ORDER DESIGNATING DECISION AS PRECEDENTIAL

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DEPARTMENT OF INSURANCEInsurance Comri1issioner Steve Poizner11300 Capitol Mall, 1?1 FloorSacramento, CA 95814Telephone: (916) 492-3500Fax: (916) 445-5280ORDER DESIGNATING DECISION AS PRECEDENTIALPursuant to section 11425.60 of the Government Code, an agency may designate adecision or pa1is of a decision as precedent if it contains a significant legal or policydetennination of general application that is likely to recur.The decision of the Insurance Commissioner In the Matter ofthe Appeal ofCampTawonga, Tawonga Jewish Community Corporation, File Number AHB-WCA-07-10, contains asign1ficant legal or policy dete1111ination of general application that is likely to recur.Accordingly, IT IS HEREBY ORDERED that this decision is designated as precedent This.order is effective immediately.Dated: //-11 Sv.ri2 f-, 2008STEVE POIZNERInsurance Commissioner 7WILLIAM GAUSEWIT;Counsel to the Commissioner·

.! BEFORE THE INSURANCE COMMISSIONEROF THE STATE OF CALIFORNIAIn the Matter of the Appeal ofCAMP TAWONGA, TAWON GA JEWISHCOMMUNITY CORPORATION,Appellant,From the Decision of theSTATE COMPENSATION INSURANCE FUNDAnd THE WORKERS' COMPENSATIONINSURANCE RATING BUREAU,Respondents.)AUG 1 2 2.008).MlMlNlSillA.ilVE HEARING BUREAU)))) FILE AHB-WCA-07-10))))))))ORDER ADOPTING PROPOSED DECISIONThe attached proposed decision of Administrative Law Judge Kristin L. Rosi is adoptedas the Insurance Commissioner's decision in the above entitled matter. This order shall beeffectiveJune 4, 2008. Reconsideration of the Commissioner's decision may be. had pursuant to California Code of Regulations, title I 0, section 2509.72, but it is not necessaryto request reconsideration prior to initiating judicial review. Any party seeking reconsiderationof the Insurance Commissioner's decision should serve the request for reconsideration onWilliam Gausewitz, Counsel to the Commissioner at the address indicated below in sufficienttime to ensure that the Commissioner can review the request and take appropriate action beforethe expiration of the 30 day limit for reconsideration.William Gausewitz, CounselCalifornia Department of Insurance45 Fremont Street, 23 rd FloorSan Francisco, California 94105

.-,,a' !JIiiJudicial review of the Insurance Commissioner's decision may be had pursuant to CaliforniaCode of Regulations, title 10, section 2509.76. The person authorized to accept service on behalfof the Insurance Commissioner is:Staff Counsel Darrel WooCalifornia Department of Insurance300 .Capitol Mall, 17th FloorSacramento, California 95814Any party seeking judicial review of the Insurance Commissioner's decision shall file theoriginal writ of administrative mandamus with the court. Copies of the writ of administrativemandamus and the final judicial decision and order on the writ of admin istrative mandamus mustbe served on the Administrative Hearing Bureau of the California Department oflnsurance.Dated:Steve PoiznerInsurance Commissioner AUSEWll Counsel to the Commissioner2---

