Michael W. Carey
Carey, Scott and Douglas, PLLC
Phillip J. Combs
Allen, Guthrie & McHugh
Charleston, West Virginia
Attorneys for the Appellant,
Eastern Associated Coal Corporation
Ancil G. Ramey
Henry C. Bowen
Michelle E. Piziak
Steptoe & Johnson, PLLC
Charleston, West Virginia
Attorneys for the Appellant,
Weirton Steel Corporation
Sarah E. Smith
Heather G. Harlan
Bowles Rice McDavid Graff & Love, PLLC
Charleston, West Virginia
Attorneys for the Appellant,
Pine Ridge Coal Company
Darrell V. McGraw, Jr.
Attorney General
Silas B. Taylor
Senior Deputy Attorney General
Christie S. Utt
Assistant Attorney General
Randall B. Suter
Senior Counsel, WV Bureau of Employment Programs
Charleston, West Virginia
Attorneys for the Appellee
JUSTICE ALBRIGHT delivered the Opinion of the Court.
JUSTICE DAVIS and JUSTICE MAYNARD dissent and reserve the right to file dissenting opinions.
1. Under the West Virginia Administrative Procedures Act, W. Va. Code ch.
29A, appellate review of a circuit court's affirmance of agency action is de novo, with any
factual findings made by the lower court in connection with alleged procedural defects being
reviewed under a clearly erroneous standard. Wheeling-Pittsburgh Steel Corp. v. Rowing,
205 W.VA. 286, 517 S.E.2d 763 (1999).
2. 'On
appeal of an administrative order from a circuit court, this Court is bound
by the statutory standards contained in W. Va. Code § 29A-5-4[ ] and
reviews questions of law presented de novo; findings of fact by the
administrative officer are accorded deference unless the reviewing court
believes the findings to be clearly wrong.' Syl. pt. 1, Muscatell v. Cline, 196
W. Va. 588, 474 S.E.2d 518 (1996). Wheeling-Pittsburgh Steel
Corp. v. Rowing, 205 W. Va. 286, 517 S.E.2d 763 (1999).
3. Interpreting a statute or an administrative rule or regulation presents a
purely legal question subject to de novo review. Syl. Pt. 1, Appalachian Power Co. v. State
Tax Dept., 195 W. Va. 573, 466 S.E.2d 424 (1995).
4. The primary object in construing a statute is to ascertain and give effect to
the intent of the Legislature. Syl. Pt. 1, Smith v. State Workmen's Compensation Com'r,
5. Where a particular construction of a statute would result in an absurdity,
some other reasonable construction, which will not produce such absurdity, will be made.
Syl. pt. 2, Newhart v. Pennybacker, 120 W. Va. 774, 200 S.E. 350 (1938).
6. The Legislature, by its amendment and reenactment of West Virginia Code
§ 23-2-4 in 1995, intended sound actuarial, insurance industry standards and business practices
be employed in the determination of workers' compensation premium rates, but clearly did not
intend that language to negate the Legislature's efforts to reduce any deficit in the workers'
compensation fund.
7. Statutes which relate to the same persons or things, or to the same class of
persons or things, or statutes which have a common purpose will be regarded in pari materia
to assure recognition and implementation of the legislative intent. Accordingly, a court should
not limit its consideration to any single part, provision, section, sentence, phrase or word, but
rather review the act or statute in its entirety to ascertain legislative intent properly. Syl. Pt.
5, Fruehauf Corp. v. Huntington Moving & Storage Co., 159 W. Va. 14, 217 S.E.2d 907
(1975).
9. The ultimate responsibility for the fiscal health of the West Virginia
Workers' Compensation system rests with the Legislature. Balancing the conflicting goals of
minimizing premiums while providing full and fair compensation to injured workers is the
exclusive province of our publicly elected legislators. . . . Syl. Pt. 3, in part, Repass v.
Workers' Compensation Division, 212 W. Va. 86, 569 S.E.2d 162 (2002).
10. The formula developed by the Performance Council which allocates an
amount for the amortization of the discount in assessing the workers' compensation premium
tax for self-insured employers does not constitute an undue taking without compensation in
violation of either the federal or state constitution.
11. The formula developed by the Performance Council which allocates an
amount for the amortization of the discount in assessing the workers' compensation premium
tax for self-insured employers does not violate the Due Process clause of either the federal
or state constitution.
Albright, Justice:
This case involves the consolidated appeals of three employers, Eastern
Associated Coal Corporation (hereinafter EACC), Pine Ridge Coal Company (hereinafter
Pine Ridge) and Weirton Steel Corporation (hereinafter Weirton Steel) from the
January 17, 2002, final order of the Circuit Court of Kanawha County. The final order
affirmed the November 30, 2000, administrative order of the Commissioner of the Bureau of
Employment Programs (hereinafter Commissioner) which upheld the methodology used by
the Bureau's Division of Workers' Compensation (hereinafter the Division) to calculate
premium rates for self-insured employers for fiscal year 1998 (hereinafter FY 1998).
(See footnote 1)
By
way of this appeal, the employers continue to challenge the calculation of FY 1998 workers'
compensation premium rates for self-insured employers on the grounds that it violates
statutory, regulatory and constitutional provisions. In addition to reversal of the lower court's
decision, Appellants seek: (1) adoption of Appellants' proposed findings of fact and
conclusions of law as a resolution to the proceedings below; (2) an order directing the
Division to comply with the Workers' Compensation Act, as interpreted by Appellants, and
requiring the Division to maintain a separate surplus fund, including a second injury reserve;
(3) return of overpayment of premiums due to the illegally fixed rates, including accrued
interest; and (4) attorney fees and costs, with such other relief as may be found appropriate.
After careful and reflective examination of the issues presented, we affirm the order of the
court below and deny all relief requested.
Employers may participate in the mandatory portions of the workers'
compensation system in one of three
(See footnote 4)
ways: (1) by subscribing to the program for coverage
of all risks; (2) by subscribing for a portion of risk coverage through the program but self-
insuring against other risks; or (3) by electing to self-insure against all risks. Employers
obtaining coverage by subscribing to the workers' compensation system pay premiums which
are based upon: their respective payrolls for or hours worked by their employees; the business
or function of those employees; the loss record of the employer over the years; and the cost
of administering the system. The premiums are intended by law to cover the cost of
administering the system and paying the benefits provided for those suffering workplace
injuries or diseases.
In lieu of subscribing to the Fund and paying premiums for risk coverage under
the system, employers with the financial ability to elect to be self-insured as to all or part of
their liabilities may do so under the Act.
(See footnote 5)
Claims originating from employees of self-insured employers are processed and administered by the Division; however, the benefits due
an employee for any injury for which the employer is self-insured are considered wholly the
responsibility of the employer. Unlike subscribing employers for whom charges to their
respective accounts mean simply the potential for higher premium payments in the future,
employers self-insured for particular risks have the obligation to actually pay from their own
resources any benefits due their injured employees.
Self-insured employers are required to contribute to the expense of the
administration of the workers' compensation system by paying a portion of the premiums paid
by subscribing employers. W. Va. Code § 23-2-9. Further, self-insured employers are
required to post a bond with the Division, expected to be sufficient to cover claims for which
the employer may later become liable but be financially unable to pay from available
resources. Id.
In addition, state law had for some years required the Division and its
predecessors to fix and collect premiums sufficient to develop a surplus fund to cover long-
term liabilities of the system. The surplus fund was statutorily required to contain a special
component known as the second injury reserve, often referred to as the second injury fund.
The second injury fund comes into play when
an employee who has a definitely ascertainable physical
impairment, caused by a previous occupational injury,
occupational pneumoconiosis or occupational disease . . .
becomes permanently and totally disabled through the combined
effect of such previous injury and a second injury received in the
course of and as a result of his or her employment. . . .
As related earlier, qualifying employers may elect to fully self-insure against
all workplace risks or to self-insure against specific risks. Thus, an employer may be self-
insured with respect to all general workers' compensation claims but elect to pay additional
premiums to the Division for so-called second injury and catastrophe risks,
(See footnote 6)
whereby life
awards arising out of second injuries or awards of benefits arising from catastrophic events are
paid by the system rather than the employer. In such instances, the otherwise self-insured
employer is in the same posture as any other subscribing employer. Alternatively, an employer
may elect to self-insure against second injuries
(See footnote 7)
and catastrophic risks. If self-insured with
respect to second injuries, the employer undertakes to pay all workers' compensation second
injury benefits thereafter due, including life awards, whether such benefits arise solely from
second injuries or a combination of a second injury and previous injuries.
The three employer Appellants in the case before us are required to participate
in the workers' compensation program and have elected to self-insure their risks, albeit in
somewhat different ways. EACC is self-insured for general workers' compensation liabilities
and subscribes to the Division for second injury coverage; Weirton Steel and Pine Ridge are
wholly self-insured against general and second injury risks.
(See footnote 8)
All of Appellants pay some level
of premiums, the calculation of which was affected by legislative amendments enacted in the
1990's.
In 1993 and 1995, the Legislature substantially amended the Act. The 1993
amendments included the creation of a Compensation Programs Performance Council
(hereinafter Performance Council) consisting of nine members: four representing the
interests of employers, four representing the interests of employees, and the Commissioner.
See W. Va. Code § 21A-3-3.
In the 1995 amendment of the Act, the Legislature enacted a comprehensive
revision of the requirements and methods for determining premiums for workers'
compensation coverage and made specific changes to certain provisions concerning
entitlement to benefits under the Act. W. Va. Code § 23-2-4. Because of the extensive
revision in 1995 of the provisions of West Virginia Code § 23-2-4, a comparison of the statute
as it appeared in 1993 versus 1995 will aid our discussion. The 1993 version of this section
reads as follows:
The commissioner shall distribute into groups or classes
the employments subject to this chapter, in accordance with the
nature of the business and the degree of hazard incident thereto.
