State ex rel. Ford Motor Co. v. Indus. Comm. , 2015 Ohio 181 ( 2015 )


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  • [Cite as State ex rel. Ford Motor Co. v. Indus. Comm., 2015-Ohio-181.]
    IN THE COURT OF APPEALS OF OHIO
    TENTH APPELLATE DISTRICT
    The State of Ohio ex rel.                            :
    Ford Motor Company,
    :
    Relator,
    :
    v.                                                   :                   No. 13AP-762
    The Industrial Commission of Ohio and                :               (REGULAR CALENDAR)
    Bryan Craft,
    :
    Respondents.
    :
    D E C I S I O N
    Rendered on January 22, 2015
    Timothy J. Krantz, for relator.
    Michael DeWine, Attorney General, and Stephen D. Plymale,
    for respondent Industrial Commission of Ohio.
    Bevan & Associates, and David S. Bates, for respondent
    Bryan Craft.
    IN MANDAMUS
    ON OBJECTIONS TO THE MAGISTRATE'S DECISION
    TYACK, J.
    {¶ 1} Ford Motor Company filed this action in mandamus seeking a writ to
    compel the Industrial Commission of Ohio ("commission") to relieve it of a duty to pay
    the Ohio Bureau of Workers' Compensation ("BWC") funds to reimburse it for payments
    to Bryan Craft.
    {¶ 2} In accord with Loc.R. 13(M) of the Tenth District Court of Appeals, the case
    was referred to a magistrate to conduct appropriate proceedings. The parties stipulated
    No. 13AP-762                                                                             2
    the pertinent evidence and filed briefs. The magistrate then issued a magistrate's decision
    containing detailed findings of fact and conclusions of law appended hereto.           The
    magistrate's decision includes a recommendation that we deny the request for a writ.
    {¶ 3} Ford Motor Company has filed objections to the magistrate's decision.
    Counsel for the commission has filed a memorandum in response. The case is now before
    the court for a full independent review.
    {¶ 4} The facts in the case are not in dispute. Ford Motor Company has not
    objected to the findings of fact, so the findings of fact in the magistrate's decision are
    hereby adopted.
    {¶ 5} Ford Motor Company does object to the application of the law to the
    uncontested facts. Specifically, the objections are:
    OBJECTION NO. 1
    The Magistrate erred in failing to find that DWRF benefits
    constitute compensation and therefore, falling under the 2-
    year "limitation" provision in R.C. §4123.52, regarding
    retroactive payment of compensation.
    OBJECTION NO. 2
    Although the Magistrate found that the BWC failed to
    properly administer the claimant's claim, the Magistrate
    erred in failing to find that the "doctrine of laches" precludes
    the BWC from charging Ford DWRF payments going back
    more than thirteen-years.
    {¶ 6} Bryan Craft was found to be entitled to permanent total disability
    compensation back in the 1990's. Early in the period when he began receiving the
    benefits, repeated inquiries were made to ascertain whether he was entitled to additional
    compensation from the Disabled Workers' Relief Fund ("DWRF"). Because of the money
    he was receiving from Social Security Disability, he was found to not be entitled to
    payments from DWRF at that time. The inquiries from BWC on that topic then stopped
    for many years.
    {¶ 7} Eventually BWC sent a questionnaire to Craft to determine if his eligibility
    had changed. Upon receiving the answers to its questions, the BWC determined that
    No. 13AP-762                                                                              3
    Craft had been entitled to funds from DWRF for many years. The total due him was the
    sizable sum of $121,442.86, covering almost 13 years of back payments.
    {¶ 8} Ford Motor Company did not want to pay the $121,442.86 to reimburse the
    BWC and has fought paying it ever since. At first Ford Motor Company resisted paying by
    pursuing appeals through the commission. When that failed, Ford Motor Company filed
    this mandamus action.
    {¶ 9} The issues Ford Motor Company argues via its objections to the magistrate's
    decision are the same issues argued before the magistrate. We cannot make significant
    improvements upon the detailed analysis set forth by our magistrate, including exposition
    of our past decisions on the key points. See the magistrate's decision appended hereto.
    {¶ 10} We overrule the objections to the magistrate's decision and adopt the
    findings of fact and conclusions of law in the magistrate's decision. As a result, we deny
    the request for a writ of mandamus.
