Please Join Us In Cleveland on Thursday, May 23 for our Spring Employment Relations Seminar

Please join the labor and employment group of Porter Wright as we address issues that will help keep your workforce out of hot water. 

There is no charge for this seminar; however, seating is limited. Register today!
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Topics Include:

Case Law Update:
A Sprinkling of New Cases from State and Federal Court

Health Care Reform is Raining Down:
What Employers Need to Do to Take Cover

Stopping the Flood of Intentional Torts

Riding the Social Media Tidal Wave: 
Understanding the Risks and Rewards for Employers Need to Do to

  7:45 - 8:30 a.m.
Registration and Breakfast

8:30 a.m.- 11:45 a.m.
Program

Lockkeepers Restaurant
8001 Rockside Road
Valley View, OH  44125

Ohio's Sixth District Court of Appeals Finds a New Way to Expand Scope of the Employer Intentional Tort Statute

Until the Ohio legislature enacted R.C. 2745.01 in 2005, the employer intentional tort exception to workers’ compensation immunity exasperated Ohio employers. Under the exception as interpreted by the Ohio Supreme Court, employers could be held liable for an intentional tort (with the accompanying tort damages such as punitive damages) so long as they had knowledge of a dangerous condition in its workplace that was substantially certain to cause injury and nevertheless required its employee to work under that condition. This was a very relaxed standard for an “intentional” tort and one that was made even more relaxed by increasingly liberal interpretations from Ohio appellate courts.

R.C. 2745.01 was designed to raise the standard by requiring employees to prove that the employer acted with “deliberate intent” to cause an employee to suffer an injury, a disease, a condition, or death. The statute created only two presumptions of a deliberate intent to injure: (a) if an employer deliberately lied to an employee about whether a substance was toxic or hazardous and as a result that substance injured the employee, or (b) if an employer deliberately removed an “equipment safety guard” and as a result of the removal the employee was injured. In those two circumstances, specific intent would be presumed.

Once the Ohio Supreme Court upheld the constitutionality of R.C. 2745.01 the plaintiffs’ bar attempted to find ways around the statute to once again open up the lucrative business of employer intentional torts. However, one-by-one early successes by the plaintiffs’ bar in the appellate courts have been overturned in the Ohio Supreme Court.

For example, in Houdek v. ThyssenKrupp Materials N.A., Inc., the Ohio Supreme Court rejected the Eighth Appellate District’s finding that R.C. 2745.01 did not really require deliberate intent to injure in order to establish an employer intentional tort. Similarly, in Hewitt v. L.E. Myers Co., the Ohio Supreme Court rejected the Sixth Appellate District’s broad interpretation of an “equipment safety guard” to include personal protective equipment (rather than a guard attached to a piece of a equipment) Had it been upheld, the lower court decision in Hewitt in effect would have imposed an affirmative duty on employers to make available personal protective equipment at the risk of being found liable for an employer intentional tort. In reaching its decision, the Ohio Supreme Court in Hewitt defined an equipment safety guard as “a device designed to shield the operator from exposure to or injury by a dangerous aspect of the equipment.”

Despite the Ohio Supreme Court’s rejection of expansive interpretations of employer intentional torts from the intermediate courts of appeal, the Sixth Appellate District again has attempted to find a way around the statute. Specifically, in Pixley v. Pro-Pak Industries, Inc., the Sixth District concluded, contrary to the Supreme Court's Hewitt decision, that for purposes of interpreting R.C. 2745 an equipment safety guard need not be a device “designed to shield the operator [of the equipment] from injury.” Therefore, according to the Sixth District non-operators injured by removal of such a device from a piece of equipment could obtain a presumption of specific intent and proceed to a jury on an employer intentional tort claim. This interpretation by the Sixth District, if upheld by the Ohio Supreme Court, would substantially expand the scope of the intentional tort exception by expanding the types of devices that can constitute equipment safety guards as well as expanding the types of employees who could argue for the exception.

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Ohio Supreme Court Again Reins In BWC On Successor Liability

As we have previously discussed, the Bureau of Workers' Compensation (BWC) has traditionally taken an aggressive position in finding that a business purchasing all or part of another business is responsible for the predecessor entity's workers' compensation risk, frequently resulting in an increase in premiums and penalties for the purchasing entity.

As we reported in 2009, the Ohio Supreme Court reaffirmed a narrow exception to the BWC's broad successor-in-interest rules when the alleged successor obtained the business from the predecessor through an involuntary foreclosure proceeding. Then, in 2010, the BWC created a new rule that invalidated the Ohio Supreme Court's holding. Based on this rule, the BWC has frequently found successorship whenever an employer succeeds another employer in the operation of a business. In 2012, we warned of these often unforeseen consequences.

Last week, the Ohio Supreme Court confirmed its position that the BWC's approach simply is inappropriate. In State ex rel. K&D Group, Inc. v. Buehrer, the Court held that the BWC abused its discretion when it transferred part of a predecessor company's experience rating to K&D Group, as K&D Group was not a successor in interest for purposes of workers' compensation.

In 2004, K&D Enterprises contracted with Fame-Midamco through its manager, Mid-America, to purchase an apartment complex. Prior to closing the deal, K&D Enterprises created a separate company, Euclid-Richmond Gardens, and assigned its rights under the purchase agreement to that new company. The new company then hired K&D Group to manage the apartment complex. K&D Group hired some of the former employees of Mid-America, and took over the operations of the complex. After an audit in 2009, the BWC determined that K&D Group's experience rating should be based in part on Mid-America's past experience, which was detrimental to K&D Group's experience.

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Cuyahoga County Common Pleas Court Finds Ohio BWC Group Rating Program Resulted in Overcharges to Non-Group Employers, Orders Restitution

Beginning on August 20, 2012, a bench trial was conducted before Cuyahoga County Common Pleas Court Judge Richard McMonagle in a class action lawsuit against Stephen Buehrer, the Ohio Bureau of Workers' Compensation Administrator, in his official capacity in which a class of employers alleged that they were unlawfully excluded from participating in, or were dismissed from, the Bureau's group-rating program during the years from 2001 to 2009. As a result, the plaintiff companies alleged that they were overcharged by the Bureau and sought restitution of the excess premiums paid. Judge McMonagle issued his decision last week finding in favor of the plaintiffs.

Judge McMonagle initially rejected the plaintiffs' claims that the group rating program violated the Equal Protection clause of the Ohio Constitution, finding that the state's interest in maintaining workplace safety is a legitimate government interest that the group-rating program encourages by offering lower premiums as an incentive for employers to improve their safety records.

Judge McMonagle then held, however, that the BWC violated both Ohio Revised Code (R.C.) 4123.29 and 4123.34(C). Specifically, he concluded that the BWC's group rating plan was not "retrospective" as was required during that time period by §4123.29(A)(4). In addition, he found that the BWC violated R.C. 4123.34(C)’s requirement that the administrator “develop fixed and equitable rules controlling the rating system” which “shall conserve to each risk the basic principles of workers’ compensation insurance.” The result in this regard was not terribly surprising in that the BWC in essence conceded that the rates charged to non-group employers during the period in question were excessive.

Because the court held that the BWC's premiums collected from the plaintiff class of employers was excessive, the BWC will have to pay back the unlawfully collected excess premiums. The amount, however, remains subject to question. What is known at this time is that the court has accepted the plaintiffs' actuarial experts formula for calculating the amount owed, which apparently produces a substantially higher number than the formula proposed by the BWC's expert. Both parties will be given an opportunity to present evidence as to the correct amount to be paid back and then a hearing on the matter will be held on March 14. There are various estimates reported as to the actual amount, with most suggesting that it will be in the nine or 10 figure range.
 

