Procedural facts
7L&B has for some time carried, as is required by law, a workers' compensation insurance policy for whom the insurer was Allianz. Allianz was the insurer for each of the relevant years. A premium was charged in relation to each year in accordance with the prescribed calculation based upon the schedule and returns of L&B.
8On or about 1 September 2007, Allianz appointed auditors, AEA & Associates (hereinafter "AEA"), to carry out a wage audit for the relevant years. On or about 30 November 2007, AEA reported to Allianz (which report included a number of annexures) and assessed the total insurable wages for the three-year period at $2,247,019.
9On 30 December 2007, the chartered accountants (Byrons) acting on behalf of L&B wrote to AEA (again with annexures) complaining about the increase in total wages assessed for insurance purposes. The annexures to the letter from Byrons included certain decisions of the Administrative Decisions Tribunal (hereinafter "ADT") relating to the status of a number of persons performing work for L&B.
10On 27 February 2008, Allianz wrote to L&B and claimed additional premium of $102,033.97 based upon the foregoing wage assessment carried out by AEA. On 26 March 2008, Byrons "appealed" the wage audit assessment under s 170 of the Act. On 15 August 2008, Allianz sought additional premium of $97,772.88. On 16 December 2008, WorkCover wrote to L&B in relation to its appeal under s 170 of the Act. In that letter, after referring to the appeal, WorkCover stated:
"As a result of my investigations and in consultation with Emma of Clark Pacific Insurance Brokers it was agreed to reverse the findings of the audit conducted by AEA & Associates in 2007 and have a different auditor review the same policy periods. As such, your appeal is no longer required and has been closed.
I understand that WorkCover's Compliance Branch has arranged for a new audit to take place in the near future. In the event that you are not satisfied with the outcome of this audit, in the first instance, please liaise with the auditor and agent to resolve any issues. Failing this, please lodge a new Appeal with the WorkCover Appeals Branch."
11On 8 January 2009, the new auditors, referred to above, Coulton Isaac Barber (hereinafter "CIB"), appointed by WorkCover, reported. The report included annexures and assessed an alleged total wages bill of $3,579,102 over the three-year period.
12On 28 January 2009, Allianz, pursuant to the CIB audited wage assessment, wrote to L&B informing them that an additional premium of $178,109.74 was payable. That premium was based upon the direction of WorkCover, which, in turn, was based on information resulting from the conduct of the CIB audit.
13On 30 April 2009, Byrons, on behalf of L&B, wrote to WorkCover attaching an Application for Review (also referred to by the parties as an appeal under s 170 of the Act) and annexures thereto. (Notwithstanding the reference by the parties to the term "appeal", s 170 of the Act refers to the process as a review, which it clearly is and it is a review of the disputed aspect of a premium determination.) By letter dated 30 October 2009, WorkCover responded to Byrons and reduced the total wages assessed by CIB to $2,682,965. The response, in part, stated:
"WorkCover has received all the available information and is satisfied that 17 of the contractors previously included by the auditor are operating independent businesses....
Indicators examined by the Commission and WorkCover in determining whether a contractor is a deemed worker are whether the:
+ arrangement is evidenced in writing
+ contractor/deemed worker measures and inspects the site and provides a fixed price quotation inclusive of labour and material
+ contractor/deemed worker deals directly with the client requesting the work or the principal contractor for whose benefit the work is to be done
+ contractor/deemed worker has an opportunity to make a profit or loss over and above an hourly rate
+ contractor/deemed worker supplies the materials, plant and equipment used in completion of the job
+ contractor/deemed worker pursuant to any contract is subject to statutory and/or common law liability or loss as a result of bad workmanship
+ contractor/deemed worker employs and/or sublets any of the contracted work.
...
While the indicia used in any decision made by the Commission are given consideration in our deliberations, the decision on whether any contractor is a deemed worker must be made having regard to the individual circumstances of each case."
14To that letter was annexed a schedule setting out the persons that WorkCover had classified as deemed workers for the purpose of the Act. Following the letter of 30 October 2009, there was correspondence, predominantly through emails, between WorkCover and Byrons regarding these issues. On 1 December 2009, Byrons wrote to WorkCover objecting to the proposed determination of 30 October 2009. The letter in part stated:
"We submit that your reference to factors and information taken into account gives no indication of the reasoning process adopted which has resulted in 17 contractors being excluded from the proposed calculation of wages and 46 contractors being included.
We submit that, as a decision maker affecting our client's rights and liabilities, you have an obligation to provide sufficient reasons to enable our client to understand why it is to be imposed with additional premiums."
