CPC Parts Delivery, L.L.C. v. Ohio Bur. of Worker's Comp.

2024 Ohio 18
CourtOhio Court of Appeals
DecidedJanuary 4, 2024
Docket22AP-671, 22AP-672, 22AP-696
StatusPublished
Cited by1 cases

This text of 2024 Ohio 18 (CPC Parts Delivery, L.L.C. v. Ohio Bur. of Worker's Comp.) is published on Counsel Stack Legal Research, covering Ohio Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
CPC Parts Delivery, L.L.C. v. Ohio Bur. of Worker's Comp., 2024 Ohio 18 (Ohio Ct. App. 2024).

Opinion

[Cite as CPC Parts Delivery, L.L.C. v. Ohio Bur. of Worker's Comp., 2024-Ohio-18.]

IN THE COURT OF APPEALS OF OHIO

TENTH APPELLATE DISTRICT

CPC Parts Delivery, LLC, :

Plaintiff-Appellant, :

v. : No. 22AP-671 (Ct. of Cl. No. 2022-00515JD) Ohio Bureau of Workers’ Compensation, : (REGULAR CALENDAR) Defendant-Appellee. :

: Mahle Behr Dayton, LLC et al., : Plaintiffs-Appellants, No. 22AP-672 : (Ct. of Cl. No. 2021-00706JD) v. : (REGULAR CALENDAR) Ohio Bureau of Workers’ Compensation, : Defendant-Appellee. :

Mahle Behr Dayton, LLC et al., :

Plaintiffs-Appellants, : No. 22AP-696 v. : (Ct. of Cl. No. 2021-00706JD)

Ohio Bureau of Workers’ Compensation, : (REGULAR CALENDAR)

Defendant-Appellee. :

D E C I S I O N

Rendered on January 4, 2024

On brief: Poling Law, Jennifer L. Myers, Zachary R. Hoover, and Matthew D. Stewart, for appellants CPC Parts Deliver, LLC; Reminger Co., L.P.A., Ronald Fresco, and Nos. 22AP-671, 22AP-672, & 22AP-696 2

Thomas N. Spyker, for appellants Mahle Behr Dayton, LLC. Argued: Thomas N. Spyker.

On brief: Taft Stettinius & Hollister LLP, James D. Abrams, and Lauren A. Kemp, for appellee Ohio Bureau of Workers’ Compensation. Argued: Lauren A. Kemp.

APPEALS from the Court of Claims of Ohio

BEATTY BLUNT, J.

{¶ 1} Plaintiffs-appellants, CPC Parts Delivery, LLC (“CPC”) and Mahle Behr Dayton, LLC (“Mahle”) (collectively, “appellants”) appeal from a decision of the Court of Claims of Ohio granting summary judgment in favor of defendant-appellee, Bureau of Workers’ Compensation (“BWC”). For the reasons that follow, we affirm in part and reverse in part the judgments of the trial court. I. Facts and Procedural History {¶ 2} These consolidated appeals arise from two cases filed in the Court of Claims by appellants against BWC. The first case (No. 2021-00706JD) involves both CPC and Mahle, wherein appellants challenged the methodology utilized by BWC to calculate the amounts of premium rebates issued to certain employers participating in the Ohio Bureau of Workers’ Compensation Fund (the “State Fund”) established to compensate workers injured on the job for the policy years ending June 30, 2012, 2013, and 2016. That case was originally filed in the Montgomery County Court of Common Pleas but was ultimately dismissed for lack of subject-matter jurisdiction. On appeal, the Second District Court of Appeals affirmed the judgment of the trial court. Mahle Behr Dayton, LLC v. Ohio Bur. of Workers’ Comp., 2d Dist. No. 28772, 2021-Ohio-145 (“Mahle I”). Therein, the appellate court held that appellants’ suit against BWC was within the exclusive jurisdiction of the Ohio Court of Claims and not within the subject-matter jurisdiction of the common pleas court. Id. {¶ 3} The second case (No. 2022-00515JD) was filed by CPC only. In that case, CPC alleges it is entitled to a larger dividend than it received for the policy year ending June 20, 2020. Both the first and second cases involve essentially the same facts and causes of action and were eventually consolidated in the Court of Claims. (See Oct. 14, 2022 Jgmt. Nos. 22AP-671, 22AP-672, & 22AP-696 3

