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Ashley A. Rehfeld v. Sedgwick Claims Management Services
Date: 04-09-2017
Case Number: A1457406
Judge: Armstrong
Court: Oregon Court of Appeals on appeal from the Workers' Compensation Board
Plaintiff's Attorney: Julene M. Quinn
Defendant's Attorney: Michael G. Bostwick
Description:
Claimant was injured while working for Wend
Magazine in part as an unpaid intern and in part on commission.
Because Wend was a noncomplying employer, the
Workers’ Compensation Board reasoned that it could not
determine a weekly wage for claimant, and it therefore
awarded her the statutory minimum temporary disability
benefit of $50 per week. See ORS 656.210 (specifications
for temporary total disability benefits). The board rejected
claimant’s contention that claimant’s benefits should be calculated
based on Oregon’s legal minimum wage. Although
we agree with the board that Oregon’s minimum wage does
not provide the wage on which to base claimant’s benefits
in this case, we nonetheless conclude that the board erred
in awarding weekly benefits of only $50, and we therefore
reverse and remand for reconsideration.
We summarize the relevant facts, which are largely
undisputed, as reflected in the record and as found by the
administrative law judge and adopted by the board. In
July 2008, claimant began working part time as an unpaid
intern for Wend Magazine, a magazine for sports enthusiasts.
1 Claimant’s work at Wend involved graphic design,
selling advertising, and modeling sports clothing for photo
shoots. Wend and claimant agreed that she would be paid a
commission on the sale of advertising but that she would not
be paid for her other work. After working approximately one
month at Wend, claimant was injured on the job when she
fell and broke her wrist while modeling skateboard clothing
for a photo shoot. Claimant’s wrist injury required surgery.
Claimant filed a workers’ compensation claim. A
dispute arose about the amount of compensation to which
claimant was entitled for temporary disability.2 At the time
of her injury, claimant had not finalized any advertising
1 As noted, Wend Magazine was a noncomplying employer; thus, the Director
of the Department of Consumer and Business Services referred the processing of
the claim to Sedgwick CMS, as the assigned claims agent. See ORS 656.054.
2 Sedgwick also disputed claimant’s employment status and the compensability
of the claim. In Sedgwick v. Rehfeld, 255 Or App 512, 298 P3d 68 (2013),
we affirmed without opinion the board’s order determining that claimant was a
subject worker and that the claim was compensable.
Cite as 283 Or App 288 (2017) 291
sales and thus had not earned a commission. The board
found that, although claimant had not received any compensation
for her work at Wend at the time of her injury, she
had an expectation of receiving compensation for advertising
sales.3
Workers’ compensation benefits for temporary disability
are based on the worker’s weekly wage. See ORS
656.210; OAR 436-060-0025(5)(a). Because of Wend’s noncomplying
status, the board reasoned that it was unable to
determine a weekly wage for claimant. In the absence of a
weekly wage, the board determined that claimant was entitled
to the statutory minimum benefit for temporary disability
of $50 per week. See ORS 656.210(1). In rejecting
claimant’s contention that the wage rate on which to base
claimant’s benefits was the statutory minimum wage set
forth in ORS chapter 653, the board explained in an order
on reconsideration that its authority to determine claimant’s
benefits depended on the requirements of ORS chapter 656
and the administrative rules of the Workers’ Compensation
Division of the Department of Consumer and Business
Services, and that the board had no authority to consider
the requirements for payment of the minimum wage.
Claimant challenges that determination on judicial
review, contending that, in the absence of an agreement
between claimant and Wend as to claimant’s wages, she was
entitled to be paid the statutory minimum wage set forth
in ORS chapter 653, and her benefits should be determined
accordingly. Sedgwick responds that the board was correct
in concluding that, as distinct from any entitlement that
claimant might have under ORS chapter 653 to receive a
minimum wage for the work that she performed for Wend,
claimant’s benefits for temporary disability are to be determined
as provided in ORS chapter 656 and OAR 436-060-
0025. Claimant’s petition presents a question of statutory
construction that we review for legal error. Baker v. Liberty
Northwest Ins. Corp., 257 Or App 205, 210, 305 P3d 139,
rev den, 354 Or 597 (2013).
