North Pacific Utility Contractors, Inc. v. Filings of the National Council on Compensation Insurance

918 P.2d 127, 141 Or. App. 429, 1996 Ore. App. LEXIS 800
Court of Appeals of Oregon·Decided June 12, 1996·No. INS 91-07-001; CA A85674·Published

Opinion

ARMSTRONG, J.

Employer seeks review of an order of the Department of Business and Consumer Services that held employer liable for an additional premium for workers’ compensation insurance provided to employer by its insurer, SAIF. We review to determine whether the department’s decision is supported by substantial evidence, ORS 183.482(8)(c), and affirm.

Employer is a specialty contractor that installs electrical and telephone lines and television cable above and below ground. In April 1990, employer applied for workers’ compensation insurance with the Oregon Workers’ Compensation Insurance Plan, which is administered by the National Council on Compensation Insurance (NCCI). NCCI assigned SAIF to be employer’s insurer.

In its application for insurance, employer described its business as “TV & Telephone cable installations.” Employer also listed its workers in certain risk classifications based on their job activities so that SAIF could determine the premium to charge for the insurance coverage. It listed workers in six risk classifications: 6325, 7600, 7601, 8227, 8742 and 8810. Employer also estimated the annual amount it expected to pay to employees for work in each classification. It estimated its annual payroll for employees in classification 7600 as $125,000 and in classification 7601 as $80,000.

SAIF subsequently mailed to employer information about the workers’ compensation insurance policy that it issued to employer. That information assigned all six risk classifications to employer’s policy, and listed the premium rates per $100 of payroll. SAIF listed the premium rate as $21.38 per $100 of payroll for work in classification 7601, and $5.35 per $100 of payroll for work in classification 7600.

SAIF also explained to employer that it could reduce its overall workers’ compensation premium by reporting employee payroll under the risk classifications for the work performed by its employees, provided that employer maintained verifiable payroll records that identified the work. SAIF explained that, if employer chose not to report work [432] done by its employees by classification, it would be required to report all employee wages under the highest rated classification that applied to any of the work performed by its employees.

During the period of April 1, 1990, to September 30, 1990, employer reported that all of its payroll went to workers performing work in classification 7600. That risk classification resulted in the lowest premium rate for employer.

On December 18, 1990, SAIF audited employer’s payroll for the period of April 1, 1990, to September 30,1990, and charged employer an additional insurance premium for the period. SAIF reallocated the payroll reported in classification 7600 to classifications 7601 and 6325. Petitioner timely filed a hearing request pursuant to ORS 737.318(3)(d) to contest the additional premium charged by SAIF. At issue in the hearing was whether employer erroneously reported all of its work for the period in classification 7600 and whether some of that work should have been classified under 6325 or 7601. Ultimately, the department determined that SAIF could properly reclassify employer’s payroll from classification 7600 to classification 7601. The department also concluded that SAIF was not prohibited by ORS 737.310(12) from collecting the increased premium due for coverage under that classification.

ORS 737.310(12) (since amended by Or Laws 1991, ch 768, § 1) provided in relevant part:

“At the time a workers’ compensation guaranty contract is issued, the insurer shall give written notice to the insured of the rating classifications to which the insured’s employees are assigned and shall provide an adequate description of work activities in each classification. The insurer shall not bill an insured for reclassifying employees during the policy year unless:
“(a) The insured knew or should have known that the employees were misclassified * *

Under ORS 737.310(12), the burden is first on employer to establish that SAIF reclassified its employees and then shifts to SAIF to prove that one of the exceptions in ORS 737.310(12) applies to permit SAIF to bill employer for the [433] premium due for the reclassified employees. It is uncontested in this case that SAIF reclassified employer’s employees.

The department found that employer “knew or should have known that all of the work performed by [employer] was not reportable under class code 7600.” In determining that ORS 737.310(12) permitted SAIF to collect the increased premiums, the department concluded:

“[Employer] knew what specific work should be included in other class codes but chose to report payroll in the lowest, and therefore most advantageous, premium rate of all the rates assigned to [employer’s] business, after the standard exception class codes.
“We determine that [employer] knew the correct method to report its payroll and chose to report it only in the class code most favorable to its business. Therefore, SAIF proved subsection (a) [of ORS 737.310(12)]. SAIF was entitled to collect its final premium audit billing.”

The department concluded that SAIF could issue a billing that assessed additional premiums at the rate for classification 7601. Employer argues that the department ignored relevant facts in making its determination. We review to determine whether the department’s decision is supported by substantial evidence, ORS 183.482(8)(c). “Substantial evidence exists to support a finding of fact when the record, viewed as a whole, would permit a reasonable person to make that finding.” ORS 183.482(8)(c).

The NCCI is the authorized compensation rating bureau for Oregon. NCCI promulgates workers’ compensation classifications and rates and publishes numerical listings of the classification codes with descriptive terminology in the Scopes of Basic Manual Classifications (Scopes). Scopes defines each classification and describes the type of work included in each of them.

Scopes defines classification 7600, in part, as follows:

“Code 7600 is applied to all employees of all telephone or telegraph companies other than those employees working within the offices or exchanges. * * *

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North Pacific Utility Contractors, Inc. v. Filings of the National Council on Compensation Insurance, 918 P.2d 127, 141 Or. App. 429, 1996 Ore. App. LEXIS 800 (Or. Ct. App. 1996).

918 P.2d 127 (North Pacific Utility Contractors, Inc. v. Filings of the National Council on Compensation Insurance) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

Related

§ 183.482
Oregon § 183.482(8)(c)
§ 737.310
Oregon § 737.310(12)
§ 737.318
Oregon § 737.318(3)(d)