iADEPARTMENT OF INSURANCEADMINISTRATIVE HEARING BUREAU45 Fremont Street, 22 nd FloorSan Francisco, CA 94105Telephone: (415) 538-4102 or (415) 538-4251FAX: (415) 904-5854BEFORE THE INSURANCE COMMISSIONEROF THE STATE OF CALIFORNIAIn the Matter of the Appeal ofCAMP TAWONGA, TAWONGA JEWISHCOMMUNITY CORPORATION,Appellant,From the Decision of theSTATE COMPENSATION INSURANCE FUND,Respondent.)))))) FILE AHB-WCA-07-10))))))PROPOSED DECISIONI.IntroductionThis appeal is brought pursuant to California Insurance Code section 11737(f), 1 andarises from a dispute over premium rates charged by State Compensation Insurance Fund("SCIF") for workers' compensation insurance provided to Camp Tawonga, Tawonga JewishCommunity Corporation ("Appellant") under SCIF Oroup Policy Number 623-631-2004 for thepolicy year January 1, 2005 - January 1, 2006. The basis of this dispute is disagreement over the1Section 1173 7, subdivision (f), provides in pertinent part: "Every insurer or rating organization shall providewithin ihis state reasonable means whereby any person aggrieved by the application of its filings may be heard bythe insurer or rating organization on written request to review the manner in which the rating system has beenapplied in connection with the insurance offered or afforded . Any party affected by the action of the insurer orrating organization on the request may appeal, within 30 days after written notice of the action, to the commissioner"

'.proper payroll classification for certain employees who did non-clerical2 work at Appellant'scamp location during the summer months but did exclusively clerical work within its SanFrancisco office during the rest of the year.Appellant appeals from SCIF's decision to assign the payroll of these employees to.Classification Code 9048(1 ), "Camps - recreational and educational - all operations - including ·Clerical Office Employees at camp locations," rather than splitting the payroll at issue betweenclassification Code 9048(1) and Classification Code 8810(1), "Clerical Office Employees N.O.C''.3For the reasons set forth below, SCIF's decision to assign the payroll of Appellant'semployees who did non-clerical work at Appellant's camp location during the summer monthsand clerical work within its San Francisco office during the rest of the year to classification9048(1) is affirmed.II.Statement of IssuesDid SCIF properly classify the payroll of Appellant's employees at issue to Cla sification,Code 9048( 1), "Camps - recreational and educational - all operations - including Clerical OfficeEmployees at camp locations," under the Standard Classification System, Part 3, of theCalifornia Workers' Compensation Uniform Statistical Reporting Plan ("USRP"), 4?Even if SCIF properly classified the payroll of Appellant's employees, do equitablegrounds exist for granting Appellant an exemption from the provisions of the USRP?2As discussed later in this decision, there were no employees at camp who did strictly clerical work while they werethere.3''N.O.C." means "not otherwise classified."4The provisions of the USRP constitute part of the Insurance Commissioner's regulations. (Cal. Code of Regs., tit.10, § 2318.6.) The USRP contains an extensive listing of rating classifications for various occupations,employments, industries, and businesses. The USRP rules are mandatory. (USRP, part 1, section I.) As part of theCalifornia Code of Regulations, they have the force and effect of statutes. (Cal. Code ofRegs., tit. 10, § 2350;Yamaha Corp. v. State Bd. OfEqualization (1998) 19 Cal.4th 1, 10.) The 2005 version of the USRP is applicable tothis appeal because the policy at issue incepted during that year.2

'.III.Procedural HistoryAppellant initiated these proceedings on March 23, 2007, by filing a written appeal to theInsurance Commissioner from SCIF's February 21, 2007 decision, conveyed through the SCIFCustomer Assistance Program, rejecting Appellant's claim that twenty-five (25) employeesshould be classified under Code 8810(1) as clerical office employees for the portion of the yearthey worked in Appellant's San Francisco office.The Workers; Compensation Insurance Rating Bureau of California ("WCIRB" or"Rating Bureau"/ first appeared by letter dated May 9, 2007 6 and participated in the proceedingsthereafter in support of the SCIF classification decision. References in this decision to."Respondents" include both SCIF and the Rating Bureau.The appeal was initially assigned to Administrative Law Judge Lisa Williams, arid wasre-assigned on October 2, 2007 to Administrative Law Judge David R. Harrison. A liveevidentiary hearing was held in the San Francisco hearing room of the Department on JanuaryI0, 2008 before Judge Harrison and Administrative Law Judge Kristin Rosi.During the proceedings, Appellant was represented by Gary A. Angel, Esq. of the LawOffice of Gary A. Angel. Eric P. Jones, Esq. represented respondent SCIF. WCIRB wasrepresented by John N. Frye, Esq. of the Law Offices of John N. Frye, and Monica Floeck, Esq.,in house counsel for WCIRB.The paiiies filed opening briefs prior to the hearing and introduced documentary evidenceand elicited testimonial evidence at the hearing. The documentary evidence in this case includes5The WCIRB is a rating organization licensed by the Insurance Commissioner under Insurance Code section 11750,et seq., to assist the Commissioner in the development and administration of worker's compensation insuranceclassification and rating systems. The Bureau serves as the Commissioner's designated statistical agent for thepurpose of gathering and compiling experience data developed under California worker's compensation andemployers' liability insurance policies. (Ins. Code§ 11751.5.)6Exhibit 203.3

