Disability Examination v. ICAO ( 2024 )


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  • 23CA2153 Disability Examination v ICAO 07-11-2024
    COLORADO COURT OF APPEALS
    Court of Appeals No. 23CA2153
    Industrial Claim Appeals Office of the State of Colorado
    DD No. 70279-2021
    Disability Examination Services, LLC,
    Petitioner,
    v.
    Industrial Claim Appeals Office of the State of Colorado and the Division of
    Unemployment Insurance Employer Services Integrity/Employer Audits,
    Respondents.
    ORDER AFFIRMED
    Division VI
    Opinion by JUDGE SCHUTZ
    Lipinsky and Graham*, JJ., concur
    NOT PUBLISHED PURSUANT TO C.A.R. 35(e)
    Announced July 11, 2024
    Miller & Urtz, LLC, Paul G. Urtz, Denver, Colorado, for Petitioner
    Philip J. Weiser, Attorney General, Krista Maher, Senior Assistant Attorney
    General, Thomas Julian Archer, Assistant Attorney General, Denver, Colorado,
    for Respondent Industrial Claim Appeals Office
    No Appearance for Respondent Division of Unemployment Insurance Employer
    Services Integrity/Employer Audits
    *Sitting by assignment of the Chief Justice under provisions of Colo. Const. art.
    VI, § 5(3), and § 24-51-1105, C.R.S. 2023.
    1
    ¶ 1 In this unemployment compensation tax liability case,
    Disability Examination Services, LLC (DES) appeals a final order of
    the Industrial Claim Appeals Office (the Panel) concluding that DES
    should have classified its workers as employees rather than as
    independent contractors under section 8-70-115, C.R.S. 2023. We
    affirm the Panel’s order.
    I. Background
    ¶ 2 DES contracts with physicians, medical assistants,
    technicians, and office assistants to facilitate examinations of Social
    Security Disability Insurance (SSDI) claimants. DES in turn
    contracts with the state agency that administers the SSDI program
    in Colorado, Disability Determination Services (DDS). DES operates
    in several locations around Colorado using leased office space,
    recruits physicians and support staff to conduct exams, and
    receives a flat fee from DDS for each exam. Each of DES’s workers
    signs a contract with DES containing language purporting to
    establish an independent contractor relationship.
    ¶ 3 The Colorado Department of Labor and Employment, Division
    of Unemployment Insurance (Division), audited DES for the years
    2018 to 2020. After reviewing DES’s contracts and questionnaires
    2
    completed by DES workers, the Division determined that ninety-
    nine of the workers should have been classified as employees rather
    than as independent contractors. As a result, the Division
    concluded that DES owed the Division unemployment insurance
    premiums for the ninety-nine workers.
    ¶ 4 DES appealed the Division’s determination, and a hearing
    officer conducted hearings over five days. Dr. William Qutub, DES’s
    founder, testified for DES, and auditor Juley Allee testified for the
    Division. Three former DES administrative employees also
    testified.
    1
    After hearing the witnesses’ testimony and reviewing over
    1,200 pages of documents admitted into evidence, the hearing
    officer determined that the contracts between DES and the workers
    did not create a rebuttable presumption that the workers were
    independent contractors because the contracts did not satisfy the
    applicable factors set forth in sections 8-70-115(1)(c) and 8-70-
    115(2). Specifically, he found that the contracts allowed DES to
    terminate the contracts for any reason, at any time, without
    1
    These employees included Linda Cornell, a billing specialist, who
    the hearing officer ultimately determined was an independent
    contractor. No party contests that determination in this appeal.
    3
    penalty, and thereby controlled the way the workers performed the
    services. He also determined that the individual worker, rather
    than a business entity run by the worker, was the most likely
    recipient of DES’s payments. He further noted that DES’s contracts
    with the physicians included a noncompete clause. Finally, the
    hearing officer found that the contracts failed to include the
    disclosure language specified in section 8-70-115(2).
    ¶ 5 Because the contracts did not establish the necessary
    provisions to create a rebuttable presumption that the workers were
    independent contractors, it was DES’s burden to prove that the
    workers were free from DES’s control and direction, and that the
    workers customarily engaged in an independent trade, occupation,
    profession, or business related to the services they provided to DES.