    Objections overruled; writ denied.
    KLATT and DORRIAN, JJ., concur.
    No. 13AP-762                                                                           4
    APPENDIX
    IN THE COURT OF APPEALS OF OHIO
    TENTH APPELLATE DISTRICT
    The State of Ohio ex rel.                       :
    Ford Motor Company,
    :
    Relator,                                           No. 13AP-762
    :
    v.                                                            (REGULAR CALENDAR)
    :
    The Industrial Commission of Ohio
    and Bryan Craft,                                :
    Respondents.                      :
    MAGISTRATE'S DECISION
    Rendered on October 29, 2014
    Timothy J. Krantz, for relator.
    Michael DeWine, Attorney General, and Stephen D. Plymale,
    for respondent Industrial Commission of Ohio.
    Bevan & Associates, and David S. Bates, for respondent
    Bryan Craft.
    IN MANDAMUS
    {¶ 11} Relator, Ford Motor Company, has filed this original action requesting that
    this court issue a writ of mandamus ordering respondent Industrial Commission of Ohio
    ("commission") to vacate its order by awarding Disabled Workers' Relief Fund ("DWRF")
    benefits to respondent Bryan Craft ("claimant") beyond two years and ordering the
    commission to find that the back payments are subject to the two-year limitation in R.C.
    4123.52, or, in the alternative, find that the Ohio Bureau of Workers' Compensation
    No. 13AP-762                                                                            5
    ("BWC") failed to comply with the statute that requires prompt inquiry of the permanent
    total disability ("PTD") compensation status of an injured worker in order to ascertain
    DWRF eligibility and relieve relator of the responsibility of paying claimant beyond the
    two-year period.
    Findings of Fact:
    {¶ 12} 1. Claimant sustained three separate industrial injuries while employed by
    relator, a self-insured employer.
    {¶ 13} 2. Following a hearing held December 7, 1990, the commission issued an
    interlocutory order awarding claimant PTD compensation in his 1975 claim for the period
    December 8, 1990 to March 19, 1991.
    {¶ 14} 3. In an order mailed July 2, 1991, the commission extended the award of
    PTD compensation to September 1, 1991.
    {¶ 15} 4. Following a hearing on October 30, 1991, the commission awarded
    claimant PTD compensation from September 2, 1991 and continuing. Claimant's rate of
    pay was $119.
    {¶ 16} 5. Claimant's date of birth is December 28, 1934.           As such, he was
    approximately 57 years of age when the commission issued its final order awarding him
    PTD compensation.
    {¶ 17} 6. Earlier, in January 1991, the BWC sent a letter to claimant advising him
    that he may be entitled to DWRF benefits and requested information regarding his Social
    Security Disability ("SSD") benefits. The letter explains:
    When a claimant has been declared permanently and totally
    disabled (PTD) by the Ohio Industrial Commission, he or she
    may be entitled to receive a supplemental award from the
    Disabled Workers' Relief Fund (DWRF). Under the
    provisions of this fund, the benefits a claimant receives from
    the Bureau and the disability benefits received from the
    Social Security Administration are combined. The total of
    these benefits is subtracted from the figure established as the
    DWRF entry level. If the combined amount of PTD and
    disability social security is under our entry level amount,
    then the claimant is paid DWRF benefits.
    At the present time we are attempting to determine your
    eligibility to participate in the DWRF fund. However, before
    we can complete our computations we need additional
    No. 13AP-762                                                                              6
    information regarding your social security benefits. We are,
    therefore, requesting that you provide us with a statement
    indicating the rate of the disability social security benefits
    you have received, before [M]edicare deductions, from
    12/8/90 to 3/19/91.
    {¶ 18} 7. Claimant supplied the BWC with the requested information and
    indicated that he was then receiving $953 per month in SSD benefits.
    {¶ 19} 8. In a letter dated February 7, 1991, the BWC informed claimant that,
    because his total monthly compensation was currently over the maximum entitlement per
    week, he was not entitled to receive DWRF benefits at that time.
    {¶ 20} 9. Between February 1991 through October 1995, the BWC sent
    correspondence continuing to indicate that, based on his weekly rate, claimant was
    ineligible to receive DWRF benefits.
