Legislature(2001 - 2002)

03/28/2002 01:35 PM Senate L&C

Audio Topic
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
        HB 212-WORKERS' COMP:CONTRACTORS & SUBCONTRACTOR                                                                    
                                                                                                                                
CHAIRMAN STEVENS announced HB 212 to be up for consideration.                                                                   
                                                                                                                                
MS. AMY  ERICKSON, Staff to  Representative Murkowski,  sponsor of                                                              
HB  212, said  that  it addresses  a decade-long  issue  regarding                                                              
workers' compensation insurance for sole proprietors.                                                                           
                                                                                                                                
     A sole proprietor  is an individual working  for himself                                                                   
     without  employees.  Current   Alaska  statutes  do  not                                                                   
     require sole proprietors to  carry workers' compensation                                                                   
     insurance   although  they   do  require  that   general                                                                   
     contractors  carry  insurance  on their  employees.  The                                                                   
     Workers'  Comp Board  has  determined  in certain  cases                                                                   
     that  sole proprietors  working  as a  subcontractor  is                                                                   
     actually an employee of the  general contractor. Because                                                                   
     of these determinations, insurance  companies can charge                                                                   
     general   contractors  additional   premiums  for   sole                                                                   
     proprietor  subcontractors. These  premium charges  have                                                                   
     often  occurred after  the general  contractor's  policy                                                                   
     has been audited and in some  cases the general has been                                                                   
     required to  pay additional premiums after  the fact and                                                                   
     those  are  costs that  have  not been  anticipated  nor                                                                   
     included in his bidding costs.  This has been an area of                                                                   
     great  confusion and  frustration -  so much  so that  a                                                                   
     state wide task  force was established to  look into the                                                                   
     problem.   They  looked   at  a   number  of   different                                                                   
     possibilities and  HB 212 is the ultimate  result of the                                                                   
     task force's  discussion and compromise.  Requiring sole                                                                   
     proprietors  to provide their  own workers  compensation                                                                   
     coverage eliminates  any gray areas so those  who should                                                                   
     be  covered  are  covered.  This  gives  equity  to  all                                                                   
     parties. Risks and associated  costs of the coverage can                                                                   
     be anticipated  and then  recovered through the  bidding                                                                   
     process.  There is  no more  guesswork  or concern  over                                                                   
     litigation.                                                                                                                
                                                                                                                                
MR. PAUL GROSSI, Department of Labor,  said that Ms. Erickson gave                                                              
an excellent explanation  of the bill. It has been  a problem when                                                              
someone files a  claim and sometimes it's determined  that they're                                                              
not  really  subcontractors,  but  employees,  when  the  relative                                                              
nature of the work test is used, although it's rare.                                                                            
                                                                                                                                
     Even if they  are not found to be eligible  for workers'                                                                   
     comp,  the cost  to the  employer and  to the  insurance                                                                   
     company  and the like  are still  extensive, because  of                                                                   
     the legal fees and the administrative  costs involved in                                                                   
     that, but the more common problem  is when the insurance                                                                   
     companies will  come after the fact and  audit employees                                                                   
     and  potential subcontractors.  They'll  come along  and                                                                   
     say there was  some risk out there that you  owe us some                                                                   
     premium on…                                                                                                                
                                                                                                                                
MR. GROSSI  said that  the group that  worked on this  legislation                                                              
was an incredibly wide range of people  representing all facets of                                                              
affected  businesses.  This  is   what  everybody  could  support,                                                              
although it didn't make anyone completely happy.                                                                                
                                                                                                                                
SENATOR TORGERSON gave an example -                                                                                             
                                                                                                                                
     You are  a general, you're building  a house and  I hire                                                                   
     you  to  do the  carpet.  If  you don't  have  proof  of                                                                   
     insurance, are  we saying automatically that  means that                                                                   
     I would cover that in my premium because of the audit?                                                                     
                                                                                                                                
MR. GROSSI  replied: "It's not automatic,  but it does  happen. It                                                              
depends on whether the audit occurs."                                                                                           
                                                                                                                                
SENATOR TORGERSON asked  if he didn't hide it good  enough, did he                                                              
get caught. "Is that what we're trying to do?"                                                                                  
                                                                                                                                
MR. GROSSI replied:                                                                                                             
                                                                                                                                
     Yes,  not that  anybody would  try to hide  it. I  think                                                                   
     these are  legitimate mistakes  - is what happens.  When                                                                   
     the insurance  company looks at  them and says,  'Oh no,                                                                   
     this truly wasn't  a subcontractor the way  the work was                                                                   
     allocated.  Maybe  you  paid  the person  by  the  hour,                                                                   
     provided the  tools, you allocated the hours  they would                                                                   
     be working  and the various working conditions.  This is                                                                   
     an employer/employee  relationship.  So, that you  would                                                                   
     owe premium on that.                                                                                                       
                                                                                                                                
SENATOR TORGERSON  said he understands  the close  association and                                                              
that if  you control someone's  environment, he is  your employee.                                                              
He  asked if  they  are  requiring a  sole  proprietor  to go  get                                                              
insurance, otherwise there's a fear of being back charged.                                                                      
                                                                                                                                
MR. GROSSI answered:                                                                                                            
                                                                                                                                