'Tis the Season for Holiday Workplace Issues. Day 5 - What If Santa Was The One That Got Run Over By a Reindeer?

It is important not to require employee attendance at holiday parties and that pressure to attend is properly managed. Mandatory attendance at company-sponsored functions, like holiday parties, can result in workers' compensation claims if an attending employee is injured. It can also mean that the employee is entitled to be compensated for his or her time spent at the event pursuant to the Fair Labor Standards Act ("FLSA").

For workers' compensation liability, if the employee is required to attend a company-sponsored event, or there is significant business that takes place at the event that essentially makes attendance mandatory, then the employee will be considered to have been acting in the course of his or her employment and the same rules that apply to typical workers' compensation claims apply to injuries the employee suffers while at the holiday party.

The timing of the event is important for determining if and when workers' compensation laws may come into play. For example, if the event is held during normal working hours, then employee’s attendance will likely be considered as “in the course and scope of their employment” though courts will also typically look at:

  • The extent to which the employer expects/ requires employees to attend; 
  • The extent to which the employer benefits from the event, e.g., will clients be present and/or will work be done;
  • The degree of participation by the employer; 
  • Whether the activity takes place on the employer's premises or off-site; and
  • When the event takes place in relation to the employee's normal work hours. 

Several courts have recognized that an employee's voluntary attendance at a social event sponsored by his employer off the employer's premises and outside normal working hours cannot reasonably be viewed as conduct within the scope of his employment.

To help make your company holiday event festive while reducing your liability, keep the following tips in mind:

  • Make Attendance Optional: Make it clear to employees that attendance at a company-sponsored events is purely optional, not mandatory. This also means keep the event social, not work related. Keep work-related events, like handing out of bonuses or awards, for another day.
  • Pony Up the Pay: If attendance is required or the event is during work-time, compensate your employees, including overtime pay if their hours for the week exceed 40.

Thank you for sharing with us the fun with our week-long holiday blog series.  Stay tuned for a special "stocking stuffer" on Monday, December 17 as we wrap this up!  (Hint ... you didn’t think we could talk about holiday headaches without mentioning the FMLA, did you?)

Ohio Supreme Court Holds that Employee Not Wearing PPE Did Not Amount to a Deliberate Removal of an Equipment Safety Guard and Could Not Establish an Intentional Tort Claim

In Hewitt v. L.E. Myers Co., 2012-Ohio-5317, the Ohio Supreme Court held last week that protective gloves and sleeves are “personal protective items” that an employee controls and not equipment safety guards for purposes of stating a cause of action under Ohio's intentional tort statute, which provides an exception to an employer's workers’ compensation immunity. The Court also clarified that an employee claiming that his employer removed a safety guard—which creates a rebuttable presumption of intent to injure under the statute—must establish that the employer made a deliberate decision to lift, push aside, take off, or otherwise eliminate the safety guard. Finally, the Court held that an employee’s failure to use personal protective items or an employer’s failure to require an employee to use personal protective items does not constitute the deliberate removal of an equipment safety guard.

Larry Hewitt was working as an apprentice lineman for L.E. Myers Company, an electrical utility construction contractor. Hewitt was working on de-energized power lines while connecting new power lines to old power lines. Workers were required to use rubber gloves and sleeves in the event that the lines became energized, which was consistent with company policy. Hewitt claimed that another lineman told him that he would not need the gloves and sleeves because the lines were de-energized. While he was working, Hewitt turned toward a coworker who yelled something to him. In doing so, the wire in his hand came into contact with an energized line, and he received burns from an electric shock. He applied for and received workers’ compensation benefits. He also sued for an intentional tort, alleging that the workers’ compensation immunity provided for under Ohio law did not apply because L.E. Myers knew with substantial certainty that he would be injured when working near energized lines without protective gloves and sleeves. He alleged that his employer removed a safety barrier by allowing him to work without protective gloves and sleeves.

The trial court agreed with L.E. Myers that there was insufficient evidence of any actual intent to injure and therefore required Hewitt to proceed on a theory of recovery that L.E. Myers’s intent to injure could be inferred from the deliberate removal of an equipment safety guard. A jury returned a verdict in favor of Hewitt on this theory of recovery. L.E. Myers filed a motion for a directed verdict prior to the jury verdict and a motion for judgment notwithstanding the verdict after the verdict. Both were denied. An appeals court affirmed, holding that protective gloves and sleeves were equipment safety guards and that the decision to not require him to wear protective gloves and sleeves amounted to a deliberate removal of a safety guard.

The Ohio Supreme Court reversed. R.C. 2745.01 states that an employer can be liable for an intentional tort if the injury was “substantially certain” to occur—meaning that the employer acts with deliberate intent to cause an employee to suffer an injury, a condition, or death. R.C. 2745.01 (C) states that the deliberate removal of an equipment safety guard creates a rebuttable presumption that the removal was committed with an intent to injure if an injury occurs as a direct result.

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Ohio Supreme Court Upholds Denial of TTC to Retired Employee

The Ohio Supreme Court issued a decision in State ex rel. Rouan v. Indus. Comm., last month making it clear that employees who retire, and thereby remove themselves from the workforce, for reasons unrelated to their workers' compensation claims are ineligible to receive Temporary Total Compensation. ("TTC").

Patricia Rouan, a social services inspector for Mahoning County, hurt her leg at work on May 24, 2004. She received Temporary Total Disability compensation benefits through May 15, 2005, at which time the Ohio Bureau of Workers' Compensation ("BWC") terminated her benefits. On June 1, 2005, the BWC issued an order stating Rouan's allowed conditions had reached maximum medical improvement ("MMI"). Rouan did not appeal the order.

In December of 2004, Rouan submitted an application for disability retirement to the Ohio Public Employees Retirement System ("OPERS"). Accompanying the application was a Report of Attending Physician, which listed the diagnosis as "Major Depressive Disorder" and stated the medical condition was "permanently disabling." OPERS approved Rouan's application for disability retirement benefits on May 18, 2005, with a retroactive effective date of February 1, 2005. Rouan left the workforce shortly thereafter and has not worked since.

While Rouan was awaiting the OPERS decision, she filed a claim with the Industrial Commission ("Commission") requesting an additional allowance for a psychiatric condition. On July 18, 2005, after Rouan had already been approved for disability retirement benefits, the staff hearing officer ("SHO") denied the additional allowance. In 2007, Rouan filed an application for permanent and total disability ("PTD"). The Commission denied the application, finding "Rouan's allowed conditions did not preclude sustained remunerative employment."

After successfully moving for the additional allowance of two arthritic knee conditions, Rouan renewed her request for TTC. The Commission denied TTC after finding that Rouan had "voluntarily abandoned the work force when she took disability retirement for a condition that was unrelated to her workplace injury." The Franklin County Court of Appeals agreed. Rouan filed an appeal in the Ohio Supreme Court.

The Ohio Supreme Court affirmed the court of appeals ruling, relying on its prior decisions in State ex rel. Corman v. Allied Holdings, Inc. and State ex rel. Pierron v. Indus. Comm.. The Court explained, "TTC compensates claimants 'for the loss of earnings which he [or she] incurs while the injury heals.' There 'can be no lost earnings, however, or even a potential for lost earnings, if the claimant is no longer part of the active work force.'" The Court also held, "a claimant who retires for reasons unrelated to his or her injury cannot receive TTC since it is the claimant's own action, not the industrial injury, that prevents a return to the former position of employment." There is no dispute, Rouan left the work force permanently based on a "major depressive disorder" which was specifically disallowed in her claim and unrelated to her workplace injury.