Entry.) In both cases, appellants claim BWC was unjustly enriched and violated equal protection by allegedly calculating rebates due to employers participating in the large deductible program differently from rebates due to employers participating in the individually retrospectively rated program.1 {¶ 4} Before discussing the specific facts and evidence submitted in this case, we begin with a brief overview of the aspects of the Ohio workers’ compensation system that are applicable in this case. In Cleveland v. Ohio Bur. Of Workers’ Comp., 159 Ohio St.3d 459, 2020-Ohio-337, the Supreme Court of Ohio explained: Ohio requires public employers that are not self-insured employers to contribute to the public insurance fund “the amount of money determined by the administrator of workers’ compensation.” R.C. 4123.38. Employers can choose from a range of plans. The BWC offers both individual-and group- rated plans.

Pursuant to R.C. 4123.29(A), the administrator of the BWC, with the approval of the board of directors, classifies occupations or industries with respect to degree of hazard and risks and sets the premiums that employers must pay into the state insurance fund for workers’ compensation coverage each year. The BWC deposits these premiums into a single state insurance fund (it does not maintain a separate account for each employer), and it pays compensation benefits associated with work-related accidents from that fund. With the exception of a required surplus to maintain solvency, R.C. 4123.321 requires the BWC to establish a procedure for returning excess premiums to participating employers in order to maintain a revenue-neutral fund.

Id. at ¶ 3-4. The procedures for issuing rebates are set forth in the Ohio Administrative Code. {¶ 5} The State Fund is intended to be revenue neutral—i.e., the BWC charges Ohio employers only those premium amounts that the BWC actuarially determines are necessary to pay for projected claims costs and other related expenses. (May 2, 2022 Michael Sendelbach Aff. at ¶ 3.) Nevertheless, because of the timing of premium payments and claims made, revenue neutrality does not equate to cash flow neutrality. Id. Any excess

1 These programs are discussed more at length below. Nos. 22AP-671, 22AP-672, & 22AP-696 4

cash flowing in is invested for the benefit of the State Fund. Id. Thus, a surplus may be generated in excess of what is required to maintain the solvency of the State Fund. Id. When such an excess surplus exists, BWC’s Board of Directors (the “BWC Board”) is authorized to issue rebates to participating Ohio private employers. (Id. at ¶ 5; R.C. 4123.321.) {¶ 6} In recent history, the BWC Board has approved and issued three separate rebates, each individually totaling approximately $1 billion. (Sendelbach Aff. at ¶ 7.) The most recent such rebate, and the one at issue in this appeal, was issued for the policy year beginning July 1, 2015 and ending June 30, 2016 (the “2015 Policy Year”). Id. The BWC Board determined the total dollar amount of rebates to be distributed based on actuarial recommendations, then calculated the rebate amounts. Id. at ¶ 6. {¶ 7} The Ohio Administrative Code sets forth several programs in which private employers can participate, depending on eligibility requirements. See Ohio Adm.Code 4122-17, et seq. Two such programs are relevant to this case: the Individual Retrospective Rating Program (“Individual Retro Program”) under Ohio Adm.Code 4123-17-41 and the Large Deductible Program (“Large Deductible Program”) under Ohio Adm.Code 4123-17- 72. Both CPC and Mahle participated in the Large Deductible Program during the 2015- 2016 policy year. (James Tompkins Aff. at ¶ 2; Terri Case Aff. at ¶ 2.) {¶ 8} The Individual Retro Program applies a retrospective premium whereby an employer pays an initial policy premium to BWC, which is recalculated at the end of each policy year based on claims incurred during that policy year. (Sendelbach Aff. at ¶ 13.) In this program, “[t]he employer assumes a portion of the risk in exchange for a reduction in premium. The exact cost of a retrospective premium for any policy year cannot be determined until the end of the policy’s term when claims experience can be tallied.” Id. {¶ 9} Under the Large Deductible Program, employers pay a guaranteed premium. (Sendelbach Aff. at ¶ 10.) “A guaranteed premium policy is prospective, calculated prior to the policy taking effect * * * [and] is unaffected by claims experience during the coverage period.” Id. Claims experience during the coverage year may, however, affect the premium charge in subsequent policy years. Id.

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Cite This Page — Counsel Stack

Bluebook (online)
2024 Ohio 18, Counsel Stack Legal Research, https://law.counselstack.com/opinion/cpc-parts-delivery-llc-v-ohio-bur-of-workers-comp-ohioctapp-2024.