15The foregoing letter of 1 December 2009, also referred to a number of comments that, it seems, Byrons considered WorkCover had not taken into account. They included: the delay of over six months in WorkCover's response and the effect on premiums of withholding the determination of their application; that there is no statutory basis for a "proposed decision"; and certain matters relating to the contractors, and inquiries made by WorkCover in relation thereto. Particularly, in relation to the last mentioned matter, reference was made to the holding of contractor licences to which Byrons made the following comment:
"a. Contractors undertaking commercial installation need no such licence and contractors may rely upon such a licence held by a head contractor. The absence of such a licence should therefore not be viewed as a determining factor.
b. The holding of a contractor's licence is not included as an indicator at page 3 of your correspondence but notwithstanding was relied upon in as such [sic] in the exclusion of Wayne Fonari and the inclusion of Mr Zhao. The indicators referred to at page 3 appear to have been otherwise ignored.
c. The reliance upon the holding or absence of a contractors [sic] licence as a determining factor suggests consideration of matters outside the list on page 1 of your letter and indicators other than those at page 3. What other information have you based your decisions upon?"
16Further, Byrons referred, in relation to the letter of 30 October 2009, to the fact that they had provided WorkCover with further information and were unaware of the use, if any, that had been made of that material. They also referred to a further aspect of the failure, in their view, to provide reasons, which included the absence of reasons for persons to be placed on the excluded list, the absence of an explanation or indication of the use made of additional information provided by Byrons in assessing the persons on the included list, and the inclusion, in particular, of three contractors who have their own workers' compensation policies (resulting effectively in the double payment of premiums). Particular reference was also made to one contractor, Jing Sheng, who had earned over $183,172 in 2005/2006 and the assertion made that the amount involved (together with the amounts of other persons of similar kind) meant that the person could not have been a deemed worker. Objection was also taken to the arbitrary inclusion of 80% of the payments made to such persons. Other matters were raised, but I do not repeat each and every one of them.
17By letter dated 11 December 2009, WorkCover responded to Byrons. Given the relevance of this letter to the issues in these proceedings, it is appropriate to repeat the substance of the letter. It should be noted that the letter attached a compact disc that included the auditors' report, working papers and documentary evidence obtained during the audit and invited L&B to provide further information in support of its s 170 Appeal by no later than 1 February 2010. WorkCover also informed L&B that it would determine the wages as detailed in their proposed determination of 30 October 2009, in the absence of any further written information. The substance of the response to the arguments provided by L&B was in the following terms:
"1. WorkCover acknowledges and again apologises for the delay between the receipt of your submissions and the issue of a proposed determination.
However, in regards to your comments in relation to your client being 'forced to pay the premium' and that the delay in our response somehow contributed to this, we wish to advise you that in accordance with s 172(4) of the Workers Compensation Act 1987 ("the Act") your client is required to pay any premium identified as a result of the audit, despite the lodging of an appeal.
If, as a result of WorkCover's determination under s170 of the Act, your client is due a refund of premium already paid, your client will also be entitled to interest on the refunded amount.
2. WorkCover issues a Proposed Determination in relation to s170 appeals as a matter of procedural fairness, not in an attempt to avoid our statutory obligations. This affords you / your client the opportunity to provide additional information in support of any contentions that arise from our Proposed Determination, prior to finalising the appeal.
In addition, we advise that the inclusion of any contractor deemed to be a worker did have regard to the individual circumstances of each case and had regard to the information provided by you, your client, the auditor, legislation, case law and legal precedence.
3a). While acknowledging that a contractor licence is not required for commercial work, the evidence (invoicing etc) available to WorkCover and the Auditor appears to predominantly relate to residential work. To undertake this type of work a contractor licence is required.
b) The list of indicia on p3 is intended to be a guide to the types of indicia taken into consideration. As advised in our Proposed Determination, "the decision on whether any contractor is a deemed worker must be made having regard to the individual circumstances of each case" and is based on the available information.
c) The holding or otherwise of a contractor licence is just one of the many factors taken into consideration.
4. All documentary evidence provided by you was considered. In addition, the compact disc included with this response contains all the documentation supplied by the auditor and taken into consideration in our deliberations.
5. In regards to the various contractors who have been excluded, WorkCover was provided with sufficient evidence that supported the fact that they were not reliant on the principal to undertake the type of work they performed. As such, we are satisfied that they are operating independent businesses.
Some of the primary considerations were:
+ Operated, as a Pty Ltd company
+ Traded under a business name
+ Had a workers compensation policy
+ Employed workers
+ Held contractor licences
+ Advertised their services
+ Worked for others
+ Held an ABN
+ Were registered for, and charged GST
In regards to some of the specific contractors you have identified, we offer the following:
3) Were not included by either the auditor or WorkCover.
4) Please refer to Anatoly Shishkin, reference number 16 on the attachment to our proposal of 30 October 2009.