'.all exhibits admitted into evidence, which are identified more specifically in the parties' JointExhibit List.Each party called one witness to testify on its behalf. Chief Financial Officer GreggRubenstein testified for the appellant, Senior Auditor, Chester Chow testified for SCIF and BrianGray, Quality Assurance Director for Classification.and Test Audit, testified for WCIRB.Following the evidentiary hearing, the parties filed post-hearing briefs, and the recordwas closed on February 22, 2008.IV.Contentions of the PartiesAppellant originally contended that the payroll of the twenty-five employees at issueshould be assigned to classification 8810(1), for the nine months out of the year that theemployees performed clerical duties at the Appellant's San Francisco office and assigned toclassification 9048(1) during the three month period they spent at Appellant's campgrounds.Subsequently, the Appellant conceded that two (2) employees, Ken Kramarz and DeborahN ewbrun, were executives and not clerical employees under Code 8810( 1) during the hearing.As a consequence, the payroll of only 23 employees remained at issue. Appellant also contendsSCIF should be estopped from attempting to collect increased premiums.SCIF contends the employees are properly classified for the entire year under Code9048(1) as camp employees pursuant to the rules of the USRP, and further asserts that it isobligated to conform to the rules of the USRP.The WCIRB also contends the employees are properly classified for the entire year underCode 9048(1) as camp employees and further asserts that an employee's payroll cannot be splitbetween two classifications based on the amount of time the employee performs each task. 77The WCIRB did, however, opine that, while employees who engaged exclusively in clerical activities at the camphad to be classified under 9048( I) while there, they would not lose their clerical classification (8 810) for their SanFrancisco work, if otherwise applicable. Based on the evidentiary record, no employees who engaged exclusively inclerical activities at camp.4

I,.raV.Findings of Fact 8A. Appellant's OperationsAppellant is a non-profit corporation operating group-centered summer camp programsfor children and families in Tuolumne County, with administrative offices in San Francisco.Appellant employs approximately twenty-five (25) year-round employees; that is, employeeswho work for the corporation on a year-round basis, both at the San Francisco office and at the9summer camp. With the exception of a handful of employees discussed below, all employeesworking at the San Francisco administrative office work under a 9-month contract on an hourly. 10wage bas1s.B. Employees at IssueThe employees whose classifications are at issue, and the job duties they performed, areas follows:11EmployeesJob Duties in SFJob Duties at CampCala BelkinMiriam BlachmanLiz BoyarskyShira BursteinClericalHire kitchen staffClericalClericalTherapistKitchen ManagerCamp activitiesCamp activitiesDavid CastleClericalNot at campsiteAndrea FajansJ esykah F orkashSeth FriedmanClericalClericalAsst. Dir. WildernessCamp activitiesCamp activitiesCamp activitiesJordan GillSas ha GoldbergAnn GonskiAsst. Summer Dir.ClericalAssoc. DirectorCamp activitiesNot at campsiteCamp activities8References to the transcript of the hearing held on January 10, 2008 are "RT." followed by the page number(s) and,where line references are used, a"/" followed by the line numbers(s). Thus, for example, a reference to RT 35/1418 is to page 35, lines 14-18 of the transcript. Exhibits are referred to by the numbers assigned to them in theExhibit Lists filed by the parties.9App. Exh. 1; RT. 76/5-7.10App. Exh. 17.11Appellant's Exhibit 8 and the testimony of CFO Gregg Rubenstein provided information regarding the duties ofeach employee at issue. Mr. Rubenstein's testimony was uncontroverted and as such, his descriptions are includedherein.5