     If  they're  a  subcontractor,   yes.  If  they're  just                                                                   
     contracting to say an individual,  then they wouldn't be                                                                   
     required. It's  not for all sole proprietors.  It's just                                                                   
     when   there's   a   subcontractor/contractor   over   a                                                                   
     situation.                                                                                                                 
                                                                                                                                
Professor  Larson, the  guru of  Workers'  Compensation, said  the                                                              
subcontracted  service was  either consumptive  or productive.  In                                                              
other words, if someone has a home  and wants to get a carpet laid                                                              
and  hires someone  to  do  that, that  is  being a  consumer  and                                                              
wouldn't be responsible for any workers' compensation.                                                                          
                                                                                                                                
     If it was a sole proprietor,  they wouldn't have to have                                                                   
     it either,  because it's not a  contractor/subcontractor                                                                   
     situation. It's just when you  have a general contractor                                                                   
     and then subs and subcontractors in that situation.                                                                        
                                                                                                                                
SENATOR  TORGERSON said  he didn't  see  that in  the bill,  which                                                              
seems to  open up pretty wide  the application. He wouldn't  be as                                                              
nervous  if  it  only  affected   a  subcontractor  of  a  general                                                              
contractor. He asked where it said that.                                                                                        
                                                                                                                                
MR.  GROSSI replied:  "Because it  has the  term subcontractor  in                                                              
there, there would have to be a contractor over."                                                                               
                                                                                                                                
He said there wasn't a legal definition.                                                                                        
                                                                                                                                
SENATOR TORGERSON  asked if subcontractor  was defined  in statute                                                              
somewhere.  "You don't have  to be  a general  contractor to  be a                                                              
subcontractor?"                                                                                                                 
                                                                                                                                
MR. GROSSI replied: "No, but you  have to be a contractor over. In                                                              
other words,  you have  to be in  the line  of production  of that                                                              
service or goods."                                                                                                              
                                                                                                                                
SENATOR TORGERSON  asked if  he owned the  carpet store  that this                                                              
person ordered and he was his subcontractor,  was he just a carpet                                                              
store owner, not a general contractor.                                                                                          
                                                                                                                                
MR.  GROSSI said  that subcontractor  is not  defined in  Workers'                                                              
Compensation statutes. He said the  question would be whether they                                                              
are  in  just the  carpet  sales  business  or the  carpet  laying                                                              
business.                                                                                                                       
                                                                                                                                
SENATOR TORGERSON said, "You lost me."                                                                                          
                                                                                                                                
SENATOR AUSTERMAN said he wanted  an answer to Senator Torgerson's                                                              
question also, because  a lot of stores install carpet  as part of                                                              
the sale.                                                                                                                       
                                                                                                                                
MR. GROSSI replied: "Senator Austerman,  I'm going to give you the                                                              
answer I know you don't want to hear  and that is it would have to                                                              
be on a case by case basis…"                                                                                                    
                                                                                                                                
SENATOR   TORGERSON  asked   how  a  contractor   proves   that  a                                                              
subcontractor has insurance.                                                                                                    
                                                                                                                                
MR. GROSSI  answered that  they would  have to  show him  proof of                                                              
insurance.                                                                                                                      
                                                                                                                                
SENATOR TORGERSON  asked if he would  have to get  a subcontractor                                                              
license first and is there such a thing.                                                                                        
                                                                                                                                
MR.  GROSSI said  there wasn't  such  a thing  as a  subcontractor                                                              
license.                                                                                                                        
                                                                                                                                
SENATOR  TORGERSON said  he had  been  caught in  some audits  and                                                              
wasn't sure  that they were capturing  all the things  they needed                                                              
to.                                                                                                                             
                                                                                                                                
MR. GROSSI commented that was probably  true, but they were trying                                                              
to fix the basic problem, more or less.                                                                                         
                                                                                                                                
SENATOR  TORGERSON asked  what the  committee  referrals were  for                                                              
this bill.                                                                                                                      
                                                                                                                                
CHAIRMAN STEVENS said State Affairs and Judiciary.                                                                              
                                                                                                                                
SENATOR TORGERSON  said there might  be more legal  questions than                                                              
others.                                                                                                                         
                                                                                                                                
MR.  DON ETHERIDGE,  AFL-CIO,  supported  HB  212 saying  that  he                                                              
requested the hearing  as many local businessmen  have experienced                                                              
problems in  this area  because of the  unlevel playing  field for                                                              
some of the contractors  who don't have to carry  as much workers'                                                              
compensation   insurance   as   other  because   they   hire   all                                                              
subcontractors.                                                                                                                 
                                                                                                                                
SENATOR  TORGERSON asked  if  they were  talking  about non  union                                                              
workers.                                                                                                                        
                                                                                                                                
MR. ETHRIDGE  replied that it is  mostly non union that  does this                                                              
sort of  thing. Most union  workers do it  the right way  and they                                                              
are at a disadvantage when they do it.                                                                                          
                                                                                                                                
SENATOR  TORGERSON said  he  thought this  would  affect the  sole                                                              
proprietors, not that they shouldn't have insurance.                                                                            
                                                                                                                                
MR.  ETHRIDGE said  one of  the examples  he has  seen locally  is                                                              
where a roofing subcontractor, a  sole proprietor, fell off a roof                                                              
and was killed. His estate is suing  the general contractor of the                                                              
project and  they are having  to come  back through all  the legal                                                              
defenses to protect themselves on that.                                                                                         
                                                                                                                                
