In RE COMPENSATION OF McCOY

268 P.3d 671, 246 Or. App. 702
CourtCourt of Appeals of Oregon
DecidedDecember 7, 2011
Docket0605131, 0600028NC A142315
StatusPublished

This text of 268 P.3d 671 (In RE COMPENSATION OF McCOY) is published on Counsel Stack Legal Research, covering Court of Appeals of Oregon primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
In RE COMPENSATION OF McCOY, 268 P.3d 671, 246 Or. App. 702 (Or. Ct. App. 2011).

Opinion

268 P.3d 671 (2011)
246 Or. App. 702

In the Matter of the COMPENSATION OF Carla McCOY (Morgan), Claimant.
Department of Consumer and Business Services, Petitioner Cross-Respondent,
v.
Zurich American and Northwest Staffing Services, Respondents Cross-Petitioners, and
Sedgwick Claims Management Services and On-Time Delivery, Respondents.

0605131, 0600028NC; A142315.

Court of Appeals of Oregon.

Argued and Submitted September 27, 2010.
Decided December 7, 2011.

*673 Karla H. Ferrall, Assistant Attorney General, argued the cause for petitioner—cross-respondent. With her on the briefs were John R. Kroger, Attorney General, and Jerome Lidz, Solicitor General.

Ehren J. Rhea argued the cause for respondents—cross-petitioners. On the briefs were David L. Johnstone and VavRosky MacColl, P.C.

Russell Allen waived appearance for respondent On-Time Delivery.

No appearance for respondent Sedgwick Claims Management Services.

Before HASELTON, Presiding Judge, and ARMSTRONG, Judge, and DUNCAN, Judge.

ARMSTRONG, J.

The Department of Consumer and Business Services (DCBS) petitioned for judicial review of an order of the Workers' Compensation Board that rejected a proposed DCBS order declaring On-Time Delivery, LLC (On-Time), to be a noncomplying employer under ORS 656.052 and that awarded attorney fees against DCBS in favor of On-Time. Zurich American Insurance Company (Zurich) cross-petitioned for review of the board's order, challenging the board's conclusion that Zurich is responsible for paying workers' compensation benefits to On-Time's injured employee. We reject the parties' challenges to the board's order and, accordingly, affirm on the petition and cross-petition.

Claimant suffered injuries in an automobile accident while delivering documents for On-Time and filed a claim for compensation. About a week before the accident, On-Time had entered into a contract with Northwest Staffing Services (NW Staffing)—a worker-leasing company for which Zurich provided workers' compensation insurance—pursuant to which NW Staffing became the employer of On-Time's permanent office staff and leased those employees back to On-Time.[1] However, NW Staffing did not file with the Director of DCBS (director) the notice required by OAR 436-050-0410 that documented its worker-leasing arrangement with On-Time.[2] Because On-Time was not a self-insured employer and had not filed at the time of claimant's accident proof that it had workers' compensation insurance for its subject workers, as required by ORS 656.017(1) and ORS 656.407(1),[3] the director issued a proposed order declaring On-Time to be a noncomplying employer under ORS 656.052 and, as a result of that determination, *674 assessing a civil penalty against the company.[4] The director then referred claimant's workers' compensation claim to Sedgwick Claims Management Services, Inc. (Sedgwick), for processing on On-Time's behalf. See ORS 656.054(1) (providing for such a referral).

Based on its belief that claimant was an independent contractor and, therefore, not a subject worker for whom On-Time had to file proof of insurance coverage, On-Time requested a hearing to contest the director's proposed determination that it was a noncomplying employer. At the time of that request, On-Time believed that NW Staffing was obligated to provide workers' compensation insurance only for On-Time's leased office staff, which did not include claimant. Thereafter, Sedgwick sent claimant and On-Time an initial notice of acceptance of claimant's claim. In response, On-Time requested a hearing to challenge Sedgwick's compensability determination as reflected in the acceptance. Two days after the acceptance, On-Time sent NW Staffing a letter expressing its belief that, because NW Staffing was statutorily required to provide workers' compensation insurance coverage for On-Time's subject workers, including claimant, NW Staffing was responsible for defending claimant's workers' compensation claim-a conclusion that NW Staffing rejected. Based on its responsibility conclusion, On-Time moved under ORS 656.740(3) to join Zurich, NW Staffing's workers' compensation insurer, in the noncompliance proceeding as a necessary party, and the motion was granted.

On-Time's challenges to the director's noncompliance determination and to Sedgwick's compensability determination were heard together by an administrative law judge (ALJ). After the hearing, the ALJ issued an order that concluded, among other things, that (1) claimant was not an independent contractor and, consequently, was a subject worker for purposes of the Workers' Compensation Law; (2) claimant has a compensable claim; (3) because claimant was a subject worker and On-Time had not timely filed proof of workers' compensation insurance with the director, the director correctly determined that On-Time was a noncomplying employer; (4) NW Staffing is statutorily responsible through ORS 656.850 for providing workers' compensation insurance for claimant even though claimant was not leased to On-Time by NW Staffing, and, consequently, Zurich, as NW Staffing's insurer, is responsible for paying the compensation due claimant on her claim; and (5) Zurich's responsibility for the claim includes not only paying future compensation due claimant but also reimbursing under ORS 656.054 the costs that Sedgwick had incurred in processing the claim.[5]

Zurich appealed to the board, arguing that, although the ALJ may have correctly determined that NW Staffing had a statutory obligation to provide workers' compensation insurance for claimant, the ALJ nonetheless lacked authority to shift responsibility for paying compensation from Sedgwick to it and to order Zurich to reimburse Sedgwick for the costs that Sedgwick had already incurred in processing the claim.[6] Moreover, as to the shift of responsibility for paying prospective benefits, Zurich contended that, because Sedgwick was required to process the claim under ORS 656.054 as if the claim had been made by a subject worker of a carrier-insured employer, and Sedgwick had accepted the claim without denying responsibility for it, Sedgwick—acting, in effect, as an insurer—had waived its ability to deny responsibility *675 for the claim. Therefore, Sedgwick's acceptance precludes a shift of responsibility for the claim to Zurich.

The board issued a final order on appeal from the ALJ's order.

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Related

Department of Consumer & Business Services v. Zurich American
268 P.3d 671 (Court of Appeals of Oregon, 2011)

Cite This Page — Counsel Stack

Bluebook (online)
268 P.3d 671, 246 Or. App. 702, Counsel Stack Legal Research, https://law.counselstack.com/opinion/in-re-compensation-of-mccoy-orctapp-2011.