Miriam GordonGrant GordonAsst. Staffing Dir.ClericalCamp activitiesCamp activitiesDaniel HarrisSara HilbrichRegistrarClericalClerical/CampCamp activitiesJ onina KaufmanRinaKedemKen KramarzAsst. DirectorAsst. Dir. WildernessExecutive DirectorCamp activitiesCamp activitiesCamp activitiesJeremy LansingAaron MandelClericalClericalCamp activitiesCamp activitiesDeborah N ewbrunDirectorCamp activitiesErick OrdinClericalCamp activitiesSadie RubinClericalNot at campsiteAshley W amerClericalCamp activitiesKendra ZfonClericalCamp activitiesC. Duties Performed at the San Francisco OfficeWh ile in the San Francisco office, Appellant's employees perform a variety of clericaland non-clerical duties, aimed at securing campers for the following summer season. 12Employees Cala Belkin, Liz Boyarksy, Shira Burnstein, David Castle, Andrea Fajans, JesykahForkash, Jordan Gill, Sasha Goldberg, Grant Gordon, Daniel Harris, Sara Hilbrich, JoninaKaufman, Jeremy Lansing, Aaron Mandel, Erik Ordin, Sadie Rubin, Ashley Warner and KendraZien all worked as clerical employees, answering telephones, making photocopies and filingpaperwork. Their positions were not supervisory and their work in San Francisco was performedexclusively at the Camp's administrative headquarters.12App. Exh. 8.6

Employee Miriam Blachman performed varied work at the administrative office. Whilesome of her duties were apparently clerical in nature, she was also responsible for interviewingand hiring summer kitchen staff.13Employees Seth Freidman and Rina Kedem were employed as the Camp's AssistantDirectors of Wilderness.14As such, Mr. Freidman and Ms. Kedem were responsible forrecruiting, interviewing and hiring wilderness staff for the summer. 15 Additionally, Mr.Freidman coordinated travel to and from the campgrounds.16Ann Gonski served as the Camp's Associate Director. Ms. Gonski's duties includedsupervising the administrative staff, serving as the agency's media spokesperson and as theagency's representative to its Board of Directors.17Additionally, Ms. Gonski met withrepresentatives of other community agencies in order to form partnerships with theseorganizations. The meetings often took place outside the Camp's administrative offices.18Miriam Gordon was employed as the Camp's Assistant Director of Staffing. 19 She wasresponsible for recruiting, interviewing and hiring all program staff for the summer season. 20 Asthe Camp employs approximately 150 staff each summer, this task took a large portion of Ms.Gordon's time.Ken Kramarz served as the Camp's Executive Director.21In addition to his supervisoryroles, he directed the Camp's legal and political actions, and represented the Camp to other13RT. 35/14-18; App. Exh. 8 2.RT. 42/11-13; RT. 64/22.15RT. 65/6-9.16RT. 43/21-25; App. Exh 8-2.17RT. 50-51/8-7; App. Exh. 8-3.18RT. 51/14-20.19App. Exh. 8-3.20RT. 54/2-5.21RT. 66/3-4.147

