Goodyear Tire v. Bwc, Unpublished Decision (9-28-1999)
Goodyear Tire v. Bwc, Unpublished Decision (9-28-1999)
Opinion of the Court
The DWRF was created pursuant to legislation enacted by the Ohio General Assembly in 1953. The fund provides payments to workers' compensation claimants who are permanently and totally disabled as a result of an occupational injury or disease, and whose combined workers' compensation benefits and Social Security disability benefits fall below a specified monthly floor. DWRF benefits are separate and distinct from workers' compensation benefits, and the fund is a separate entity from the state insurance fund. Thompson v. Indus. Comm. (1982),
The General Assembly amended R.C.
For an employer granted the privilege to pay compensation directly the bureau of workers' compensation shall pay to employees who are participants regardless of the date of injury, any amounts due to the participants under section
4123.414 of the Revised Code and shall bill the employer, semiannually, for all amounts paid to a participant.
Thus, for self-insured employers, the DWRF payroll assessment was eliminated and replaced by a requirement that self-insured employers reimburse the DWRF, dollar-for-dollar, for amounts paid by the BWC to that employer's former employees. Other than a minor 1993 amendment substituting the term "self-insuring employer" for "employer granted the privilege to pay compensation directly," R.C.
Appellants are Ohio employers who are presently self-insured for purposes of workers' compensation, and whose participation in the DWRF fund predates the 1986 amendments. Appellants do not contest in the present action any BWC semi-annual billings for on-going DWRF payments to claimants representing benefits payable to claimants based upon their income shortfall for the given semi-annual billing period. Rather, appellants contest a BWC practice which appellants describe as "retroactive billing." This involves contemporary payments by BWC to claimants of lump sums for benefits which would have been payable prior to the current semi-annual billing period, but where the determination of DWRF eligibility was not made until after an arrearage had accumulated. The parties have stipulated that the DWRF section of the BWC had at one time accumulated a substantial backlog of DWRF files, and that lack of access to required social security disability information, or failure to provide necessary information by claimants, had hindered processing of DWRF eligibility determinations. Recent automation of the DWRF section, as well as improved access to Social Security disability data, has contributed to a rapid reduction in the backlog of DWRF files, and a corresponding increase in DWRF benefits paid. Many of the newly eligible claimants received initial payments which included substantial arrearages, and some of these lump-sum initial payments included DWRF benefits accrued to the claimant prior to the 1986 amendments to the DWRF process.
Appellants advance several theories in support of their challenge to the BWC billing practices. Appellants first argue the BWC has no authority to bill employers for DWRF benefits accruing to claimants prior to the semi-annual billing period for which the bill is issued, regardless of whether the funds were actually disbursed by BWC during the billing period. In the alternative, appellants argue that if BWC is permitted to bill for accumulated unpaid benefits, a two-year statutory limit exists to limit how far back such payments may reach.
Appellants lastly argue that the BWC may not bill a self-insured employer for DWRF outlays for benefit periods prior to the 1986 amendments since employers' liability for pre-1986 benefits accrued by claimants had been met by corresponding pre-1986 payroll assessments. Appellants assert that the current dollar-for-dollar billings for benefits accrued prior to 1986 constitute an unconstitutional retroactive application of the amendments to R.C.
In practical effect, the parties thus confront each other across a narrowly limited issue: appellee asserts that the plain language of R.C.
THE TRIAL COURT ERRED IN DENYING PLAINTIFF'S MOTION FOR SUMMARY JUDGMENT AND GRANTING SUMMARY JUDGMENT AS A MATTER OF LAW IN FAVOR OF THE OHIO BUREAU OF WORKERS' COMPENSATION.
At the outset, we note the present matter was decided on summary judgment. Pursuant to Civ.R. 56(C), summary judgment may be granted only where no genuine issue of material fact remains to be litigated, the moving party is entitled to judgment as a matter of law, and the evidence, viewed in the light most favorable to the non-moving party, establishes that reasonable minds can come to but one conclusion and that conclusion is adverse to the party against whom the motion for summary judgment is made. Davis v.Loopco Indus. (1993),
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 which the BWC makes an actual determination of claimant's eligibility. We find no support for this proposition in the statutes governing DWRF benefits. R.C.
To be eligible to participate in said fund, a participant must be permanently and totally disabled and be receiving workers' compensation payments, the total of which, when combined with disability benefits received pursuant to The Social Security Act is less than three hundred forty-two dollars per month adjusted annually as provided in division (B) of section
4123.62 of the Revised Code.
R.C.
Each person determined eligible, pursuant to section
4123.413 of the Revised Code, to participate in the disabled workers' relief fund is entitled to receive payments, without application, from the fund of a monthly amount equal to the lesser of the difference between three hundred forty-two dollars, adjusted annually pursuant to division (B) of section4123.62 of the Revised Code, and:(1) The amount he is receiving per month as the disability monthly benefits award pursuant to The Social Security Act; or
(2) The amount he is receiving monthly under the workers' compensation laws for permanent and total disability. In determining such difference, a participant shall be considered as receiving the amount of such participant's compensation which shall have been commuted under the provisions of section
4123.64 of the Revised Code. Such payments shall be made monthly during the period in which such participant is permanently and totally disabled.
Appellants assert that the language "each persondetermined eligible" in R.C.
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.
We now turn to appellants' arguments regarding the constitutionality of R.C.
We first address appellants' contention that R.C.
The purported unconstitutional retroactivity of R.C.
Significantly, we expanded the reasoning of Wean in the more recent case of Indus. Comm. v. Dayton Walther Corp. (Apr. 30, 1998), Franklin App. No. 97AP-746, unreported (1998 Opinions 1393). That case involved self-insured employers who contested dollar-for-dollar reimbursement for employee claimants who were injured prior to the date that the employers became self-insured. The employers in question had not become self-insured until after the 1986 amendments to R.C.
We conclude from our analysis of Wean and DaytonWalther, that a self-insured employer's obligation for reimbursement of DWRF disbursements arises at the time disbursements are made, rather than at the time the worker's right to receive them accrues under the other pertinent DWRF statutory sections. Since the Supreme Court has clearly stated that R.C.
Appellants also aver a denial of equal protection through the application of amended R.C.
The equal protection provisions of the Federal and Ohio Constitutions were generally addressed by the Ohio Supreme Court in Cleveland v. Indus. Comm. (1983),
A fundamental principle of constitutional and administrative law is that when a public authority makes decisions with "an unequal hand, so as practically to make unjust and illegal discrimination between persons in similar circumstances, material to their rights is a denial of equal justice within the prohibition of the constitution. Yick Wo v. Hopkins (1886),
118 U.S. 356 ,373 (1886). The constitutional prohibitions of the Fourteenth Amendment are coextensive with Article I, Section 2 of the Ohio Bill of Rights."
Again, we look to R.C.
In accordance with the foregoing, we find that R.C.
Judgment affirmed.
BRYANT and KENNEDY, JJ., concur.
Case-law data current through December 31, 2025. Source: CourtListener bulk data.