SENATOR TORGERSON said he was sure of that.                                                                                     
                                                                                                                                
SENATOR AUSTERMAN  said if the  general contractor wanted  to hire                                                              
people that  are not insured, he  should accept that  liability to                                                              
start with.  If they  hired him  without knowing  it, they  should                                                              
have known it.                                                                                                                  
                                                                                                                                
MR. ETHRIDGE agreed,  but the marketplace is very  competitive and                                                              
people are  willing to  take the risk  hoping someone  doesn't get                                                              
hurt on the job.                                                                                                                
                                                                                                                                
CHAIRMAN STEVENS  said that they  are still subject to  the audit.                                                              
But it is  the general's responsibility to make  the determination                                                              
or take the risk.                                                                                                               
                                                                                                                                
MR. ETHRIDGE reiterated  that a lot of generals take  the risk and                                                              
leave themselves open  to liability. A lot of times  they will get                                                              
by on it to save a few bucks on a contract.                                                                                     
                                                                                                                                
SENATOR AUSTERMAN asked  if they are saying they  need to save the                                                              
general contractors  from themselves  by requiring  subcontractors                                                              
to have insurance.                                                                                                              
                                                                                                                                
MR. ETHRIDGE replied  that they would be creating  a level playing                                                              
field for everyone who is bidding  on a project. If one contractor                                                              
is looking  out for his employees  and not taking that  chance, he                                                              
should have the same level playing  field as the one who takes the                                                              
chance.                                                                                                                         
                                                                                                                                
SENATOR AUSTERMAN  said by the same  principal if Cost  Co. wants,                                                              
they can borrow $200 million to run  a business with margins of 2%                                                              
and  he  can't  afford  to  borrow that  kind  of  money  for  his                                                              
business.  He  didn't know  how  they  could  get the  same  level                                                              
playing field for everybody.                                                                                                    
                                                                                                                                
MR. ALAN  WILSON, President,  Alaska Renovators,  said this  issue                                                              
came  before them  about three  years  ago when  two members  were                                                              
faced with a $15,000 bill and a $30,000  bill for back premium. He                                                              
explained  the audits  take place  at the expiration  date  of the                                                              
workers  compensation   policy.  They  didn't  realize   that  the                                                              
insurance companies  had the mechanism to go back  three years and                                                              
collect for sole proprietors.                                                                                                   
                                                                                                                                
     It's  important to  remember  when you  go  to get  your                                                                   
     contractor's  license right on  the form you  can exempt                                                                   
     yourself.  If you're registering  as a sole  proprietor,                                                                   
     you  can  check a  little  box  saying I'm  exempt  from                                                                   
     workers' compensation.  We all understand that  you have                                                                   
     to  cover employees,  but you can  exempt yourself.  So,                                                                   
     that's  what   we're  all  operating   under  -     that                                                                   
     understanding  that   that's  the  way   things  worked.                                                                   
     Unfortunately,  we found  out after  the fact that  that                                                                   
     wasn't the case,  because we had two members  with these                                                                   
     big outstanding  bills for small operators.  It put them                                                                   
     in a financial bind. Three years  back is a long time to                                                                   
     go on a small entity.                                                                                                      
                                                                                                                                
He said  the problem  is that across  the whole  state there  is a                                                              
shortage  of  manpower   and  qualified  individuals.   If  he  is                                                              
demanding  a certificate  of insurance  from  a carpet  installer,                                                              
that installer can  go to work for five other  guys somewhere else                                                              
without it.  They could be added  to the general's policy,  but it                                                              
is cheaper for a sub to get his own insurance.                                                                                  
                                                                                                                                
The  other  critical   thing  about  sole  proprietors   that  are                                                              
uninsured is that  everything is fine until there  is an accident.                                                              
The medical  bills start coming  in and they  file a claim  to see                                                              
what  happens. It  gets to  the Workers  Comp Board  who says  the                                                              
worker is  an employee.  Then they look  for the next  policy that                                                              
will  cover it  and  it's the  general contractor.  What's  unfair                                                              
about this is that not only are they  subject to an audit and this                                                              
opens their  books up  to further  scrutiny for sole  proprietors,                                                              
but that claim gets reflected on their experience rating.                                                                       
                                                                                                                                
For an experience  rating, everyone starts  out at a one.  If they                                                              
get one claim,  that as a  general contractor they had  no control                                                              
over an  individual, now he  has to pay  for the next  three years                                                              
and his experience "mod" has been adjusted upwards.                                                                             
                                                                                                                                
MR. WILSON  said one of  his members  had this scenario  happen to                                                              
him. Prior  to his audit,  he had seven years  of no claims  and a                                                              
sole proprietor  roofer fell off the  roof, broke his back  and it                                                              
was determined that  he was an employee. This  person's experience                                                              
mod went from .85 to 1.85 overnight.  He had already bid jobs, the                                                              
house was in the process of being constructed.                                                                                  
                                                                                                                                
2:12                                                                                                                            
                                                                                                                                
SENATOR AUSTERMAN  said he remembered  this case and asked  if the                                                              
person was originally hired as a solo subcontractor.                                                                            
                                                                                                                                
MR. WILSON said that was correct.                                                                                               
                                                                                                                                