3 Claimant also received the skateboard clothing that she had modeled for
the photo shoot, valued at $300, but there is no contention that the clothing constituted
compensation.
292 Rehfeld v. Sedgwick Claims Management Services
An injured worker is entitled to benefits for temporary
disability under ORS 656.210, which provides, as
relevant:
“(1) When the total disability is only temporary, the
worker shall receive during the period of that total disability
compensation equal to 66- 2/3 percent of wages, but
not more than 133 percent of the average weekly wage nor
less than the amount of 90 percent of wages a week or the
amount of $50 a week, whichever amount is less. * * *
“(2)(a) For the purpose of this section, the weekly wage
of workers shall be ascertained:
“(A) For workers employed in one job at the time
of injury, by multiplying the daily wage the worker was
receiving by the number of days per week that the worker
was regularly employed[.]”4
A worker’s “wage” is “the money rate at which the service
rendered is recompensed under the contract of hiring in
force at the time of the accident.” ORS 656.005(29).5
The department has promulgated OAR 436-060-
0025(5), which describes methods for computing benefits for
workers who, like claimant, are “employed with unscheduled,
irregular or no earnings.” OAR 436-060-0025(5) provides,
as relevant:
“The rate of compensation for workers regularly
employed, but paid on other than a daily or weekly basis, or
employed with unscheduled, irregular or no earnings shall
be computed on the wages determined by this rule.
“* * * * *
“(i) Covered workers with no wage earnings such as
volunteers, jail inmates, etc., must have their benefits computed
on the same assumed wage as that upon which the
employer’s premium is based.
4 The record shows that claimant also worked part time as a server at a
restaurant. We note that, under ORS 656.210(2)(a)(B), the weekly wage of a
worker employed in more than one job at the time of injury is to be determined by
adding all earnings that the worker was receiving from all subject employment,
if the employer receives timely notice and verification of the second employment
as required by ORS 656.210(2)(b).
5 The “average weekly wage” is the Oregon average weekly wage in covered
employment for the last quarter of the calendar year preceding the fiscal year in
which the injury occurred. ORS 656.005(1).
Cite as 283 Or App 288 (2017) 293
“(j) For workers paid by commission only or commission
plus wages insurers must use the worker’s average
commission earnings for previous 52 weeks, if available.
For workers without 52 weeks of earnings, insurers must
use the assumed wage on which premium is based. Any
regular wage in addition to commission must be included
in the wage from which compensation is computed.”
For workers, like claimant, who have no wages, or who are
paid on a commission and have less than 52 weeks of earnings,
benefits must be calculated on “the assumed wage”
on which the employer’s premium is based. OAR 436-060-
0025(5)(i), (j). But the rule does not explicitly apply to claimant’s
circumstance because, as a noncomplying employer,
Wend did not have an “assumed wage” at the time of claimant’s
injury. In the absence of an assumed wage, the board
reasoned that it could not calculate claimant’s wage rate
and that claimant’s weekly wage therefore was zero.
ORS 653.025 specifies the minimum wage that
Oregon employers must pay workers who are subject to that
law. Claimant contends that, in the absence of an assumed
wage on which to base claimant’s benefits, the minimum
wage to which she was legally entitled under ORS 653.025
must apply. Claimant bases her contention on United Airlines
v. Anderson, 207 Or App 493, 498, 142 P3d 508 (2006), in
which we held that a collective bargaining agreement executed
after the claimant’s injury that included a retroactive
wage increase was binding as of the date of the claimant’s
injury and was therefore the “contract of hiring in force at
the time of the accident.” Claimant contends that, analogously,
in the absence of wages, the statutory minimum
wage became the “contract of hiring in force at the time of
the accident,” and that is the wage on which her benefits
must be based. Claimant disputes the board’s rationale that
it lacked the authority to apply the minimum wage, contending
that, ancillary to its authority to determine claimant’s
benefits, the board had authority to determine whether the
minimum wage applied.
We need not decide whether the board was authorized
to address minimum-wage issues in the context of its
determination of claimant’s entitlement to benefits for temporary
disability. That is because we agree with Sedgwick that
294 Rehfeld v. Sedgwick Claims Management Services
there is no textual support, in either ORS chapter 656 or ORS
chapter 653, for claimant’s view that, in the absence of an
agreement by an employer to pay wages, the statutory minimum
wage applies to the determination of a worker’s benefits.