    {¶ 21} 10. In October 1998, the BWC sent a letter addressed to relator and relator's
    representative asking for information so the BWC could determine whether or not
    claimant was entitled to receive DWRF benefits.
    {¶ 22} 11. The stipulated evidence contains a document apparently from claimant's
    file identified as a claim inquiry and date stamped October 7, 2005. That document lists
    claimant's birth date, the date on which he turned 65 years of age, as well as the date PTD
    compensation began.
    {¶ 23} 12. It is undisputed that claimant turned 65 years of age on December 28,
    1999.
    {¶ 24} 13. In October 2012 (nearly 13 years after claimant turned 65), the BWC
    sent a questionnaire to relator indicating the BWC was reviewing claims paying PTD
    compensation and asking relator to confirm claimant's rate of pay.
    {¶ 25} 14. Relator responded indicating that claimant's rate of pay was $119.
    {¶ 26} 15. In an order mailed November 7, 2012, the BWC notified claimant that
    he was eligible to receive DWRF benefits and also informed claimant that he was entitled
    to receive a back payment. Specifically, the order provides:
    You are eligible because [t]hrough communication with the
    Self Insured Employer, BWC learned that you are being paid
    permanent total disability and may be eligible to receive a
    DWRF benefit. Based on your permanent total disability
    No. 13AP-762                                                                           7
    rate, you became eligible to receive DWRF effective
    12/01/1999 at retirement. Your permanent total disability
    rate is less than the DWRF entry level.
    Effective with the payment of 11/20/2012, your DWRF
    weekly rate will be $231.60.
    You also are entitled to receive a back payment in the
    amount of [$]121,442.86. This payment covers dates from
    12/01/1999 to 11/03/2012.
    You should receive your back payment within 10 days of
    receiving this order. Please note that this is not a change to
    your PTD workers' compensation payment. If you have any
    deductions being taken from your PTD, they are not reflected
    in this order but will continue to be deducted.
    You will receive 14 checks that equal your back payment of
    $121,442.85 mentioned above.
    {¶ 27} 16. Relator appealed and a hearing was held before a staff hearing officer
    ("SHO") on March 6, 2013. The SHO specifically found that claimant was entitled to
    receive DWRF benefits and rejected relator's argument that because the BWC failed to
    determine claimant's eligibility in a prompt manner, the payment should be limited to the
    two-year limitation found in R.C. 4123.52, stating:
    Said Disabled Workers' Relief Fund benefits are ordered to
    commence effective 12/01/1999.
    Based on this order, the Injured Worker is entitled to
    Disabled Workers' Relief Fund benefits from 12/01/1999
    through 11/03/2012, and continuing, based on eligibility of
    Disabled Workers' Relief Fund benefits.
    Counsel for the self-insuring employer contends the above-
    ordered Disabled Workers' Relief Fund benefits are
    inappropriate. Counsel contends the Administrator failed to
    determine the Injured Worker's eligibility for these benefits
    in a prompt manner. Counsel contends an unreasonable
    length of time has lapsed and the benefits should be limited
    to the two year limitation of Ohio Revised Code Section
    4123.52. The employer's counsel's contention is not found
    persuasive.
    No. 13AP-762                                                                                8
    The Staff Hearing Officer finds the Injured Worker remains
    eligible for the Disabled Workers' Relief Fund benefits
    ordered herein. Further, the benefits are not limited by the
    two year period referenced in Ohio Revised Code 4123.52.
    The Tenth Appellate District Court of Appeals addressed this
    specific question in the decision set forth in The Goodyear
    Tire and Rubber Co. et al., v. The Ohio Bureau of Workers'
    Compensation 1999 Ohio App. LEXIS 4494. The Court
    rejected a contention that there is a two year limit on any
    back benefit award for Disabled Workers' Relief Fund
    benefits. Specifically, the Court found that the Administrator
    is not statutorily barred from awarding back Disabled
    Workers' Relief Fund benefits to Injured Workers and billing
    the self-insuring employers for said benefits. Accordingly,
    the Staff Hearing Officer finds the Injured Worker is entitled
    to Disabled Workers' Relief Fund benefits from 12/01/1999
    through 11/03/2012 and continuing, based on eligibility of
    Disabled Workers' Relief Fund benefits.
