Opinion

State ex rel. Kent Elastomer Prods., Inc. v. McCloud

  • 2026 Ohio 1105
Court
Ohio Supreme Court
Filed
Apr 1, 2026
Status
Published
Cited by
0 cases
Authority
More cited than 39.9%

The opinion

[Until this opinion appears in the Ohio Official Reports advance sheets, it may be cited as State

ex rel. Kent Elastomer Prods., Inc. v. McCloud, Slip Opinion No. 2026-Ohio-1105.]

NOTICE

This slip opinion is subject to formal revision before it is published in an

advance sheet of the Ohio Official Reports. Readers are requested to

promptly notify the Reporter of Decisions, Supreme Court of Ohio, 65

South Front Street, Columbus, Ohio 43215, of any typographical or other

formal errors in the opinion, in order that corrections may be made before

the opinion is published.

SLIP OPINION NO. 2026-OHIO-1105

THE STATE EX REL . KENT ELASTOMER PRODUCTS, INC., APPELLEE, v.

MCCLOUD,1 ADMR., BUREAU OF WORKERS’ COMPENSATION, APPELLANT.

[Until this opinion appears in the Ohio Official Reports advance sheets, it

may be cited as State ex rel. Kent Elastomer Prods., Inc. v. McCloud, Slip

Opinion No. 2026-Ohio-1105.]

Workers’ compensation—Insurance premiums—Adm.Code 4123-17-73—Group-

retrospective-rating program—Employer had clear legal right to have

Bureau of Workers’ Compensation administer group-retro program under

Adm.Code 4123-17-73, and bureau had clear legal duty to do so—Bureau’s

authority to return excess surplus under R.C. 4123.321 and Adm.Code

4123-17-10 in form of COVID-19 dividend did not allow it to suspend

administering group-retro program under Adm.Code 4123-17-73 for 2018

policy year—Bureau waived its right to assert accord and satisfaction by

1. Under S.Ct.Prac.R. 4.06(B), Stephanie McCloud, the current administrator of the Bureau of

Workers’ Compensation, is automatically substituted for John Logue, the former administrator, as

a party to this action.

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failing to raise it as an affirmative defense in its answer to employer’s

complaint—Court of appeals’ judgment issuing limited writ affirmed.

(No. 2024-1789—Submitted October 7, 2025—Decided April 1, 2026.)

APPEAL from the Court of Appeals for Franklin County,

No. 21AP-387, 2024-Ohio-5451.

__________________

The per curiam opinion below was joined by KENNEDY, C.J., and FISCHER,

DEWINE, BRUNNER, DETERS, HAWKINS, and SHANAHAN, JJ.

Per Curiam.

{¶ 1} Appellee, Kent Elastomer Products, Inc., requested a refund of its

2018 policy-year workers’ compensation premium based on its participation in one

of the Bureau of Workers’ Compensation’s employer-incentive programs. The

bureau denied Kent Elastomer’s request because it had already received a refund of

its 2018 premium in the form of a dividend payment, which the bureau had issued

to all state-fund employers during the COVID-19 pandemic. Kent Elastomer then

filed a complaint in the Tenth District Court of Appeals, seeking a writ of

mandamus to compel appellant, the bureau’s administrator, to issue Kent Elastomer

a refund in accordance with the administrative rule implementing the employer-

incentive program in which Kent Elastomer had participated. The Tenth District

granted a limited writ, and the bureau has appealed.

{¶ 2} For the reasons that follow, we affirm.