There is no indication in the text or context of the pertinent
statutes or administrative rules that minimum-wage laws
have any bearing on the calculation of a worker’s benefits.
But we nonetheless conclude that the board erred
in applying a temporary disability rate of $50 per week.
As noted, the board reasoned that it could not determine
a weekly wage for claimant because Wend, as a noncomplying
employer, had not paid a premium and therefore
did not have an assumed wage on which its premium was
based. See OAR 436-060-0025(5)(i), (j) (for workers with
no wages, or who are paid on commission with less than
52 weeks of earnings, benefits must be calculated on “the
assumed wage” on which employer’s premium is based.) The
board’s rationale is inconsistent with ORS 656.054(1), which
provides that “[a] compensable injury to a subject worker
while in the employ of a noncomplying employer is compensable
to the same extent as if the employer had complied
with this chapter.” Claimant’s benefits for temporary disability
should not be less than they would have been had
Wend complied with its obligation to provide workers’ compensation
insurance coverage. Had Wend complied with the
workers’ compensation law, claimant’s benefits would have
been calculated under OAR 436-060-0025(5)(i) or (j) using
the “assumed wage” on which Wend’s premium was based.
Under OAR 436-080-0040, in determining the civil penalty
to be assessed against a noncomplying employer, the
Workers’ Compensation Division is required to calculate the
amount of “premium the employer would have paid during
the noncomplying period if insurance had been provided.” In
the absence of insurance premiums actually paid by Wend
at the time of the injury, we conclude that claimant’s benefits
should be calculated based on the assumed wage on
which Wend’s premium would have been based had Wend
provided insurance. We therefore remand the board’s order
for reconsideration of temporary disability benefits.
Magazine in part as an unpaid intern and in part on commission.
Because Wend was a noncomplying employer, the
Workers’ Compensation Board reasoned that it could not
determine a weekly wage for claimant, and it therefore
awarded her the statutory minimum temporary disability
benefit of $50 per week. See ORS 656.210 (specifications
for temporary total disability benefits). The board rejected
claimant’s contention that claimant’s benefits should be calculated
based on Oregon’s legal minimum wage. Although
we agree with the board that Oregon’s minimum wage does
not provide the wage on which to base claimant’s benefits
in this case, we nonetheless conclude that the board erred
in awarding weekly benefits of only $50, and we therefore
reverse and remand for reconsideration.
We summarize the relevant facts, which are largely
undisputed, as reflected in the record and as found by the
administrative law judge and adopted by the board. In
July 2008, claimant began working part time as an unpaid
intern for Wend Magazine, a magazine for sports enthusiasts.
1 Claimant’s work at Wend involved graphic design,
selling advertising, and modeling sports clothing for photo
shoots. Wend and claimant agreed that she would be paid a
commission on the sale of advertising but that she would not
be paid for her other work. After working approximately one
month at Wend, claimant was injured on the job when she
fell and broke her wrist while modeling skateboard clothing
for a photo shoot. Claimant’s wrist injury required surgery.
Claimant filed a workers’ compensation claim. A
dispute arose about the amount of compensation to which
claimant was entitled for temporary disability.2 At the time
of her injury, claimant had not finalized any advertising
1 As noted, Wend Magazine was a noncomplying employer; thus, the Director
of the Department of Consumer and Business Services referred the processing of
the claim to Sedgwick CMS, as the assigned claims agent. See ORS 656.054.
2 Sedgwick also disputed claimant’s employment status and the compensability
of the claim. In Sedgwick v. Rehfeld, 255 Or App 512, 298 P3d 68 (2013),
we affirmed without opinion the board’s order determining that claimant was a
subject worker and that the claim was compensable.