And the commissioner shall have power, in like manner, to
reclassify such industries into groups or classes at any time, and
to create additional groups or classes. The commissioner may
make necessary expenditures to obtain statistical and other
information to establish the classes provided for in this section.
The full text of West Virginia Code § 24-2-4, as amended and re-enacted in
1995, is as follows:
The major changes effected by the 1995 amendment of West Virginia Code §
23-2-4 may be separated into three categories. First, the power to fix premiums for workers'
compensation coverage was vested in the Commissioner and the Performance Council, rather
than in the Commissioner alone. Second, omitting several paragraphs of statutory direction
for the establishment of such rates, the statute directed the Commissioner, in conjunction with
the Performance Council, to establish by rule the system for determining premiums, a system
of multiple policy options, and criteria for the annual employer's statement of benefit liability
and rate determination information, all in accord with legislatively enumerated standards.
Significantly, the rule-making power was vested in the Commissioner and Performance
Council, free and clear of the usual requirements for legislative rule-making review prior to
actual promulgation of the rule. Cf. W. Va. Code § 21A-3-7(c) to W. Va. Code §§ 29A-3-1 to
18. Third, the Legislature removed from its rate-making instructions the direction to fix rates
sufficient for the creation and maintenance of a reasonable surplus in each group after
providing for the payment to maturity of all liability incurred by reason of injury or death to
employees entitled to benefits under the provisions of this chapter and inserted the rate-
making instruction to fix rates sufficient to effect a reduction of any deficit that may exist in
such fund and in keeping with their fiduciary obligations to the fund . . . . W. Va. Code §§ 23-
2-4 (1993), 23-2-4(a)(2) (1995).
Prior to 1995 the Legislature directed and intended that premiums would be
collected sufficient to provide for the payment to maturity of all obligations of the Fund,
together with a reasonable surplus for each group of employers and employees established
under the system, including a second injury reserve. However, in 1995 that specific language
was deleted and the legislative direction and intention was altered to require, among other
things, premiums calculated to permit a reduction of any deficit that may exist in the Fund,
in apparent realization that the Fund then had not collected premiums sufficient to provide for
the payment of liabilities to maturity, let alone sufficient to provide a reasonable surplus for
each grouping developed under the system and a second injury reserve.
(See footnote 9)
Testimony before the
hearing examiner suggested that a large part of the impetus for requiring the development of
a plan to reduce the Fund's deficit was to improve the bond rating of the state.
In response to the 1995 legislative directives, the Commissioner and
Performance Council drafted a proposed rule and proceeded to hold the necessary public
hearings. In due course, the Risk Management Rule (hereinafter Rule 9) was promulgated.
See 85 W. Va. C.S.R. 9. This rule retains the concept of a surplus fund and defines it to include
that portion of the workers' compensation fund set aside to cover the catastrophe hazard, the
second injury hazard, deficit reduction, and all other losses not otherwise specifically provided
for by the Act. Id. at § 3.31 (emphasis supplied). In section 7 of Rule 9, the Performance
Council is vested with authority to make a series of determinations consistent with its statutory
duty to fix and maintain the lowest possible rates of premium taxes consistent with the
maintenance of a solvent workers' compensation fund and the reduction of any deficit that
may exist in such fund. . . . Id. at § 7.2 (emphasis supplied). The Performance Council is
also authorized to include claims costs in the methodology . . . [it employs] to assess deficit
reduction costs, and such other costs pertinent to the determination of required revenues. Id.
Further, the Performance Council is specifically authorized to [d]etermine the amount of
premium tax which is assessed to reduce any deficit that may exist in the workers'
compensation fund. Id.
A feature of Resolution No. 11 adopted by the Performance Council, which is
at the heart of the controversy in the appeals before us, is the requirement that employers pay
premiums increased in an amount dedicated to the [a]mortization of [d]iscount. The term
amortization of discount is, for purposes of this appeal, the amount directed by the
Commissioner and Performance Council to be included in the FY 1998 workers'
compensation premium tax rates for each employer in the state for the purpose of effecting
a perceived reduction of deficit in the workers' compensation fund.
(See footnote 10)
As the actuary for the
workers' compensation fund testified:
Upon receipt of the Commissioner's notification of the proposed FY 1998
premium tax rates, including a calculated allocation of the amortization of discount,
Appellants
(See footnote 11)
each timely protested the allocation of their share of the amortization of
discount premium. Their initial protest was filed with the Commissioner as required by
statute. See W. Va. Code § 23-2-17. The appeals were consolidated, and after hearings before
a hearing examiner, the Commissioner by order dated November 30, 2000, upheld the
premiums charged each of the Appellants. Appellants sought judicial review of this order in
the Circuit Court of Kanawha County.
(See footnote 12)
The circuit court in its final order of January 17, 2002,
upheld the Commissioner's decision; through this appeal Appellants seek a reversal of the
lower court's order.
Against this historical backdrop, we recognize that the fundamental issue raised
through this appeal is whether Appellants and others similarly situated, be they self-insured
employers as to all workers' compensation risks or not, may be required to contribute to the
reduction of this actuarially determined deficit in the workers' compensation fund in the
manner devised by the Legislature through its 1995 amendment and reenactment of West
Virginia Code § 23-2-4, and by the Commissioner and the Performance Council both in their
promulgation of Rule 9 and adoption of Resolution No. 11. In resolving this issue, we address
the various arguments raised by the parties to this appeal.
The most serious shortcoming in Appellants' argument concerning accounting
principles and insurance standards is its overemphasis on the subsidiary processes rather than
the primary goal of the rate-making statute. Appellants insist that the legislative requirements
placed on the Performance Council and Commissioner to employ GAAP, as well as insurance
industry and actuarial standards, operate to prohibit collection of any portion of the
amortization of discount from self-insured employers. In light of the contrasting deficit
reduction language, that reading of West Virginia Code § 23-2-4 suggests an ambiguity as to
its meaning, causing us to construe the statute before it can be applied. Syl. pt. 1, Farley v.
Buckalew, 186 W. Va. 693, 414 S.E.2d 454 (1992). In so doing, we are mindful that [t]he
primary object in construing a statute is to ascertain and give effect to the intent of the
Legislature. Syl. Pt. 1, Smith v. State Workmen's Comp. Com'r, 159 W. Va. 108, 219 S.E.2d
361 (1975). 'In ascertaining legislative intent, effect must be given to each part of the statute
and to the statute as a whole so as to accomplish the general purpose of the legislation.' Syl.
Pt. 2, Smith v. State Workmen's Compensation Commissioner, 159 W. Va. 108, 219 S.E.2d
361 (1975). State ex rel. Morgan v. Trent, 195 W. Va. 257, 263, 465 S.E.2d 257, 263
(1995) (quoting State ex rel. Fetters v. Hott, 173 W. Va. 502, 318 S.E.2d 446 (1984).
A central feature of the 1995 amendment to West Virginia Code § 23-2-4(a)(2)
is the Legislature's express direction to the Commissioner and Performance Council to
develop a rule which is aimed at establishing rates consistent with the maintenance of a
solvent workers' compensation fund and the reduction of any deficit that may exist in such
fund. . . . As noted earlier, the reduction of deficit language replaced language of previous
enactments which required that a surplus fund be established and maintained. Surely we would
be reaching an absurd result if we found that, by structuring the rule making and rate-making
process around strict adherence to business and accounting principles, the Legislature intended
that its own directive to correct any deficit be defeated. As we have long held, [w]here a
particular construction of a statute would result in an absurdity, some other reasonable
construction, which will not produce such absurdity, will be made. Syl. pt. 2, Newhart v.
Pennybacker, 120 W. Va. 774, 200 S.E. 350 (1938). This Court is required to attempt to give
meaning to all of the words in a statute and not to excise or negate any language if seemingly
inconsistent language can be reconciled. Syl. pt. 7, Ex parte Watson, 82 W. Va. 201, 95 S.E.
648 (1918). In the circumstances before us, we are satisfied that the Legislature, by its
amendment and reenactment of West Virginia Code § 23-2-4 in 1995, intended sound
actuarial, insurance industry standards and business practices be employed in the determination
of workers' compensation premium rates, but clearly did not intend that language to negate the
Legislature's efforts to reduce any deficit in the workers' compensation fund. Our conclusion
is further influenced by the Legislature's seeming acquiescence to the rate-making
methodology used in 1998, since further legislative amendment has not been made to these
rate-making directives or the broad grant of rule-making power to the Performance Council
after the methodology was employed. See Appalachian Power Co. v. State Tax Dept., 195
W. Va. 573, 593, 466 S.E.2d 424, 444 (1995).
Finally, we are satisfied that the record before us established that the
Performance Council and Commissioner conformed to the legislative directives to employ
appropriate business and actuarial standards in their rate-making processes. It has not been
until recent times that actuarial standards and GAAP have been introduced into this state's
workers' compensation rate-making process, as evidenced by the annual reports of the Division
in fiscal years 1989 and 1990. In the FY 1998 rate-making process, we note specifically the
extensive recourse to actuarial considerations and the reliance by the Performance Council
and Commissioner on the results of the micro insurance reserve analysis process. From the
record before us, we simply cannot say that the processes utilized failed to take into account
all legislatively prescribed standards expressed in the 1995 amendments to the Act for the
formulation of the rule or its application to the rate-making process.
Our observations are made in full recognition of the fact that actuarial standards
may yield higher or lower estimates of future obligations and so-called unfunded liabilities,
depending upon the assumptions underlying the estimates. These assumptions include such
variables as future returns on investments, valuation methods for investments, length of life
awards, fluctuations in the average annual wage in West Virginia and other analogous factors.