I. BACKGROUND

A. The Bureau’s Group-Retrospective-Rating Program

{¶ 3} When obtaining workers’ compensation coverage, Ohio employers

may choose from a range of plans. In 2018, Kent Elastomer, a manufacturer based

in Kent, applied for and was accepted into the bureau’s group-retrospective-rating

program (“group-retro program”), which was a plan designed “to provide financial

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incentive to employer groups participating in the program that, through

improvements in workplace safety and injured worker outcomes, are able to keep

their claim costs below a predefined level,” former Adm.Code 4123-17-73(A)(1).2

{¶ 4} Under the program, a sponsoring organization creates a group of

employers in similar industries with similar risks. Adm.Code 4123-17-73(C). The

participating employers continue to pay their individual annual premiums as if they

were not included in the group, but they agree to adjust those premiums

retrospectively—in the form of a refund or an additional assessment—based on the

combined performance of the group. To measure that performance, the bureau

calculates the “group retrospective premium,” Adm.Code 4123-17-73(Q)(1), at

three scheduled evaluation dates: 12 months after the policy year ends, 24 months

after the policy year ends, and 36 months after the policy year ends, Adm.Code

4123-17-73(A)(4) and (Q)(1). After each evaluation date, the bureau analyzes all

claims with dates of injury during the group’s policy year, calculates the incurred

losses and reserves (the estimates of future costs) for those claims, and then

calculates the group retrospective premium based on that new claim information.

Adm.Code 4123-17-73(A)(9) and (Q)(1).

{¶ 5} The bureau then compares the group retrospective premium to the

“group standard premium,” the combined premiums that each individual group

member previously paid for the policy year. Id. Depending on the group’s

performance, the difference between the group retrospective premium and the

group standard premium is distributed as a refund to the employers or billed to them

as an assessment. Id. That is, if the group outperforms the standard premium, the

group members will receive a refund; if the group underperforms the standard

premium, the members will be charged an additional assessment.

2. Unless otherwise noted, all references to Adm.Code 4123-17-73 are to the version in effect during

the relevant events in this case: former Adm.Code 4123-17-73, 2018-2019, Ohio Monthly Record

2-4399 (effective July 1, 2019).

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{¶ 6} Under the terms of Kent Elastomer’s 2018 group-retro program, the

maximum refund that it could have received after the three evaluation dates was 68

percent of the standard premium that it had paid. And the maximum assessment

that it could have been charged was an additional 25 percent of the standard

premium. The 2018 policy year commenced on July 1, 2018, and ended on June

30, 2019. Therefore, the first evaluation period was to commence in mid-2020—

12 months after the policy year ended.

B. The Bureau Issues a COVID-19 Dividend Payment

{¶ 7} On April 10, 2020, the governor and the bureau’s board of directors

proposed a plan to pay a one-time dividend from the state insurance fund to Ohio

employers paying into the fund to help “ease the financial pressures these

employers [had been] experiencing amid the coronavirus (COVID-19) pandemic.”

For private employers, the bureau defined the dividend amount as 100 percent of

the employer’s billed premium for the 2018 policy year. Thus, the bureau decided

to return to Ohio’s employers every dollar of workers’ compensation premium that

they had paid for the 2018 policy year. The bureau’s written proposal identified

several eligibility requirements and other parameters. Of significant note for this

case, the proposal stated that for group-retro-program employers, “[f]uture

evaluations including the 2018 public and private group retrospective rated policy

years w[ould] not result in adjustment of the dividend or any additional credits or

debits.”

{¶ 8} On April 22, 2020, Kent Elastomer was issued a dividend check for

$155,069, which equaled the premium amount it had paid for the 2018 policy year.

C. The Bureau Denies Kent Elastomer’s Request for a Refund under the

Group-Retro Program

{¶ 9} In May 2020, the bureau advised Kent Elastomer’s third-party

administrator that because the bureau had already issued dividend checks equaling

100 percent of employers’ premiums for the 2018 policy year, the bureau would

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January Term, 2026

not be issuing refunds under the group-retro program for that policy year. Kent

Elastomer nevertheless requested a refund under the program. After the bureau

denied the request, Kent Elastomer asked for a hearing before the bureau’s

adjudicating committee. See R.C. 4123.291(A) and (B)(6) (empowering an

“adjudicating committee appointed by the administrator of workers’ compensation

to hear any matter specified” within the statute, including any decision relating to

a “risk premium matter” under R.C. Ch. 4123). Among other things, Kent

Elastomer argued that the bureau lacked authority to alter Adm.Code 4123-17-73’s

requirements relating to when an employer is eligible for a refund under the group-

retro program.