 

Employer take-away

This decision reaffirms that a claimant who permanently abandons the work force for reasons unrelated to the workplace injury, even if they are medical reasons, cannot collect TTC.

You're Fired! Wait, Didn't Anyone Tell You? Ohio Supreme Court Addresses the Workers' Compensation Statutory Notice Requirement

The Ohio Supreme Court issued a decision yesterday in Lawrence v. City of Youngstown, 2012-Ohio-4247 (Sept. 20, 2012), which reminds employers that they have a duty to notify employees within a reasonably prompt time of their discharge.

Keith Lawrence, a former City of Youngstown employee, was suspended on January 7, 2007, without pay, pending an investigation. Two days later, the City discharged him. Lawrence claimed he did not become aware of his discharge until February 19th—nearly six weeks later. The City stated it sent Lawrence a letter because he was not working at the time he was discharged. Unfortunately for the City, the letter was not sent certified, so there was no proof that Lawrence received timely notice of his discharge. Lawrence's attorney sent the City a letter on April 17, 2007, stating Lawrence intended to bring an action alleging unlawful workers' compensation retaliation. Lawrence filed his complaint on July 6, 2007. One small problem—the notice letter was not sent to the City within the 90-day period required by Ohio's workers' compensation retaliation statute, R.C. 4123.90.

The statute states that any employee who believes he has been retaliated against for having filed a workers' compensation claim, "shall be forever barred unless [the action is] filed within one hundred eighty days immediately following the discharge... and no action may be instituted or maintained unless the employer has received written notice of a claimed violation of this paragraph within the ninety days immediately following the discharge."

The trial court and the Seventh District Court of Appeals ruled in the City's favor, finding they lacked jurisdiction because Lawrence's 90-day letter was not timely. The Seventh District further clarified, the "90-day notice period begins on the date of actual discharge, not notice of discharge." Neither the appellate court nor the trial court had jurisdiction over the retaliation claim, because Lawrence's notice to his employer was received more than ninety days immediately following his discharge.

Lawrence did not dispute that failure to comply with the 90-day notice requirement would mandate dismissal of his complaint. He argued, however, that R.C. 4123.95 requires a liberal construction of Ohio's workers' compensation statute in favor of the employees, which would result in a finding that his 90-day letter, which was sent within 90 days of his learning of his discharge was timely. The appellate court rejected this notion, stating there was no need for liberal-construction because R.C.4123.90 was unambiguous in setting the starting date for counting 90 days as the date of the actual discharge.

The Supreme Court disagreed, concluding that:

R.C. 4123.90 when viewed in conjunction with R.C.4123.95 and read in pari materia, places an implicit affirmative responsibility on an employer to provide its employee notice of the employee's discharge within a reasonable time after the discharge occurs in order to avoid impeding the discharged employee's 90-day notification obligation under R.C.4123.90.

The Court held it is not unreasonable, nor does it burden employers to require them to provide reasonably prompt notice of discharge to an employee. According to the Lawrence decision, so long as the employer communicates the discharge decision within a reasonable time the 90-day period would still begin to run on the actual discharge date. The Court further noted that the determination of whether a discharge decision was communicated within a reasonable time requires "an inquiry dependent on the facts of each situation," but also noted that "[a] delay of several days would not prevent the 90-day period … from commencing to run on the discharge date."

But the Court did not stop there: "Even if an employer does not communicate the discharge to the employee within a reasonable time, if the employee nonetheless becomes otherwise aware of the discharge or should have become aware of it in the exercise of due diligence within a reasonable time, then the period of 90 days must still be counted from the actual discharge date."

Therefore, based on Lawrence, the actual date of discharge will commence the running of the 90-day period unless: (1) the employee did not become aware of the fact of his discharge within a reasonable time after the discharge occurs, and (2) he could not have learned of the discharge within a reasonable time in the exercise of due diligence. If both of those prerequisites are met, "the 90-day time period for the employer to receive written notice of the employee's claim that the discharge violated R.C. 4123.90 commences on the earlier of the date that the employee becomes aware of the discharge or the date the employee should have become aware of the discharge." (emphasis added).

In Lawrence, the City lacked evidence of face-to -face or other oral notification of the termination and had not sent Lawrence a certified letter to prove that it notified Lawrence of his termination within a reasonable period of time. Therefore, based on the evidence before it, the Court held the City may have timely received Lawrence's 90-day letter alleging a retaliatory discharge 58 days after Lawrence may have learned of the discharge and therefore held that the letter was timely delivered.

What employers should know

To eliminate any doubt that a former employee has received reasonably prompt notice of discharge, Ohio employers should do one of the following:

  • notify the employee face to face regarding his or her termination;
  • hand deliver notice; or
  • send a certified letter.

Doing so will avoid causing any uncertainty as to whether the employee has complied with the statutory timelines for filing a workers' compensation retaliation lawsuit.
 

Recession Rebound Could Create Risks

In Ohio and nationally, experts are reporting that the unemployment rate is decreasing. Further, the number of job openings is increasing. With returning employees and hiring new employees, employers are at a risk for increased workers' compensation claims. Although we generally presume that workers who change employment are at a higher risk for injuries, re-hired employees may also pose safety concerns when returning to their former employers after an extended time away from the job. As a result, it is equally important for employers to pay attention to safety training for new employees as well as re-hired employees. Training not only on how to perform the job, but basic safety precautions may assist an employer in reducing its further workers' compensation claims.
 

Workers' Compensation Considerations When Purchasing a Company

When a purchase of a business takes place in Ohio, the purchaser often overlooks the fact that it will assume the sellers' workers' compensation claims experience either in part or in whole. The Bureau of Workers' Compensation ("BWC") has taken a fairly strict line in combining and transferring coverage to purchasers.

When a new owner wholly assumes the former employer's business, the BWC transfers all of the employer's claims experience to the purchaser. If the new owner purchases a portion of the business, only a part of the former employer's experience will be transferred. Even if the parties enter into asset purchase agreements, which demonstrate that the entities are not undergoing an acquisition or merger, the BWC frequently determines that the purchaser is a successor to the predecessor employer's risk. As a result, the Bureau of Workers' Compensation transfers any and all existing and future liabilities and/or credits of the predecessor employer. As a result, the purchaser may find themselves obtaining an undesirable claims experience. Further, should the predecessor business fail to report payroll, fail to pay its premiums and/or penalties, these liabilities are transferred to the successor. As a result, a purchaser may inherit significant workers' compensation costs.

The BWC transfers a predecessor's obligations regardless of whether the predecessor's transfer to the successor was voluntary, through an asset purchase agreement, or through an intermediary bank or receivership. This is contrary to the concept of successor liability arising out of other types of contracts.

Therefore, it is critical for purchasers to evaluate a predecessor business' workers' compensation rates as part of the due diligence in undertaking a purchase of another business in whole or in part.
 

Scalia v. Aldi--A Mixed Bag for Employers

The Ohio Court of Appeals for the Ninth Appellate District recently issued a decision that has potential to create more questions than answers when it comes to workers' compensation retaliation and disability discrimination law in Ohio.

While employed at Aldi, Maria Scalia injured her elbow. Her claim for workers' compensation was granted, and she was off work receiving workers' compensation benefits while her restrictions impaired her ability to perform her job. A year later, Aldi ordered an independent medical examination which found Ms. Scalia had reached maximum medical improvement, which resulted in the termination of Ms. Scalia's workers' compensation benefits. That medical examination also found that she could work without restrictions, even though Ms. Scalia's personal physician still had some restrictions in place. Shortly after her benefits were terminated, Aldi terminated her employment under its "no fault" attendance policy that required termination of any employee who had performed no work in the past 12 months.