    § 8-70-115(1)(b); see also Indus. Claim Appeals Off. v. Softrock
    Geological Servs., Inc., 2014 CO 30, ¶ 1. The hearing officer
    concluded that DES did not meet that burden.
    ¶ 6 On appeal, the Panel affirmed. The Panel agreed with the
    hearing officer that the contracts did not create a rebuttable
    presumption of independent contractor status. The Panel also
    concluded that DES had not met its burden to show that the
    4
    workers were free from its direction and control. Additionally, the
    Panel determined that the workers were not customarily engaged in
    an independent trade, occupation, profession, or business related to
    the services performed. The Panel therefore affirmed the hearing
    officer’s determination that the workers were employees.
    II. Analysis
    A. Standard of Review
    ¶ 7 As relevant here, we may set aside the Panel’s decision only if
    the findings of fact do not support the decision or the decision is
    erroneous as a matter of law. See § 8-74-107(6)(c)-(d), C.R.S. 2023.
    We review de novo the Panel’s legal conclusions, including its
    interpretation of a statute. See Cath. Health Initiatives Colo. v.
    Indus. Claim Appeals Off., 2021 COA 48, ¶ 14. Although our review
    is de novo, we generally accept an agencys statutory interpretation
    if it has been charged with the statutes administration and the
    interpretation has a reasonable basis in the law, and is warranted
    by the record.Table Servs., Ltd. v. Hickenlooper, 257 P.3d 1210,
    1217 (Colo. App. 2010).
    ¶ 8 We may not disturb a hearing officer’s factual findings if they
    are “supported by substantial evidence or reasonable inferences
    5
    drawn from that evidence.” Yotes, Inc. v. Indus. Claim Appeals Off.,
    2013 COA 124, ¶ 10; see also § 8-74-107(4) (a hearing officer’s
    factual findings are conclusive when they are supported by
    substantial evidence).
    B. Applicable Law
    ¶ 9 The Colorado Employment Security Act (CESA), codified at
    sections 8-70-101 through 8-82-105, C.R.S. 2023, establishes an
    unemployment insurance fund financed by employer-paid taxes or
    premiums. Colo. Div. of Emp. & Training v. Accord Hum. Res., Inc.,
    2012 CO 15, ¶ 10. Under CESA, the Division collects taxes from
    employers for payment into the fund and pays benefits to eligible
    unemployed individuals. Id. An employer must pay unemployment
    taxes on wages paid to employees but not on compensation paid to
    independent contractors. Softrock, ¶ 1.
    ¶ 10 Section 8-70-115(1)(b) specifies that services performed by an
    individual for another shall be deemed covered employment for
    CESA purposes unless the putative employer shows “to the
    satisfaction of the [D]ivision” that the individual (1) is free from
    control and direction in the performance of the service, both under
    his contract for the performance of service and in fact”; and (2) is
    6
    “customarily engaged in an independent trade, occupation,
    profession, or business related to the service performed.” The
    putative employer bears the burden of proving that both conditions
    exist to rebut the presumption of an employment relationship
    between the parties. Visible Voices, Inc. v. Indus. Claim Appeals
    Off., 2014 COA 63, ¶ 11.
    ¶ 11 The putative employer may show that such individual is
    engaged in an independent trade, occupation, profession, or
    business and is free from control and direction in the performance
    of the service” in one of two ways. § 8-70-115(1)(c). It may . . .
    show by a preponderance of the evidence that the conditions set
    forth in paragraph (b) of . . . subsection (1) have been satisfied.” Id.
    Alternatively, it may demonstrate in a written document, signed by
    both parties, that the person for whom services are performed does
    not take any of the nine actions specified in section 8-70-115(1)(c)(I)
    through (IX). § 8-70-115(1)(c).