{¶ 10} After a hearing, the adjudicating committee denied Kent Elastomer’s

request for a refund, finding that the bureau had “authority to make practical

business decisions in extraordinary situations,” that the group-retro program “was

for all practical purposes nullified for [the 2018] policy year for an obvious good

reason,” and that the “purpose of the program no longer exist[ed] for policy year

2018 due to the dividend of 100% billed premium.”

{¶ 11} Kent Elastomer appealed the adjudicating committee’s decision to

the administrator’s designee. See R.C. 4123.291(B) (“An employer who is

adversely affected by a decision of an adjudicating committee . . . may appeal the

decision of the committee to the administrator or the administrator’s designee.”).

After another hearing, the administrator’s designee upheld the adjudicating

committee’s decision, finding that the bureau had considered the group-retro

program when it crafted the COVID-19 dividend payment and had decided that in

light of the dividend, no refunds or future assessments relating to the 2018 policy

year would be issued.

D. The Tenth District Grants Kent Elastomer a Writ of Mandamus

{¶ 12} Kent Elastomer filed a complaint in the Tenth District for a writ of

mandamus, alleging that the bureau had abused its discretion by disregarding

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Adm.Code 4123-17-73’s requirements and refusing to issue refunds under the

group-retro program for the 2018 policy year. As a participant in the program, Kent

Elastomer argued that it had a clear legal right to any refunds owed in accordance

with calculations under the administrative rule and that the bureau had a clear legal

duty to follow the procedures set forth in the rule.

{¶ 13} A magistrate recommended that the Tenth District issue a limited

writ, finding that the bureau had acted without authority by not administering the

group-retro program under Adm.Code 4123-17-73. 2024-Ohio-5451, ¶ 53, 65, 72

(10th Dist.). The bureau filed objections. In a split decision, a panel of the Tenth

District overruled the bureau’s objections and adopted the magistrate’s decision

with one exception not relevant to this appeal. The majority found that although

the bureau had authority to issue the COVID-19 dividend, it lacked authority to

suspend its obligations under Adm.Code 4123-17-73 to issue premium refunds or

assessments for the 2018 policy year. Id. at ¶ 18-20, 27-32. The Tenth District

therefore vacated the orders of the adjudicating committee and the administrator’s

designee and remanded the matter to the bureau for it to administer the group-retro

program in accordance with Adm.Code 4123-17-73. See id. at ¶ 36, 73.

{¶ 14} The dissenting judge would have denied the writ. She opined that

after 100 percent of the premium paid for the 2018 policy year had been refunded

to Kent Elastomer in the form of the dividend, no premium payment remained for

the bureau to refund under the group-retro program. Id. at ¶ 39-40 (Luper Schuster,

J., dissenting).

{¶ 15} The bureau filed this direct appeal.

II. STANDARD OF REVIEW

{¶ 16} To be entitled to a writ of mandamus, a relator must establish a clear

legal right to the relief requested, a clear legal duty on the part of the bureau to

provide the relief, and the lack of an adequate remedy in the ordinary course of the

law. State ex rel. Ugicom Ents., Inc. v. Morrison, 2022-Ohio-1689, ¶ 14. In a direct

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January Term, 2026

appeal from the judgment in a mandamus action that originated in the court of

appeals, we review the judgment as if the action had been originally filed here.

State ex rel. Pressley v. Indus. Comm., 11 Ohio St.2d 141, 164 (1967).

{¶ 17} A writ of mandamus may lie when there is a legal basis to compel

the bureau to perform its duties under the law or when the bureau has abused its

discretion in carrying out its duties. State ex rel. Estate of Sziraki v. Admr., Bur. of

Workers’ Comp., 2013-Ohio-4007, ¶ 16. To determine whether the bureau abused

its discretion, we examine whether the bureau’s order is adequately explained and

is supported with some evidence in the record. State ex rel. Friendship Supported

Living, Inc. v. Ohio Bur. of Workers’ Comp., 2023-Ohio-957, ¶ 11. The bureau is

the exclusive finder of fact in workers’ compensation matters. Ugicom at ¶ 14.