In the case before us, the parties did not challenge the assumptions and actuarial conclusions
underpinning the calculation of the amortization of the discount. Consequently, we accept
those calculations in the instant case as reasonably accurate for the purposes for which they
were utilized.
More enlightening points are raised by Appellants regarding seemingly
conflicting provisions of the Act. Appellants contend that separate sections of the Act
preclude self-insured employers from being assessed amortization of discount charges as part
of the deficit reduction plan because the Legislature (1) denoted the particular elements to
be included in premium computations for self-insured employers,
(See footnote 17)
and (2) provided directly
and indirectly that no other charges be levied against any self-insured employers with respect
to second injuries.
(See footnote 18)
Appellants stress that their position is bolstered by the Legislature's
failure to revise the Act, either in 1995 or to date, so as to unequivocally authorize or require
participation of self-insured employers in the deficit reduction process.
In response, the Division contends that the authority to include self-insured
employers in the deficit reduction plan is reflected in the first component of the premium tax
calculation for self-insured employers in West Virginia Code § 23-2-9(b)(1), which reads: A
sum sufficient to pay the employer's proper portion of the expense of the administration of
this chapter. The Division submits that, to the extent that the conflict Appellants maintain
exists among various provisions of the Act, it can be resolved when West Virginia Code §§ 23-
1-1(a), 23-2-5(g) are read in pari materia with West Virginia Code § 23-2-9.
159 W. Va. 108, 219 S.E.2d 361 (1975).
8. Allocation of a portion of the amortization of discount to self-insured
employers is properly included as a part of the expense of administration of the workers'
compensation fund, in conformance with the rate-making provisions of Title 85, Series 9 of
the West Virginia Code of State Regulations and the standards prescribed by the Legislature.
To gain a clearer understanding of the issues presented through this appeal, we
begin with an overview of the relevant provisions of the state's workers' compensation system.
Through the establishment of the Workers' Compensation Fund (sometimes hereinafter
referred to as the Fund), the Legislature created a state operated insurance system which
provides coverage to West Virginia employers for personal injuries sustained by their
employees during the course of and resulting from their employment. W. Va. Code Chapter
23. As designed by the Legislature, nearly all
(See footnote 2)
employers in the state are required to acquire
workers' compensation coverage or be subjected to the loss of certain common law defenses
applicable to workplace injuries, which loss could prove to be devastating to an employer sued
by injured employees. Injured employees
(See footnote 3)
are protected by the system in that it provides an
organized and predictable method by which employees receive compensation when they are
incapacitated as a result of job-related diseases and workplace injuries. Consequently, by
providing protection against such significant financial losses for both employers and
employees, the workers' compensation system has become a rudimentary part of the economic
fabric of this state.
W. Va. Code § 23-3-1(d)(1). The policy initially underlying the second injury fund was to
encourage employers to hire people who may have suffered an earlier injury. This incentive
allows a second or subsequent employer subscribing to the second injury fund to be charged
only with the benefits directly attributable to the second injury when a previously injured
employee suffers a subsequent injury resulting in a disability; if the injury results in a life
award by reason of the employee being totally disabled, the second injury fund and not the
current employer is charged with the costs of the life award. In contrast, employers not
subscribing to the second injury fund, electing instead to self-insure against such second
injuries, are charged the entire cost of a second injury life award. The legislative directive
regarding the creation of a second injury reserve within the surplus fund contemplated the
existence of a reserve for the payment of at least some of the cost of any such life award to
a previously injured employee who later becomes totally disabled.
§ 23-2-4. Classification of industries; accounts; rate of
premiums; prior notice of rate changes; exceptions.
The commissioner shall keep an accurate account of all
money or moneys paid or credited to the compensation fund, and
of the liability incurred and disbursements made against same;
and an accurate account of all money or moneys received from
each individual subscriber, and of the liability incurred and
disbursements made on account of injuries and death of the
employees of each subscriber, and of the receipts and incurred
liability of each group or class.
In compensable fatal and total permanent disability cases,
other than occupational pneumoconiosis, the amount charged
against the employer's account shall be such sum as is estimated
to be the average incurred loss of such cases to the fund. The
amount charged against the employer's account in compensable
occupational pneumoconiosis claims for total permanent
disability or for death shall be such sum as is estimated to be the
average incurred loss of such occupational pneumoconiosis cases
to the fund.
It shall be the duty of the commissioner and the
compensation programs performance council to fix and maintain
the lowest possible rates of premiums consistent with the
maintenance of a solvent workers' compensation fund and the
creation and maintenance of a reasonable surplus in each group
after providing for the payment to maturity of all liability
incurred by reason of injury or death to employees entitled to
benefits under the provisions of this chapter. A readjustment of
rates shall be made yearly on the first day of July, or at any time
the same may be necessary. At such times as the commissioner
elects to readjust the base rates for the various industrial
classifications, the commissioner shall file a schedule of the
readjusted base rates for each industrial class with the office of
the secretary of state for publication in the state register pursuant
to article two [§ 29A-2-1 et seq.], chapter twenty-nine-a of this
code. Such schedule shall be so filed at least thirty days prior to
the first day of the quarter to which an adjustment of rates is to be
applicable. At such times as the commissioner elects to readjust
the individual merit rates for the subscribers to the fund, the
commissioner shall provide notice of such merit rate adjustments
to the affected employers at least thirty days prior to the first day
of the quarter to which an adjustment of rates is to be applicable.
The commissioner shall not retroactively increase or decrease
rates except in instances of fraud, mistake or reliance upon
incorrect information furnished by the employer. The
determination of the lowest possible rates of premiums within
the meaning hereof and of the existence of any surplus or deficit
in the fund shall be predicated solely upon the experience and
statistical data compiled from the records and files in the
commissioner's office under this and prior workers'
compensation laws of this state for the period from the first day
of June, one thousand nine hundred thirteen, to the nearest
practicable date prior to such adjustment: Provided, That any
expected future return, in the nature of interest or income from
invested funds, shall be predicated upon the average realization
from investments to the credit of the compensation fund for the
two years next preceding. Any reserves set up for future
liabilities and any commutation of benefits shall likewise be
predicated solely upon prior experience under this and preceding
workers' compensation laws and upon expected realization from
investments determined by the respective past periods, as
aforesaid.
The commissioner and the compensation programs
performance council may fix a rate of premiums applicable alike
to all subscribers forming a group or class, and such rates shall be
determined from the record of such group or class shown upon
the books of the commissioner: Provided, That if any group has
a sufficient number of employers with considerable difference in
their degrees of hazard, the commissioner may fix a rate for each
subscriber of such group, such rate to be based upon the
subscriber's record on the books of the commissioner for a
period not to exceed three years ending the thirty-first day of
December of the year preceding the year in which the rate is to be
effective; and the liability part of such record shall include such
cases as have been acted upon by the commissioner during such
three-year period, irrespective of the date the injury was received;
and any subscriber in a group so rated, whose record for such
period cannot be obtained, shall be given a rate based upon the
subscriber's record for any part of such period as may be deemed
just and equitable by the commissioner; and the commissioner
shall have authority to fix a reasonable minimum and maximum
for any group to which this individual method of rating is applied,
and to add to the rate determined from the subscriber's record
such amount as is necessary to liquidate any deficit in the
schedule as to create a reasonable surplus.
It shall be the duty of the commissioner, when the
commissioner changes any rate, to notify every employer
affected thereby of that fact and of the new rate and when the
same takes effect. It shall also be the commissioner's duty to
furnish each employer yearly, or more often if requested by the
employer, a statement giving the name of each of the employer's
employees who were paid for injury and the amounts so paid
during the period covered by the statement.
1993 W. Va. Acts Reg. Sess. ch. 171.
§ 23-2-4. Classification of industries; rate of premiums;
authority to adopt various systems; accounts.
(a) The commissioner, in conjunction with the
compensation programs performance council, is authorized to
establish by rule a system for determining the classification and
distribution into classes of employers subject to this chapter, a
system for determining rates of premium taxes applicable to
employers subject to this chapter, a system of multiple policy
options with criteria for subscription thereto, and criteria for an
annual employer's statement providing both benefits liability
information and rate determination information.
(1) In addition, the rule shall provide for, but not be
limited to:
(A) Rate adjustments by industry or individual employer,
including merit rate adjustments;
(B) Notification regarding rate adjustments prior to the
quarter in which the rate adjustments will be in effect;
(C) Chargeability of claims; and
(D) Such further matters that are necessary and consistent
with the goals of this chapter;
(2) The rule shall be consistent with the duty of the
commissioner and the compensation programs performance
council to fix and maintain the lowest possible rates of premium
taxes consistent with the maintenance of a solvent workers'
compensation fund and the reduction of any deficit that may exist
in such fund and in keeping with their fiduciary obligations to the
fund;
(3) The rule shall be consistent with generally accepted
accounting principles;
(4) The rule shall be consistent with classification and
rate-making methodologies found in the insurance industry; and
(5) The rule shall be consistent with the principles of
promoting more effective workplace health and safety programs
as contained in article two-b [§§ 23-2B-1 et seq.] of this chapter.
(b) Notwithstanding any other provision of this chapter to
the contrary, the compensation programs performance council
may elect to premise its premium tax determination methodology
on the aggregate number of hours worked by employees of the
employer rather than upon the gross wages of the employer. Such
an election may apply to all industrial classifications or to less
than all. If this election is made, then in all instances in which
this chapter refers to gross wage reports for the purpose of
premium tax determination such references shall be taken to
mean a report of the number of hours so worked.