    ¶ 12 A written document that satisfies the applicable factors of
    section 8-70-115(1)(c) creates “a rebuttable presumption of an
    independent contractor relationship between the parties,§ 8-70-
    115(2), if the document also contains the disclosure specified in
    7
    section 8-70-115(2). See § 8-70-115(1)(d) (“A document may satisfy
    the requirements of paragraph (c) of this subsection (1) if such
    document demonstrates, by a preponderance of the evidence, the
    existence of such factors listed in subparagraphs (I) to (IX) of
    paragraph (c) of this subsection (1) as are appropriate to the parties
    situation.”). Such disclosure must appear in type which is larger
    than the other provisions in the document or in bold-faced or
    underlined type and must state that the worker is not entitled to
    unemployment insurance benefits unless unemployment
    compensation coverage is provided by the independent contractor
    or some other entity, and that the independent contractor is
    obligated to pay federal and state income tax on any moneys paid
    pursuant to the contract relationship. § 8-70-115(2).
    ¶ 13 But the putative employer can also establish that the worker is
    not an employee even in the absence of such a written document by
    satisfying a totality of the circumstances test. See Softrock, ¶ 2.
    That test “evaluates the dynamics of the relationship between the
    putative employee and the employer.” Id. The nine factors set forth
    in section 8-70-115(1)(c) are not an exhaustive list of considerations
    8
    for purposes of the totality of the circumstances test. Softrock,
    ¶¶ 2, 10, 16-17.
    C. Discussion
    ¶ 14 In its opening brief, DES raises four issues:
    Whether the Panel erred by concluding that the contracts
    between DES and the workers did not establish a rebuttable
    presumption that the workers were independent contractors.
    Whether the Panel erred by deciding that the workers were not
    free from control and direction in the performance of their
    services or were customarily engaged in an independent
    occupation, profession, or business.
    Whether the Panel applied the wrong legal standard in
    reviewing the hearing officer’s findings.
    Whether the Panel’s decision was clearly erroneous because it
    is inconsistent with the hearing officer’s findings and the
    weight of the evidence.
    1. Rebuttable Presumption
    ¶ 15 We begin with an analysis of DES’s argument that its
    contracts with the subject workers established the statutory
    rebuttable presumption that the workers were “engaged in an
    9
    independent trade, occupation, profession, or business and [were]
    free from [DES’s] control and direction in the performance of the
    services they provided to DES. § 8-70-115(1)(c), (2).
    ¶ 16 Under section 8-70-115(1)(c), a written document signed by
    both parties will evidence that the worker is engaged in an
    independent trade, occupation, profession, or business and is free
    from control in the performance of the service if the document
    shows that the person for whom services are performed does not:
    (I) Require the individual to work exclusively
    for the person for whom services are
    performed; except that the individual may
    choose to work exclusively for the said person
    for a finite period of time specified in the
    document;
    (II) Establish a quality standard for the
    individual; except that such person can
    provide plans and specifications regarding the
    work but cannot oversee the actual work or
    instruct the individual as to how the work will
    be performed;
    (III) Pay a salary or hourly rate but rather a
    fixed or contract rate;
    (IV) Terminate the work during the contract
    period unless the individual violates the terms
    of the contract or fails to produce a result that
    meets the specifications of the contract;
    (V) Provide more than minimal training for the
    individual;
    10
    (VI) Provide tools or benefits to the individual;
    except that materials and equipment may be
    supplied;
    (VII) Dictate the time of performance; except
    that a completion schedule and a range of
    mutually agreeable work hours may be
    established;
    (VIII) Pay the individual personally but rather
    makes checks payable to the trade or business
    name of the individual; and
    (IX) Combine his business operations in any
    way with the individual's business, but instead
    maintains such operations as separate and
    distinct.
    § 8-70-115(1)(c). As noted above, to establish the statutory
    rebuttable presumption that the worker is an independent
    contractor, the written document must also contain the disclosure
    specified in section 8-70-115(2).
    ¶ 17 The hearing officer and the Panel determined that DES’s
    contracts did not satisfy all the applicable factors of section 8-70-
    115(1)(c). Specifically, the hearing officer found that the contracts
    did not satisfy subparagraph (IV) because the contracts were
    terminable at will and did not meet subparagraph (VIII) because
    DES paid the workers personally. Additionally, the hearing officer
    found that DES’s contracts with the non-physicians did not meet
    11
    subparagraph (III) because DES paid those employees in a manner
    equivalent to an hourly rate or salary.