However, when an underlying stipulated record presents a question of law, we

review de novo a lower court’s judgment issuing a writ of mandamus. See State ex

rel. Parikh v. Berkowitz, 2025-Ohio-2117, ¶ 11.

III. ANALYSIS

A. The Bureau Must Follow Its Own Administrative Rules

{¶ 18} R.C. 4123.29(A)(4)(a) directs the bureau’s administrator to offer “a

plan that groups, for rating purposes, employers, and pools the risk of the employers

within the group,” provided that the employers meet certain conditions. Under this

provision, the bureau has developed group-rated incentive plans in which

employers’ collective risk is pooled to garner better premiums. See, e.g., Cleveland

v. Ohio Bur. of Workers’ Comp., 2020-Ohio-337, ¶ 5.

{¶ 19} For the 2018 policy year, Adm.Code 4123-17-73 set forth, in detail,

the eligibility requirements for the group-retro program and how the bureau would

administer the program. Of significant note for this case, the administrative rule

provided that on the three evaluation dates after a policy year ends, “the bureau will

evaluate all claims with injury dates that fall within the retro policy year,” capture

the incurred losses and reserves for those claims, calculate the group retrospective

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premium based on the group’s developed incurred losses, and compare the group

retrospective premium to the group standard premium. Former Adm.Code 4123-

17-73(Q)(1), 2018-2019, Ohio Monthly Record 2-4399, 2-4402 (effective July 1,

2019).

{¶ 20} The rule then provided: “The difference will be distributed or billed

to employers as a refund or assessment.” (Emphasis added.) Id. In addition, the

rule stated that refunds or assessments “will be distributed directly to group retro

employers,” that “[w]ithin four months of the evaluation date, if entitled, the bureau

will send premium refunds,” and that if an additional premium amount is owed, “it

will be included in the employer’s next invoice and must be paid by the due date

stated on the invoice.” (Emphasis added.) Former Adm.Code 4123-17-73(R)(5),

(6), and (7).

{¶ 21} Thus, the administrative rule prescribed exactly when and exactly

how premium refunds or additional assessments would be issued. And given the

use of the word “will” in the rule, the bureau was obligated to calculate the group

retrospective premium for each group of participating employers and, based on

those results, issue refunds or assessments to the groups.

{¶ 22} On appeal, the bureau cites no portion of Adm.Code 4123-17-73—

or any other statute or rule—that excuses performance of that obligation when the

bureau decides to issue a dividend to employers in an amount equal to what each

employer paid in premiums for that policy year. Yet as the Tenth District majority

noted, the bureau attempted to impose, by approving the COVID-19 dividend, “a

temporary moratorium on group retro premium calculations under Ohio Adm.Code

4123-17-73(Q).” 2024-Ohio-5451 at ¶ 28 (10th Dist.). That is, the bureau simply

announced that because it was issuing the one-time COVID-19 dividend, it would

forgo distributing refunds or charging assessments under the group-retro program

for the 2018 policy year.

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{¶ 23} We have long held that “[a]dministrative regulations issued pursuant

to statutory authority have the force and effect of law; consequently, administrative

agencies are bound by their own rules until those rules are duly changed.” State ex

rel. Cuyahoga Cty. Hosp. v. Ohio Bur. of Workers’ Comp., 27 Ohio St.3d 25, 28

(1986). In other words, the bureau must follow its “own rules as written,” and it

“cannot give selective effect to provisions to produce a desired result or otherwise

change them without complying with the [appropriate] rule-making procedure.”

State ex rel. H.C.F., Inc. v. Ohio Bur. of Workers’ Comp., 1998-Ohio-175, ¶ 19.

Here, Kent Elastomer had a clear legal right to have the bureau administer the

group-retro program under Adm.Code 4123-17-73, and the bureau had a clear legal

duty to do so. Yet the bureau decided to suspend some of its duties under

Adm.Code 4123-17-73 without following the appropriate rulemaking process.3

B. The Bureau’s Appellate Arguments Lack Merit

{¶ 24} On appeal, the bureau sets forth three propositions of law. None has

merit.