9) Invoiced in the partnership name of E Zhang & X Zhang T/As Crystal Interior Linings, not Crystal Interior Linings Pty Ltd.
11) Invoiced in the partnership name of Milorad & Jelka Romanic prior to operating as M J Ceiling Partitions Pty Ltd. All invoices in the name of the Pty Ltd company have been excluded from the audited totals.
14) Were not included by either the auditor or WorkCover.
15) Juebao Pty Ltd has been excluded by WorkCover and should have been included on the list of excluded contractors.
Note: WorkCover excludes payments made to Pty Ltd companies in the first instance, on the basis that they are either employers in their own right or alternatively they further sub-contract the work.
In instances where no workers compensation policy is identified for a Pty Ltd company, the matter is referred to WorkCover's Compliance Improvement Branch for investigation and potential recovery of premium.
However, there are provisions within the Act that allows for WorkCover to recover unpaid premiums from a principal contractor in the event they cannot be recovered from an uninsured employer. In addition, the Act allows for injured workers to lodge a claim against the principal contractor in instances whereby their employer does not hold a workers compensation policy.
6. In relation to Jing Sheng Zhao we again note your contention. However, no direct evidence has been provided to verify that he was an employer or sub- contracted the work during the relevant periods. If evidence is made available to verify that he was an employer or sub-contracted the work, WorkCover would re-consider his inclusion.
In regards to Milorad & Jelka Romanic, any invoices / payments made out in the name of partnership (ABN 34 654 643 620) have been included. However, both WorkCover and the auditor have excluded any invoices in the name of M J Ceiling Partitions Pty Ltd.
7. The percentage applied to the contractors in your client's case is in accordance with page 32 of WorkCover's Wages Definition Manual (October 2003), Chapter E - Contractors. The percentage used is a default value applied in the absence of information to the contrary. In the case of your client, no evidence has been provided to support the use of an alternative percentage rate for any of the included deemed workers.
If you or your client is able to produce documentary evidence that support a different rate being used, WorkCover will give further consideration to the rate.
8. As stated in our Proposed Determination, the concerns you raised in relation t o the auditor and their report will be dealt with by WorkCover's Compliance Improvement Branch.
In regards to the information used in our deliberations, the enclosed compact disc contains a copy of all the information provided to us by the auditor.
9. Under workers compensation legislation, payment made to both workers and deemed workers are included in the Agent's calculation of premium. In the case of your client, both categories of workers were identified making this a correct statement.
In arriving at our Proposed Determination, WorkCover considers all the factual information contained within the audit report.
However, in determining the inclusion or otherwise of various types of payments, we take into account all supporting documentary evidence gathered by the auditor, WorkCover and any submissions from the employer or their representative.
As a result of our review, and in consideration of the additional information provided, a number of contractors previously included by the auditor as deemed workers were excluded from our Proposed Determination.
10. As outlined in our Proposed Determination, the decision to undertake a new audit for the same period was made in consultation with Emma of Clark Pacific Insurance Brokers over a number of conversations.
During the abovementioned conversations, WorkCover was led to believe that this course of action was at the insistence of your client. If this was not the case, we apologise for the inference.
However, we stand by our comment that we were prepared to issue a Proposed Determination based on the initial audit findings."
18By letter dated 12 March 2010, Byrons, on behalf of L&B, responded to the above letter from WorkCover. That response again asserted a failure to give reasons for the inclusion of certain contractors and remarked that "blandly referring to a list of indicia ... does not assist us to understand your reasoning or be in a position to advise our client or make sensible further submissions". As to the failure to give reasons, it also criticised the letter because it asserted that all documentary evidence had been considered but gave no indication of the reasoning in each individual case. The response further criticises the indication by WorkCover because it referred to considerations not previously notified and took a broad-brush approach to the predominance of residential work for which the alleged contractors tendered.
19The response letter of 12 March 2010 referred to numbered criteria by which WorkCover suggested it was determining the status of each of the "contractors" and remarked that there were no entries in relation to any contractor regarding numbered questions 3, 4, 6, 7, 8, 9, 11, 13, 14, 15 and 17. The letter then accused WorkCover of failing to make inquiries on the "very indicators" that WorkCover had notified it was considering as relevant to the decision it was required to make. The letter complained that WorkCover had not used its powers under the legislation to require information on particular contractors, but, instead, relied on simple limited internet searches. Byrons made the following comments as to each of the contractors:
(1) Every invoice was for a fixed amount or a rate per meter, not an hourly rate.
(2) One of the alleged deemed workers submitted invoices for jobs at 24 different suburbs, sometimes in respect of work done by other staff. The geographic range extends from East Bowral to Wentworth Falls, Woolooware to Manly and to Kellyville. This, it is said, would make instruction or supervision by L&B "well-nigh impossible".