Cite as 283 Or App 288 (2017) 291
sales and thus had not earned a commission. The board
found that, although claimant had not received any compensation
for her work at Wend at the time of her injury, she
had an expectation of receiving compensation for advertising
sales.3
Workers’ compensation benefits for temporary disability
are based on the worker’s weekly wage. See ORS
656.210; OAR 436-060-0025(5)(a). Because of Wend’s noncomplying
status, the board reasoned that it was unable to
determine a weekly wage for claimant. In the absence of a
weekly wage, the board determined that claimant was entitled
to the statutory minimum benefit for temporary disability
of $50 per week. See ORS 656.210(1). In rejecting
claimant’s contention that the wage rate on which to base
claimant’s benefits was the statutory minimum wage set
forth in ORS chapter 653, the board explained in an order
on reconsideration that its authority to determine claimant’s
benefits depended on the requirements of ORS chapter 656
and the administrative rules of the Workers’ Compensation
Division of the Department of Consumer and Business
Services, and that the board had no authority to consider
the requirements for payment of the minimum wage.
Claimant challenges that determination on judicial
review, contending that, in the absence of an agreement
between claimant and Wend as to claimant’s wages, she was
entitled to be paid the statutory minimum wage set forth
in ORS chapter 653, and her benefits should be determined
accordingly. Sedgwick responds that the board was correct
in concluding that, as distinct from any entitlement that
claimant might have under ORS chapter 653 to receive a
minimum wage for the work that she performed for Wend,
claimant’s benefits for temporary disability are to be determined
as provided in ORS chapter 656 and OAR 436-060-
0025. Claimant’s petition presents a question of statutory
construction that we review for legal error. Baker v. Liberty
Northwest Ins. Corp., 257 Or App 205, 210, 305 P3d 139,
rev den, 354 Or 597 (2013).
3 Claimant also received the skateboard clothing that she had modeled for
the photo shoot, valued at $300, but there is no contention that the clothing constituted
compensation.
292 Rehfeld v. Sedgwick Claims Management Services
An injured worker is entitled to benefits for temporary
disability under ORS 656.210, which provides, as
relevant:
“(1) When the total disability is only temporary, the
worker shall receive during the period of that total disability
compensation equal to 66- 2/3 percent of wages, but
not more than 133 percent of the average weekly wage nor
less than the amount of 90 percent of wages a week or the
amount of $50 a week, whichever amount is less. * * *
“(2)(a) For the purpose of this section, the weekly wage
of workers shall be ascertained:
“(A) For workers employed in one job at the time
of injury, by multiplying the daily wage the worker was
receiving by the number of days per week that the worker
was regularly employed[.]”4
A worker’s “wage” is “the money rate at which the service
rendered is recompensed under the contract of hiring in
force at the time of the accident.” ORS 656.005(29).5
The department has promulgated OAR 436-060-
0025(5), which describes methods for computing benefits for
workers who, like claimant, are “employed with unscheduled,
irregular or no earnings.” OAR 436-060-0025(5) provides,
as relevant:
“The rate of compensation for workers regularly
employed, but paid on other than a daily or weekly basis, or
employed with unscheduled, irregular or no earnings shall
be computed on the wages determined by this rule.
“* * * * *
“(i) Covered workers with no wage earnings such as
volunteers, jail inmates, etc., must have their benefits computed
on the same assumed wage as that upon which the
employer’s premium is based.
4 The record shows that claimant also worked part time as a server at a
restaurant. We note that, under ORS 656.210(2)(a)(B), the weekly wage of a
worker employed in more than one job at the time of injury is to be determined by
adding all earnings that the worker was receiving from all subject employment,
if the employer receives timely notice and verification of the second employment
as required by ORS 656.210(2)(b).
5 The “average weekly wage” is the Oregon average weekly wage in covered
employment for the last quarter of the calendar year preceding the fiscal year in
which the injury occurred. ORS 656.005(1).
Cite as 283 Or App 288 (2017) 293
“(j) For workers paid by commission only or commission
plus wages insurers must use the worker’s average
commission earnings for previous 52 weeks, if available.
For workers without 52 weeks of earnings, insurers must
use the assumed wage on which premium is based. Any
regular wage in addition to commission must be included
in the wage from which compensation is computed.”