    {¶ 28} 17. Relator filed a request for reconsideration asking the commission to
    exercise its continuing jurisdiction arguing the BWC's failure to make inquiries to relator
    concerning claimant for 14 years, the doctrine of laches should be applied to a limited
    amount of back award to two years, and to R.C. 4123.52.
    {¶ 29} 18. Following a hearing on May 21, 2013, the commission determined that
    it did not have authority to exercise continuing jurisdiction.
    {¶ 30} 19. Thereafter, relator filed the instant mandamus action in this court.
    Conclusions of Law:
    {¶ 31} For the reasons that follow, it is this magistrate's decision that relator has
    not demonstrated that the commission abused its discretion and this court should deny
    relator's request for a writ of mandamus.
    {¶ 32} The Supreme Court of Ohio has set forth three requirements which must be
    met in establishing a right to a writ of mandamus: (1) that relator has a clear legal right to
    the relief prayed for; (2) that respondent is under a clear legal duty to perform the act
    requested; and (3) that relator has no plain and adequate remedy in the ordinary course
    of the law. State ex rel. Berger v. McMonagle, 
    6 Ohio St. 3d 28
    (1983).
    {¶ 33} The facts in this case are not in dispute. Claimant sustained a work-related
    injury in 1975 and the DWRF provisions would likely apply to him once he turned 65
    years of age and was no longer receiving SSD benefits. Claimant became eligible for
    No. 13AP-762                                                                            9
    DWRF benefits December 28, 1999.            It is further undisputed that it was not until
    November 7, 2012 that the BWC notified both claimant and relator that claimant became
    eligible for DWRF benefits on his 65th birthday and informed claimant that he was
    entitled to receive back payment in the amount of $121,442.86.
    {¶ 34} Relator does not deny that it is statutorily required to reimburse the BWC
    dollar-for-dollar for all DWRF benefits paid to claimant. Relator's entire argument rests
    on its assertion that because the BWC failed to promptly notify relator that claimant was
    eligible to receive DWRF benefits, the BWC should be collaterally estopped from
    obtaining reimbursement from relator for any amounts owed to claimant beyond the two-
    year limitation provided in R.C. 4123.52.
    {¶ 35} The BWC asserts that, as a self-insured employer, relator was and is
    responsible for maintaining all records of workers' compensation claims and has a duty to
    comply with all workers' compensation laws to make timely payments to its injured
    workers. Further, the BWC argues that, pursuant to this court's ruling in Goodyear Tire
    & Rubber Co. v. Bur. of Workers' Comp., 10th Dist. No. 98AP-1153 (Sept. 28, 1999), R.C.
    4123.52 does not apply to DWRF benefits.
    {¶ 36} In 1953, the General Assembly enacted R.C. 4123.412, which created DWRF
    benefits. DWRF benefits are paid to injured workers who are permanently and totally
    disabled as a result of occupational injury or disease and whose workers' compensation
    benefits, when combined with SSD benefits, fall below a statutorily mandated amount.
    {¶ 37} Originally, R.C. 4123.411 required the commission to levy an assessment
    against all employers at a specified rate. In 1986, the General Assembly amended R.C.
    4123.411, dramatically altering the mechanism by which DWRF was funded. Pursuant to
    the amendment, non-self-insured private fund employers, county and taxing district
    employers, and the state of Ohio as an employer, remain subject to the employer payroll
    rate assessment. However, R.C. 4123.411(C) requires that self-insured employers directly
    compensate the BWC for all amounts paid to qualifying injured workers regardless of the
    date of their injury. Under this provision, the BWC makes DWRF benefits to the qualified
    injured workers and thereafter collects the payment from the self-insured employer.
    R.C. 4123.416 requires:
    The administrator of workers' compensation shall promptly
    require of each [self-insured] employer * * * a verified list of
    No. 13AP-762                                                                           10
    the names and addresses of all persons to whom the
    employer is paying workers' compensation on account of
    permanent and total disability and the evidence respecting
    such persons as the administrator reasonably deems
    necessary to determine the eligibility of any such person to
    participate in the disabled workers' relief fund.