SENATOR AUSTERMAN  asked how  the determination  was made  that he                                                              
was an employee of the general.                                                                                                 
                                                                                                                                
MR. WILSON replied  that the Board applied the nature  of the work                                                              
test, which is a  good test in most instances, until  you get into                                                              
his industry.  "If you're  working on  a house -  I have  a custom                                                              
home under construction - I'm the  general contractor - I have the                                                              
keys to  the building -  My cabinet man comes  in when I  open the                                                              
doors at 8  o'clock and leaves at  5. Maybe I supply  the cabinets                                                              
or in this case,  the roofer supplied the roofing  material, hired                                                              
the roofer to come over and install  the material. He violated two                                                              
of the principals  right there of the nature of the  work test. He                                                              
supplied  the material  and  set  his hours.  He's  an employee  -                                                              
regardless  if this  individual is  out doing  work for  10 or  20                                                              
other contractors, that doesn't really come into play.                                                                          
                                                                                                                                
SENATOR AUSTERMAN  asked if part of  the problem is that  there is                                                              
no real definition of subcontractor.                                                                                            
                                                                                                                                
MR. WILSON said  it very well could be, but the  task force looked                                                              
at some sort  of waiver, which didn't fly for  legal reasons. They                                                              
looked  at  trying  to  create a  policy  that  would  cover  sole                                                              
proprietors  and the insurance  industry could  figure out  how to                                                              
set a rate.                                                                                                                     
                                                                                                                                
He said that HB 212 removes the uncertainty  about who needs to be                                                              
covered and when they need to be covered.                                                                                       
                                                                                                                                
     It's important  to remember  that the carpet  installer,                                                                   
     if  he's working  for me  as a  subcontractor, would  be                                                                   
     required to have a policy. If  he's working for you, the                                                                   
     homeowner, he's not required to have a policy.                                                                             
                                                                                                                                
     The other  thing it  does is  taking away the  advantage                                                                   
     that some  bidders may have  on a project by  not having                                                                   
     workers  comp insurance  to  cover. Another  benefit  of                                                                   
     this requirement  is that most  sole proprietors  do not                                                                   
     carry health insurance, let  alone insurance that covers                                                                   
     them  when they're  on the  job. The  tile installer  is                                                                   
      $1,299 per year; a plumber is about $1,080; a carpet                                                                      
     installer is $1,387.                                                                                                       
                                                                                                                                
He said  the average carpet installation  job is about  $5,000 and                                                              
his installer does  about 10 of them a year. To  spread out $1,300                                                              
over those  10 jobs is $103 a  job, it's not a major  impact. Then                                                              
if you  consider the benefits that  individual has, he  is covered                                                              
on the  job regardless of what  happens, he gets  rehabilitated if                                                              
it's  a serious  accident. "It's  pretty cheap  insurance in  that                                                              
regard."                                                                                                                        
                                                                                                                                
Another critical  thing to  keep in mind  about the rates  is that                                                              
it's based  on the amount of  payroll; but for a  sole proprietor,                                                              
the statute says  that they are going to be charged  on $20,100 of                                                              
payroll, regardless  of what  they make in  the year. That  is why                                                              
the rates are pretty predictable each year.                                                                                     
                                                                                                                                
MR.  WILSON  added   that  HB  212  provides   added  security  to                                                              
consumers,  primarily  owner/builders  and  do-it-yourselfers  who                                                              
hire sole proprietor  subcontractors thinking that  they are truly                                                              
subcontractors, when  in fact they  are probably employees  of the                                                              
homeowner.  This gets back  to the  consumer protection  and level                                                              
playing field issues.                                                                                                           
                                                                                                                                
He concluded saying that the problem  is with the uncertainty that                                                              
exists with  the sole  proprietor subcontractors  when the  claims                                                              
arise  and that  the  general contractors  are  being charged  for                                                              
premiums  that  they  don't  necessarily  feel are  fair.  HB  212                                                              
requires  all  sole proprietor  subcontractors  to  carry  workers                                                              
compensation  policies,  which makes  them  accountable for  their                                                              
actions and puts the expense where  it should have been all along.                                                              
                                                                                                                                
CHAIRMAN   STEVENS  said   he  couldn't   find  a  definition   of                                                              
subcontractor in the bill.                                                                                                      
                                                                                                                                
SENATOR TORGERSON read:  "It is a person who contracts,  sublet or                                                              
contact, or sublets all or part of the initial undertaking."                                                                    
                                                                                                                                
He added  that there  was a  court decision  mentioned -  Thurston                                                              
versus  State, 1970  that set  a  lot of  that out.  He asked  Mr.                                                              
Grossi if he was familiar with it.                                                                                              
                                                                                                                                
MR. GROSSI said he had read it.                                                                                                 
                                                                                                                                
CHAIRMAN  STEVENS  asked  if  the  working  group  considered  the                                                              
definition of subcontractor at all.                                                                                             
                                                                                                                                
MR. WILSON said they did to some  degree, but the issue is that it                                                              
covers a  lot of different industries  and in many  instances, the                                                              
subcontractor  is actually  a prime contractor.  Other states  are                                                              
struggling with the same issue.                                                                                                 
                                                                                                                                
SENATOR AUSTERMAN asked if he had  discussed it with Senator Leman                                                              
who had worked with this definition issue.                                                                                      
                                                                                                                                