(c) The rule authorized by subsection (a) of this section
shall be promulgated on or before the first day of July, one
thousand nine hundred ninety-six. Until the rule is finally
promulgated the prior provisions of this section as found in
chapter one hundred seventy-one of the acts of the Legislature,
one thousand nine hundred ninety-three, shall remain in effect.
(d) In accordance with generally accepted accounting
principles, the workers' compensation division shall keep an
accurate accounting of all money or moneys earned, due, and
received by the workers' compensation fund, and of the liability
incurred and disbursements made against the same; and an
accurate account of all money or moneys earned, due and
received from each individual subscriber, and of the liability
incurred and disbursements made against the same.
W. Va. Code § 23-2-4 (Repl.Vol. 2002).
After promulgation of Rule 9, the Commissioner and the Performance Council
proceeded with the process for the adoption of workers' compensation premiums for FY 1998.
Following public hearings at which some adverse comments were received, most notably from
self-insured employers, an additional hearing was held for further comment on the proposed
FY 1998 premium tax rates. Finally, on May 23, 1997, the Performance Council adopted
Resolution No. 11 in which it is essentially stated that the Performance Council approved the
FY 1998 premium tax rates as recommended by then Commissioner William F. Viewig.
The amortization of the discount represents the amount of
investment income that would have been earned on the stated
liabilities at the beginning of the period, based on the assumed
interest rate. . . . [A]ssuming the Division collects enough money
for prospective coverage, [it] is the amount of money that has to
be collected to stop the deficit from increasing just by the
missing interest on the discounted liabilities.
The amortization of discount was first allocated between regular subscribers as a class and
self-insureds as a class. See note 41 for a more detailed explanation. The allocation of the
self-insured employer share of the amortization of discount among specific self-insured
employers involved a further two-step process. The first step was based upon the number of
second injury claims each self-insured employer had in a three-year period; the second step
divided among active self-insured employers a share of the claims incurred by inactive self-
insured employers.
Judicial review of the matter at hand is sought pursuant to the Administrative
Procedures Act which provides that [a]ny party adversely affected by the final judgment of the
circuit court . . . may seek review thereof by appeal to the supreme court of appeals of this
state . . . . W. Va. Code § 29A-6-1 (1964) (Repl. Vol. 2002). The scope of our review of
these cases is summarized in syllabus points one and two of Wheeling-Pittsburgh Steel Corp.
v. Rowing, 205 W. Va. 286, 517 S.E.2d 763 (1999), as follows:
1. Under the West Virginia Administrative Procedures
Act, W. Va. Code ch. 29A, appellate review of a circuit court's
affirmance of agency action is de novo, with any factual findings
made by the lower court in connection with alleged procedural
defects being reviewed under a clearly erroneous standard.
2. On appeal of an administrative order from a circuit
court, this Court is bound by the statutory standards contained in
W. Va. Code § 29A-5-4[ ] and reviews questions of law presented
de novo; findings of fact by the administrative officer are
accorded deference unless the reviewing court believes the
findings to be clearly wrong. Syl. pt. 1, Muscatell v. Cline, 196
W. Va. 588, 474 S.E.2d 518 (1996).
Of particular relevance to the issues raised by this appeal is the review standard set forth in
syllabus point one of Appalachian Power Co. v. State Tax Dept., 195 W. Va. 573, 466 S.E.2d
424 (1995): Interpreting a statute or an administrative rule or regulation presents a purely
legal question subject to de novo review.
Appellants advance several grounds for the reversal of the lower court's
affirmance of the administrative order. While not all Appellants advance the same arguments,
a fair summary of their collective positions is: (1) the Division violated statutory, regulatory
and fiduciary obligations in failing to develop a surplus fund, including a second injury reserve;
(2) the method adopted by rule to increase the premium tax by amortizing the discount is at
variance with generally accepted accounting principles (hereinafter GAAP) as well as
insurance and actuarial standards, compliance with which is required either by the statute
authorizing the rule or proper business standards; (3) the imposition by the Division of an
additional or increased premium tax to amortize the discount or reduce the deficit with respect
to self-insured employers contravenes prior decisions of this Court, provisions of the Act, and
relevant regulations; (4) the portion of the premium tax designed to amortize the discount or
reduce the deficit involves prior second injury life awards and as such is an impermissible
retroactive assessment of costs; (5) the additional premium tax represents a violation of
federal and state constitutional provisions prohibiting the taking of private property for public
use without just compensation; and (6) the increase in premium tax violates the due process
clauses of the federal and state constitutions. We consider each of these contentions in turn.
Appellants are substantially correct when they assert that the Division has failed
to maintain a surplus fund, as described in West Virginia Code § 23-2-4, before the adoption
of the 1995 amendments. While the Fund has, at least until relatively recently, had an
accumulation of assets for future payment of claims, the longstanding practice for computing
premiums was not in compliance with the expressed legislative intent of building a surplus
sufficient to provide for the payment to maturity of all liability incurred by reason of injury
or death of covered employees, including a reserve for life awards in second injury cases. The
Division does not dispute this point.
(See footnote 13)
The record further reflects that it has not been until rather recently that efforts
have been made to actuarially compute the value of awards made at a given point in time with
regard to the liability for future payments. The record discloses that the actuarially indicated
estimate of the total of future payments due on all open claims at the time the FY 1998 rates
were being determined was calculated at $6 billion and the actuarially determined present value
of that sum is approximated at $2.2 billion, considerably less than the assets maintained in the
Fund over a number of years. We further understand from the record that the dollar amount
of the amortization of the discount is roughly $3.8 billion, which is the difference between the
actuarially determined undiscounted sum of $6 billion and the discounted or present value sum
of $2.2 billion. Through the FY 1998 premium tax assessments, the Commissioner and
Performance Council proposed to recoup the first annual installment
(See footnote 14)
of this sum.
(See footnote 15)
Appellants claim that in the process of rule making and increasing the premiums
to reduce the deficit, the Commissioner and Performance Council failed to comply with the
legislative directive that the rule be consistent with generally accepted accounting principles
and classification and rate-making methodologies found in the insurance industry. W. Va.
Code § 23-2-4(a)(3) and (4). The cornerstone of Appellants' argument is that insurance
industry rate-making undertakes to foretell future risks rather than to recover a deficit due to
inadequate rates charged in the past. While this argument has allure on first blush, it loses
much of its attraction on closer examination. Common experience tells us that insurance rate-
making takes into account multiple factors including an insured's past loss record, past
experience with the class in which an insured is placed, past profitability of the line of
insurance, investment profits, asset valuations, overall company profitability, as well as other
relevant elements. Recent events in the state have heightened our awareness of the fact that
if an insurer is of the opinion that a profit has not or cannot be made, the insurer may apply for
weighty premium increases to satisfy these factors or elect to withdraw from a given line of
insurance or elect to discontinue offering a particular type of coverage. These alternatives are
obviously solutions which are not available to the Commissioner and Performance Council.
Appellants point to several decisions of this Court
(See footnote 16)
in which we addressed the
purpose of the so-called second injury fund and held that second injury life awards must be
charged to and paid by the Commissioner and not be charged to the employer. As germane as
these cases may appear to be, they were decided under facts and circumstances unlike those
presently before us and provide no substantive guidance in the instant case. Each of these
decisions presumes the presence of a surplus fund and, by implication, the second injury
reserve. Because these cases were decided well in advance of the statutory developments at
issue, they do not address the critical issues giving rise to this action or the 1995 statutory
amendments directing the reduction of any deficit, and are thus inapposite. W. Va. Code §
23-2-4.
At the outset, we observe that the phrase expense of the administration of this
chapter is not, nor has it ever been,
(See footnote 19)
defined within the Act. W. Va. Code § 23-2-9(b)(1).
While historic application of the phrase to self-insured employers' premium rates has only
included the routine management costs of the Division, we must look to see if the 1995
amendments to West Virginia Code § 23-2-4 regarding general rate-making authority allows
the definition of the term to be broadened with respect to self-insured employer premium tax
rates. There is no question that the Legislature failed in 1995 to make parallel amendments
between the general rate-making section and the self-insured employer premium tax section
of the Act and that this failure gives rise to ambiguity in the overall statutory scheme for such
rate-making. When faced with interpreting multiple statutory provisions, this Court has
maintained that:
The Division suggests that the concept of administration in West Virginia Code
§ 23-2-9 extends to administration of the entire chapter and should be read broadly to include
all duties and obligations directed by the Act. West Virginia Code § 23-1-1(a) provides that
[t]he commissioner of the bureau of employment programs . . . has the sole responsibility for
the administration of this chapter except for such matters as are entrusted to the . . .
performance council. In addition to duties such as participating in the rate-making process,
the Commissioner also has the obligation under Chapter 23 to make claims payments to all
injured workers whose benefits are in fact not paid. Such obligation includes payment of
benefits to employees of former and current subscribing employers who did not make adequate
payments or have gone out of business, as well as employees of self-insured employers that
are unable to pay the benefits from their resources and have not secured sufficient bonding or
have gone out of business without having made adequate provision for maturing claims. See
W. Va. Code § 23-2-5(g). According to the terms of West Virginia Code §§ 23-1-1 and 23-2-
5(g), administration of this chapter embraces not only routine management expenses such
as personnel, travel and supplies, but also provision for the payment of benefits as they mature
to all qualifying injured employees. In this sense, premium taxes imposed have to include
allowances for the inability of subscribing or self-insured employers to pay benefits.
Statutes which relate to the same persons or things, or to
the same class of persons or things, or statutes which have a
common purpose will be regarded in pari materia to assure
recognition and implementation of the legislative intent.
Accordingly, a court should not limit its consideration to any
single part, provision, section, sentence, phrase or word, but
rather review the act or statute in its entirety to ascertain
legislative intent properly.