    {¶ 38} Ohio Adm.Code 4123-17-29(B)(2) requires self-insured employers to be
    billed on a semi-annual basis for DWRF benefits paid to injured workers.
    {¶ 39} Relator argues that its reimbursement to the DWRF fund is limited to the
    two-year look back of R.C. 4123.52, which provides, in pertinent part:
    The commission shall not make any modification, change,
    finding, or award which shall award compensation for a back
    period in excess of two years prior to the date of filing
    application therefor.
    {¶ 40} For the reasons that follow, the magistrate finds relator's argument lacks
    merit.
    {¶ 41} In Goodyear Tire, a group of self-insured employers brought a declaratory
    judgment action seeking a determination of their liabilities to the DWRF fund under the
    amendments to R.C. 4123.411 which altered the DWRF funding mechanism. These self-
    insured employers argued that the BWC lacked authority to bill them for DWRF benefits
    accrued to injured workers prior to the semi-annual billing period for which the bill is
    assessed, regardless of whether the funds were actually disbursed by the BWC during the
    billing period. In the alternative, they argued that, if the BWC is permitted to bill for
    accumulated unpaid benefits, a two-year statutory limit exists to limit how far back such
    payments may reach.
    {¶ 42} This court rejected those arguments, stating:
    Appellants initially contend that an employee's entitlement
    to DWRF payments should commence only upon the BWC's
    issuance of a determination of eligibility for subsidy based
    upon a shortfall in the claimant's combined workers'
    compensation and Social Security disability benefits. Under
    this interpretation, the BWC would have no statutory
    authority to make the large retroactive lump-sum payments
    to claimants for benefits accruing between the date of their
    eligibility for DWRF payments (based upon combined
    workers' compensation and social security benefits which fall
    below the statutory DWRF minimum) and the date upon
    No. 13AP-762                                                                            11
    which the BWC makes an actual determination of claimant's
    eligibility. We find no support for this proposition in the
    statutes governing DWRF benefits.
    
    Id. at 2.
    {¶ 43} This court specifically noted that an injured worker is entitled to receive
    DWRF benefits without filing an application. This court noted that DWRF benefits begin
    at the time an injured workers' specified workers' compensation and SSD benefits fall
    below the statutory floor and not at the time the injured workers' file was reviewed and
    evaluated by the BWC. Specifically, this court stated:
    Appellants alternatively argue that, if back DWRF can be
    paid by BWC, the period for which such back benefits could
    be paid, is limited by the express two-year statute of
    limitations upon changes to past awards by the Industrial
    Commission, R.C. 4123.52. DWRF benefits differ statutorily,
    however, from general workers' compensation benefits,
    which require a timely filed application. R.C. 4123.84 and
    4123.85. In contrast, the above-cited language from the
    DWRF statutes establishes that there is no duty on the
    claimant to apply for DWRF benefits in order to be eligible,
    since eligibility is "without application" and governed solely
    by the formula set forth in R.C. 4123.414. We therefore reject
    appellants' contention that there is a two-year limit on any
    back benefit award for DWRF claimants.
    
    Id. at 3.
    {¶ 44} In reaching that conclusion, this court relied on several decisions from the
    Supreme Court of Ohio, including Thompson v. Indus. Comm., 
    1 Ohio St. 3d 244
    (1982).
    In Thompson, the Supreme Court specifically determined that DWRF benefits are
    separate and distinct from workers' compensation benefits, and the fund is a separate
    entity from the state insurance fund. In Wean Inc. v. Indus. Comm., 
    52 Ohio St. 3d 266
    (1990), the Supreme Court concluded that the application of the 1986 amendments to
    claims with injury dates prior thereto was not unconstitutional retroactively because the
    amendments only required the self-insured employer to pay a "current responsibility." As
    applied prospectively, self-insured employers were only responsible to reimburse the
    BWC for all past, present, and future employees eligible for DWRF benefits. In Dayton
    Walther Corp. v. Indus. Comm., 10th Dist. No. 97APE06-746 (Apr. 30, 1998), this court
    No. 13AP-762                                                                             12
    extended the reasoning of Wean to conclude that the term "current responsibility"
    addressed all current DWRF outlays regardless of the date of injury in relation to the date
    the employer became self-insured. The application of the above case law leads to only one
    conclusion: the commission did not abuse its discretion by requiring relator to reimburse
    the BWC for DWRF benefits paid to claimant beyond the two-year period provided in R.C.