MR. WILSON  said he  had and  the Senator  raised the question  of                                                              
what  it would  cost him  as a  potential  subcontractor and  they                                                              
found  that  the  rate  would  be  $225  per  year,  pretty  cheap                                                              
insurance.                                                                                                                      
                                                                                                                                
SENATOR AUSTERMAN  said that  they are really  trying to  touch on                                                              
one aspect of  the business, but are ending up  affecting everyone                                                              
who is a subcontractor.                                                                                                         
                                                                                                                                
MR. WILSON agreed.                                                                                                              
                                                                                                                                
2:18 - 2:20 - AT EASE                                                                                                           
                                                                                                                                
SENATOR TORGERSON said he still didn't like the bill.                                                                           
                                                                                                                                
MR.  CHARLIE  MILLER,  Alaska  National  Insurance  Co.,  said  he                                                              
participated in the  work group and they looked at  two fixes. One                                                              
was if they took  advantage of the sole proprietor  status and did                                                              
not  have  workers  comp  coverage,   the  attempt  was  to  craft                                                              
legislation  that would  make  it  clear there  was  no source  of                                                              
appeal, no recourse  whatsoever and that was the  preferred fix by                                                              
some  of  the  members,  but  it  was  eventually  discredited  by                                                              
everyone. A safety valve was needed  in too many areas. The option                                                              
in front of  them is what was  left and even though it  might need                                                              
some work, the general concept is the best fix.                                                                                 
                                                                                                                                
He thought  the process for audit  was misunderstood and  the work                                                              
test  needed  a  better  understanding.   A  National  Council  of                                                              
Compensation Insurance  memo said  that what should  be considered                                                              
is the  extent to which  a person can  be expected to  carry their                                                              
own accident  burden. "This  consideration  focuses on the  person                                                              
who is  unable to meet  the costs of  industrial accidents  out of                                                              
their own resources."                                                                                                           
                                                                                                                              
TAPE 02-16, SIDE B                                                                                                            
                                                                                                                                
Quite a few claims make it to the  Board because they can't afford                                                              
the costs  of falling of  the scaffolding.  If they go  before the                                                              
Board and  the claim is denied,  it still costs tens  of thousands                                                              
of  dollars  that  the employer  through  their  carrier  have  to                                                              
shoulder to defend  what they consider an invalid  claim. The work                                                              
test  lends an  unpredictability  and flies  in the  face of  what                                                              
insurance is about.                                                                                                             
                                                                                                                                
     We don't  sell the payment  of claims. What  our product                                                                   
     sells   is   the   management    of   risk   and   lends                                                                   
     predictability to that aspect  of a companies' financial                                                                   
     outlook…When  we go back and  perform audits  on payroll                                                                   
     for  companies  that  have  unpredictable  payroll,  all                                                                   
     we're  doing is assigning  premium to  risk. So, if  you                                                                   
     have  a scenario  here with  something as  wide open  as                                                                   
     this, there's  the possibility  of additional risk  that                                                                   
     no  one has collected  premium for,  someone is  getting                                                                   
     access  to your product  without paying  for it.  That's                                                                   
     why the insurance  industry feels that these  audits are                                                                   
     very legitimate.                                                                                                           
                                                                                                                                
MR. MILLER said he discussed this with Pat Henderson who runs the                                                               
Alaska National portion of their business, but he feels that this                                                               
would cover the feelings of his other carriers as well.                                                                         
                                                                                                                                
     Every policy  we have has audit provisions  on the front                                                                   
     page of the  policy. The nature of every  business has a                                                                   
     certain  amount of  flexibility. If  you own a  sporting                                                                   
     goods store and  have three employees, we  still have an                                                                   
     exit audit at the end of the  policy term in case you've                                                                   
     had to  hire temporary  help part time  or full  time or                                                                   
     lay off an  employee because of a lack of  business. You                                                                   
     find out how  many hours you actually covered  under the                                                                   
     policy  and  the  premium  is adjusted  up  or  down  to                                                                   
     reflect  an accurate  number  of hours  and an  accurate                                                                   
     amount of risk  and then assign the agreed  upon premium                                                                   
     to  it. I'm  actually  a  little surprised  that  people                                                                   
     refer to these audits as if  it's some sort of an ambush                                                                   
     that's waiting  for them at the end of the  policy term.                                                                   
     It's  the first  thing you read  when you  look at  your                                                                   
     policy - is  that this is a provision that  everyone has                                                                   
     and you have it in every single policy.                                                                                    
                                                                                                                                
     As far as contractors go, most  contractors file payroll                                                                   
     without  a monthly  basis because  of the  unpredictable                                                                   
     nature of how they do their  work. If a local contractor                                                                   
     here has a rain problem and  they wind up normally doing                                                                   
     so many days  a week outside because it rains  too much,                                                                   
     and  they have a  particularly clear  month, they  could                                                                   
     put in twice as many hours in  that period of time doing                                                                   
     this  particular  brand  of  work  as  they  would  have                                                                   
     normally. Their  payroll will  reflect that. We  look at                                                                   
     it;  their  premium  will  reflect  that.  If  they  get                                                                   
     additional work midway through  the season and they hire                                                                   
     a bunch more carpenters and  get another 1,000 carpenter                                                                   
     hours  in,  their premium  will  reflect that.  If  they                                                                   
     anticipate  spending another  1,000  carpenter hours  on                                                                   
     this  season  and they  don't,  the payroll  audit  will                                                                   
     reflect  that   and  their  premium  will   be  adjusted                                                                   
     downward.  So,  it's the  only  way you  can  accurately                                                                   
     assess  premium to  risk and  so  it's a  part of  every                                                                   
     policy. It really shouldn't surprise anyone.                                                                               
                                                                                                                                