Syl. Pt. 5, Fruehauf Corp. v. Huntington Moving & Storage Co., 159 W. Va. 14, 217 S.E.2d
907 (1975).
Consequently, barring express
legislative exclusion to the contrary, the itemization of the expense
of the administration of this chapter as a component of the workers'
compensation premium tax rate that may be levied against self-insured employers
may include provision for maturing benefits, which are required by law to
be paid by the Commissioner when an employer defaults or otherwise is unable
to meet its obligation, as part of the cost or expense of administering Chapter
23. See W. Va. Code § 23-2-9(b)(1).
In arriving at this conclusion, we are mindful that our review of an agency's
construction of the statute it administers as reflected in a rule promulgated by that agency is
limited and this Court does not have free reign to substitute its preferred construction of the
statute for that of the agency. Syl. Pt. 4, Appalachian Power Co. v. State Tax Dept., 195 W.
Va. at 579, 466 S.E.2d at 430. In cases where an agency's governing statute is silent or
ambiguous with respect to a specific issue, this Court shows substantial deference to the
agency's construction as reflected in a rule or regulation, or application thereof, unless the
agency has exceeded its constitutional or statutory authority or has acted arbitrarily or
capriciously. Frymier-Halloran v. Paige, 193 W. Va. 687, 694, 458 S.E.2d 780, 787 (1995)
(stating that courts will not override administrative agency decisions, of whatever kind, unless
the decisions contradict some explicit constitutional provision or right, are the results of a
flawed process, or are either fundamentally unfair or arbitrary).
Our examination of the record reveals that the hearing examiner properly found
that the agency acted within the limits of statutory authority and valid reasoning. The hearing
examiner specifically said that:
Additional evidence bearing on this issue was introduced through testimony
before the hearing examiner that administrative charges in Kentucky and Rhode Island include
expenses other than the expenses associated directly with the management of the system.
Examples of such items charged as administrative expenses were assessments for a closed
second injury fund and cost-of-living increases for previously injured workers. As to
Kentucky's second injury fund, the actuary for the Division testified: The fund was closed to
claims . . . [where] last exposure [occurred] beyond December 12, 1996, but the fund is still
in operation and accepting new claims if they are from exposures prior to that date. He went
on to explain how the Kentucky statute
(See footnote 24)
directs that monies to pay the claims, including
unfunded liabilities, be obtained by stating:
Despite Appellants' protestations, we are not convinced that the provisions of
West Virginia Code §§ 23-3-1(d) and 23-2-9(e)(3) negate such a reading. These provisions
relate to limiting charges against employers for second injury life award payments to their
individual employees. We reach this conclusion, as more fully developed below, based on our
opinion that the methodology adopted to calculate self-insured premium taxes addressed
reducing the overall deficit or unfunded liability of the entire workers' compensation system.
While we cannot explain the Legislature's failure to amend these statutory provisions
concurrent with the amendment and reenactment of West Virginia Code § 23-2-4(a)(2), we
conclude that the failure of the Legislature to prevent the continuing assessment of the
amortization of the discount factor supports our conclusion.
Appellants' contention that it is impermissible for the additional tax to be
applied to self-insured employers because it allows the Division to recoup second injury life
award payments is not supported by the record. While the financial problems of the Division
necessarily include the second injury fund, the additional tax to amortize the discount is not
directly correlated to second injury life awards. The need to amortize the discount does not
arise solely by reason of historical conditions and causes that are attributable to current and
former employers classified as self-insured, but also includes such conditions and causes
involving employers who are not self-insured. The overarching reality is that the workers'
compensation system is a comprehensive remedy for workplace injuries and diseases which
permeates virtually every employment situation in the state and under which the workers'
compensation fund is ultimately responsible for every claim and benefit provided under the
law. Accordingly, the Fund carries every burden dropped or avoided by any under-assessed,
non-paying, closed, failed or bankrupt employer, save the extent to which surety bonds of self-
insured employers alleviate this burden. It is readily apparent that, given the ever-changing
nature of the state's economy, much of the high-employment, high-wage industrial economy
has ceased to exist, but the workers' compensation fund has not kept pace with those changes.
Status as a self-insured employer is a privilege by which a qualifying employer
is excused from payment of the full premium tax based upon the employer's representation
that a sufficient bond is being posted to defray all future obligations of the Fund which result
from that employer's activities. It is telling that the Legislature chose not to exclude self-
insured employers from the directive that rates be fixed to maintain a solvent workers'
compensation fund and to reduce any deficit in that Fund by specifying that the system for
determining rates of premium taxes [be] applicable to employers subject to this chapter. W.
Va. Code § 23-2-4(a) (emphasis added). It is reasonable to conclude that the Legislature thus
intended that part of the cost associated with an employer maintaining the privilege to self-
insure was inclusion of such employers in the deficit reduction plan. This conclusion is
further supported by the evidence in this case which indicates that over a lengthy period of time
self-insured employer security bond requirements have not been stringently enforced, resulting
in expanded liability being placed on the Fund for these unsecured obligations.
(See footnote 25)
While the
Legislature cannot at any point in time forecast which employers operating in the state may in
the future be under-assessed, non-paying, closed, failed or bankrupt employers, it would be
improper for this Court to attempt to curb the reasonable discretion of the Legislature to
address the consequences of some employers inevitably falling into these classifications.
The need to increase premium taxes has been influenced by numerous factors.
As previously mentioned, under-assessed, non-paying, closed, failed or bankrupt employers
contribute to the financial situation under discussion. The reduction or capping of premium
rates which has occurred on occasion, presumably for the purpose of encouraging economic
development or of fostering the continuation of existing businesses, also has exacerbated the
financial problems of the system.
(See footnote 26)
The practice of capping premiums, which was used in
determining the FY 1998 rates according to Resolution No. 11, not only has financial
implications but also obviously diminishes the correlation between the premiums charged and
the job-related injury experience of the employer. Benefits payable under particular court
decisions may well not have been anticipated in fixing rates in particular years. Likewise,
escalating health care costs, especially in recent years, may not have been anticipated in fixing
rates at a level necessary to secure future benefit payments. Certainly, fluctuations in the
valuation of assets and in rates of return on those assets are considerable factors. Although
not exhaustive, the enumerated conditions are sufficient to demonstrate that many employers,
subscribing or self-insured, may not have made any direct contribution to the Funds' financial
woes. Despite that appearance, the record simply does not support the conclusion that self-
insured employers must be excluded from the obligation to address the deficit. Whether by
reason of artificially reduced or capped premiums, business closures, reduced bonding
requirements or other causes, self-insured employers _ like other employers whose
employees may have made little or no call on the resources of the Fund _ may reasonably be
called upon to assist in the reduction of the deficit, represented in this case as the amortization
of discount. The stark reality is that the future health of the Fund is at stake, posing a
significant threat to the interests of all employers and employees in the state. We continue
to recognize as we did in syllabus point three of Repass v. Workers' Compensation Division,
212 W. Va. 86, 569 S.E.2d 162 (2002), that:
In our view, the imposition on all employers of additional premium taxes to
amortize the discount does not represent a prohibited retroactive charge imposed upon self-
insured or other employers subject to the Act. As we recognized over fifty years ago in
Hereford v. Meek, 132 W. Va. 373, 52 S.E.2d 740 (1949):
Having fully addressed the non-constitutional challenges involving the premium
costs at issue, we now consider Appellants' arguments that the inclusion of the amortization
of the discount factor amounts to an unlawful taking and is in violation of their substantive
rights of due process.
Appellants maintain that the challenged premium assessments are an
impermissible taking in violation of both the federal and state constitutions. See U.S. Const.
amend. V; W.Va. Const. art. III, § 9.
(See footnote 27)
According to Appellants, the Division's actions in
charging them additional costs for the purpose of amortizing the discount constitute a
regulatory taking without just compensation. See id. As support for this argument,
Appellants rely primarily on the decisions reached by the United States Supreme Court in
Eastern Enterprises v. Apfel, 524 U.S. 498 (1998) and the Fifth Circuit Court of Appeals in
U.S. Fidelity & Guaranty Co. v. McKeithen, 226 F.3d 412 (5th Cir. 2000). Neither Eastern
Enterprises nor McKeithen, however, compel the conclusion that the additional premium
costs at issue constitute an unconstitutional taking.
In similar fashion, the Fourth Circuit Court of Appeals has recognized that
Eastern Enterprises does not stand for the legal proposition that the Eastern assignments
under the Coal Act contravene the Takings Clause.
(See footnote 32)
A.T. Massey Coal Co. v. Massanari, 305
F.3d 226, 237 n.17 (4th Cir. 2002). Given the high court's lack of consensus, the Fourth Circuit
resolved that it would apply Eastern Enterprises only to coal operators that stand in a position
substantially identical to that of Eastern.
(See footnote 33)
Ibid.; accord Unity Real Estate, 178 F.3d at 659.
To determine whether the A.T. Massey Coal operators were in a position substantially
identical to that of the Eastern operators, the Fourth Circuit sought to identify those factors
that were critical to both the plurality and Justice Kennedy in their respective determinations
that requiring Eastern, as a former coal operator, to be responsible for funding health benefits
for certain retired miners was unconstitutional. 305 F.3d at 237.