    4123.52.
    {¶ 45} Relator makes several arguments urging this court to reconsider its
    determination that DWRF benefits are not compensation. Specifically, relator points to
    McHale v. Indus. Comm., 
    63 Ohio App. 479
    (3d Dist.1940), wherein that court found that
    payment by the commission of the fees to a physician attending to an injured worker
    constituted the payment of compensation awarded on the account of injury within the
    meaning of former R.C. 4123.52. Relator specifically points to the following language:
    The word "compensation" as used in Section 35 of Article II
    of the Constitution of Ohio, relating to workmen's comp-
    ensation, comprehends all payments and disbursements of
    every character made by the Industrial Commission to or for
    the benefit of workmen and their dependents, for death,
    injuries or occupational diseases, occasioned in the course of
    such workmen's employment.
    
    Id. at 484.
    {¶ 46} For several reasons, the magistrate finds the McHale decision does not alter
    the outcome here.
    {¶ 47} First, McHale was decided 40 years before the Supreme Court of Ohio's
    decision in Thompson and nearly 60 years before this court's decision in Goodyear Tire.
    Second, McHale involved that portion of R.C. 4123.52 which provides that no
    modification or change, finding or award shall be made with respect to disability
    compensation after ten years from the last payment of compensation or benefits. In such
    a situation, an injured worker must make an application or file a motion. However,
    because DWRF benefits are payable without the filing of an application, this court ruled
    that the two-year look back period did not apply.
    {¶ 48} Relator also points to Armco, Inc. v. N. Assur. Co. of Am., 
    99 Ohio App. 3d 545
    (12th Dist.1994). In that case, an insurance company argued that it was not liable to
    indemnify an employer for DWRF benefits because the insurance policy required it only
    No. 13AP-762                                                                             13
    to indemnify for payments made as workers' compensation benefits. Citing Thompson,
    the insurance company argued that DWRF benefits are relief welfare and not workers'
    compensation.
    {¶ 49} In Armco, the court stated that the Supreme Court of Ohio's determination
    in Thompson that DWRF benefits were not compensation was, at best, elusive noting that
    the court created this "fiction," "out of fear that a ruling declaring the DWRF program
    unconstitutional would make 'a cruel mockery of the laudable purpose [of the
    constitutional provision allowing for a workers' compensation program.]' 
    Id., 1 Ohio St.3d
    at 249." Armco, Inc. at 547. Despite this observation, the court followed the Supreme
    Court's decision and found that, although DWRF benefits were not workers'
    compensation, they were other benefits Armco was required to pay under the terms of its
    policy. The court was not asked to define the term compensation for purposes of the
    workers' compensation law.
    {¶ 50} Relator also points to this court's decision in Employers Reinsurance Corp.
    v. Worthington Custom Plastics, Inc., 
    109 Ohio App. 3d 550
    (10th Dist.1996). Similar to
    the Armco case, this court was asked to consider the express terms of agreements between
    insurance companies and self-insured employers. This court found that DWRF benefits
    were "benefits," as that term was used in the reinsurance policies. Just like the Armco
    case, this case did not involve consideration of or definition of DWRF benefits under the
    workers' compensation laws.
    {¶ 51} Applying the above-discussed cases, the magistrate finds that relator's
    argument that the commission cannot award claimant DWRF benefits in excess of two
    years back lacks merit.
    {¶ 52} Having determined that the commission could award claimant retroactive
    DWRF benefits beyond the two-year period, the magistrate now considers relator's
    argument that the doctrine of laches applies. For the reasons that follow, the magistrate
    disagrees.
    {¶ 53} In order for the doctrine of laches to apply, one must establish: (1) an
    unreasonable delay or lapse of time in asserting a right, (2) the absence of an excuse for
    such delay, (3) knowledge, actual or constructive, of the injury or wrong, and (4) prejudice
    to the other party. State ex rel. Case v. Indus. Comm., 
    28 Ohio St. 3d 383
    (1986).
