State Ex Rel. Wenco, Inc. v. Industrial Commission

417 N.E.2d 1280, 65 Ohio App. 2d 233, 19 Ohio Op. 3d 197, 1979 Ohio App. LEXIS 8476
CourtOhio Court of Appeals
DecidedSeptember 25, 1979
Docket79AP-58
StatusPublished
Cited by2 cases

This text of 417 N.E.2d 1280 (State Ex Rel. Wenco, Inc. v. Industrial Commission) 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
State Ex Rel. Wenco, Inc. v. Industrial Commission, 417 N.E.2d 1280, 65 Ohio App. 2d 233, 19 Ohio Op. 3d 197, 1979 Ohio App. LEXIS 8476 (Ohio Ct. App. 1979).

Opinion

Whiteside, J.

By this original action in mandamus, relator, Wenco, Inc., of Ohio, contends that respondent Industrial Commission abused its discretion in denying relator *234 self-insurer status for workers’ compensation, which it had elected to assume pursuant to R. C. 4123.35. The parties have entered into a stipulation of the evidence to be considered by this court and, in addition, have submitted the testimony of two witnesses by way of deposition.

Relator contends that the Industrial Commission concedes that relator meets all requirements for self-insurer status, including demonstrating the required financial ability. However, not only is this denied in the answer filed herein by respondents, but the stipulated facts demonstrate that relator’s application for self-insurer status was denied solely because relator did not meet “minimun requirements.” Further, it is clear from the evidence that the minimum requirement referred to was that provision of Ohio Adm. Code 4121-9-03 (A) requiring that the “***[a]pplicant must also have five hundred or more employees in Ohio or must presently be paying one hundred thousand dollars or more in annual premiums.***” Concededly, relator does not meet this requirement, and the only determination made by the commission was that it should not waive this requirement. Thus, the only issue to be resolved in this cause at this time is whether the above requirement of Ohio Adm. Code 4121-9-03 (A) is invalid.

Relator contends that the rule is invalid because it bears no reasonable relationship to the legislative criteria upon which it is based and because it is designed merely to prevent financially capable companies from leaving the state fund.

To the extent that the rule is designed solely to prevent statutorily qualified employers from becoming self-insurers, obviously, the rule is invalid, as it would also be even if it unintentionally had that effect. In this regard, R. C. 4123.35 (136 Ohio Laws 1133-1136) is quite explicit and provides, in part, as follows: r

“***Pr0Vided, that such employers and publicly owned utilities who will abide by the rules of the commission and who may be of sufficient financial ability to render certain the payment of compensation to injured employees or the dependents of killed employees, and the furnishing of medical, surgical, nursing, and hospital attention and services and medicines, and funeral expenses***and who do not desire to insure the payment thereof or indemnify themselves against loss sustained by the direct payment thereof, may, upon a finding of *235 such facts by the commission, elect to pay individually such compensation, and furnish such medical, surgical, nursing, and hospital services and attention and funeral expenses directly to such injured employees or the dependents of such killed employees. The commission may require such security or bond from said employers and publicly owned utilities as it deems proper, adequate, and sufficient to compel, or secure to such injured employees, or to the dependents of such employees as may be killed, the payment of such compensation and expenses***. The commission shall make and publish rules governing the manner of making application and the nature and extent of the proof required to justify such finding of fact by said commission as to permit such election by such employers and publicly owned utilities, which rules shall be general in their application, one of which rules shall provide that all employers, including publicly owned utilities, electing directly to compensate their injured employees and the dependents of their killed employees, shall pay into the state insurance fund such amounts as are required to be credited to the surplus in division (B) of section 4123.34 of the Revised Code. The commission also shall adopt rules: establishing a minimum level of performance as a criterion for granting permission to pay compensation directly; fixing time limits beyond which failure of the self-insuring employer to provide for the necessary medical examinations and evaluations may not delay a decision on a claim; establishing the grounds upon which the commission will hold a public hearing to evaluate the program for self-insuring employers and set forth the procedures for revocation of self-insurer status which shall include continued failure to file medical reports bearing upon the injury of the claimant and failure to pay compensation or benefits in accordance with law in a timely manner.***”

The challenged requirement, by its terms, is in addition to and different from the statutory requirement of sufficient financial ability since Ohio Adm. Code 4121-9-03 (A) reads in its entirety, as follows:

“The employer must have been operating in Ohio for a minimum period of two years and have demonstrated financial ability to meet its obligations under section 4123.35 of the Revised Code. Applicant must also have five hundred or more employees in Ohio or must presently be paying one hundred *236 thousand dollars or more in annual premiums. The commission, in its discretion, may waive these requirements when appropriate.”

In addition, Ohio Adm. Code 4121-9-03 (K) requires that:

“The employer must have in Ohio a company office and one or more company employees experienced with the requirements of the Ohio Workers’ Compensation Act and the rules and regulations thereunder to administer its employees’ workers’ compensation claims, including but not limited to processing and allowing or disallowing claims, paying compensation and benefits, maintaining files and making them available for inspection. In the alternative the employer must designate a particular individual, subject to approval by the commission, who has authority to pay claims and authorize settlements. The ultimate responsibility for the handling of workers’ compensation claims rests with the employer granted the privilege of self-insurance. This rule is not intended to prevent the hiring of an attorney or representative to assist such employer in the handling and processing of workers’ compensation claims.”

Ohio Adm. Code 4121-9-03(M) establishes the minimum “level of performance as a criterion for granting permission to pay compensation directly.”

It is difficult to conceive of any rational basis for the requirement that a self-insurer either have 500 or more employees or pay $100,000 or more per year in premiums. The testimony of the witnesses in the two depositions tends to conclusively establish that there is no rational basis for the requirement since one of the witnesses apparently devised the standard but could not explain any reasonable basis for it. More importantly, however, there is no reasonable relationship between the requirement and the statutory criteria. R. C. 4123.35 is quite explicit that an employer is entitled to become a self-insurer if it meets the statutory criteria, which now includes the commission’s rules as to a minimum level of performance. As noted, the rule in question is not one of the minimum levels of performance, which instead are set forth in Ohio Adm. Code 4121-9-03(M); however, the requirements of Ohio Adm. Code 4121-9-03 (M) are such that, if an applicant can demonstrate not only his financial ability but also his ability to meet the required minimum level of performance, it

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417 N.E.2d 1280, 65 Ohio App. 2d 233, 19 Ohio Op. 3d 197, 1979 Ohio App. LEXIS 8476, Counsel Stack Legal Research, https://law.counselstack.com/opinion/state-ex-rel-wenco-inc-v-industrial-commission-ohioctapp-1979.