3. The bureau has since amended Adm.Code 4123-17-73 to prevent an employer participating in the

group-retro program from receiving a premium refund that would exceed the amount that the

employer paid for a certain policy year—and thereby prevent the situation that occurred here. See

Adm.Code 4123-17-73(Q)(1)(b), 2020-2021 Monthly Record 2-2291, 2-2295 (effective May 9,

2021). In the proceedings below, the administrator’s designee said that by amending the

administrative rule, the bureau merely journalized its long-standing authority to cap a refund. We

have recognized that, at least for purposes of statutory amendments, “the purpose of an amendment

‘may be either to add new provisions and conditions to the section as it then stands, or for the purpose

of making plain the meaning and intent thereof.’” State ex rel. Gassmann v. Indus. Comm., 41 Ohio

St.2d 64, 67 (1975), quoting Lytle v. Baldinger, 84 Ohio St. 1, 8 (1911). In this case, it appears that

the amendment was not a clarification of existing language but, rather, a new provision changing

the effect and operation of the rule. Regardless, when Kent Elastomer requested a refund for the

2018 policy year, there was no comparable language under Adm.Code 4123-17-73(Q) limiting an

employer’s refund to no more than what the employer had paid for the policy year. See former

Adm.Code 4123-17-73(Q)(1), 2018-2019 Ohio Monthly Record, at 2-4402. And Kent Elastomer

is seeking to compel the bureau to carry out its duties in accordance with the rule as written for the

2018 policy year—not in accordance with how the bureau had intended for that version of the rule

to be interpreted.

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1. Proposition of Law No. 1: The Bureau’s Discretion to Issue Dividends

{¶ 25} As its first proposition of law, the bureau asserts that the General

Assembly granted it broad discretion to set premiums and issue dividends and that

this court has long deferred to the bureau on premium-related matters. The bureau

believes that it reasonably exercised that discretion in this case by incorporating—

or, in its words, “front-loading”—any group-retro-program refund that an employer

might later have been entitled to receive into the COVID-19 dividend. The bureau

also contends that deference to its premium-related decisions is especially

appropriate here given the unprecedented circumstances that led it to issue the

COVID-19 dividend. The bureau could not have abused its discretion, it maintains,

by deciding to quickly distribute cash to Ohio’s struggling employers during a

global pandemic, which resulted in an employer like Kent Elastomer receiving 100

percent of its 2018 policy-year premiums—a much larger refund than it could have

received under the group-retro program—and insulating it from being charged

future assessments under the program.

{¶ 26} The bureau is correct that it had authority to issue the COVID-19

dividend and that we have recognized the bureau’s broad discretion in premium-

related matters. But the bureau’s authority to issue the dividend did not allow it to

suspend administering the group-retro program for the 2018 policy year.

{¶ 27} In proposing the COVID-19 dividend, the bureau cited R.C.

4123.321 and Adm.Code 4123-17-10 as legal authority for the dividend. That

statute and administrative rule authorize the bureau to refund “excess surplus” in

the state insurance fund to employers. Specifically, R.C. 4123.321 requires the

bureau’s board of directors to adopt a rule with respect to the state insurance fund

providing that in the event of “a surplus of earned premium over all losses that . . .

is larger than is necessary adequately to safeguard the solvency of the fund, the

board may return such excess surplus to the subscribers to the fund in either the

form of cash refunds or a reduction of premiums, regardless of when the premium

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obligations have accrued.” Under R.C. 4123.321, the bureau adopted former

Adm.Code 4123-17-10, which provided as follows when the bureau issued the

COVID-19 dividend:

The bureau of workers’ compensation board of directors shall have

the discretion and authority to determine whether there is an excess

surplus of premium; whether to return the excess surplus to

employers; the nature of the cash refunds or reduction of premiums;

the employers who are subscribers to the state insurance fund who

are eligible for the cash refunds or reduction of premiums; . . . and

any other issues involving cash refunds or reduction of premiums

due to an excess surplus of earned premium.