    No. 13AP-762                                                                              14
    Relator's argument is premised in part on the fact that the BWC conducted an internal
    claim inquiry in October 2005. At that time, the BWC had information that claimant had
    turned 65 years old 6 years earlier and relator asserts the BWC should have notified them
    at that time.
    {¶ 54} The commission counters relator's argument noting that relator's status as a
    self-insured employer is a privilege and that relator has the ultimate responsibility for
    administering workers' compensation claims to its injured workers. The BWC asserts that
    relator, as claimant's employer, would have known his birth date and when he would turn
    65 years of age. Further, relator would have known the relevance of turning 65 in terms of
    claimant's receipt of SSD benefits. The BWC argues that the responsibility lies with
    relator.
    {¶ 55} It can be said that both relator and the BWC failed to properly administer
    claimant's claim. For several years, the BWC inquired about claimant's age and the rate at
    which he was being paid PTD compensation specifically to determine whether or not
    claimant was eligible for DWRF benefits. Likewise, relator was aware that claimant would
    likely become eligible for DWRF benefits when he turned 65 years of age because of the
    date of injury and the low rate at which he was being paid PTD compensation. The BWC
    failed to promptly notify relator that claimant had become eligible for DWRF benefits and
    relator failed to pay benefits which were owed to claimant. Relator appears to argue that,
    if the BWC forgets to mail a bill to an employer and enough time passes, the employer is
    no longer responsible for paying that bill. Relator owes claimant the money. Just because
    the BWC pays injured workers their DWRF benefits and then bills the employer for those
    sums does not change the fact that relator is the party ultimately liable to claimant for
    those amounts.
    {¶ 56} Relator was not assessed a penalty for its failure to timely pay benefits nor
    has relator been charged interest on the benefits due and owed to claimant. While this is
    a large bill, there is no prejudice here where there is no dispute relator was obligated to
    pay the benefits. While relator will argue that this outcome is not fair, the magistrate asks
    if it would be fair to ask other employers to contribute the money to pay these benefits.
    That is what would happen if the money came from a different fund. To the extent that
    relator asserts that this money should come from the surplus fund, the magistrate
    No. 13AP-762                                                                           15
    disagrees. The surplus fund is used to reimburse self-insured employers who pay money
    to an injured worker whose claim is ultimately disallowed. In that situation, the employer
    paid compensation it was determined was not owed to an injured worker. Here, there is
    no dispute: claimant was and is entitled to the money and relator is the party statutorily
    obligated to pay the money. It is unfortunate that the BWC failed to promptly notify
    relator; however, the magistrate finds that the commission did not abuse its discretion in
    finding that relator remained liable for those amounts. Because it was indicated that the
    claimant would receive 14 checks, relator may have been able to request that it reimburse
    the BWC in 14 payments. However, the payment of benefits to claimant was and is
    relator's responsibility.
    {¶ 57} At oral argument, counsel for relator argued that it was unknown what rate
    the BWC used to calculate the back award, specifically pointing out that different rates
    would have applied for different years. Relator did not make this argument until now.
    Pursuant to State ex rel. Quarto Mining Co. v. Foreman, 
    79 Ohio St. 3d 78
    (1997), this
    court should not consider relator's question at this time.
    {¶ 58} Based on the forgoing, it is this magistrate's decision that relator has not
    demonstrated that the commission abused its discretion in finding that relator was liable
    to reimburse the BWC for the entire amount of DWRF benefits paid to claimant because
    the two-year limitation of R.C. 4123.52 does not apply.
    /S/ MAGISTRATE
    STEPHANIE BISCA
    NOTICE TO THE PARTIES
    Civ.R. 53(D)(3)(a)(iii) provides that a party shall not assign
    as error on appeal the court's adoption of any factual finding
    or legal conclusion, whether or not specifically designated as
    a finding of fact or conclusion of law under Civ.R.
    53(D)(3)(a)(ii), unless the party timely and specifically
    objects to that factual finding or legal conclusion as required
    by Civ.R. 53(D)(3)(b).
    

Document Info

Docket Number: 13AP-762

Citation Numbers: 2015 Ohio 181

Judges: Tyack

Filed Date: 1/22/2015

Precedential Status: Precedential

Modified Date: 1/22/2015