In finding the allocation of retroactive responsibility
(See footnote 34)
for health benefits
unconstitutional in Eastern Enterprises, both the plurality and Justice Kennedy placed
significance on the fact that [n]ot until 1974 . . . could lifetime medical benefits . . . have been
viewed [by the affected coal miners] as promised. 524 U.S. at 535; accord 524 U.S. at 550
(Kennedy, J., concurring in judgment, dissenting in part). Because Eastern had left the coal
industry in 1965, it had never been a signatory to any national bituminous coal wage agreement
that carried the implied promise of lifetime health benefits for miners. See 524 U.S. at 530-32;
524 U.S. at 550 (Kennedy, J., concurring in judgment, dissenting in part) (observing that
expectation of lifetime health benefits was created by promises and agreements made long
after Eastern left the coal business). Consequently, Eastern could not have contemplated
liability for the provision of lifetime benefits to the widows of deceased miners before 1974,
when it was no longer in the business of coal mining.
(See footnote 35)
524 U.S. at 531.
Applying principles of substantive due process
(See footnote 36)
rather than the Takings Clause,
Justice Kennedy similarly concluded that the retroactive reach of the Coal Act was
unconstitutional. In contrast to economic legislation that is limited to a prospective application
and which carries with it the presumption of constitutionality, Justice Kennedy remarked upon
our legal tradition's disfavor of retroactive economic legislation. 524 U.S. at 547-48
(Kennedy, J., concurring in judgment, dissenting in part). Characterizing the Coal Act's
imposition of liability on employers based on events that took place thirty-five years ago as
severe retroactive legislation and noting that such legislation was of unprecedented scope
in its reach, Justice Kennedy determined that the specific circumstances present in Eastern
Enterprises
(See footnote 37)
were egregious and presented that rare instance[] in which even such a permissive
standard [deferential review accorded to substantive due process challenges of economic
legislation] has been violated. 524 U.S. at 549-550 (Kennedy, J., concurring in judgment,
dissenting in part).
Distilling its analysis of the factors common to both the plurality and Justice
Kennedy's concurrence, the Fourth Circuit determined that, for purposes of applying the
Eastern Enterprises decision, a coal operator stands in a position 'substantially identical' to
that of Eastern if it had no connection to the 1974 or subsequent NBCWAs [national bituminous
coal wage agreements]. 305 F.3d at 237. While the Massey plaintiffs argued that since they
never signed the 1974 or subsequent national bituminous coal wage agreements they were in
the same position as Eastern, the Fourth Circuit disagreed, citing the related persons status
of the Massey plaintiffs with respect to signatory coal operators under the Coal Act. Based
upon the clear Congressional intention to treat related persons as though . . .[each member
of a controlled group of corporations] had employed every miner who worked for any member
of the group, the Fourth Circuit determined that the non-signatory status of the plaintiff
Massey companies to either the 1974 or any subsequent national bituminous coal wage
agreement did not prevent the application of the Coal Act provisions. Id. at 239. In finding that
the Massey plaintiffs were not in a substantially identical situation to that presented in
Eastern Enterprises, the Fourth Circuit noted that, just as the United States Supreme Court
recognized its obligation to defer to the Congressional statutory definitions in Eastern
Enterprises,
(See footnote 38)
it was similarly required to rely on Congress' decision to designate 'related
persons' as a single legal entity under the Coal Act. Id. at 240.
In analyzing the economic impact of the challenged legislation, the Fifth Circuit
explained that the legislation impose[d] a considerable, novel financial burden on the
plaintiffs. 226 F.3d at 416. Prior to the legislation's enactment, insurers paid a net amount
of zero for claims made on the Second Injury Fund and collected SIF premiums from their
insureds only to pass-through the SIF assessments. Id. at 416-17. Under the provisions of the
challenged act, insurers were assessed charges based on benefits paid under insurance policies
written before the law's effective date. 226 F.3d at 417. The Court in McKeithen noted that
the plaintiff insurers who were no longer in the business of providing such insurance benefits,
as contrasted to active insurers, had no means to recoup the charge and characterized the $50
million in retroactively assessed costs as substantial. Ibid. Of further importance to the Fifth
Circuit in evaluating the economic impact of the Louisiana legislation was the fact that the
newly-created liability reflect[ed] no proportionality to the plaintiffs' experience with the SIF.
Ibid. In marked contrast to serving as a payment intermediary for twenty years, receiving no net
benefits and incurring no net costs, the plaintiff insurers were now required under the
challenged act to make significant net contributions to the fund. Ibid.
Focusing on the retroactive reach of the costs assessed to the insurers _ a reach
of twenty years _ the Fifth Circuit quickly determined that the cost-neutrality basis of the prior
funding scheme had been dismantled. The Court in McKeithen then examined whether the
plaintiff insurers could have foreseen either an alteration in the premium-based assessments
or the retroactive imposition of a benefits-based method of assessing premiums. 226 F.3d at
418. The Court opined:
Ibid. (footnote omitted). On the issue of whether the plaintiff insurers had sufficient notice
of the challenged legislation, the court observed in McKeithen: There are no indications in the
law itself, in the legislative history, or in the record of this case that the SIF was financially
insecure, or that employers were having trouble bearing the costs of operating the SIF. 226
F.3d at 419. Rejecting the district court's analysis that the
questioned legislation was merely 'a rational attempt by the state to
impose the costs inherent in a certain type of business activity on those that
have profited from the fruits of the business in question,' the Fifth
Circuit explained that the plaintiff insurers, as contrasted to the employers,
did not benefit from the prior second injury funding scheme. Ibid. Describing
the nature of the government action at issue as unusual, in that
the Legislature failed to identify[] a compelling problem, such as the
financial insecurity of the SIF, the Fifth Circuit determined that the
challenged legislation had 'single[d] out certain [parties] to bear a
burden that is substantial in amount, based on the [parties'] conduct far in
the past, and unrelated to any commitment that the [parties] made or to any
injury they caused. . . .' Ibid. (quoting Eastern Enterprises, 524
U.S. at 537).
In concluding that the Louisiana statute constituted a taking, the Fifth Circuit
reasoned:
Act 188 as applied to plaintiffs' pre-enactment contracts
retroactively imposes a heavy economic burden on those who
could not reasonably anticipate the liability. The extent of the
liability is disproportionate to the plaintiffs' experience with
the SIF, and the legislation is unnecessary to substantially
advance a legitimate state interest.
As an initial matter, we observe that both Eastern Enterprises and McKeithen
involved premium assessments with a severe retroactive reach. In the former case it was thirty-
five to fifty years and in the latter it was twenty years. As we explained above in refuting
Appellant's contention that the additional component of the premium tax is a retroactive cost,
the portion of the premium reflecting the amortization of the discount is a current cost deemed
necessary to keep the fund afloat, rather than an assessment solely correlated to second injury
life awards. Moreover, the mere fact that the quantity of an employer's second injury life
awards is a component in the complex formula devised to address the remedial issue of the
funding deficit does not render the premium assessment formula unconstitutional. See, e.g.,
Usery v. Turner Elkhorn Mining Co., 428 U.S. 1 (1975) (upholding imposition of retroactive
cost-spreading scheme for black lung benefits legislation among employers who had profited
from fruits of affected employees' labor against due process challenge); see also McKeithen,
226 F.3d at 419 (suggesting that financial insecurity of second injury fund or inability of
employers to solely bear costs of fund would be relevant factors concerning issue of assessing
retroactive premiums). Unlike the methodology employed to calculate premiums in Eastern
Enterprises,
where the assessment was directly and specifically tied to the employment of
individuals several decades earlier, the premium assessment at issue here has no far reaching
retroactive effect. Even assuming some retroactive effect of the premium assessment under
consideration, retroactivity alone does not render a statute unconstitutional. See Unity Real
Estate, 178 F.3d. at 671 (stating that [w]here Congress acts reasonably to redress an injury
caused or to enforce an expectation created by a party, it can do so retroactively). And,
because the premium assessment was calculated based in terms of reducing the Fund's deficit
as a whole, rather than being directly correlated to the second injury fund, Appellants fail in
their attempt to convince us that the costs under scrutiny qualify as severely retroactive under
the reasoning of the plurality opinion in Eastern Enterprises and McKeithen.
Another significant difference between Eastern Enterprises and McKeithen and
this case, which we have already touched upon, arises from the concern that substantially all
employers in this state, not just self-insured employers or subscribers to the second injury fund,
are subject to the inclusion of the amortization of the discount factor in their premiums. What
was critical to the plurality in Eastern Enterprises and the Fifth Circuit in McKeithen was the
singling out of certain entities for cost assessments. See 524 U.S. at 537; 226 F.3d at 419.
Had only self-insured employers been charged a premium which contained an amortization of
the discount factor, serious issues of fairness would undoubtedly be raised. In contrast to the
scenarios presented in Eastern Enterprises and McKeithen, the Performance Council did not
single out any one type of employer in its distribution of premium costs. Appellants have
simply not demonstrated that the premiums assessments of which they complain are
disproportionate to their experience with the Fund.
(See footnote 41)
See Eastern Enterprises, 524 U.S. at 523
(recognizing that party challenging governmental action as an unconstitutional taking bears a
substantial burden).
Of importance to the plurality in Eastern Enterprises and the Fifth Circuit in
McKeithen were the related issues of investment-backed expectations and forseeability. In
Eastern Enterprises, the plurality focused on the fact that Eastern could not have contemplated
the imposition of liability for lifetime health benefits for coal miners due to its departure from
the coal mining business almost ten years prior to the time when such an industry wide
agreement was reached. Similarly, in McKeithen the Fifth Circuit emphasized that the insurers,
who had always operated solely as payment conduits, had no basis for anticipating a change in
the funding formula that would have involved the assessment of premiums against them. The
appellate court emphasized that there was no pattern of conduct on the state's part that could
have given the plaintiffs sufficient notice that cost-neutrality would end. McKeithen, 226 F.3d
at 419. In stark contrast to both of those cases, Appellants have been on notice beginning in
1993 when the workers' compensation statutes were rewritten and then in 1995 when the
statutes were substantially rewritten, and arguably sooner,
(See footnote 42)
that the Fund was facing the
possibility of serious financial infirmity. See Connolly v. Pension Benefit Guar. Corp., 475
U.S. 211, 226-27 (1986) (upholding retroactive legislation based on fact that employers were
continuously aware during entire period of retroactivity that Congress was studying funding
mechanism for multiemployer pension plans and that statutory withdrawal liability might be
required). Consequently, Appellants cannot seriously posit that an increase in premiums that
would force them to bear some of the financial burden of keeping the Fund afloat was not
foreseeable.