Ms. Scalia claimed retaliation for participation in the workers' compensation system, wrongful discharge in violation of public policy, and violation of Ohio disability discrimination law because Aldi perceived her as having a disability and fired her for that reason.

What's the good news for Ohio employers?
The court found that Aldi's policy of terminating employees who had performed no work in the past 12 months to be "facially neutral" and that Scalia's termination was not "retaliation per se" for her participation in the Ohio workers' compensation system.

What's the bad news?
The court, in remanding Scalia's case back to the trial court, did not foreclose that Scalia could otherwise support a retaliation claim, saying that their conclusion of no retaliation per se "should not be interpreted to say that an employee can never allege a statutory retaliation claim based on action taken under an attendance policy, or that an employer's use of a facially neutral attendance policy can never be a pretext for retaliation."

Considering this, employers with these types of "no-fault" attendance policies should be mindful of the risks related to retaliation where all or even some of the days missed under the policy are due to protected types of activity or leave, including workers' compensation, FMLA, or leave provided as a reasonable accommodation under the ADA—particularly if application of the policy frequently involves consideration of absences covered by these types of statutes. Though courts in Ohio won't automatically find that application of such policies is retaliatory, employees who can show that protected activity (such as participation in the workers' compensation system) factored into the employer's decision are likely to succeed in getting their cases to trial. From the perspective of the workers' compensation retaliation claim under Ohio law, employers still should be protected so long as they apply the no fault attendance policy evenhandedly and consistently regardless of whether the employee was absent due to a workers' compensation injury.

As an aside, the Scalia decision also addresses technical distinctions between the definition of "disability" under Ohio discrimination law and the definition under the federal ADAAA. Rather than cause heads to explode dissecting the court's nuanced opinion on this issue, it is probably better to recognize that the ADAAA definition has become quite expansive and employers therefore will be better served in the vast majority of situations by assuming the employee with a physical or mental impairment has a "disability" and by addressing the reasonable accommodation question first.

BWC Implements Workplace Wellness Grant Program for Employers

Effective January 10, 2012, the BWC has implemented a new program providing grants up to $15,000 over 4 years to state-fund employers to create workplace wellness programs for the prevention of occupational injuries and illnesses and to address health risk factors to reduce the number and severity of workplace injuries and illnesses.

State fund employers without an existing wellness program who are current on all premiums and other costs are eligible to apply for a grant. In addition, employers shall agree not to eliminate any jobs or reduce employment due to the implementation of the workplace wellness program. The BWC is awarding grants on a first come, first serve basis, based on the availability of funds, and it is expected that over 600 businesses will apply for the grants.

Once the BWC accepts an employer into the program, the employer will be required to submit biannual and annual reporting to the BWC for 4 years following the implementation of the wellness program and enter into a written agreement with the BWC. Further, the employer is required to implement the wellness program within 3 months of receiving the grant funds. Employers will be eligible to renew their participation in the program on a yearly basis. An employer will be disqualified from the program if the BWC determines that the employer knowingly misrepresented information on the initial grant application, violated any laws pertaining to confidential personal health information and/or coerced employees to participate in the workplace wellness program.

The BWC will gather data from the participating employers' reporting to determine the effectiveness of the program in reducing claim costs.

Businesses interested in applying for the wellness program grants should contact the BWC for applications.
 

Ohio BWC Offers a One-Time Waiver of Penalties to Employers Who Fail to Timely Pay Premiums

The Ohio Bureau of Workers' Compensation has implemented a new policy for employers who fail to pay premiums timely.

Pursuant to Governor Kasich's Common Sense Initiative, in an effort to attract and retain business in Ohio, the Bureau of Workers' Compensation will permit an employer one violation of the reporting deadline for payroll and waive any associated penalties with the violation.

If an employer fails to pay premiums timely and the employer's coverage lapses, the employer becomes liable for late payments, interest and claim costs on claims that occur during the lapse. Previously, the only way an employer could be relieved from these penalties is by demonstrating "good cause" for the Bureau of Workers' Compensation to grant retroactive coverage. In the past, the fact that a business would have short term cash flow problems, or made a mistake and forgot to file a payroll report would not be evidence of good cause. However, pursuant to the Common Sense Initiative, the Bureau of Workers' Compensation is now allowing an employer one violation, which will be waived. This is a one time exclusion for the entire lifetime of the business.

In order for an employer to request the Bureau of Workers' Compensation to excuse a lapse in payment, an employer must make a request in writing and specify that the employer is requesting the one time forgiveness of the lapse and penalties associated with the lapse. The lapse time must have occurred after January 10, 2011 and the lapse period must be 59 days or less. If an employer has multiple periods of lapses, the employer must chose one such period in which to obtain a waiver. Further, the request must specifically state that the employer is requesting a penalty abatement.

Keep in mind that employers can only make this request once. Employers will not receive waivers for lapses each year.
 

Ohio BWC Board Approves New Grow Ohio Incentive Program

The Ohio Bureau of Workers' Compensation Board of Directors has approved a new Grow Ohio Incentive Program (Grow Ohio) in an effort to encourage economic development and job creation in Ohio.

Grow Ohio offers eligible new employers a 25% discount on their workers' compensation premium for two years, or immediate access to participation in the group rating program, which was normally not accessible to new employers until the first policy year following the date of obtaining workers' compensation coverage.

A new employer to Ohio is defined as any new business entity in the State of Ohio, or an out of state business that is new to Ohio and creates one or more jobs in Ohio after July 1, 2011. This program is not applicable to professional employment organizations, self-insuring employers, employers that transfer workers' compensation experience, or employers not reporting an payroll after the initial payroll period in which they obtain workers' compensation coverage. Further, the Grow Ohio program is compatible with other Bureau of Workers' Compensation programs such as the Drug Free Safety Program, the 15k Medical Only Program, Safety Council, salary continuation and the small deductible program.

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Clearing the Backlog - September

More and more these days it seems like the obligations of being a lawyer, husband, father, son, sports fan, etc, get in the way of blogging. As a result, I end up accumulating a number of worthwhile topics for blog posts that end up in the discard pile. Twitter helps keep the backlog to a minimum, but I really don't know how many of you actually follow me @briandhallesq (hint, hint). So, while I am by no means committing to make this a regular feature of Employer Law Report, I will now clear – in no particular order -- my backlog for the month:

According to a Wall Street Journal article, a recent lawsuit seeks a declaration from the New York Department of Labor that putting a GPS tracker on an employee's family car to uncover time sheet violations was a violation of the state constitution's guarantee against unreasonable searches and seizures. According to the lawsuit, the monitoring continued during evenings, weekends and a family vacation. This won't turn out well for the employer.

An Ohio appellate court has upheld a physician's non-compete agreement that prohibited him from engaging in a hematology or oncology practice in his former employer's "primary service area." This decision continues the Ohio trend of upholding physician non-competes and Ohio courts have repeatedly rejected the argument that covenants are not enforceable against physicians solely because they impair patients’ choice.

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Supreme Court Says No Duty To Defend Employer Intentional Tort Claims Under Stop Gap Insurance Endorsements

Under Ohio law, employees may sue their employer to recover damages for an employer intentional tort – even when the injuries are otherwise covered by workers' compensation.  Because these cases can be costly to defend, employers historically have purchased commercial general liability policies with “stop-gap” insurance endorsements for years, believing these provisions imposed a duty to defend the employer against an employer intentional tort lawsuit.