community agencies.22Appellant conceded during the hearing that Mr. Kramarz was not a"clerical" employee, as defined by the USRP. 23· Deborah Newbrun was employed as the Camp's Director. 24 She was responsible for allstaff, providing educational workshops for the community and developing training programs forsummer staff. Appellant conceded during the hearing that Ms. Newbrun was not a "clerical"25employee, as defined by the USRP .D. Duties Performed at the CampgroundsDuring the summer months, all of the above-named employees, with the exception ofDavid Castle, Sasha Goldberg and Sadie Rubin, worked at Appellant's campgrounds inTuolumne County. Mr. Castle, Ms. Goldberg and Ms. Rubin were never at the campsite, andworked exclusively in the Camp's administrative office. 26·Most employees work at the Appellant's campgrounds under a separate contract that paidthem a flat rate for their services. 27 While at the campgrounds, employees performed a variety of"camp activities" including serving as camp counselors, program coordinators, lifeguards, orkitchen staff, depending upon their job descriptions. 28 Some employees had programmaticresponsibilities, i.e. arts and crafts, or physical activities, while others served as counselors,kitchen staff, and maintenance staff or supervised other employees. One employee, DanielHarris, spent a large portion of his time in the Camp's administrative office. However, Mr.Harris also performed bus duty to and from the campgrounds, riding in the lead vehicle.22App. Exh. 8-4.RT. 66/15-23.24RT. 69/18-20.25RT. 69-70/21-2.26RT. 20-21/20-21.27RT. 25/5-11; App. Exh. 17.28RT. 18/17-21; App. Exh. 8.29RT. 56/14-23.23829

All employees working at the campgrounds slept either in "staff' housing or with thecampers themselves in small cabins. 30 Both the staff housing and the general cabins for campersare located within the boundaries of the campground. The Carrip staff does not leave thecampsite at the end of their shifts.31 These en:;i.ployees take their meals with the campers at theCamp's cafeteria but do not share bathroom or shower amenities with the campers. 32The Camp's facilities also include an administrative building that houses the telephonesand computers, as well as camper files. 33 A separate office is maintained for the Camp's on-sitetherapist. 34 The campgrounds include a ropes course, an archery range, a swimming pool and avariety of nature trails.VI.DiscussionA.The Regulatory SchemeThe provisions of the USRP constitute part of the Insurance Commissioner's regulations.(Cal. Code of Regs., tit. 10, § 2318.6.) The USRP contains an extensive listing of ratingclassifications for various occupations, employments, industries, and businesses. The USRPmles are mandatory. (USRP, part 1, section I.) As part of the California Code of Regulations,they have the force and effect of statutes. (Cal. Code of Regs., tit. 10, § 2350; Yamaha Corp. v.State Ed. OfEqualization (1998) 19 Cal.4th 1, 10.)At its outset, the USRP sets forth its objective. USRP, part 3, section I, provides asfollows:The objective of the classification system is to group employersinto classifications so that each classification reflects the risk ofloss common to those employers. With few exceptions, it is thebusiness of the employer within California that is classified, -21; 87-88/22-3.33/7-15.33/23-25.9

the separate employments, occupations, or operations within thebusiness.·Part 3, Section IIII, paragraph I of the USRP sets forth the general classificationprocedure:1. Classification Description. An alphabetical listing ofclassifications that describe most occupations, employments,industries and businesses is contained in Section VII, "StandardClassification."a. Any business or operation specifically described by aclassification shall be assigned to that classification.Determination of a California employer's workers' compensation premium rate depends,in part, on the classification code assigned to that employer's operations. Based on informationreported by the insurer to the WClRB as to the loss, exposure, and premium data of eachworkers' compensation insurance policy, the WCIRB determines "pure premium rates" for eachclassification. (USRP, part I, section I, rule I.)In this appeal, there is no dispute as to the appropriate classification for Appellant'soperations. Appellant is properly cla

ORDER DESIGNATING DECISION AS PRECEDENTIAL . Pursuant to . section 11425.60 . ofthe Government Code, anagency may designate a decision or pa1is ofa decision as precedent ifit contains a significant legal or policy detennination of general application that is likely to recur. The decision ofthe Insurance Commissioner . In the Matter ofthe Appeal .

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