    ¶ 18 The Panel agreed with the hearing officer that the contract
    terms did not meet subparagraph (IV) because they allowed for
    termination of the contract at will. The Panel also agreed with the
    hearing officer’s conclusion as to subparagraph (III) with respect to
    the non-physician contracts. Additionally, the Panel found the
    terms of DES’s contract with physicians did not meet
    subparagraph (I) (must not require exclusive work) because the
    contracts contained a noncompete clause.
    ¶ 19 Because the contracts did not comply with the applicable
    section 8-70-115(1)(c) factors, we agree with the Panel that the
    contracts did not create a rebuttable presumption that the workers
    were independent contractors. And because a putative employer’s
    compliance with the applicable factors of section 8-70-115(1)(c) and
    inclusion of the disclosure required by section 8-70-115(2) are
    necessary to create the rebuttable presumption, DES’s failure to
    meet the criteria of section 8-70-115(1)(c) renders it unnecessary for
    us to address the adequacy of the disclosure under section 8-70-
    115(2).
    12
    2. Control and Direction
    ¶ 20 But our analysis does not end here. We must also consider
    whether DES satisfied the two-part test of section 8-70-115(1)(b)
    based on the totality of the circumstances. Softrock, ¶¶ 2, 10, 16-
    17. That analysis begins with an assessment of whether DES
    established that the workers were not under its control and
    direction.
    ¶ 21 The applicable statutes, Division regulations, and case law
    make clear that, when evaluating a putative employer’s control and
    direction over a worker, the fact finder must consider not only what
    is expressed in contractual language, but also the actual
    functioning relationship between the worker and the putative
    employer. § 8-70-115(1)(b); see also Dep’t of Lab. & Emp. Reg.
    17.1.4.2, 7 Code Colo. Regs. 1101-2 (worker who signs a purported
    agreement to establish an independent contractor relationship can
    still be deemed an employee if the facts related to the work
    establish an employment relationship); Home Health Care Pros. v.
    Colo. Dep’t of Lab. & Emp., 937 P.2d 851, 854 (Colo. App. 1996)
    (noting that the ultimate issue is whether worker is, in fact, free
    from the putative employer’s control and direction).
    13
    ¶ 22 Section 8-70-115(1)(b) places the burden of proof on the
    putative employer to demonstrate that the worker is free from its
    control and direction. See Long View Sys. Corp. USA v. Indus. Claim
    Appeals Off., 197 P.3d 295, 298 (Colo. App. 2008). If the employer
    fails to establish this component, an employment relationship exists
    for purposes of CESA. See Colo. Custom Maid, LLC v. Indus. Claim
    Appeals Off., 2019 CO 43, ¶ 14; see also Visible Voices, ¶ 11.
    ¶ 23 “In evaluating whether an individual providing services is free
    from direction and control, we consider the totality of the
    circumstances, focusing on whether the putative employer has a
    general right to control and direct the individual in the performance
    of the service.” Colo. Custom Maid, ¶ 14. “An ‘employer’s firm hand
    in controlling the details of the manner and method of job
    performance’ evinces an overall right to control the actions of an
    employee.” Id. (quoting Rent-A-Mom, Inc. v. Indus. Comm’n, 727
    P.2d 403, 406 (Colo. App. 1986)).
    14
    ¶ 24 The hearing officer found that most of the DES’s workers were
    under its control and direction in providing services.
    2
    The Panel
    affirmed that conclusion based on the following evidentiary
    findings:
    DES had the contractual right to terminate the workers’
    contracts for any reason.
    The workers contracts precluded them, during the term of the
    agreement, from engaging in any business that competed with
    DES.
    DES provided the workers with recommendations, tips, sample
    schedules, templates, and guides for how to complete the
    work.
    DES directed and controlled the means and methods of
    performing the work by instructing the workers to smile and
    make eye contact and perform the work in an office that DES
    leased and operated.
    2
    The hearing officer found that the office assistants were free from
    direction and control. The Panel, however, disagreed. For the
    reasons stated infra, we need not address whether the Panel
    exceeded its proper scope of review by setting aside the hearing
    officer’s finding on this issue.
