State ex rel. Kent Elastomer Prods., Inc. v. McCloud

CourtOhio Supreme Court
DecidedApril 1, 2026
Docket2024-1789
StatusPublished

This text of State ex rel. Kent Elastomer Prods., Inc. v. McCloud (State ex rel. Kent Elastomer Prods., Inc. v. McCloud) is published on Counsel Stack Legal Research, covering Ohio Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
State ex rel. Kent Elastomer Prods., Inc. v. McCloud, (Ohio 2026).

Opinion

[Until this opinion appears in the Ohio Official Reports advance sheets, it may be cited as State ex rel. Kent Elastomer Prods., Inc. v. McCloud, Slip Opinion No. 2026-Ohio-1105.]

NOTICE This slip opinion is subject to formal revision before it is published in an advance sheet of the Ohio Official Reports. Readers are requested to promptly notify the Reporter of Decisions, Supreme Court of Ohio, 65 South Front Street, Columbus, Ohio 43215, of any typographical or other formal errors in the opinion, in order that corrections may be made before the opinion is published.

SLIP OPINION NO. 2026-OHIO-1105 THE STATE EX REL . KENT ELASTOMER PRODUCTS, INC., APPELLEE, v. MCCLOUD,1 ADMR., BUREAU OF WORKERS’ COMPENSATION, APPELLANT. [Until this opinion appears in the Ohio Official Reports advance sheets, it may be cited as State ex rel. Kent Elastomer Prods., Inc. v. McCloud, Slip Opinion No. 2026-Ohio-1105.] Workers’ compensation—Insurance premiums—Adm.Code 4123-17-73—Group- retrospective-rating program—Employer had clear legal right to have Bureau of Workers’ Compensation administer group-retro program under Adm.Code 4123-17-73, and bureau had clear legal duty to do so—Bureau’s authority to return excess surplus under R.C. 4123.321 and Adm.Code 4123-17-10 in form of COVID-19 dividend did not allow it to suspend administering group-retro program under Adm.Code 4123-17-73 for 2018 policy year—Bureau waived its right to assert accord and satisfaction by

1. Under S.Ct.Prac.R. 4.06(B), Stephanie McCloud, the current administrator of the Bureau of Workers’ Compensation, is automatically substituted for John Logue, the former administrator, as a party to this action. SUPREME COURT OF OHIO

failing to raise it as an affirmative defense in its answer to employer’s complaint—Court of appeals’ judgment issuing limited writ affirmed. (No. 2024-1789—Submitted October 7, 2025—Decided April 1, 2026.) APPEAL from the Court of Appeals for Franklin County, No. 21AP-387, 2024-Ohio-5451. __________________ The per curiam opinion below was joined by KENNEDY, C.J., and FISCHER, DEWINE, BRUNNER, DETERS, HAWKINS, and SHANAHAN, JJ.

Per Curiam. {¶ 1} Appellee, Kent Elastomer Products, Inc., requested a refund of its 2018 policy-year workers’ compensation premium based on its participation in one of the Bureau of Workers’ Compensation’s employer-incentive programs. The bureau denied Kent Elastomer’s request because it had already received a refund of its 2018 premium in the form of a dividend payment, which the bureau had issued to all state-fund employers during the COVID-19 pandemic. Kent Elastomer then filed a complaint in the Tenth District Court of Appeals, seeking a writ of mandamus to compel appellant, the bureau’s administrator, to issue Kent Elastomer a refund in accordance with the administrative rule implementing the employer- incentive program in which Kent Elastomer had participated. The Tenth District granted a limited writ, and the bureau has appealed. {¶ 2} For the reasons that follow, we affirm. I. BACKGROUND A. The Bureau’s Group-Retrospective-Rating Program {¶ 3} When obtaining workers’ compensation coverage, Ohio employers may choose from a range of plans. In 2018, Kent Elastomer, a manufacturer based in Kent, applied for and was accepted into the bureau’s group-retrospective-rating program (“group-retro program”), which was a plan designed “to provide financial

