessary.
4. "Sickness" means an individual shall be
				 deemed to be sick in any week in which, because of his or her physical or
				 mental condition, is unemployed, has been examined by a licensed Qualified
				 Healthcare Provider and has been deemed to be functionally unable to perform
				 his or her regular or customary work or services and is unable to attend
				 classes or school. This includes attending clinical classes/training for
				 specific programs following accepted and approved Medical Duration Guidelines,
				 unless the classes or school and its demands or requirements are materially
				 different from his or her regular or customary work or services.
5. "Valid claim" means for the purpose of
				 establishing a benefit year for Temporary Disability Insurance benefits any
				 claim for waiting period or benefit credits made by an individual unemployed
				 because of sickness, who, during the individual's base period, has been paid
				 sufficient wages for employment by employers to meet the requirements set forth
				 in R.I. Gen. Laws §
											28-41-11.
6. "Week of unemployment due to sickness"
				 means a calendar week as defined in the Act, during which an individual is
				 unable to perform his/her regular or customary work because of sickness, as
				 defined in R.I. Gen. Laws §
											28-39-2(20).