    15
    The medical assistants, technicians, and office assistants
    received training on how to use DES’s electronic systems and
    training about DDS’s requirements.
    DES provided the physicians with tools in the form of a
    backup medical bag and laptop if they forgot their own tools.
    DES provided the medical assistants with the tools necessary
    to perform their work, such as a blood pressure testing device.
    The workers were paid in their own names, and DES required
    the workers to perform the services described in the contracts
    personally.
    The workers did not employ anyone else to assist them in
    completing their work for DES.
    The workers did not have a business card, business phone,
    business name, or any other trappings of a business.
    DES’s contracting process resembled a traditional employee
    hiring process, and DES advertised its need for workers
    online.
    Applicants contacted DES to indicate their interest in
    performing services for DES and submitted resumes, and DES
    then communicated with the applicants to determine if they
    16
    had the education, skills, and experience necessary to perform
    the work.
    The workers did not have a financial investment in any
    business such that they might suffer a loss if their business
    failed.
    ¶ 25 On appeal, DES argues that simply because the contracts
    were subject to termination at any time is insignificant because the
    “examinations are brief” and “the physicians, medical technicians,
    and assistants may decide whether they want to work for DES
    again.” But the Panel specifically addressed this argument,
    explaining that “discharging a worker without liability is an
    instance of control over the way she or he performs the work
    because the threat of discharge emphasizes the company’s ultimate
    ability to determine the direction of the work.” This determination
    is consistent with the Colorado Supreme Court’s holding that the
    power to terminate a contract for personal service at any time,
    without liability, is an important factor in determining whether the
    individual is free of control and direction, because the right
    immediately to discharge involves the right of control. Allen Co. v.
    Indus. Comm’n, 762 P.2d 677, 680-81 (Colo. 1988) (quoting Indus.
    17
    Comm’n v. Bonfils, 78 Colo. 306, 307-08, 241 P. 735, 735-36
    (1925)).
    ¶ 26 DES contends that the hearing officer applied a more stringent
    test than the law requires to “establish all, or nearly all, of the
    factors” in section 8-70-115(1)(c). We disagree. The hearing officer
    used the factors in that section as a framework to analyze the
    evidence. This approach is consistent with Division regulations
    providing that hearing officers should consider “the nine factors
    enumerated under § 8-70-115, as well as any other relevant
    factors.” Dep’t of Lab. & Emp. Reg. 17.1.2, 7 Code Colo. Regs.
    1101-2; see also Softrock, ¶ 17. Accordingly, we find no error in the
    Panel’s conclusion that the workers were not free from DES’s
    control and direction.
    3. Independent Business
    ¶ 27 The Panel disagreed with the hearing officer’s finding that the
    workers were not customarily engaged in an independent trade,
    occupation, profession, or business related to the service
    performed. We need not address this prong of section
    8-70-115(1)(b), however, because we have upheld the finding that
    DES did not meet its burden on the “control and direction” element
    18
    of this section. SZL, Inc. v. Indus. Claim Appeals Off., 254 P.3d
    1180, 1184 (Colo. App. 2011) (declining to address the control and
    direction element because the putative employer did not meet its
    burden regarding the independent business element).
    4. Other Arguments
    ¶ 28 We reject DES’s remaining arguments on appeal that the Panel
    applied the wrong standard in reviewing the hearing officer’s
    findings and that the Panel’s determination is erroneous as a
    matter of law. The relevant analysis is whether DES presented
    sufficient evidence to establish a rebuttable presumption that the
    workers were independent contractors, thereby shifting the burden
    of proof. See Softrock, 1. We conclude that it did not. DES then
    had the burden of proving its workers were independent contractors
    under the totality of the circumstances test. Because the Panel
    properly applied the law and the findings of fact support its
    conclusion, we will not disturb its order. See Allen, 762 P.2d at 680
    (holding that the Panel’s decision should not be disturbed if it is
    supported by substantial evidence).
    III. Disposition
    ¶ 29 The Panel’s order is affirmed.
    19
    JUDGE LIPINSKY and JUDGE GRAHAM concur.

Document Info

Docket Number: 23CA2153

Filed Date: 7/11/2024

Precedential Status: Precedential

Modified Date: 7/18/2024