     What does  surprise me  a little  bit is the  three-year                                                                   
     back  audit. Ms.  Anderson has  been doing  this in  the                                                                   
     state before  she went to  work for Alaska  National for                                                                   
     decades  and  it's a  complete  surprise to  her.  She's                                                                   
     never  heard of anything  like that.  We do back  audits                                                                   
     for term  of policy and you  know that when you  buy the                                                                   
     policy.  The tension  that exists  between the  carriers                                                                   
     and the  policy holders that  we hope to have  addressed                                                                   
     in   this   bill   is  the   indeterminate   factor   of                                                                   
     employee/employer    relationships    with   the    sole                                                                   
     proprietor  subcontractors  and  there is  a  legitimate                                                                   
     difference  of opinion  on how valid  our audit  request                                                                   
     for premiums  are. This bill  actually does clear  it up                                                                   
     real easily  from our perspective, although  I recognize                                                                   
     Senator Torgerson's reluctance  to accept an ill-defined                                                                   
     category and  perhaps we could  work on that  to satisfy                                                                   
     his unease  with that. But,  once we know how  much risk                                                                   
     we have  and the contractor has  a very easy way  to get                                                                   
     his hands around that, the tension  that exists on these                                                                   
     audits, I think, will evaporate.  Our only difference on                                                                   
     these things is the risk involved.  Under this work test                                                                   
     I read  to you  before, I think  you can understand  how                                                                   
     concerned  we  are that  we're  assuming risk  and  then                                                                   
     we're not collecting  premium for it. And so  we do have                                                                   
     a real  problem with the way  the situation has  been in                                                                   
     the past and is currently and  we're hoping we can clear                                                                   
     up these issues that we have  in some of the definitions                                                                   
     and move this bill forward.                                                                                                
                                                                                                                                
MR. MILLER said the goals of this legislation are clear, but                                                                    
there is a little more work to do on clarifying the actual                                                                      
language.                                                                                                                       
                                                                                                                                
CHAIRMAN STEVENS asked on an average how long are workers                                                                       
compensation policies for.                                                                                                      
                                                                                                                                
MR. MILLER replied, "We can do a workers comp policy the term of                                                                
an actual contract, but normally for a year period."                                                                            
                                                                                                                                
CHAIRMAN STEVENS asked him to explain the process that an audit                                                                 
can go back to three years prior.                                                                                               
                                                                                                                                
MR. MILLER explained:                                                                                                           
                                                                                                                                
     It wouldn't  take place with  Alaska National,  sir. She                                                                   
     had no recollection  of that ever happening  in anything                                                                   
     that  she's   been  involved   with  in  the   insurance                                                                   
     industry.                                                                                                                  
                                                                                                                                
CHAIRMAN STEVENS asked if it would only go back 12 months.                                                                      
                                                                                                                                
MR. MILLER said according to Ms. Anderson, that's true, but he                                                                  
couldn't speak for other companies.                                                                                             
                                                                                                                                
CHAIRMAN STEVENS asked, "Does it say in the workers' comp                                                                       
agreement with the general how he's to have a relationship with                                                                 
the subcontractor?"                                                                                                             
                                                                                                                                
MR. MILLER said he didn't know, but he could find out pretty                                                                    
quickly.                                                                                                                        
                                                                                                                                
     I  know from  my conversation  with Pat  that we  expect                                                                   
     that the general contractor  will see a certificate or a                                                                   
     proof  of  insurance from  every  person that  works  on                                                                   
     their job  that may be ruled  as an employee  under this                                                                   
     work test  and if they don't  we'll ask for  premium for                                                                   
     them.   But,  whether   or   not  there's   a   specific                                                                   
     contractual piece in the contract,  I can't answer that.                                                                   
                                                                                                                                
CHAIRMAN STEVENS asked if the work test is internal.                                                                            
                                                                                                                                
MR. MILLER replied:                                                                                                             
                                                                                                                                
     If the  sole proprietor does  work in a context  that we                                                                   
     feel  they  may  be,  if  they  were  placed  under  the                                                                   
     relative  nature   of  work  test,  that  they   may  be                                                                   
     considered  an employee,  then we  would expect  premium                                                                   
     for  their work  performed, yes.  That is  the rub.  The                                                                   
     general contractors  that disagree with us  have a valid                                                                   
     argument as well…We  don't feel that we should  give our                                                                   
     product  to  someone,  which  is  managing  their  risk,                                                                   
     assuming  their  risk for  premium.  We don't  want  our                                                                   
     product used  without paying it  and they don't  want to                                                                   
     pay  for  something  they don't  feel  they're  getting,                                                                   
     because they don't feel there's  a need for them to have                                                                   
     their carrier  assume that risk. The reason  why it's so                                                                   
     difficult to solve is that both  sides have a very valid                                                                   
     point of view.                                                                                                             
                                                                                                                                