As opposed to the findings by the plurality in Eastern Enterprises and the court
in McKeithen, the nature of the government action at issue in this case is not unusual. See
524 U.S. at 537; 226 F.3d at 419. Unlike the concerns raised by the plurality in Eastern
Enterprises that Congress had single[d] out certain employers to bear a burden that is
substantial in amount, based on the employers' conduct far in the past, and unrelated to any
commitment that the employers made or to any injury they caused, the government action at
issue here is prototypical in that the Legislature, through the efforts of the Performance
Council, took action in response to the compelling state interest of keeping the Fund afloat and
the related interest of preventing a lowering of the state's bond ratings. 524 U.S. at 537. There
can be no question that the financial insecurity of the Fund _ a compelling state interest _ is
the driving force behind implementing, as part of the premium costs, an amortization of the
discount factor. In clear contrast to the lack of commitment by the employers in Eastern
Enterprises and the insurers in McKeithen, Appellants made an implicit commitment to their
employees to pay all fairly and reasonably assessed premiums as a means of enabling their
employees to receive the benefits to which they are entitled under the workers' compensation
statutes.
(See footnote 43)
And, as discussed above, Appellants are unable to succeed on a disproportionality
argument, as they, along with other non-excluded employers, were assessed premium increases
that included the amortization of the discount factor.
(See footnote 44)
Further evidence of the fact that Appellants do not stand in shoes comparable to
the plaintiffs in either Eastern Enterprises or McKeithen is shown by their collective inability
to demonstrate that: (a) they could not have reasonably anticipated an increase in premium costs
due to the well-known financial situation of the fund; (b) their assessment is disproportional to
their experience with the Fund; and (c) that the legislative action taken in implementing the
costs at issue was unnecessary to substantially advance a legitimate state interest. McKeithen,
226 F.3d at 420 (citing Eastern Enterprises, 524 U.S. at 528-29). Upon careful and thorough
review of the applicable authority, we find that the formula developed by the Performance
Council which allocates an amount for the amortization of the discount in assessing the
workers' compensation premium tax for self-insured employers does not constitute an undue
taking without compensation in violation of either the federal or state constitution.
Challenges to economic legislation based on substantive due process are
examined under a deferential standard of review. Concrete Pipe & Products v. Constr.
Laborers Pension Trust, 508 U.S. 602, 639 (1993) (citing Usery, 428 U.S. at 19).
Understandably, the high level of deference that is accorded to legislative actions aimed at
addressing economic problems results from a recognition that lawmakers are uniquely charged
with responsibility for passing laws designed to cure such serious social concerns.
Consequently, courts are unwilling, as a rule, to second guess the wisdom of cost-spreading
mechanisms adopted in connection with a particular legislative act, provided that such
legislation can be viewed as a rational means of addressing the economic problem at issue. See
Usery, 428 U.S. at 19 (It is enough to say that the Act approaches the problem of cost
spreading rationally; whether a broader cost-spreading scheme would have been wiser or more
practical under the circumstances is not a question of constitutional dimension.).
The decision of the Performance Council, operating under recognized principles
of legislative power delegation,
(See footnote 45)
to spread the costs of amortizing the discount between all
employers is a determination which is similarly entitled to deference. See Usery, 428 U.S. at
18 (stating that it is for Congress to choose between imposing the burden of inactive miners'
disabilities on all operators, including new entrants and farsighted early operators who might
have taken steps to minimize black lung dangers, or to impose that liability solely on those early
operators whose profits may have been increased at the expense of their employees' health).
In repeatedly remonstrating their lack of responsibility for the financial condition of the Fund,
what Appellants overlook is the collective responsibility of self-insured employers as a class
for unpaid benefits and their concomitant interest and role in preventing the insolvency of the
Fund. Moreover, the critical issue is whether the methodology chosen for assessing the
additional premiums costs at issue here is a rational means of addressing the Fund's plight, and
not identifying who caused the problem.
In upholding the payment of health benefits under the Coal Act against due
process challenges raised by employers who had been signatories to coal agreements in 1978
but who had been out of the industry for eleven years, the Third Circuit declared that
[e]ssentially, the Act is Congress's attempt to do equity. Unity Real Estate, 178 F.3d at 673.
As with any piece of economic legislation that seeks in a comprehensive fashion to address a
serious financial obligation, there will always be challenges predicated on fairness. Given the
entitlement of deference accorded to such legislation, however, we can only set aside the
premium funding mechanism at issue here if we conclude that the adopted funding structure was
arbitrary and irrational. It is clear to this Court that the methodology employed to calculate the
amortization of the discount factor involved a detailed effort to identify all relevant factors that
contributed to the Fund's financial situation. That process, which was grounded in recognized
insurance principles and correlated to the experience of the various differing types of
employers with the Fund, appears reasonable. While we cannot make this declaration with the
preciseness of a mathematical formula, our reviewing obligation does not require such
exactness: [U]nder the deferential standard of review applied in substantive due process
challenges to economic legislation there is no need for mathematical precision in the fit
between justification and means. Concrete Pipe, 508 U.S. at 639.
Based on our opinion that the Performance Council was clearly charged with
responsibility for setting premium rates that included costs necessary to maintain a solvent
workers' compensation fund and to reduce the deficit, we cannot conclude that the mechanism
by which the Performance Council opted to address the serious and well-known financial
situation of the Fund was either arbitrary or irrational. See W.Va. Code § 23-2-4(a)(2). Like
Congress's actions in enacting the Coal Act, the Performance Council was simply attempt[ing]
to do equity. Unity Real Estate, 178 F.3d at 673. And, as the United States Supreme Court
observed in Usery, the issue of whether a cost-spreading mechanism other than the one
legislatively chosen would have been wiser or more practical under the circumstances is not
a question of constitutional dimension. Usery, 428 U.S. at 19. Consequently, we determine
that the formula developed by the Performance Council which allocates an amount for the
amortization of the discount in assessing the workers' compensation premium tax for self-
insured employers does not violate the Due Process clause of either the federal or state
constitution.
Finding no merit in the arguments raised by Appellants, we affirm the January 17,
2002, final order of the Circuit Court of Kanawha County and deny all relief requested.
Specifically, we decline to enter the requested order to compel the Commissioner to meet
fiduciary obligations of the Act, past or present, deferring in the circumstances to the current
efforts of the executive and legislative branches to address such workers' compensation issues
in plenary fashion. In consideration of the compelling circumstances, we hereby direct the
entry of the necessary order and the issuance forthwith of the mandate pertaining to this
decision.
Effective Date Rate (brackets denote decrease)
The Commissioner in the administration of this chapter must, by
mandate, keep a solvent fund and reduce the deficit. Thus, the
Commissioner must be granted the authority pursuant to said duty
of administration, to reduce the deficit. Amortization of discount
is the number that keeps the deficit from growing. Thus, the
administrative responsibility of keeping the deficit from growing,
is represented in amortization of the discount, which was
properly defined as an appropriate expense of administration.
Authority for this rationale[] is found in West Virginia Code
Section[s] 23-2-4, 23-2-9 and 85 CSR 9.
(See footnote 20)
We are not swayed by Appellants' argument that amortization of the discount
cannot be an administrative charge because it is not mentioned in the pertinent regulations
addressing the components of administrative charges. Initially, we observe that the regulation
(See footnote 21)
and underlying statute
(See footnote 22)
on which Appellants rely were not adopted in the face of a looming and
growing deficit in the overall workers' compensation fund which the Legislature chose to
address in its 1995 amendments to the Act. The dominant message conveyed by the
Legislature in 1995 to the Commissioner and Performance Council regarding the rate-making
process was to address the workers' compensation fund deficit. The Legislature is entitled to
substantial latitude in dealing with the deficit problem. Again we note that the Legislature has
met in plenary session on at least five occasions since this rate-making methodology was
employed and has not prohibited or otherwise altered the allocation of a portion of the
amortized discount to self-insured employers. The record discloses that what constitutes the
cost of administration with regard to workers' compensation systems varies from state to state
and is dependent upon the duties of the administrator of the Fund. This fact, along with the
recognition that there are considerable statutory and structural differences among the workers'
compensation programs of the states, make it difficult to arrive at a generally accepted
definition of cost of administration. Nonetheless, we find guidance in the interpretation Ohio
has accorded to the phrase cost of administration because Ohio operates a system structured
similarly to West Virginia's. In State ex rel. Fulton Foundry & Mach. Co. v. Morse, 140
N.E.2d 49 (Ohio App. 1956), an Ohio appellate court found that the phrase cost of
administration in the context of its workers' compensation law means costs incident to the
duties and performance of the activities of the commission.
(See footnote 23)
Id. at 55.
All employers in the state are assessed, the last number I saw was,
nine percent of [their] premium, their Workers' Comp. premium.
If they are self-insured, they are assessed nine percent of what the
state says their premium would be if they were insured. . . . It is
not based on actuarial principles, in that you have employers, for
example, who are new to the state and had no exposure prior to
12/12/96, who must pay assessments to the Kentucky Special
Fund. They did not participate in the risk pool. They get no direct
benefits from the payments by the fund.