(3) Jin Sheng Shao, trading as ZJ Plastering, has submitted invoices for work done in at least 43 suburbs between April 2005 and November 2006. It again noted that Mr Sheng must have been employing workers, seemingly on the basis that he was paid over $183,000 in one year. The letter further complained about the absence of understandable reasons for decision.
20On 14 May 2010, WorkCover wrote to Byrons, referring to its second appeal under s 170 of the Workers Compensation Act , the correspondence of 30 October 2009, 10 November 2009, 11 November 2009, 1 December 2009, 11 December 2009, 16 December 2009, 21 December 2009, 16 February 2010 and 12 March 2010, and assessing for each of the three-year period the total wages for workers and deemed workers, which assessment formed the basis for the calculation of insurance premiums for the year in question. This letter, which is the determination that is sought to be challenged, states:
"WorkCover advises that some of the issues you raised have been addressed in previous correspondence and therefore we do not intend to address them again. However, we offer the following responses.
In relation to your contention that various 'errors' were contained in the Coulton Isaac Barber ('CIB') report, as previously advised, the matter has been referred to the WorkCover Compliance Improvement Branch for their review. However, in relation to the parts of the report WorkCover relied upon in our determination, we advise that the only information that was taken at 'face value' within the audit report were the 'wage' figures used for-each of the audited periods. We note that these amounts have not been disputed.
In reaching a decision in relation to the status of each contractor, WorkCover gave consideration to the evidence contained on the compact disc (as provided to you) and the subsequent evidence provided by you / your client in your various submissions.
In regards to the so-called 'Contractor Questionnaire' completed by CIB, WorkCover did not give any consideration to its contents. Furthermore, we advise that WorkCover is unaware of the circumstances behind the documents creation and can only assume it is used by the Auditor as reference material.
We note that you are of the opinion that WorkCover, as the Regulator, have powers under legislation to obtain information from the contractors in dispute. Please be advised that WorkCover does not have any legislative power to compel an uninsured person to do anything except in instances where an authorised officer has reasonable grounds to believe the person is capable of giving information, producing documents or giving evidence in relation to a possible contravention of the Workers Compensation Ac 1987 or the Workplace Injury Management and Workers Compensation Act 1998. No evidence has been made available to determine that this is the case.
It is the employer's responsibility to make themselves aware of workers compensation legislation and to produce, on request, the evidence that they rely upon in support of their contention that a particular contractor should be excluded from the calculation of wages. In instances whereby an employer is unsure about the status of a worker, they should seek independent advice, or alternatively seek a Private Ruling from WorkCover's Worker Status Rulings Branch.
In previous correspondence, WorkCover advised you of some of the more common indicia considered when determining the status of a contractor and provided examples of the types of documentation that could be provided to support their exclusion. Further, we advised that any decision concerning the inclusion of contractor wages must be in accordance with workers compensation law and precedent cases, having regard to the individual circumstances of each case.
WorkCover is not in a position to know what evidence your client is in possession of, nor can we give any indication whether particular documents / evidence will have any bearing on the decision of whether a particular contractor is deemed to be a worker. All evidence is considered in its entirety having regard to the individual circumstances of each case.
On the basis that the decision of whether a contractor is deemed to be a worker is based on common law principles, and that case law does not provide any indication of the weighting applied to particular indicia, it is not appropriate for WorkCover to attempt to do so.
Nevertheless, we accept that for the majority of the 47 contractors that WorkCover has included as deemed workers, you provided an ABN and copies of invoices. Also, for a limited number you provided additional documentary evidence in relation to advertising and other insurances (i.e. Sickness & Accident and Public Liability).
In addition, WorkCover, through its research was able to establish that most held an ABN, were registered for GST, but did not hold workers compensation policies nor contractor licences.
However, the evidence as detailed above on its own is not sufficient to support that the contractors deemed to be workers were conducting independent businesses.
In our letter of 30 October 2009 we advised you of the types of evidence we would require. Consequently, we would have expected to receive documentary evidence in the form of, but not necessarily limited to, the following:
+ details of Contractor Licences;
+ workers compensation policies that supports payment of wages;
+ other insurances (i.e. Sickness & Accident and Public Liability);
+ advertising of their business;
+ subletting of the contract or employment of workers; and
+ copies of quotes issued prior to the commencement of work.
As stated previously, WorkCover must review the facts on a case by case basis on the evidence presented for each individual contractor deemed to be a worker.
In the absence of this additional documentary evidence, WorkCover has determined that the wages as outlined above are to be used in the Agent's calculation of premium for the 13 September 2003 to 13 September 2006 policy periods.
The Agent has been advised of WorkCover's determination. This concludes WorkCover's review and our file has now been closed."