Rule 4123-19-10 | In regard to audits by the bureauof workers' compensation.
(A) The bureau shall audit the programs of employers who elect to pay compensation directly in the following situations:
(1) On a random basis;
(2) Whenever the bureau has grounds for believing that an employer is not in full compliance with the rules of the industrial commission or the bureau or the provisions of Chapter 4123. of the Revised Code;
(3) Upon request from the self-insured review panel or the self-insuring employers evaluation board.
(B) Such audits shall include the employer's methods of furnishing benefits; the employer's payment of compensation or benefits to claimants and dependents and whether this is being done in a proper and timely manner; whether the employer has promptly filed all reports required under the rules of the industrial commission and the bureau and the provisions of Chapter 4123. of the Revised Code. Such audits may also be used to evaluate whether the employer is providing medical examinations and evaluations in a timely manner; and whether the employer has harassed, dismissed, or otherwise disciplined employees who have filed complaints against such employer with the bureau.
(C) The bureau shall report its findings on such audits to the employer, the self-insured review panel, or the self-insuring employers evaluation board, where the panel or board had requested the audit, and shall evaluate such findings and take such action as is indicated.
Last updated January 3, 2023 at 9:52 AM
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