FILED: July 15, 1998
In the Matter of the Complying
Status of R. M. Hardy & Co.,
alleged NCE.
EMPLOYERS INSURANCE OF WAUSAU,
a Mutual Company,
Petitioner,
v.
R. M. HARDY & CO. and DEPARTMENT
OF CONSUMER AND BUSINESS SERVICES,
Respondents.
_________________________________________________________________
In the Matter of the Complying
Status of Al Walker, alleged NCE.
EMPLOYERS INSURANCE OF WAUSAU,
a Mutual Company,
Petitioner,
v.
AL WALKER and DEPARTMENT OF
CONSUMER AND BUSINESS SERVICES,
Respondents.
(93-12288 and 93-12287; CA A93850 (Control) and CA A94244)
Judicial Review from Workers' Compensation Board.
Argued and submitted June 12, 1997.
David O. Horne argued the cause and filed the brief for petitioner.
Alan J. Schmeits argued the cause for respondent R. M. Hardy & Co. With him on the brief was Silven, Schmeits & Vaughn.
Stephanie L. Striffler, Assistant Attorney General, argued the cause for respondent Department of Consumer and Business Services. With her on the brief were Hardy Myers, Attorney General, and Virginia L. Linder, Solicitor General.
No appearance for respondent Al Walker.
Before Warren, Presiding Judge, and Edmonds and Armstrong, Judges.
ARMSTRONG, J.
Affirmed.
ARMSTRONG, J.
Wausau Insurance (Wausau) seeks judicial review of an order finding that
R. M. Hardy and Company (Hardy) was not a noncomplying employer from April 14,
1993, to August 25, 1993, because it was insured by Wausau.(1)
We affirm.
In July 1993, Hardy agreed to perform timber felling for an unknown party.
Hardy engaged workers and, on July 21, 1993, it began performance on the contract. In
August 1993, one of Hardy's subject employees was injured while working. The
employee filed a workers' compensation claim, which the Department of Consumer and
Business Services (DCBS) investigated.
On September 22, 1993, DCBS issued a proposed order in which it found
that Hardy had employed one or more subject workers in Oregon from April 14, 1993, to
August 25, 1993, but that, during that period, it had neither qualified as a self-insured
employer nor caused a guaranty contract to be filed with DCBS. Accordingly, DCBS
recommended that Hardy be declared a noncomplying employer from April 14, 1993, to
August 25, 1993, and that the company be fined $1,000.
Hardy requested a hearing to review that order, see ORS 656.740(1),(2)
arguing that it had not been a noncomplying employer because Wausau had provided it
with workers' compensation coverage during that time. Pursuant to ORS 656.740(2),
Wausau was joined as a party to the proceeding.(3)
Following the hearing, an ALJ found that a guaranty contract between
Hardy and Wausau had been filed with DCBS on July 16, 1992. By definition, the ALJ
concluded, the existence of that guaranty contract meant that Wausau had provided
worker's compensation insurance to Hardy until Wausau properly canceled the contract.
See ORS 656.419(1), (5). In order to cancel the contract properly, Wausau had to
provide written notice of the cancellation to both Hardy and the Director of DCBS. See
ORS 656.427(1).(4) The ALJ found that, while Wausau had notified Hardy that it had
canceled the contract, there was no evidence that Wausau had notified the Director of
DCBS of the cancellation until, at the earliest, October 19, 1993. Therefore, the ALJ
concluded, the guaranty contract filed with DCBS had remained in effect through the
relevant period and Hardy had not been a noncomplying employer during that time. The
ALJ reversed the proposed order of DCBS. In accordance with ORS 656.740(4)(a), the
ALJ's order became an order of the Director of DCBS. Wausau seeks review of that
order.
An order declaring an employer to be a noncomplying employer is "prima
facie correct and the employer has the burden of proving that the order is incorrect."
ORS 656.740(1). On review, Wausau argues that the ALJ improperly ignored both the
fact that the proposed order was prima facie correct and that Hardy had the burden of
proving that the order was incorrect. We disagree.
The proposed order found that, from April 14, 1993, to August 25, 1993,
Hardy had been a noncomplying employer because it had not caused a guaranty contract
to be filed with DCBS during a time in which it had been employing one or more subject
workers in Oregon. At the hearing, Hardy presented evidence that a guaranty contract
between it and Wausau had been filed with DCBS and that Wausau had not canceled that
contract. Wausau responded with evidence that it had canceled the contract. In making
their arguments, both parties focused on whether Wausau had properly notified Hardy of
the cancellation, not on whether Wausau had properly notified the Director.