For workers, like claimant, who have no wages, or who are
paid on a commission and have less than 52 weeks of earnings,
benefits must be calculated on “the assumed wage”
on which the employer’s premium is based. OAR 436-060-
0025(5)(i), (j). But the rule does not explicitly apply to claimant’s
circumstance because, as a noncomplying employer,
Wend did not have an “assumed wage” at the time of claimant’s
injury. In the absence of an assumed wage, the board
reasoned that it could not calculate claimant’s wage rate
and that claimant’s weekly wage therefore was zero.
ORS 653.025 specifies the minimum wage that
Oregon employers must pay workers who are subject to that
law. Claimant contends that, in the absence of an assumed
wage on which to base claimant’s benefits, the minimum
wage to which she was legally entitled under ORS 653.025
must apply. Claimant bases her contention on United Airlines
v. Anderson, 207 Or App 493, 498, 142 P3d 508 (2006), in
which we held that a collective bargaining agreement executed
after the claimant’s injury that included a retroactive
wage increase was binding as of the date of the claimant’s
injury and was therefore the “contract of hiring in force at
the time of the accident.” Claimant contends that, analogously,
in the absence of wages, the statutory minimum
wage became the “contract of hiring in force at the time of
the accident,” and that is the wage on which her benefits
must be based. Claimant disputes the board’s rationale that
it lacked the authority to apply the minimum wage, contending
that, ancillary to its authority to determine claimant’s
benefits, the board had authority to determine whether the
minimum wage applied.
We need not decide whether the board was authorized
to address minimum-wage issues in the context of its
determination of claimant’s entitlement to benefits for temporary
disability. That is because we agree with Sedgwick that
294 Rehfeld v. Sedgwick Claims Management Services
there is no textual support, in either ORS chapter 656 or ORS
chapter 653, for claimant’s view that, in the absence of an
agreement by an employer to pay wages, the statutory minimum
wage applies to the determination of a worker’s benefits.
There is no indication in the text or context of the pertinent
statutes or administrative rules that minimum-wage laws
have any bearing on the calculation of a worker’s benefits.
But we nonetheless conclude that the board erred
in applying a temporary disability rate of $50 per week.
As noted, the board reasoned that it could not determine
a weekly wage for claimant because Wend, as a noncomplying
employer, had not paid a premium and therefore
did not have an assumed wage on which its premium was
based. See OAR 436-060-0025(5)(i), (j) (for workers with
no wages, or who are paid on commission with less than
52 weeks of earnings, benefits must be calculated on “the
assumed wage” on which employer’s premium is based.) The
board’s rationale is inconsistent with ORS 656.054(1), which
provides that “[a] compensable injury to a subject worker
while in the employ of a noncomplying employer is compensable
to the same extent as if the employer had complied
with this chapter.” Claimant’s benefits for temporary disability
should not be less than they would have been had
Wend complied with its obligation to provide workers’ compensation
insurance coverage. Had Wend complied with the
workers’ compensation law, claimant’s benefits would have
been calculated under OAR 436-060-0025(5)(i) or (j) using
the “assumed wage” on which Wend’s premium was based.
Under OAR 436-080-0040, in determining the civil penalty
to be assessed against a noncomplying employer, the
Workers’ Compensation Division is required to calculate the
amount of “premium the employer would have paid during
the noncomplying period if insurance had been provided.” In
the absence of insurance premiums actually paid by Wend
at the time of the injury, we conclude that claimant’s benefits
should be calculated based on the assumed wage on
which Wend’s premium would have been based had Wend
provided insurance. We therefore remand the board’s order
for reconsideration of temporary disability benefits.
Outcome:
Reversed and remanded.
Plaintiff's Experts:
Defendant's Experts:
Comments:
About This Case
What was the outcome of Ashley A. Rehfeld v. Sedgwick Claims Management Services?
The outcome was: Reversed and remanded.
Which court heard Ashley A. Rehfeld v. Sedgwick Claims Management Services?
This case was heard in Oregon Court of Appeals on appeal from the Workers' Compensation Board, OR. The presiding judge was Armstrong.
Who were the attorneys in Ashley A. Rehfeld v. Sedgwick Claims Management Services?
Plaintiff's attorney: Julene M. Quinn. Defendant's attorney: Michael G. Bostwick.
When was Ashley A. Rehfeld v. Sedgwick Claims Management Services decided?
This case was decided on April 9, 2017.