CHAIRMAN STEVENS asked how many audits take place where the                                                                     
premium is actually increased for his company.                                                                                  
                                                                                                                                
MR. MILLER replied, "I'd say there would probably be a higher                                                                   
number of cases where premiums went up."                                                                                        
                                                                                                                                
CHAIRMAN  STEVENS asked,  "I'm specifically  saying  if the  audit                                                              
took place and they  went in and said we found  a general that has                                                              
X number of subcontractors…"                                                                                                    
                                                                                                                                
MR.  MILLER  said   if  he  was  talking  about   sole  proprietor                                                              
contractors, he couldn't answer, but would find out for him.                                                                    
                                                                                                                                
CHAIRMAN STEVENS asked  how many claims had gone  back against the                                                              
general's  insurance  policy to  where  the  roofer was  the  sole                                                              
proprietor.                                                                                                                     
                                                                                                                                
2:37 p.m.                                                                                                                       
                                                                                                                                
MR. MILLER thought Mr. Grossi would  have a better handle on those                                                              
numbers.                                                                                                                        
                                                                                                                                
MR. GROSSI said it would happen every couple of years.                                                                          
                                                                                                                                
MR. MILLER said  his family had some experience  when an employee,                                                              
after about  a decade  of working  as a  contactor owning  her own                                                              
business:                                                                                                                       
                                                                                                                                
     …decided  that working  for Alex Miller  had caused  her                                                                   
     such mental  stress that  she needed  to file a  workers                                                                   
     comp   claim.  They  were   retroactively  declared   an                                                                   
     employee  and  it  was  a  significant  six-figure  plus                                                                   
     settlement  and Alex never did  quite recover  from that                                                                   
     one.                                                                                                                       
                                                                                                                                
SENATOR TORGERSON  asked if premiums  weren't a function  of total                                                              
payroll.  "Your assigned  risk rate  doesn't  change throughout  a                                                              
year."                                                                                                                          
                                                                                                                                
MR. MILLER replied, "No, it's a function  of an agreed upon figure                                                              
and then times a number of hours."                                                                                              
                                                                                                                                
SENATOR TORGERSON asked if it was hours or payroll.                                                                             
                                                                                                                                
MR. MILLER  replied  that it was  a little  more complicated  than                                                              
that, but  payroll and  hours are interchangeable  as part  of the                                                              
formula. "If  you get paid  so much per  hour, then you  times the                                                              
payroll times the hours."                                                                                                       
                                                                                                                                
SENATOR TORGERSON  said there's probably  never a  premium written                                                              
in the state  that's isn't either  adjusted up or down  at the end                                                              
of the audit time.                                                                                                              
                                                                                                                                
MR. MILLER agreed and added:                                                                                                    
                                                                                                                                
     Also,  in   the  contracting   business,  if  I   was  a                                                                   
     contractor  and if  I was  negotiating a  contract or  a                                                                   
     policy, if  you will, with  a carrier through  my broker                                                                   
     and I thought  the possibility exists that  I would have                                                                   
     10,000  hours  to 20,000  hours  in  a season,  I  would                                                                   
     prefer  to  start  at  10,000 and  then  pay  later  for                                                                   
     everything  between that  and  20,000. I  don't think  I                                                                   
     would  give them  a  high number  and  ask  to pay  that                                                                   
     premium and then  later ask for the money  back. I'm not                                                                   
     saying they would  low ball, but I'm saying  you want to                                                                   
     take a  number that you're  pretty sure you're  going to                                                                   
     hit, and  then if it goes up,  if you get a  little more                                                                   
     work, you  pay that  premium later as  it goes to  front                                                                   
     loading.                                                                                                                   
                                                                                                                                
SENATOR  TORGERSON  said  he  believed   that  they  do  have  the                                                              
authority to go back farther than  one year, but maybe his company                                                              
chooses not to. He asked if they  found a company that they missed                                                              
the work test on,  that had for five or six years  been treated as                                                              
a subcontractor,  but they  finally came  to the realization  that                                                              
the person or the  firm wasn't - that is was more  of an employee,                                                              
because they failed the work test,  how far back could they go and                                                              
collect the  premium. He  knew of  a couple  cases where  they did                                                              
back up, but he didn't know how many years.                                                                                     
                                                                                                                                
     But, the risk that you're talking  about that you had on                                                                   
     the books  for free because  of the classification,  the                                                                   
     employee  was not  caught or not  reported or  whatever,                                                                   
     but  wasn't in  the total  payroll. Once  that error  is                                                                   
     discovered  and that  person was being  reimbursed as  a                                                                   
     subcontractor, but  in fact wasn't, I'm sure  you'd back                                                                   
     up more than one year.                                                                                                     
                                                                                                                                
MR. MILLER said he may have confused him and explained:                                                                         
                                                                                                                                
     When a carrier performs an audit  and determines there's                                                                   
     risk  and  they  want  premium,   there  hasn't  been  a                                                                   
     relative  nature   of  work  test  done.  That   is  the                                                                   
     carrier's   determination  that   they  have  risk.   To                                                                   
     actually have that test done  and that declaration made,                                                                   
     that is  only done by the  Board or some other  body. We                                                                   
     don't official  make that test. That ruling as  far as I                                                                   
     can tell only comes about when  there's been a claim. So                                                                   
     I think I misinformed you.                                                                                                 
                                                                                                                                