Former Adm.Code 4123-17-10, 2018-2019 Ohio Monthly Record 2-1291, 2-1291

through 2-1292 (effective Aug. 1, 2018).

{¶ 28} In this case, no one disputes the bureau’s authority to return excess

surplus to Ohio employers in the form of the COVID-19 dividend. And under

Adm.Code 4123-17-10, the bureau had full discretion to define the dividend

amount as each employer’s billed premium for the 2018 policy year. But nothing

in R.C. 4123.321 or former Adm.Code 4123-17-10 referred to the group-retro

program—let alone vested the bureau with the authority to waive or alter elements

of that program because the bureau had decided to return excess surplus by issuing

a dividend. Thus, the bureau’s discretion to determine the amount and nature of an

excess-surplus refund under Adm.Code 4123-17-10 did not allow it to modify the

group-retro program under Adm.Code 4123-17-73(Q). See 2024-Ohio-5451 at

¶ 32 (10th Dist.).

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{¶ 29} With respect to the bureau’s deference argument, we have “long

recognized the challenges involved in establishing premium rates for workers’

compensation coverage and have repeatedly confirmed the deference due the

agency in these matters,” State ex rel. RMS of Ohio, Inc. v. Ohio Bur. of Workers’

Comp., 2007-Ohio-1252, ¶ 6 (collecting cases). That deference, however, has been

typically extended to bureau decisions relating to setting premium rates or

classifying occupations with respect to their degree of hazard for purposes of fixing

an employer’s premium. See, e.g., id. at ¶ 6-8; State ex rel. Cafaro Mgt. Co. v.

Kielmeyer, 2007-Ohio-968, ¶ 8-10; State ex rel. Ohio-Kentucky-Indiana Regional

Council of Govts. v. Bur. of Workers’ Comp., 2022-Ohio-3058, ¶ 32-35. This case

is not about setting premium rates or classifying occupations. And the bureau has

not adequately explained why any deference due the bureau in those matters should

be extended so as to permit the bureau to forgo its duties in administering an

employer-incentive program.4

{¶ 30} Lastly, the bureau cites no statute or rule that permitted it to

unilaterally forgo administering Adm.Code 4123-17-73 due to a global pandemic.

The bureau’s board of directors undoubtedly approved the COVID-19 dividend

with good intentions, and Kent Elastomer might receive what some would consider

a windfall as a result of our decision requiring the bureau to comply with its

administrative rules. But permitting the bureau to disregard the Administrative

Code for public-policy reasons would erode the principles that administrative rules

have the force and effect of law and that an agency must follow them until they are

changed through the appropriate procedures.

4. To the extent that the bureau is asking us to defer to its interpretation of the relevant administrative

rules, we have repeatedly rejected “the notion that a court must defer to an agency’s interpretation”

of the law it is tasked with implementing, In re Application of Alamo Solar I, L.L.C., 2023-Ohio-

3778, ¶ 12, citing TWISM Ents., L.L.C. v. State Bd. of Registration for Professional Engineers &

Surveyors, 2022-Ohio-4677, ¶ 3.

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{¶ 31} In sum, the bureau’s authority to return excess surplus under R.C.

4123.321 and Adm.Code 4123-17-10 did not encompass the authority to suspend—

by mere approval of a dividend payment—its obligations to administer the group-

retro program as required by Adm.Code 4123-17-73. We therefore reject the

bureau’s first proposition of law.

2. Proposition of Law No. 2: Accord and Satisfaction

{¶ 32} As its second proposition of law, the bureau raises accord and

satisfaction, which is a common-law affirmative defense to a claim for damages,

typically asserted in contract and tort cases. See Allen v. R.G. Indus. Supply, 1993-

Ohio-43, ¶ 10, 17 (lead opinion); AFC Interiors v. DiCello, 46 Ohio St.3d 1, 3

(1989). Specifically, “[a]n accord is a contract between a debtor and a creditor in

which the creditor’s claim is settled in exchange for a sum of money other than that

which is allegedly due. Satisfaction is the performance of that contract.” Allen at

¶ 11. If a party can prove accord and satisfaction, that party’s debt is discharged

by operation of law. Id. at ¶ 10.