In consideration of the legislative failure to alter the practice of including the amortization of
the discount as a factor in calculating the premiums of self-insured employers as well as the
referenced practices of Ohio, Kentucky and Rhode Island, we find that allocation of a portion
of the amortization of discount to self-insured employers is properly included as a part of the
expense of administration of the workers' compensation fund, in conformance with the rate-making provisions of Title 85, Series 9 of the West Virginia Code of State Regulations and the
standards prescribed by the Legislature.
Properly understood, the portion of the annual assessment referred to as
amortization of the discount is intended to replace, in the fiscal year in which it is collected,
the income potential in that year of assets not on hand because premium taxes in prior years
were inadequate to meet anticipated obligations. Some portion of the additional tax has been
assessed on each participating employer in the state, including employers subscribing to the
Fund as well as those which are self-insured, regardless of whether an employer has ever had
benefits awarded to its employees. The additional tax may arguably be seen as an unfair
assessment on employers who may not have directly contributed to the unfunded liability
problem. However, clearly seen in another light, the tax to amortize the discount is a current
cost to administer the Fund for the benefit of all past and present participating employers and
covered employees. In this sense, the additional tax is a current cost.
The ultimate responsibility for the fiscal health of the
West Virginia Workers' Compensation system rests with the
Legislature. Balancing the conflicting goals of minimizing
premiums while providing full and fair compensation to injured
workers is the exclusive province of our publicly elected
legislators. . . .
As this Court aptly summarized in State ex rel. Blankenship v. Richardson, 196 W. Va. 726,
731, 474 S.E.2d 906, 911(1996):
[T]his Court is not concerned with the legislative policy which
motivated the enactment of . . . [the 1995 amendments to the
workers' compensation act], nor do we sit as a superlegislature,
commissioned to pass upon the political, social, economic or
scientific merits of statutes pertaining to proper subjects of
legislation. It is the duty of the legislature to consider facts,
establish policy, and embody that policy in legislation. Boyd v.
Merritt, 177 W. Va. 472, 474, 354 S.E.2d 106, 108 (1986).
Though the Legislature, in enacting . . . [an] amendment may not
have realized or foreseen the result of its action . . ., it is
presumed to be familiar with all existing law. . . applicable to
the subject matter . . . . If its exercise of . . . power cause[s] an
undesirable result, the remedy lies with the Legislature, whose
action has produced it, and not the courts. The question of
dealing with the situation in a more satisfactory or desirable
manner is a matter of policy which calls for legislative, not
judicial, action.
Id. at 388, 52 S.E.2d at 748 (internal citation omitted).
At issue in Eastern Enterprises was the application of certain provisions of the
Coal Industry Retiree Health Benefit Act (Coal Act)
(See footnote 28)
that assigned retired coal miners to
former coal operators under a complex funding formula designed to address the provision of
health benefits to so called orphan retirees.
(See footnote 29)
524 U.S. at 511-16. Admittedly, the Eastern
Enterprises
decision does, in the four-justice plurality section of the sharply divided opinion,
contain a discussion of regulatory takings. See 524 U.S. at 522-38. Critically, however,
because Justice Kennedy concurred only in the result reached by the plurality _ the
unconstitutionality of the Coal Act as applied to Eastern _ and not in the plurality's reasoning
that an unconstitutional taking resulted, the value of the Takings Clause analysis has come
under considerable and well-deserved scrutiny. Based on the fact that Justice Kennedy found
the Coal Act unconstitutional solely on substantive due process grounds,
(See footnote 30)
there is uniform
agreement regarding the limited reach of the Eastern Enterprises decision: [T]he only
binding aspect of Eastern Enterprises is its specific result _ holding the Coal Act
unconstitutional as applied to Eastern Enterprises. Assn. of Bituminous Contrs., Inc. v. Apfel,
156 F.3d 1246, 1255 (D.C. Cir. 1998); accord Commonwealth Edison Co. v. United States,
46 Fed. Cl. 29, 39 (2000) (stating that no part of the plurality's reasoning constitutes binding
precedent); Unity Real Estate Co. v. Hudson, 178 F.3d 649, 658 (3d Cir. 1999) (noting that
the splintered decision in Eastern Enterprises makes it difficult to distill a guiding
principle); Asarco Inc. v. Dept. of Ecology, 43 P.3d 471, 476 n. 9 (Wash. 2002) (observing
that [t]he federal courts applying Eastern Enterprises in subsequent cases have
overwhelmingly found it did not articulate binding principles of law); John Decker Bristow,
student author, Eastern Enterprises v. Apfel: Is the Court One Step Closer to Unraveling
the Takings and Due Process Clauses?, 77 N.C. L. Rev. 1525, 1526-27 (1999) (commenting
that the actual holding in Eastern Enterprises is quite narrow).
(See footnote 31)
Recognizing the substantial amount of Eastern's liability ($50-$100 million), the
plurality in Eastern Enterprises, observed that [t]he distance into the past the Act reaches back
to impose a liability on Eastern and the magnitude of that liability raise substantial questions
of fairness. 524 U.S. at 534. Refraining from second guessing the wisdom of Congress'
decision to enact the Coal Act, however, the plurality reasoned:
That Congress sought a legislative remedy for what it perceived to
be a grave problem in the funding of retired coal miners' health
benefits is understandable; complex problems of that sort typically
call for a legislative solution. When, however, that solution
singles out certain employers to bear a burden that is
substantial in amount, based on the employers' conduct far in
the past, and unrelated to any commitment that the employers
made or to any injury they caused, the governmental action
implicates fundamental principles of fairness underlying the
Takings Clause. Eastern cannot be forced to bear the expense
of lifetime health benefits for miners based on its activities
decades before those benefits were promised.
524 U.S. at 537 (emphasis supplied).
In McKeithen, various provisions of a Louisiana statute that addressed funding
of the state's second injury fund were challenged as unconstitutional under the Takings Clause,
the Contracts Clause, and the Equal Protection Clause of the United States Constitution. 226
F.3d 412. Pursuant to the challenged legislation, insurers that had withdrawn from the
Louisiana insurance market or substantially reduced their underwriting in the state were
subjected to the second injury fund's assessment formula, which was expressly made retroactive
to policies written before the legislation's enactment. Id. at 415. The Fifth Circuit concluded
that the legislation constituted an unlawful taking, relying on the analysis employed by the
plurality in Eastern Enterprises.
(See footnote 39)
In reviewing the Louisiana legislation to evaluat[e] . . . the
'justice and fairness' of the government action, the Fifth Circuit framed its analysis by using
three factors that the plurality in Eastern Enterprises used to perform its analysis: (1) the
economic impact of the regulation on the claimant; (2) the extent to which the regulation has
interfered with reasonable investment-backed expectations; and (3) the character of the
government action. 226 F.2d at 416 (citing Eastern Enterprises, 524 U.S. at 523).
While plaintiffs might have been on notice that there could be a
change away from premium-based assessments, there was no
evidence that the plaintiffs should have suspected abandonment of
cost-neutrality. There was no evidence that the cost of financing
the SIF was ever intended to be borne by insurers, that there
existed any rationale or policy for imposing the cost on insurers,
or that the state was contemplating shifting the burden of funding
onto insurers.
226 F.3d at 420 (emphasis supplied).
With minimal application of the analysis employed in Eastern Enterprises and
McKeithen, Appellants conclude that those decisions support their collective position that the
assessment of premium rates which include an amount for amortizing the discount constitutes
an unlawful taking. Preferring to focus on various broadly-worded statements that appear in
those decisions, Appellants overlook the glaring distinctions between the facts presented in this
case and those at issue in Eastern Enterprises and McKeithen. These factual distinctions are
critical as the United States Supreme Court has recognized that the issue of whether
compensation is compelled in the instance of 'economic injuries caused by public action' . .
. is essentially ad hoc and fact intensive. Eastern Enterprises, 524 U.S. at 523 (quoting
Kaiser Aetna v. U.S., 444 U.S. 164 (1979)). Disregarding the critical distinctions between
their authority and the case sub judice, Appellants reason, in rather summary fashion, that the
three factor test
(See footnote 40)
used by the plurality in Eastern Enterprises to analyze issues of regulatory
takings necessarily results in the conclusion that the Division's actions are in violation of the
Takings Clause. We disagree.
Appellants argue that the premium tax increase violates the due process clauses
of the federal and state constitutions on the grounds that there is no rational basis underlying
the legislative measures at issue. See U.S. Const. amend. XIV; W.Va. Const. art. III, § 10. In
making this argument, Appellants overlook the fact that legislative Acts adjusting the burdens
and benefits of economic life come to the Court with a presumption of constitutionality, and
. . . the burden is on one complaining of a due process violation to establish that the legislature
has acted in an arbitrary and irrational way. Usery, 428 U.S. at 15; see also Eastern
Enterprises, 524 U.S. at 528 (recognizing that Congress has considerable leeway to fashion
economic legislation, including the power to affect contractual commitments between private
parties).
Footnote: 2
Footnote: 3
Footnote: 4
Footnote: 5
Footnote: 6
Footnote: 7
Footnote: 8
Footnote: 9
7-1-85 [30%]
1986 through 1988 No change
1-1-89 30%
7-1-90 19%
7-1-91 15%
7-1-92 3%
7-1-93 7%
7-1-94 No change
7-1-95 12.2%
98 W. Va. L.Rev. 23, 85 n. 199 (1995).
Footnote: 10
In any event, that portion of the $6 billion shortfall characterized as the amortization of discount is based on actuarial assumptions which essentially are educated guesses about such things as periodic asset valuations, assumed interest rates, estimated life expectancies and the like. We recognize that the conclusions drawn from such assumptions do not provide absolutely certain dollar figures.