On July 6, however, the Ohio Supreme Court decided Ward v. United Foundries, Inc., determining that Gulf Underwriters Insurance Company did not have a duty to defend United Foundries, Inc. under such a stop-gap endorsement in an employer intentional tort action.

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Sutton v. Tomco Machining, Inc.: Ohio Supreme Court Expands Workers' Compensation Retaliation Protection

On June 9, 2011, the Ohio Supreme Court issued its long awaited decision in Sutton v. Tomco Machining, Inc., in which the Court expanded the scope of workers' compensation retaliation protection to include employees who are injured on the job but have not yet filed an actual workers' compensation claim.

On April 14, 2008, DeWayne Sutton injured his back while working at Tomco Machining, Inc. ("Tomco”). He allegedly reported the injury to Tomco’s president and within one hour of reporting the injury, Sutton was fired. According to Sutton's complaint, the president did not give him a reason for the firing, but did state that it was not because of Sutton’s work ethic or job performance, or because Sutton had broken any work rule or company policy.

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Will GINA Impact Ohio Employers' Ability to Conduct Medical Investigations In Workers' Compensation Claims?

In the day-to-day administration of their Ohio workers’ compensation programs, self-insured employers (or a TPA or law firm on their behalf) often will obtain a medical authorization from the injured worker and then obtain medical records as part of the employers’ medical investigation. Though the authorization is often limited to specific injuries or body parts, they are just as likely not to be so limited. In addition, despite HIPAA requirements, healthcare providers often produce records in excess of what has been authorized (presumably because they don’t want to take the time or effort to cull through the records and produce only what has been asked for.)  As a result, the records obtained frequently will include medical information wholly unrelated to the alleged workers’ compensation injuries and sometimes that information reveals genetic information, such as whether an individual had a test done to determine whether she is at greater risk for breast cancer.  Hospital records are notorious for including family history information that may reflect, for instance, that a parent died of cancer or a heart attack at a relatively young age, even when the individual went to the hospital only to have an injured knee looked at.

As a result, in the workers’ compensation context, employers are frequently obtaining genetic information even though they really haven’t asked for it.  Should the EEOC’s final rule on Title II of GINA then have any impact on employers’ approaches to their medical investigations conducted in the defense of workers’ compensation claims?  Though the rule states that GINA is not intended to “limit or expand the protections, rights, or obligations of employees or employers under applicable workers’ compensation laws,” does that language provide clearance to employers to obtain through its workers’ compensation administration what otherwise would be protected genetic information?  According to the EEOC, “genetic information” does not include the fact that an individual has a diagnosed disease, disorder, or pathological condition, so it is difficult (at least for me) to come up with examples of situations when an employer would need genetic information on an employee to assist in the defense of a workers’ compensation claim.  Therefore, one could argue that application of GINA to an employer’s medical inquiries and examinations for workers’ compensation purposes does not limit an employer’s rights or expand an employee’s protections under the workers’ compensation laws.

 

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Ohio BWC Creates New Rule Circumventing the Ohio Supreme Court's Decision

In June 2009, we reported on the Ohio Supreme Court’s decision to create a narrow exception to the broad BWC successor rules. The Ohio Supreme Court’s decision in State ex rel. Valley Roofing, LLC v. Ohio Bureau of Workers’ Compensation created a small exception to the BWC’s broad authority to impose successorship liability when it held that a business that acquired another business's assets via a bank foreclosure was not a successor to the previous business.

Ohio’s courts have long held that the workers’ compensation statute authorizes the BWC to find successorship whenever “any employer transfers a business in whole or in part or otherwise reorganizes the business.” This broad definition permits the BWC to transfer the experience of a predecessor business to the purchasing business if the purchaser is succeeding the predecessor in some part of the operations of the business. Based on whether the purchase was of all or part of the operations, the BWC will transfer all or part of the predecessor’s experience, rights and obligations to the purchaser.

 

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Ohio H.B. 523 Would Unify Definition of Employee, Make it Easier to Find Misclassification

On Tuesday, May 25, 2010, Representatives Phillips and Driehaus introduced in the Ohio General Assembly a bill that effectively would create a single definition of "employee" for purposes of Ohio workers' compensation, unemployment compensation, payroll taxes, minimum wage and other purposes. Presently, each statute contains its own test for determining whether an individual is an employee or an independent contractor, often resulting in conflicting results.

If passed, this legislation would create a single seven-factor test for evaluation whether an individual truly is an independent contractor.

For an individual to be an independent contractor under H.B. 523, all of the following factors would have to be met:

  1. The individual has been and continues to be free from control and direction in connection with the performance of the service.
  2. The individual customarily is engaged in an independently established trade, occupation, profession, or business of the same nature of the trade, occupation, profession, or business involved in the service performed.
  3. The individual is a separate and distinct business entity from the entity for which the service is being performed or, if the individual is providing construction services and is a sole proprietorship or partnership, the individual is a legitimate sole proprietorship or a partner in a legitimate partnership.
  4. The individual incurs the main expenses and has continuing or recurring business liabilities related to the service performed.
  5. The individual is liable for breach of contract for failure to complete the service.
  6. An agreement, written or oral, express or implied, exists describing the service to be performed, the payment the individual will receive for performance of the service, and the time frame for completion of the service.
  7. The service performed by the individual is outside of the usual course of business of the employer.
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Ohio BWC Approves New Drug-Free Safety Program

On March 29, 2010, the Ohio Bureau of Workers’ Compensation voted to adopt its new Drug-Free Safety Program (DFSP) in an attempt to prevent workplace injuries attributed to the use or abuse of drugs and alcohol. The new program will replace the current Drug-Free Workplace Program and the Drug-Free EZ Program as of July 1, 2010.

The DFSP extends eligibility to more employers and eliminates the current program’s participation limit of five years. Other features of the new program include:

  • Two levels of participation – basic and advanced – which offers premium discounts ranging from 4% to 7% (the advanced level will require random drug testing of 25% of employees);
  • The new program will allow some small discount stacking for group rated employers participating at the advanced level – specifically, a group rated employer is not eligible for the base DFSP discount, but is eligible for the incremental 3% discount if it participates in DFSP at the advanced level;
  • One application period annually for private employers – May 31, 2010 for the current year and the last business day of April for subsequent years;
  • Required employee education (1 hour annually) and supervisor training (2 hours annually); and
  • Termination v. Second Chance Agreement – for the basic program level, employers can terminate for the first positive result but for the advanced program level, employers must provide a second chance agreement for the first positive result, except under certain circumstances.

Additional program information, including an application for interested employers, will be available April 2, 2010 at www.ohiobwc.com.

Ohio Employer Intentional Tort Statute Survives Challenge

On Tuesday, in two separate decisions, the Ohio Supreme Court finally resolved the lingering question as to the constitutionality of a state law that limits the ability of workers who are injured on the job to sue their employers for a “workplace intentional tort” in addition to receiving workers’ compensation benefits. The challenged statute – RC § 2745.01 – requires that an injured worker bringing an intentional tort action against his employer must prove that the employer acted with a “deliberate intent to cause an employee to suffer an injury, a disease, a condition, or death.” 