{¶ 33} The bureau, however, waived its right to assert accord and

satisfaction by failing to raise it as an affirmative defense in its answer to Kent

Elastomer’s complaint. Civ.R. 8(C) designates certain affirmative defenses,

including accord and satisfaction, that must be set forth in an answer or other

responsive pleading, “and the failure to do so constitutes waiver.” State ex rel.

Parker Bey v. Bur. of Sentence Computation, 2022-Ohio-236, ¶ 17; see also

Toronto City Schools Bd. of Edn. v. Am. Energy Utica, L.L.C., 2020-Ohio-586, ¶ 68

(7th Dist.) (“Accord and satisfaction is an affirmative defense that must be raised

in the answer . . . [and] is waived if it is not timely raised.”). Here, the bureau raised

accord and satisfaction for the first time in the merit brief it filed in this court.

{¶ 34} The bureau also waived the accord-and-satisfaction defense by

failing to raise it in the bureau’s objections to the magistrate’s decision. Civ.R.

53(D)(3)(b)(ii) provides that “[a]n objection to a magistrate’s decision shall be

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specific and state with particularity all grounds for objection.” See State ex rel.

Food & Water Watch v. State, 2018-Ohio-555, ¶ 16 (“because [the appellants] did

not raise an argument relating to standing . . . in their objections to the magistrate’s

decision, the arguments have been waived on appeal”); State ex rel. DeGroot v.

Tilsley, 2011-Ohio-231, ¶ 9 (party in a direct appeal waived argument by failing to

raise it below).

{¶ 35} The appellate process is not the appropriate forum in which to

introduce a new affirmative defense that was not properly preserved in the lower

court. Therefore, we reject the bureau’s second proposition of law.

3. Proposition of Law No. 3: The Bureau’s Clear Legal Duty

{¶ 36} As its third proposition of law, the bureau contends that it had no

clear legal duty under Adm.Code 4123-17-73 to issue a refund that would result in

Kent Elastomer’s receiving an amount greater than the premium it paid for the 2018

policy year. The bureau asks us to adopt the reasoning of the Tenth District’s

dissenting judge, who concluded that once the bureau had refunded 100 percent of

Kent Elastomer’s 2018 premium in the form of the dividend payment, there was no

premium payment remaining for the bureau to refund under the group-retro

program, even if it had performed the calculations required by Adm.Code 4123-17-

73(Q). 2024-Ohio-5451 at ¶ 39 (10th Dist.) (Luper Schuster, J., dissenting).

Therefore, the bureau contends, ordering it to issue additional refunds under the

program would constitute a vain act.

{¶ 37} In support of this proposition of law, the bureau also suggests that

paying Kent Elastomer any amount in addition to the COVID-19 dividend could

have significant financial ramifications on the state insurance fund and therefore

would be contrary to the bureau’s fiduciary duty to safeguard the fund for the

benefit of injured workers.

{¶ 38} We reject the bureau’s arguments for the following reasons.

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{¶ 39} First, the bureau has misstated the legal duty at issue. Kent

Elastomer has not argued that it has a clear legal right to receive more than the

premium it paid for the 2018 policy year. Rather, Kent Elastomer seeks to compel

the bureau to carry out its obligations under Adm.Code 4123-17-73. If compliance

with that administrative rule results in Kent Elastomer’s receiving an amount in

excess of the premium it paid for the 2018 policy year, that result is a consequence

of the bureau’s decision to issue the COVID-19 dividend.