SENATOR TORGERSON asked, "What do you audit for then?"                                                                          
                                                                                                                                
MR. MILLER answered: "We audit to  see what we think our risk is."                                                              
                                                                                                                                
SENATOR TORGERSON said  his point is the audit  finds errors where                                                              
an employee  or a subcontractor  wasn't treated properly  and they                                                              
believe that should  have run through payroll. He  knew they could                                                              
go back.                                                                                                                        
                                                                                                                                
MR. MILLER said he would check on that.                                                                                         
                                                                                                                                
SENATOR AUSTERMAN  said he  understood that part  of the  test was                                                              
where the contractor actually checks  that he is a sole proprietor                                                              
and doesn't need  workers comp and asked if there  was a test that                                                              
takes place  at that point  in time.  Is the question  ever asked,                                                              
"Can you carry the burden?"                                                                                                     
                                                                                                                                
MR. GROSSI said:                                                                                                                
                                                                                                                                
     I believe when  you're talking about the  check, that is                                                                   
     not with the  Workers' Compensation Board.  That is when                                                                   
     they are  licensing those.  No, if they  put a check  on                                                                   
     there, there is no real audit,  so to speak, or any real                                                                   
     thorough   examination  of   that  situation.  So,   the                                                                   
     examination is always after  the fact…It usually happens                                                                   
     after there  is an injury, there's large  medical bills,                                                                   
     some  time  loss,  dire financial  straights,  and  then                                                                   
     they'll file  the claim. The Board  has to look at  it -                                                                   
     the relative  nature of the work test is  in regulation,                                                                   
     but it  actually comes  from a  supreme court case.  The                                                                   
     Supreme Court has defined it in that way.                                                                                  
                                                                                                                                
SENATOR AUSTERMAN said there appears  to be a conflict that allows                                                              
a sole proprietor to go out in to  the bliss of this world without                                                              
knowing this is waiting there for him.                                                                                          
                                                                                                                                
MR. GROSSI responded  that the problem does not lie  with the sole                                                              
proprietor, but  the contractor over  that can be held  liable for                                                              
the   injury  of   the  subcontractor/sole   provider.  "If   it's                                                              
determined that  they're really not  in this particular  instance,                                                              
according to this injury, a subcontractor, but an employee."                                                                    
                                                                                                                                
SENATOR  AUSTERMAN said,  "What  you're saying  is  that it's  the                                                              
general contractor's  responsibility to  read this and say  to the                                                              
sole proprietor, 'can you carry the risk?"                                                                                      
                                                                                                                                
MR.  GROSSI said  he thought  that  defined the  problem, in  that                                                              
there's  an  uncertainty   there  on  the  part   of  the  general                                                              
contractor.                                                                                                                     
                                                                                                                                
SENATOR  AUSTERMAN  asked,  "It's  uncertain whether  he  has  the                                                              
responsibility to ask that question?"                                                                                           
                                                                                                                                
MR. GROSSI said he knew what he was  saying, but he didn't have an                                                              
answer. "There is no real burden  on them. This is a test that the                                                              
Board has to  apply if those cases come before  them where there's                                                              
a  question   of  whether  this   person  is  an  employee   or  a                                                              
contractor."                                                                                                                    
                                                                                                                                
SENATOR  AUSTERMAN asked  when  he  comes in  to  get his  general                                                              
contractor's license, is he told  that or does he have to research                                                              
the issue to know what he's doing.                                                                                              
                                                                                                                                
MR.  GROSSI  said  he didn't  know  what  the  licensing  division                                                              
provided,  but   they  do  give   them  information   on  workers'                                                              
compensation.                                                                                                                   
                                                                                                                                
CHAIRMAN  STEVENS said  the  problem might  be  that some  general                                                              
contractors are doing it and some  aren't. He asked if there was a                                                              
financial advantage to not doing it.                                                                                            
                                                                                                                                
MR. GROSSI  said he  probably wasn't  the right  person to  answer                                                              
that question.  Some of  the generals  require a subcontractor  to                                                              
have a policy, even if they are a  sole proprietor and even though                                                              
they are not required by law to deal  with the risk and liability.                                                              
"However, it's  a competitive world  out there….and they  may have                                                              
to do what they have to do to get the job done…"                                                                                
                                                                                                                                
SENATOR  AUSTERMAN asked  if he was  reroofing  his own house  and                                                              
decided to hire  a subcontractor to help him and  he falls off and                                                              
hurts himself, who is liable.                                                                                                   
                                                                                                                                
MR. GROSSI replied:                                                                                                             
                                                                                                                                
     As   far  as   Workers'  Comp   is  concerned,   Senator                                                                   
     Austerman,  through  the  Chair,   you  would  never  be                                                                   
     determined  an employer in  that situation, because  you                                                                   
     are  a  consumer  of  that   product  or  service.  It's                                                                   
     consumptive as opposed to productive…"                                                                                     
                                                                                                                                
CHAIRMAN STEVENS  said he  wasn't comfortable  moving the  bill at                                                              
this point  and asked  the sponsor and  concerned parties  to work                                                              
further on it. He adjourned the meeting at 2:50 p.m.                                                                            
                                                                                                                                
                                                                                                                                

Document Name Date/Time Subjects