In Kaminski v. Metal & Wire Products Co., the Court held 6-1 that the challenged statute does not violate Section 34 or 35 of Article II of the Ohio Constitution. Justice Robert Cupp, who authored both majority opinions, noted that since 1986, the Ohio legislature made several attempts to enact laws that codify and limit the scope of workplace intentional tort claims, but prior versions of RC § 2745.01 were ruled unconstitutional by the Court, most recently in 1999 in Johnson v. BP Chemicals, Inc. However, the Court noted that in several Supreme Court decisions since 1999, the Court ruled that Sections 34 and 35 of Article II do not restrict the authority of the legislature to enact laws regulating workplace conditions. In light of these decisions and arguably the addition of four new justices since the Johnson decision, the Court determined that RC § 2745.01 does not violate the Ohio Constitution. Interestingly, although the Court declined to overrule Johnson because the former version of the statute at issue in that case contained several provisions not included in the current version of RC § 2745.01, the Court noted that Johnson has no stare decisis value on this issue.

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Bill Limiting Immigrant Workers' Compensation Benefits

On Tuesday, March 16, 2010, Senator Bill Seitz introduced Senate Bill 238 to the Ohio General Assembly. If passed, this bill would amend Ohio’s Revised Code to prohibit illegal and unauthorized aliens from receiving compensation and benefits under Ohio’s Workers’ Compensation Law.

Currently, illegal and unauthorized aliens are afforded the same benefits under Ohio Workers’ Compensation Law that other workers are. In other words, illegal and unauthorized workers who are injured in the course of and arising out of their employment are allowed to file workers’ compensation claims and receive benefits and treatment for their injuries.

 

Since this bill was just introduced this week, it is too early to predict the likelihood of passage or what changes may be added before it is ultimately voted on by the Ohio General Assembly. We will continue to monitor the bill and provide updates as it proceeds through the legislative process.

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Death Benefits Denied for an Accidental Death Caused by Overdose of OxyContin

Ohio’s Third District Court of Appeals recently held that the family of an injured worker whose accidental death was caused by a lethal concentration of OxyContin is not entitled to death benefits under Ohio Workers’ Compensation Act.

In Parker v. Honda of America Mfg., the decedent suffered a severe back injury in 1988. Mr. Parker underwent several surgical procedures in an unsuccessful attempt to alleviate his back pain. Eventually, Mr. Parker was prescribed and began using OxyContin in 1999 and subsequently became addicted. He sought treatment for his addiction in August 2004 and again in March 2005. In March 2006, he was discovered dead with a syringe in his arm, along with a lighter and spoon and 37 OxyContin pills. Cocaine and OxyContin were found on both the syringe and spoon.

 

The decedent’s surviving spouse filed a claim for death benefits under the workers’ compensation law. After the request for benefits was denied administratively by the Industrial Commission of Ohio, Ms. Parker filed a complaint in common pleas court asserting that the decedent’s death was the result of an OxyContin overdose which was the direct and proximate result of his work injury. Finding that Mr. Parker’s death was “self-inflicted,” the trial court granted Honda’s summary judgment motion. Ms. Parker then appealed to the Third Appellate District.

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Facebook Photos Prompt Termination of Long Term Disability Benefits

CBC News in Canada is reporting that a Canadian long-term disability insurance carrier recently terminated the long-term disability benefits a Quebec woman was receiving for "major depression" after photos she posted on her Facebook page showed her "having a good time at a Chippendales bar show, at her birthday party and on a sun holiday." According to the CBC, the woman, 29-year-old Nathalie Blanchard, contends that her doctor recommended that she try "to have fun, including nights out at her local bar with friends and short getaways to sun destinations, as a way to forget her problems." Nevertheless, Manulife, the insurance carrier, which acknowledges that it uses Facebook for investigation purposes, terminated her long-term disability benefits.

Though anecdotal news flashes like this one may embolden employers to use Facebook and other social media to investigate employee activity while they are on a medical leave of absence or workers' compensation leave, caution is still necessary. For instance, Manulife confirmed that ít "would not deny or terminate a valid claim solely based on information published on websites such as Facebook." Presumably, Manulife forwarded Ms. Blanchard's Facebook photos and perhaps other evidence to a medical professional for an opinion as to whether the photos evidenced Ms. Blanchard's ability to return to work. Similarly, employers should resist the urge to make their own medical judgments as to an employee's ability to work when they obtain this kind of photographic or video evidence.

In addition, Ms. Blanchard apparently contends that she kept her Facebook photos private and does not understand how the insurance carrier obtained them. As I have preached before on this blog, employers should not circumvent an employee's Facebook privacy settings in order to investigate alleged misconduct. In this instance, a co-worker or other Facebook "friend" of Ms. Blanchard likely dropped the dime on her. When faced with this kind of evidence, employers and their insurance carriers would be wise to consider the motivations of the person providing the evidence and to conduct its own investigation. If employers avoid the temptation to immediately jump to conclusions, they will find that Facebook can be their "friend" when conducting investigations of workers' compensation or medical leave fraud.

How Should the Ohio BWC and Industrial Commission Treat Claims for H1N1?

As concerns about the potential scope of the H1N1 flu continue to grow, one question we keep hearing from clients is whether employees who believe they have contracted H1N1 in the workplace may have compensable workers' compensation claims. In the vast majority of cases, we believe the answer will be a resounding "No."

Ohio defines an occupational disease as:

"a disease contracted in the course of employment, which by its causes and the characteristics of its manifestation or the condition of the employment results in a hazard which distinguishes the employment in character from employment generally, and the employment creates a risk of contracting the disease in greater degree and in a different manner from the public in general."

Therefore, for instance, the office worker who contracts H1N1 because somebody in the next cubicle had it does not have a compensable claim. The situation is no different than the seasonal flu from year to year.

One likely exception to my general proposition come to mind:  healthcare workers, who by the nature of their work may be exposed to H1N1 in a greater and different manner than members of the general public. Childcare workers also may have an outside chance at establishing a viable claim. Even then, however, most healthcare and childcare workers will still have a difficult time proving actual causation; that is, that they actually contracted H1N1 as a result of their work rather than from a sick family member, at a restaurant or some other public place.

The H1N1 vaccine may also pose a potential risk if it ever becomes widely available. Workers who experience side effects from getting an H1N1 vaccine may claim they are entitled to workers' compensation benefits. In the absence of evidence that the employer actually required its employees to get vaccinated and demonstrated illness based on any known side effects, these claims should be rejected.

Ohio Supreme Court Reaffirms Narrow Exception to Broad BWC Successor Rules

The Ohio workers' compensation successor-in-interest rules frequently catch even the most seasoned corporate M&A attorney off guard. Most M&A attorneys reasonably expect that a straight asset purchase will not result in the assumption of any workers' compensation liability in Ohio. As it relates to companies that pay premiums directly into the Ohio state workers' compensation fund, that expectation more often than not will turn out to be wrong. In short, Ohio's courts have long held that the workers' compensation statute authorizes the BWC to find successorship whenever "any employer transfers a business in whole or in part or otherwise reorganizes the business."

Frequently deferring to BWC determinations that successorship justifies a transfer of the seller's experience to the purchaser, the courts simply have defined a successor in interest as a "transferee of a business in whole or in part." This broad definition generally has resulted in the asset purchaser being held to have succeeded to the experience rating of the selling company even when the asset purchase agreement expressly states that the purchaser assumes none of the liabilities of the selling company. (Indeed, it has even resulted in a finding of successorship when a company retained another company's employees as it took over a lease of that company.)

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Ohio BWC Eliminates DFWP Discount for Group-Rated Employers

In a controversial decision issued yesterday, the Ohio Bureau of Workers' Compensation Board of Directors voted to eliminate the Drug-Free Workplace Program (DFWP) discounts for group-rated employers. Instead, only non-group-rated employers will be eligible for the DFWP discount The elimination of the DFWP discount for group rated employers, combined with the reduction of the maximum available discount under the BWC's group rating program from 85%-77% effective July 1, 2009, may deal a significant financial blow to many Ohio employers. These changes are consistent with the BWC's previously stated belief that the group rating program was actuarially unsound and its intent to reduce the premium rates for employers that did not qualify for group rating. The elimination of the DFWP program for group-rated employers is likely to raise a fair bit of concern that the group-rated employers will no longer be incentivized to adopt, maintain and enforce drug and alcohol testing programs. Hopefully, these employers will recognize the value these programs have on the overall safety of their workplaces and that the potential reduction in industrial injuries will provide sufficient incentive to keep their workplaces drug and alcohol free. Only time will tell.