{¶ 40} Second, the bureau’s argument that even if it had attempted to

administer the group-retro program “there would be no premium left to refund”

ignores the plain language of Adm.Code 4123-17-73(A), which would have

prohibited the bureau from considering the COVID-19 dividend in determining

whether Kent Elastomer was owed a refund under the group-retro program. As

noted above, to determine whether an employer group will receive a refund under

the group-retro program, the bureau calculates the group retrospective premium and

then compares it to the group standard premium, which is the combined standard

premiums of the group members for that policy year. Adm.Code 4123-17-

73(Q)(1). The rule’s definition of “standard premium” expressly states that when

determining an employer’s standard premium, the “total premium paid will not be

reduced by any rebates or dividends issued pursuant to [Adm.Code] 4123-17-10.”

(Emphasis added.) Former Adm.Code 4123-17-73(A)(11), 2018-2019 Monthly

Record, at 2-4399.

{¶ 41} Because the bureau issued the COVID-19 dividend under Adm.Code

4123-17-10, it would have lacked the authority to reduce Kent Elastomer’s standard

premium by the amount Kent Elastomer received through the COVID-19 dividend.

Contrary to the bureau’s contention, there is premium left to refund and therefore,

compelling the bureau to comply with its obligations under Adm.Code 4123-17-73

does not constitute a vain act and is not otherwise futile. See State ex rel. Peoples

v. O’Shaughnessy, 2021-Ohio-1572, ¶ 11 (“An act is in vain when the underlying

15

SUPREME COURT OF OHIO

dispute has become moot, such that relief in the pending lawsuit would not affect

the outcome.”). Simply put, the bureau would have been prevented from

considering prior dividends issued under Adm.Code 4123-17-10 when calculating

whether any refund was owed under Adm.Code 4123-17-73.

{¶ 42} Third, as the Tenth District majority observed, the bureau’s

argument that “there would be no premium left to refund” muddies the distinction

between a return of excess surplus under Adm.Code 4123-17-10 and a refund under

the Adm.Code 4123-17-73’s group-retro program. See 2024-Ohio-5451 at ¶ 32

(10th Dist.). The bureau funded the COVID-19 dividend with excess surplus of

earned premium in the state insurance fund. The bureau’s proposal announcing the

COVID-19 dividend expressly stated that the dividend was “possible due to [the

bureau’s] investment returns, [its] prudent fiscal management, and the good work

of employers who pay their BWC premiums and look out for the health and safety

of their employees.” In contrast, group-retro-program employers receive a refund

under Adm.Code 4123-17-73 based on their group’s performances—without

regard to whether there is an excess surplus of premiums in the state insurance fund.

These are distinct Administrative Code provisions relating to distinct programs.

{¶ 43} Fourth, although the bureau is obligated to safeguard and maintain

the solvency of the state insurance fund, see R.C. 4123.34, the bureau has not

explained how complying with one of its own administrative rules could constitute

misappropriating money in the fund. Because the bureau is essentially arguing that

its duty to safeguard the state insurance fund trumps its responsibilities under the

group-retro program, the bureau should have done more than vaguely suggest that

ordering it to pay a group-retro-program employer a refund for the 2018 policy year

would result in “significant” financial ramifications to the state insurance fund. By

not developing this argument on appeal and supporting it with record evidence or

appropriate legal authorities, the bureau has failed to carry its burden as the

appellant.

16

January Term, 2026

IV. CONCLUSION

{¶ 44} In its reply brief, the bureau states that “[t]his case is a prime

example of the sentiment, ‘No good deed goes unpunished.’ ” Some may find that

sentiment true. But for the reasons explained above, we affirm the Tenth District

Court of Appeals’ judgment. The Tenth District correctly issued a limited writ of

mandamus returning this matter to the bureau for it to administer the group-retro

program as required by former Adm.Code 4123-17-73(Q) and to distribute a refund

or charge an assessment consistent with the requirements in that rule.

Judgment affirmed.

__________________

Roetzel & Andress, L.P.A., and Douglas E. Spiker, for appellee.

Dave Yost, Attorney General, and John R. Smart, Assistant Attorney

General; and Kegler, Brown, Hill & Ritter, L.P.A., Jacob Dobres, David M.

McCarty, and Stephen E. Tugend, for appellant.

__________________

17

This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.

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