2 January Term, 2026

incentive to employer groups participating in the program that, through improvements in workplace safety and injured worker outcomes, are able to keep their claim costs below a predefined level,” former Adm.Code 4123-17-73(A)(1).2 {¶ 4} Under the program, a sponsoring organization creates a group of employers in similar industries with similar risks. Adm.Code 4123-17-73(C). The participating employers continue to pay their individual annual premiums as if they were not included in the group, but they agree to adjust those premiums retrospectively—in the form of a refund or an additional assessment—based on the combined performance of the group. To measure that performance, the bureau calculates the “group retrospective premium,” Adm.Code 4123-17-73(Q)(1), at three scheduled evaluation dates: 12 months after the policy year ends, 24 months after the policy year ends, and 36 months after the policy year ends, Adm.Code 4123-17-73(A)(4) and (Q)(1). After each evaluation date, the bureau analyzes all claims with dates of injury during the group’s policy year, calculates the incurred losses and reserves (the estimates of future costs) for those claims, and then calculates the group retrospective premium based on that new claim information. Adm.Code 4123-17-73(A)(9) and (Q)(1). {¶ 5} The bureau then compares the group retrospective premium to the “group standard premium,” the combined premiums that each individual group member previously paid for the policy year. Id. Depending on the group’s performance, the difference between the group retrospective premium and the group standard premium is distributed as a refund to the employers or billed to them as an assessment. Id. That is, if the group outperforms the standard premium, the group members will receive a refund; if the group underperforms the standard premium, the members will be charged an additional assessment.

2. Unless otherwise noted, all references to Adm.Code 4123-17-73 are to the version in effect during the relevant events in this case: former Adm.Code 4123-17-73, 2018-2019, Ohio Monthly Record 2-4399 (effective July 1, 2019).

3 SUPREME COURT OF OHIO

{¶ 6} Under the terms of Kent Elastomer’s 2018 group-retro program, the maximum refund that it could have received after the three evaluation dates was 68 percent of the standard premium that it had paid. And the maximum assessment that it could have been charged was an additional 25 percent of the standard premium. The 2018 policy year commenced on July 1, 2018, and ended on June 30, 2019. Therefore, the first evaluation period was to commence in mid-2020— 12 months after the policy year ended. B. The Bureau Issues a COVID-19 Dividend Payment {¶ 7} On April 10, 2020, the governor and the bureau’s board of directors proposed a plan to pay a one-time dividend from the state insurance fund to Ohio employers paying into the fund to help “ease the financial pressures these employers [had been] experiencing amid the coronavirus (COVID-19) pandemic.” For private employers, the bureau defined the dividend amount as 100 percent of the employer’s billed premium for the 2018 policy year. Thus, the bureau decided to return to Ohio’s employers every dollar of workers’ compensation premium that they had paid for the 2018 policy year. The bureau’s written proposal identified several eligibility requirements and other parameters. Of significant note for this case, the proposal stated that for group-retro-program employers, “[f]uture evaluations including the 2018 public and private group retrospective rated policy years w[ould] not result in adjustment of the dividend or any additional credits or debits.” {¶ 8} On April 22, 2020, Kent Elastomer was issued a dividend check for $155,069, which equaled the premium amount it had paid for the 2018 policy year. C. The Bureau Denies Kent Elastomer’s Request for a Refund under the Group-Retro Program {¶ 9} In May 2020, the bureau advised Kent Elastomer’s third-party administrator that because the bureau had already issued dividend checks equaling 100 percent of employers’ premiums for the 2018 policy year, the bureau would

4 January Term, 2026

not be issuing refunds under the group-retro program for that policy year. Kent Elastomer nevertheless requested a refund under the program. After the bureau denied the request, Kent Elastomer asked for a hearing before the bureau’s adjudicating committee. See R.C.

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Bluebook (online)
State ex rel. Kent Elastomer Prods., Inc. v. McCloud, Counsel Stack Legal Research, https://law.counselstack.com/opinion/state-ex-rel-kent-elastomer-prods-inc-v-mccloud-ohio-2026.