Ohio Focus on Worker Misclassification Warrants Second Look At Independent Contractor Relationships

Back in February, Ohio Attorney General Richard Cordray announced a collaboration between his office and the Ohio Department of Job and Family Services, Ohio Department of Taxation, and Ohio Bureau of Workers’ Compensation to release and exchange confidential information to reduce the number of employers that are misclassifying workers as independent contractors. A report issued at the same time by the Attorney General's office estimated that the extent of annual costs to the state from worker misclassification totals $100 million in payments for unemployment compensation, more than $510 million in BWC premiums and almost $180 million in forgone state income tax revenues.

With the Ohio Attorney General's enforcement eye now focused on the costs of misclassification, it is important for Ohio employers to understand the potential consequences if they are found to have misclassified workers as independent contractors. First and foremost, they risk potential federal, state, and local taxes, fines, and penalties and workers compensation premiums and penalties. In addition, several multi-million dollar lawsuits have been brought against employers for failing to pay proper wages, including overtime, under the FLSA. Finally, employers with ERISA retirement and welfare benefit plans that do not contain "fail safe" provisions run the risk that misclassified workers will be found to be employees who are retroactively entitled to benefits under those plans. Alternatively, as to plans that do contain fail safe provisions, employers may need to redo the non-discrimination testing to make sure that each plan's tax-qualified status is not jeopardized by the omission of those employees. 

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Ohio Legislature Preserves BWC Group Rating Program For the Time Being

In response to the recent San Allen case in which the Cuyahoga County Common Pleas Court issued an order enjoining the Ohio BWC’s group rating program, the Ohio legislature has enacted House Bill 79, which became law on January 6, 2009. House Bill 79 allows the group rating program to continue by simply changing one word in Ohio Revised Code §4123.29, which creates and implements the program. By changing the word “retrospective” to “group,” the legislature avoids the problem identified by the court; that is, that the group rating program was actually a prospective program that permits employers to be dropped from the group following a particularly expensive claim that would increase the group’s overall workers’ compensation premiums. 

As we wrote previously, the BWC is no fan of the large discounts currently provided to employers under the group rating program and has been working to gradually reduce those discounts in favor of base rate reductions. Those who favor the current group rating program point to the incentive – and reward – those discounts provide to employers that maintain a safe workplace. In addition, enforcement of the San Allen decision likely would have resulted in tremendous increases in workers’ compensation premiums for those employers that had previously benefited from the group rating program at a time when they could ill afford them due to current economic challenges.

Court Enjoins BWC Group Rating Program

On November 18th, the Cuyahoga County Common Pleas Court in San Allen v. Ohio BWC issued an injunction prohibiting the Ohio Bureau of Workers' Compensation from enacting its current group rating plan and requiring it to enact a retrospective rating plan for the policy year starting July 1, 2009. At its core, the decision requires the BWC to set premiums retrospectively, as requested by the plaintiffs, who were a collection of employers that had seen their premiums increase as a result of having been excluded from a group based on claim experience. Historically, the rates have been set prospectively by the BWC despite statutory language that the court said requires the retrospective rating. In reaching its conclusion, the court noted its expectation that its decision would result in lowering base rates for state-funded employers at the expense of the significant discounts that group-rated employers have been receiving.

Often citing its belief that the discounts given to group-rated employers are excessive and actuarially unsound, the BWC has been working to reduce the level of discounts provided to group-rated employers for more than a year. It is therefore unclear at this time whether the BWC will appeal this decision. In addition, it is important to note that the BWC argued that, despite the statutory language indicating that the group rating program should be retrospective in nature, the legislature, in fact, intended a prospective rating plan. If that is the case (and recognizing, of course, the changes to the legislature since enactment of the group rating program), the Bureau conceivably could seek a legislative fix. As of now, however, state funded employers should anticipate no changes in their December 2008 or July 2009 premium bills.

 

Los Angeles Commuter Train Tragedy Suggests Employers Should Review Electronic Device Policies

News confirming that the engineer of the Los Angeles commuter train that crashed last week, killing more than 20 people, engaged in text messaging while on the job underscores the need for employers to consider policies banning employee use of cell phones while driving on company business. Though it remains to be seen whether the engineer was texting at the time of the crash, the proliferation of electronic devices, such as Blackberries, and their potentially addictive use is helping to make "distracted driving" an increasing problem on the road. Simply put, distracted drivers are becoming more dangerous to themselves, their passengers and other motorists. Although distracted driving is a public problem that is not unique to employers, employers must recognize that they likely will be the "deep pockets" should a distracted employee cause a car accident. In fact, if the distracted employee also is injured in the accident, a workers’ compensation claim is also a strong possibility.

Some states have enacted laws restricting cell phone use while driving. Ohio is not one of them. As a result, Ohio law enforcement presumably is not obliged to police distracted driving (except in obvious cases of erratic driving). Therefore, to help manage their potential liability from distracted driving, Ohio employers should strongly consider banning the use of cell phones, Blackberries and similar devices while driving on company business as well as from conducting company business on such devices at anytime while driving. Otherwise, whether as a result of employees texting friends while driving on company business or responding to an urgent e-mail from the boss while driving, employers risk potentially significant liability.

For such policies to work, however, employers and employees will need to work together to ensure that the electronic device policy is enforced in a way that respects the fact that the employee may not be able to instantaneously respond to work issues while they are driving.

Ohio Workers' Compensation Law Amended to Allow Coverage for Out-of-State Employees Injured in Ohio

Effective September 11, 2008, Ohio has amended its Workers’ Compensation Act to provide coverage for out-of-state employees who are injured while temporarily working in Ohio. The new law will allow an out-of-state employee to receive compensation and/or benefits under Ohio’s workers’ compensation laws if the employee is a resident of a state that does not preclude the employee from receiving Ohio workers’ compensation benefits.

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BWC Long-Term Premium Plan Impacts Group Rating Program

On June 27, 2008, the Ohio Bureau of Workers’ Compensation (BWC) Board of Directors unanimously approved the first phase of a long-term plan that will transition to a new split experience rating method for calculating premium rates that is designed to cushion the premium blow that state-funded employers frequently receive as the result of a single costly workers' compensation claim. In addition, the plan will:

-- Gradually reduce the maximum group rating discount from 85 to 77%beginning July 1, 2009, with a 20% annual cap on premium rate increases caused by these discount reductions;

-- Cap premium increases at 100% for all employers, including those that have been removed from a group; and

-- Develop additional inducements for employers to manage costs and improve workplace safety.

According to the BWC's press release, the long-term plan proposes a gradual transition to the new experience rating method over three years. The first phase of the plan was approved with further study on the group rating rules and governance to be complete by 2009. Other aspects of the long-term plan, such as an additional discount reduction in 2010 and the rating transition in 2011 will be addressed after further testing and impact analysis are complete.

The plan looks to be a step in the right direction for Ohio's state-funded employers. At a minimum, the BWC expects that the changes ultimately will reduce base rates by 23 to 27%. Though it continues the recent reductions in the discounts associated with the group rating program, the plan should make it more difficult for employers to be removed from a group and, for those that are removed, less costly.

