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Rule 4123-17-73 | Group retrospective rating program.

...) Definitions. As used in this rule: (1) "Group retrospective rating" is a voluntary workers' compensation insurance program offered by the bureau. Group retrospective rating is designed to provide financial incentive to employer groups participating in the program that, through improvements in workplace safety and injured worker outcomes, are able to keep their claim costs below a predefined le...

Rule 4123-17-76 | Cancellation of workers' compensation coverage.

...verage if any of the following apply: (1) The employer fails to pay the required premium by the annual renewal date in accordance with rule 4123-17-14 of the Administrative Code, and the employer's estimated annual premium is equal to the minimum administrative charge as set forth in rule 4123-17-26 of the Administrative Code; (2) The employer's policy is in lapsed status, and the employer's policy has an accounts ...

Rule 4123-17-76 | Cancellation of workers' compensation coverage.

...verage if any of the following apply: (1) The employer fails to pay the required premium by the annual renewal date in accordance with rule 4123-17-14 of the Administrative Code, and the employer's estimated annual premium is equal to the minimum administrative charge as set forth in rule 4123-17-26 of the Administrative Code; (2) The employer's policy is in lapsed status, and the employer's pol...

Rule 4123-18-09 | Vocational rehabilitation provider fee schedule.

...(A) Pursuant to sections 4121.441 and 4121.61 of the Revised Code, the bureau shall adopt rules for the provision of vocational rehabilitation services to injured workers. The administrator hereby adopts the vocational rehabilitation provider fee schedule indicated in appendix A to this rule, developed with stakeholder input, effective October 1, 2020. (B) Notwithstanding the provisions of pa...

Rule 4123-18-09 | Vocational rehabilitation provider fee schedule.

...(A) Pursuant to sections 4121.441 and 4121.61 of the Revised Code, the bureau shall adopt rules for the provision of vocational rehabilitation services to injured workers. The administrator hereby adopts the vocational rehabilitation provider fee schedule indicated in appendix A to this rule, developed with stakeholder input. (B) Notwithstanding the provisions of paragraph (A) of this rule, consi...

Rule 4123-18-09 | Vocational rehabilitation provider fee schedule.

...(A) Pursuant to sections 4121.441 and 4121.61 of the Revised Code, the bureau shall adopt rules for the provision of vocational rehabilitation services to injured workers. The administrator hereby adopts the vocational rehabilitation provider fee schedule indicated in appendix A to this rule, developed with stakeholder input, effective October 1, 2021. (B) Notwithstanding the provisions of pa...

Rule 4123-18-09 | Vocational rehabilitation provider fee schedule.

...(A) Pursuant to sections 4121.441 and 4121.61 of the Revised Code, the administrator hereby adopts the vocational rehabilitation provider fee schedule indicated in the appendix to this rule, developed with stakeholder input. (B) Notwithstanding paragraph (A) of this rule, consistent with division (F)(1) of section 4121.44 of the Revised Code, managed care organizations may enter into other arrangements and reimb...

Rule 4123-18-21 | Wage loss payments to injured workers who complete rehabilitation plans.

...(A) For purposes of this rule: (1) "Successful return to work" as a result of an approved vocational rehabilitation plan means that the injured worker has obtained employment no later than sixty days from the date of closure of the injured worker's approved comprehensive vocational rehabilitation plan or has retained employment following the closure of the injured worker's job retention plan, and the employment: (...

Rule 4123-18-21 | Wage loss payments to injured workers who complete rehabilitation plans.

...(A) For purposes of this rule: (1) "Successful return to work" as a result of an approved vocational rehabilitation plan means that the injured worker has obtained employment no later than sixty days from the date of closure of the injured worker's approved comprehensive vocational rehabilitation plan or has retained employment following the closure of the injured worker's job retention plan...

Rule 4123-18-21 | Wage loss payments to injured workers who complete rehabilitation plans.

...(A) For purposes of this rule: (1) "Successful return to work" as a result of an approved vocational rehabilitation plan means that the injured worker has obtained employment no later than sixty days from the date of closure of the injured worker's approved comprehensive vocational rehabilitation plan or has retained employment following the closure of the injured worker's job retention plan...

Rule 4123-19-03 | Where an employer desires to secure the privilege to pay compensation and benefits directly.

...that all obligations under section 4123.35 of the Revised Code will be met promptly. The administrator of workers' compensation shall deny the privilege to pay compensation and benefits directly, where the employer is unable to demonstrate its ability to promptly meet all the obligations under the rules of the industrial commission and the bureau and section 4123.35 of the Revised Code. The ad...

Rule 4123-19-03 | Where an employer desires to secure the privilege to pay compensation and benefits directly.

...that all obligations under section 4123.35 of the Revised Code will be met promptly. The administrator of workers' compensation shall deny the privilege to pay compensation and benefits directly, where the employer is unable to demonstrate its ability to promptly meet all the obligations under the rules of the industrial commission and the bureau and section 4123.35 of the Revised Code. The ad...

