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This website publishes administrative rules on their effective dates, as designated by the adopting state agencies, colleges, and universities.

Rule 4123-17-43 | Application for retrospective rating plan.


(A) All operations of an employer electing retrospective rating are subject to retrospective rating.

(B) The application must be filed on a bureau application form for the retrospective rating plan. The application must be completed in its entirety, including but not limited to the selection of a per-claim limit and maximum premium per cent. The absence of pertinent information will result in the application being rejected.

(C) The application and all other required information must be filed by the application deadline. An application for a retrospective rating plan is applicable to only one policy year. Continuation of a plan for subsequent years is subject to filing of an application on a yearly basis and the meeting of eligibility requirements each year.

(D) All changes to the original application must be filed on another application form for the retrospective rating plan prior to the filing deadline. Any changes made must be completed in writing and signed by an officer of the company and filed prior to the filing deadline. Any changes received by the bureau after the filing deadline will not be accepted. The latest application form or rescission received by the bureau prior to the filing deadline will be used in determining the premium obligation.

Last updated February 18, 2022 at 11:48 AM

Supplemental Information

Authorized By: 4121.12, 4121.121
Amplifies: 4123.29, 4123.34
Five Year Review Date:
Prior Effective Dates: 7/1/1988, 10/2/1990, 7/1/1997, 11/15/2010, 7/1/2019