CWCO, INC. v. Superintendent of Ins.

1997 ME 226, 703 A.2d 1258, 1997 Me. LEXIS 222
CourtSupreme Judicial Court of Maine
DecidedDecember 1, 1997
StatusPublished
Cited by115 cases

This text of 1997 ME 226 (CWCO, INC. v. Superintendent of Ins.) is published on Counsel Stack Legal Research, covering Supreme Judicial Court of Maine primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
CWCO, INC. v. Superintendent of Ins., 1997 ME 226, 703 A.2d 1258, 1997 Me. LEXIS 222 (Me. 1997).

Opinion

703 A.2d 1258 (1997)
1997 ME 226

CWCO, INC., et al.
v.
SUPERINTENDENT OF INSURANCE, et al.

Supreme Judicial Court of Maine.

Argued October 10, 1997.
Decided December 1, 1997.

*1259 Thomas V. Laprade (orally), John Lambert, Lambert, Coffin, Rudman & Coffin, Portland, for plaintiffs.

Andrew Ketterer, Attorney General, Jeffrey Frankel, Asst. Atty. Gen. (orally), Augusta, for the Superintendent.

James D. Poliquin (orally), Norman, Hanson & DeTroy, Portland, for MEMIC.

Mark B. LuDuc, Preti, Flaherty, Beliveau & Pachios, L.L.C., Augusta, for NCCI.

Before WATHEN, C.J., and ROBERTS, CLIFFORD, RUDMAN and LIPEZ, JJ.

CLIFFORD, Justice.

[¶ 1] CWCO, Inc. and Commercial Welding, Inc. appeal from a judgment of the Superior Court (Kennebec County, Mills, J.) affirming in substantial part a decision rendered by the Superintendent of Insurance.[1] The Superintendent concluded that Maine Employers Mutual Insurance Company (MEMIC) had properly combined the loss experience of CWCO and Commercial Welding in determining the premiums for their workers' compensation insurance. The companies contend that the Superintendent's decision combining their loss histories unfairly results in their paying excessive premiums. Because the factual findings of the Superintendent compel a conclusion that the companies had common majority ownership at the time when the loss experiences were determined, and the applicable statutory law and administrative rules provide for combining the experience of companies with common majority ownership in setting workers' compensation insurance rates, we affirm the judgment.

*1260 [¶ 2] Commercial Welding is a South Portland construction company that as of January 1, 1993 had not done business outside of Maine. CWCO, Inc. is a Georgia construction company and did not do any business in Maine until 1993. Prior to 1993, both CWCO and Commercial Welding were entirely owned by Lauren Engineers & Construction, Inc. Lauren, in turn, was owned 88% by Cleve Whitener and 12% by Michael Breed. A projected increase in Commercial Welding's experience rating modification factor,[2] or "mod," for 1993 from 1.00 to 2.63 was going to result in a substantial increase in its workers' compensation premiums and threaten the economic viability of the business. In order to avoid the increase in premiums, Commercial Welding subcontracted with CWCO so that CWCO would perform all of Commercial Welding's labor contracts for a one-year period, and the workers' compensation premiums would be based on CWCO's much lower mod of 1.00.[3]

[¶ 3] Although technically CWCO hired "new" craft labor employees from the union hall, the effect of the subcontract was to move the entire Commercial Welding payroll (including hourly paid and salaried employees) to CWCO on a shared computer system, without changing the employees' duties or work locations and merely having each employee sign a new hire form and a new W-2. Only Breed remained on Commercial Welding's payroll. CWCO obtained its workers' compensation policy on January 14, 1993 from appellee MEMIC, with its premiums being based on CWCO's mod of 1.00, and Commercial Welding then canceled its insurance.

[¶ 4] On its application for workers' compensation insurance, and in other documentation, CWCO represented that it was a new business and did not disclose its relationship through majority ownership to Commercial Welding. MEMIC's inquiries into CWCO's corporate structure, however, led it to conclude in May 1993 that CWCO and Commercial should have their loss histories combined because of common ownership and operation. Accordingly, as a result of the combining of the loss histories, CWCO's mod increased to 2.63 based on its combined history with Commercial Welding, and MEMIC recalculated a substantially higher premium for CWCO's insurance. MEMIC also ultimately concluded that the loss histories of Commercial Welding and CWCO were to be combined for purposes of Commercial Welding's insurance premiums when Commercial Welding applied for insurance in July, 1993.[4]

[¶ 5] The Superintendent denied CWCO's and Commercial Welding's requests to reverse MEMIC's decisions to combine the loss histories raising the mods that resulted in the increased premiums. Following denials of motions for stay and for reconsideration, the companies appealed the Superintendent's decision to the Superior Court pursuant to 24-A M.R.S.A. § 236 (1990), 5 M.R.S.A. §§ 11001-11007 (1989) and M.R. Civ. P. 80C. The court affirmed the bulk of the Superintendent's decision,[5] and this appeal followed. See 5 M.R.S.A. § 11008 (1989).

*1261 [¶ 6] When a decision of an administrative agency is challenged on appeal, we review the action of the agency directly. See Nyer v. Maine Unemployment Ins. Comm'n, 601 A.2d 626, 627 (Me.1992). An administrative decision will be sustained if, on the basis of the entire record before it, the agency could have fairly and reasonably found the facts as it did. See Aviation Oil Co. v. Department of Envtl. Protection, 584 A.2d 611, 614 (Me.1990). The issue before us is not whether we would have reached the same conclusion as the agency, "but whether the record contains competent and substantial evidence that supports the result reached . . . ." In re Maine Clean Fuels, Inc., 310 A.2d 736, 741 (Me.1973). Special deference is due when the issues subject to review lie within the scope of the agency's technical expertise. See Maine AFL-CIO v. Superintendent of Ins., 595 A.2d 424, 429 (Me.1991) (agency's interpretation of technical statutes and regulations given due consideration).

I.

[¶ 7] Workers' compensation insurers are required to "adhere to a uniform classification system and uniform experience rating plan." 24-A M.R.S.A. § 2382-B (Pamph. 1996). Workers' compensation insurance premiums are determined based on the experience rating of the insured, and the experience rating is, in turn, based on the insured's safety record. See 24-A M.R.S.A. § 2381-C(4). Title 24-A M.R.S.A. § 2382-D(1)(D) (Pamph.1996) requires that the experience plan used to rate companies for workers' compensation insurance premiums contain "[p]rovisions for reasonable and equitable limitations on the ability of policyholders to avoid the impact of past adverse claims experience through change of ownership, control, management or operation." The Maine Experience Rating Plan, Part III provides in relevant part:

A. COMBINATION OF ENTITIES
1. The combination of two or more entities for purposes of this Plan requires common majority ownership. Two or more entities shall be combined only if:
a. the same person, group or persons or corporation owns more than 50% of each entity.

[¶ 8] In upholding the premiums assessed by MEMIC and based on the combined experience rating of CWCO and Commercial Welding, the Superintendent concluded that the companies' histories were combinable on the basis of common majority ownership.

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1997 ME 226, 703 A.2d 1258, 1997 Me. LEXIS 222, Counsel Stack Legal Research, https://law.counselstack.com/opinion/cwco-inc-v-superintendent-of-ins-me-1997.