Rule 4123-19-03.1 | Waiver of certain requirements.

...) Definitions. As used in this rule: (1) "Applicant" means an employer who is applying for the privilege to pay compensation directly pursuant to section 4123.35 of the Revised Code. (2) "Certified financial statements" means financial statements that have been audited by a certified public accountant, in accordance with generally accepted accounting principles, and include the certified public accountant's audit ...

Rule 4123-19-06 | Procedures for revocation of self-insuring status.

...er fails in any one of the following: (1) Continued failure to file medical reports requested by the bureau or industrial commission or to submit reports to the injured worker required under law or rule; (2) Continued failure to pay compensation or benefits in accordance with any law or bureau or commission rules in a timely manner; (3) Failure to provide reasonable medical facilities; (4) Continued failure to pa...

Rule 4123-19-06 | Procedures for revocation of self-insuring status.

...er fails in any one of the following: (1) Continued failure to file medical reports requested by the bureau or industrial commission or to submit reports to the injured worker required under law or rule; (2) Continued failure to pay compensation or benefits in accordance with any law or bureau or commission rules in a timely manner; (3) Failure to provide reasonable medical facilities; (4) Con...

Rule 4123-19-06 | Procedures for revocation of self-insuring status.

...er fails in any one of the following: (1) Continued failure to file medical reports requested by the bureau or industrial commission or to submit reports to the injured worker required under law or rule; (2) Continued failure to pay compensation or benefits in accordance with any law or bureau or industrial commission rules in a timely manner; (3) Failure to provide reasonable medical facilitie...

Rule 4123-19-16 | Self-insured construction projects.

...(A) As used in this rule: (1) "Responsible self-insuring employer" or "responsible employer" means the self-insuring employer or the public school employer that enters into a construction contract and applies for permission to self-insure the construction contract. The responsible employer is the entity responsible for the cost of the construction project and generally will be the owner of the ...

Rule 4123-19-16 | Self-insured construction projects.

...(A) As used in this rule: (1) "Responsible self-insuring employer" or "responsible employer" means the self-insuring employer or the public school employer that enters into a construction contract and applies for permission to self-insure the construction contract. The responsible employer is the entity responsible for the cost of the construction project and generally will be the owner of the ...

Rule 4123-19-16 | Self-insured construction projects.

...(A) As used in this rule: (1) "Responsible self-insuring employer" or "responsible employer" means the self-insuring employer or the public school employer that enters into a construction contract and applies for permission to self-insure the construction contract. The responsible employer is the entity responsible for the cost of the construction project and generally will be the owner of the ...

Rule 4123-20-02 | Subscription to the marine industry fund.

...kers' compensation as provided in rule 4123-20-01 of the Administrative Code shall be issued a marine industry fund insurance policy upon payment of the initial premium required for such policy. (B) Coverage under a marine industry fund insurance policy shall not be effective until the initial prepaid premium is received by the bureau of workers' compensation. (C) Any policy of insurance issued by the marine indust...

Rule 4123-20-03 | Premium payment.

...adjustment period. (C) Beginning July 1, 2012, renewal premiums shall be due and payable no later than August thirty-first (for the January first to June thirtieth period) and the last day of February (for the July first to December thirty-first period). The premium required to renew a marine industry fund insurance policy shall be the prepaid premium for the next renewal period, determined in accordance with the p...

Rule 4123-20-03 | Premium payment.

... all payroll periods beginning July 1, 2025, if the employer estimates no payroll or calculates estimated premium of less than the minimum administrative charge for the reporting period, the employer will pay a minimum annual non-refundable administrative charge of one hundred twenty dollars annually.

Rule 4123-20-04 | Payroll reporting.

...rting period. (E) Pursuant to section 4131.14 of the Revised Code, for all payroll periods beginning July 1, 2012, if the employer estimates no payroll or calculates estimated premium of less than the minimum administrative charge for the reporting period, the employer shall pay a minimum annual non-refundable administrative charge at a rate of fifty dollars each six months or one hundred dollars annually.

Rule 4123-21-03 | Premium payment.

...ns. For the policy year commencing July 1, 2019, premiums for coal workers' pneumoconiosis insurance coverage shall be payable in annual installments. An employer whose premiums are above the minimum administrative charge may change to semi-annual installments upon request. An employer must make the request no later than April first preceding the policy year. (B) The initial premium required for ...

Rule 4123-21-04 | Notice of estimated premium, payroll reporting and reconciliation of premium due.

...he notice includes all the following: (1) The estimated payroll used by the coal workers' pneumoconiosis fund to calculate the employer's estimated premium due; (2) The manual classification(s) in use by the coal workers' pneumoconiosis fund in which the employer's payroll is segregated and the base rates for each of the manual classifications identified; (3) The employer's estimated premiu...