The evidence that Hardy presented directly contradicted the proposed
order's conclusion that Hardy was a noncomplying employer because it had not caused a
guaranty contract to be filed. Consequently, Hardy did rebut the prima facie case that it
was a noncomplying employer. As a result, the ALJ could not simply affirm the
proposed order. Rather, the ALJ was required to determine, considering all of the
evidence in the record, whether Hardy had, in fact, been a noncomplying employer
during the relevant time period. Because Hardy had the burden of proof, the ALJ would
have been required to affirm the proposed order if the ALJ had concluded that the
evidence was in equipoise. If, however, the evidence was not in equipoise, then the
burden would play no role in the ALJ's conclusion.
The ALJ found that the evidence was not in equipoise. He found that 1) on
July 16, 1992, a guaranty contract between Hardy and Wausau was filed with DCBS; 2)
under that contract, Wausau was required to provide workers' compensation insurance
for Hardy until it canceled the contract; and 3) there was no evidence that Wausau had
provided the Director with written notice that it was canceling its contract with Hardy.
Wausau does not dispute those findings. Because Wausau could not cancel the contract
without providing written notice of the cancellation to the Director, see ORS 656.427(1),
the ALJ concluded that the guaranty contract had not been canceled. Accordingly, Hardy
had been insured by Wausau during the relevant period, so it had not been a
noncomplying employer. Those facts and conclusions led the ALJ to reverse the
proposed order. Because the prima facie case had been rebutted and the burden of proof
was appropriately applied, we conclude that the ALJ did not ignore ORS 656.740(1) in
reaching his decision.
Nonetheless, Wausau argues that the ALJ's decision must be reversed
because, by basing it on a fact that neither party contested, i.e., whether the Director had
been properly notified of the cancellation, the ALJ committed a material error affecting
the fundamental fairness of the proceeding. See ORS 183.484(7). We disagree. The
issue at the hearing was whether Hardy had been a noncomplying employer. Wausau
was joined in the proceeding precisely because Hardy took the position that it had not
been a noncomplying employer due to the fact that Wausau had provided it with
coverage during the relevant time period. Wausau took the position that, although it had
once insured Hardy, it had canceled that coverage. In short, the critical issue at the
hearing was whether Wausau had canceled the guaranty contract. Both parties were
aware of that. ORS 656.419(5) provides that "[c]overage of an employer under a
guaranty contract continues until canceled or terminated as provided by ORS 656.423 or
ORS 656.427." ORS 656.427 provides that a guaranty contract may be canceled "by
giving the employer and the Director of [DCBS] written notice of termination." In the
light of those clear statutory provisions, we cannot say that it was fundamentally unfair
for the ALJ to consider whether the Director had received notification of the termination
when the ALJ was determining whether Wausau had terminated the guaranty contract.
Because of our resolution of Wausau's first assignment of error, we need
not address its other assignments of error.
Affirmed.
1. Wausau also sought review of a determination that Al Walker was not a
noncomplying employer. Our disposition of the claim involving Hardy makes it
unnecessary to address the claim involving Walker.
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2. ORS 656.740(1) provides:
"A person may contest a proposed order of the Director of the
Department of Consumer and Business Services declaring that person to be
a noncomplying employer, or a proposed assessment of civil penalty, by
filing with the Department of Consumer and Business Services, within 20
days of receipt of notice thereof, a written request for a hearing. Such a
request need not be in any particular form, but shall specify the grounds
upon which the person contests the proposed order or assessment. An order
by the director under this subsection is prima facie correct and the burden is
upon the employer to prove that the order is incorrect."
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3. ORS 656.740(2) provides:
"Where any insurance carrier, including the State Accident Insurance Fund Corporation, is alleged by an employer to have contracted to provide the employer with workers' compensation coverage for the period in question, the Workers' Compensation Board shall join such insurance carrier as a necessary party to any hearing relating to such employer's alleged noncompliance and shall serve the carrier, at least 30 days prior to such hearing, with notice thereof."
ORS 656.427(1) provides:
"An insurer that issues a guaranty contract or a surety bond to an employer under this chapter may terminate liability on its contract or bond, as the case may be, by giving the employer and the Director of the Department of Consumber and Business Services written notice of termination. A notice of termination shall state the effective date and hour of termination."
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4. The cancellation would have been "effective at 12 midnight not less than 30 days after the date the notice [was] received by the director." See ORS 656.427(2)(a).
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