Recent Decision Emphasizes Need to Include Reasons for Settlement in Workers' Compensation Settlement Agreements

The Supreme Court of Ohio recently invalidated a settlement agreement between an employer and an injured worker because the agreement failed to state a reason for the settlement. What makes this case particularly unsettling for Ohio employers is the fact that the settlement was entered into and approved by the Bureau of Workers’ Compensation (BWC) in 1997 – more than ten years ago.

Ohio’s workers’ compensation statute requires that all settlements be reviewed and approved by the BWC. Ohio law further states that all settlement applications “shall . . . clearly set forth the circumstances by reason of which the proposed settlement is deemed desirable.” R.C. § 4123.65. The employer in Wise v. Ryan learned these lessons the hard way.

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Company Not Liable for Employee Assault

In a case alleging intentional tort and negligent hiring and retention, the Ohio Tenth District Court of Appeals held that the  employer was not liable when one employee attacked and assaulted a fellow employee at work. Weimerskirch v. Coakley, Case No. 07AP-952, (10th Dist. Franklin County, April 8, 2008). 

David Coakley worked as a mechanic for AMF Bowling Inc. On June 6, 2004, Gary Weimerskirch, an assistant manager at AMF, walked in on Coakley and his girlfriend just after they, apparently, had sexual relations. Unexpectedly, Coakley told Weimerskirch that he quit and  began to collect his personal effects from the work area. As Coakley took his belongings to his vehicle, which was parked behind the building, he spontaneously grabbed a two-by-four, ran toward Weimerskirch, and struck him on the head with the board. Weimerskirch filed a lawsuit against Coakley personally, and also against AMF for employer intentional tort and negligent hiring and retention. The trial court granted summary judgment for AMF, and Weimerskirch filed an appeal.

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Intentional Tort Amendment Found Unconstitutional

On March 18, 2008, the Court of Appeals for the Seventh Appellate District struck down the portion of Ohio’s Tort Reform Act that created a heightened standard for employees bringing intentional tort claims against their employers. Specifically, Kaminski v. Metal & Wire Prods. Co., Case No. 07-CO-15 (7th Dist. March 18, 2008), was the first appellate decision addressing the constitutionality of this heightened standard, and it found the standard improper.

Normally, an employee who suffers a workplace injury cannot file a lawsuit but must, instead, seek compensation under Ohio’s workers’ compensation system. Proof that the employer’s conduct was intentional, however, allows the employee to go around the workers’ compensation system and file a lawsuit for damages. 

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Ohio Workers' Compensation Subrogation Statutes Upheld

The Ohio Supreme Court just paved the way for employers to recoup workers’ compensation benefits paid to employees who later recover money damages for their injuries from other sources. By endorsing such so-called subrogation rights, the Court provides employers with an important cost-control tool. Employers should, therefore, keep their eyes open for subrogation opportunities and act quickly to take advantage of them.

In its latest review of the Ohio legislature’s effort to provide subrogation rights to those who pay workers’ compensation benefits, the Ohio Supreme Court held that the subrogation statute finally passes constitutional muster. The Court reached its finding in Groch v. Gen. Motors Corp., after questions about the constitutionality of R.C. 4123.93 and 4123.931 were raised. The Groch Court held that the statutorily-authorized right of recovery by the administrator of workers’ compensation (in a state fund claim),  a self-insuring employer or a direct-payor employer for payments to workers’ compensation claimants does not violate the Takings, Due Process, Remedies, or Equal Protection Clauses of the Ohio Constitution.

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State-Fund Employer Left Holding the Bag for Unwanted Settlement

A recent appellate decision demonstrates the necessity for state-fund employers to retain legal counsel to protect their interests when a workers’ compensation claim is appealed to state court. In Smith v. Kaleal, 2007-Ohio-6560, (11th Dist. Lake County), the claimant, Christopher Smith, filed a workers’ compensation claim against his employer, Dan Kaleal, owner of All Occasion Limousine, Inc. Smith’s claim was denied administratively by the Industrial Commission of Ohio, and he filed a notice of appeal and complaint in the Lake County Court of Common Pleas naming both the Bureau of Workers’ Compensation (BWC) and Kaleal as defendants.  

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Industrial Commission Rejects Affidavit Testimony

The Ohio Supreme Court recently decided State ex rel. Nerlinger v. AJR Enterp., Inc., 116 Ohio St. 3d 314, 2007-Ohio-6438, a potentially significant new workers’ compensation opinion that addresses the Industrial Commission’s ability to accept or reject affidavit testimony. The injured employee failed to appear for his allowance hearing before the IC, and his claim was denied. Fourteen months later, the employee – now represented by counsel – filed a motion for reconsideration, attaching an affidavit saying that he did not receive the hearing notice. The IC, without making any express findings about the credibility of the employee’s affidavit, found that the notices were “properly mailed to the correct address of the injured worker.” On review, the Ohio Supreme Court held that the IC was exclusively responsible for evaluating the weight and credibility of evidence and did not need to explain why an affidavit was unpersuasive. 

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A Disconcerting Look Behind the Industrial Commission's Curtain

In its Sunday, February 4, 2008, edition, the Columbus Dispatch reported that the Industrial Commission, "a forgotten corner of the state bureaucracy that deals with injured workers' claims," was experiencing an unusually large number of grievances filed by its OCSEA-represented employees. According to the article, the grievances cover a wide range of issues including personal ones, such as the denial of bereavement leave, to issues that more fundamentally address the Commission's claims handling process. As for the latter category, the article quotes a grievance from a union steward that suggests that the Commission has established "arbitrary quota[s]" that "sacrifice the quality of [Commission employees’] work product." The Commission's Executive Director, Patrick Gannon, is quoted in the article as stating that "labor-management issues everywhere do have an effect on productivity." The article, which does not suggest that hearing officer decisions have been impacted, notes that the OCSEA will meet with Mr. Gannon and Commission Chairman, Gary DiCeglio, on February 13th.   We will keep our eyes and ears open for any additional information that may become public.

Crack-Cocaine Enterprise is Sustained Remunerative Employment

Even in the chaotic world of Ohio workers’ compensation, crime still doesn’t pay – at least not for one enterprising Ohio claimant. Finding that the sale of crack cocaine over a three-year timeframe amounted to an exchange of labor for pay over a sustained period, the Ohio Supreme Court upheld the Industrial Commission’s determination that an injured worker was not entitled to permanent total disability compensation.   In reaching this rather obvious conclusion in State ex rel. Lynch v. Indus. Comm., 2007-Ohio-6668, the Ohio Supreme Court rejected the injured worker’s inspired argument that his activity could not be considered sustained remunerative employment because it was illegal.  

           

Recent Ohio Supreme Court Decision Represents Key Victory for Ohio Employers

On December 20, 2007, the Supreme Court of Ohio released its decision in Bickers v. Western & Southern Life Insurance Company, which expressly limits the Court’s previous holding in Coolidge v. Riverdale Local School District. In Coolidge, the Supreme Court held that an employer could not terminate an employee who was receiving temporary total disability compensation on the basis of absenteeism or inability to work, when the absence or inability to work is directly related to an allowed medical condition in his or her workers’ compensation claim. 

As a result of the Coolidge decision, many Ohio employers were frustrated in their efforts to manage production needs because they could not terminate and replace employees who had been off work for significant periods of time. In addition, Ohio employers complained that the Coolidge decision created an incentive for employees to delay their return to work following injuries since their jobs were protected while they were out. The Bickers decision, which for the vast majority of situations overrules Coolidge, represents a key victory for Ohio employers.

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