Ohio Administrative Code Search

...diagram; (iii) Oswestry low back disability questionnaire. (b) A comprehensive orthopedic / neurological examination, including documentation of all of the following categories: (i) Gait; (ii) Spine (deformities, range of motion, palpation); (iii) Hips and sacroiliac joints; (iv) Motor; (v) Sensation; (vi) Reflexes; (vii) Upper motor neuron signs. (c) Diagnostic testing. (i) Lum...

...vidence-based tool (e.g., "OSWESTRY Disability Index Questionnaire or Roland Morris Disability Questionnaire"); (b) Gait; (c) Mood and affect; (d) Pain level, documented through use of an evidence-based pain scale (e.g., visual analog scale) and a decrease of use of the morphine equivalent dosage of any pre-procedure opioid analgesic; and (e) Sleep. (B) BWC will not reimburse for a spinal...

...edfast, confined to a wheelchair, had a disability of two or more extremities which prevented the claimant from caring for his/her own body needs or was otherwise unable to take care of his/her own bodily functions. Services include, but are not limited to, feeding, bathing, dressing, providing personal hygiene, and transferring from bed to chair. Household, personal or other duties related to maintaining a household...

...st, confined to a wheelchair, had a disability of two or more extremities which prevented the injured worker from caring for their own body needs or was otherwise unable to take care of their own bodily functions. Services include, but are not limited to, feeding, bathing, dressing, providing personal hygiene, and transferring from bed to chair. Household, personal or other duties related to maint...

...on race, color, religion, sex, age, disability, military status as defined in section 4112.01 of the Revised Code, national origin, ancestry, or sexual orientation. (F) A QHP shall include in its panel a substantial number of the medical, professional, and pharmacy providers currently being utilized by employees. A QHP may limit the number of providers on its provider panel, but shall do so ...

...edings and records for the bureau's disability evaluators' panel and provider certification. All "proceedings and records within the scope of a peer review committee of a health care entity." See division (E)(2)(j) of section 2305.25 of the Revised Code and section 2305.252 of the Revised Code. (G) Governmental records that are exempt from disclosure under the public records act. See section ...

...e merit-rated, not as a permanent total disability, but as a permanent partial disability, based upon the loss of the last member only. The remaining cost shall not be charged against the accident experience of the employer.

...juries resulting in permanent and total disability. (B) "Catastrophe cost" is defined as the total medical, compensation, and other costs, including reserves for future compensation costs, as a direct result of a catastrophe. (C) Catastrophe cost in excess of two hundred fifty thousand dollars shall not be included in the experience of a classification or of an employer. (D) Catastrophe cost in excess of two hund...

...juries resulting in permanent and total disability. (B) "Catastrophe cost" is defined as the costs enumerated in section 4123.30 of the Revised Code, including reserves for these costs, as a direct result of a catastrophe. (C) Catastrophe cost in excess of two hundred fifty thousand dollars shall not be included in the experience of a classification code or of an employer. (D) Catastrophe cost ...

... earlier, except in matters involving disability relief and service-connected disabilities and cases covered by rules 4123-17-02, 4123-17-17, and 4123-19-03 of the Administrative Code. In cases where two or more employers may be affected by such correction, the same period of adjustment will be applied to all affected employers. (C) Notwithstanding paragraphs (A) and (B) of this rule or paragra...

...claimants having dates of injury or disability prior to January 1, 1987, assessments shall be levied in the following manner for so long as payments to such claimants are required: (a) Private state fund employers: zero cents per one-hundred-dollar unit of payroll, effective July 1, 2016; (b) Public employer taxing districts: zero cents per one-hundred-dollar unit of payroll, effective January 1...

...claimants having dates of injury or disability prior to January 1, 1987, assessments shall be levied in the following manner for so long as payments to such claimants are required: (a) Private state fund employers: zero cents per one-hundred-dollar unit of payroll, effective July 1, 2016; (b) Public employer taxing districts: zero cents per one-hundred-dollar unit of payroll, effective January 1...

...A PES agency may settle permanent total disability (PTD) and death benefit claims in which the present value was previously used in the rate calculations. PES agencies will not be billed for the settlement costs of PTD and death benefit claims in which the present value of both medical and indemnity costs was included in contribution rate calculations. These claims would likely be death benefit c...

... payments. The cost of permanent total disability claims and death claims will be charged to the employer as the payments are made, and the reserve will be billed in the final settlement. (C) If the retrospective premium due is less than the retrospective premium paid as of the prior evaluation date, the difference, subject to the minimum premium, less assessments due any fund administered by the Ohio bureau of wo...

...ative Code. The cost of permanent total disability claims and death claims will be charged to the employer as the payments are made, and the reserve will be billed in the final settlement. (C) If the retrospective premium due is less than the retrospective premium paid as of the prior evaluation date, the difference, subject to the minimum premium, less assessments due any fund administered by th...

... other than allowed permanent total disability claims and allowed death claims, using the balance sheet reserve table in effect as of the ending date of the evaluation period. (C) The bureau will notify the employer of the reserve balances which will be reflected on the annual evaluation. (D) The final settlement calculated, subject to the minimum and maximum premium of the plan selected, sh...

...Disability relief, as permitted under section 4123.343 of the Revised Code and rule 4123-3-35 of the Administrative Code, will be applied to reducible claims costs as limited by the per-claim limit selected by the employer.

...including death and permanent total disability, and medical payments made in covered claims. Billings to the employer will be sent annually for ten years to collect for these medical and compensation payments. (3) Premium based on claim reserves. The employer will pay the value of reserves on claims evaluated as of the end of the tenth year. (4) Premium for health partnership program costs o...

... wages in lieu of compensation or total disability. Payment of a bill by an employer does not waive the bureau's right to adjudicate the claim, nor does it waive the employer's right to contest the claim should a claim be filed. (C) This program in no way supersedes the right of any injured worker to file a workers' compensation claim with the bureau. (D) An employer or its agent may elect to pay to the injured wor...

...es in lieu of compensation or total disability. Payment of a bill by an employer does not waive the bureau's right to adjudicate the claim, nor does it waive the employer's right to contest the claim should a claim be filed. (C) This program in no way supersedes the right of any injured worker to file a workers' compensation claim with the bureau. (D) An employer or its agent may elect to pa...

...om the same catastrophe occurrence. Disability relief charges to surplus shall be applied at the group level. (B) All operations or classification codes of an employer electing group rating are subject to group experience rating. (C) Except with respect to mergers or transfers of the operations of a business, an employer's experience may be combined once during a policy year to create an exp...

...hall be: (1) The nature of the disability of the injured worker as determined by the bureau; (2) The relationship of the disability to the job requirements; and (3) The individual merits of the case. (B) The period(s) of such payment shall not exceed six months in the aggregate, unless the bureau determines that the injured worker would benefit from an extension of payments. (C) Payments ...

...tiation will be: (1) The nature of the disability of the injured worker as determined by the bureau; (2) The relationship of the disability to the job duties; and (3) The individual merits of the case. (B) The period(s) of such payment will not exceed six months in the aggregate, unless the bureau determines that the injured worker would benefit from an extension of payments. (C) Payments under this rule are mad...

...more than seven days of temporary total disability or death occurring to its employees and report the same to the bureau upon forms to be furnished by the bureau; and (3) Observe all the rules, regulations, and procedures of the industrial commission and the bureau with reference to determining the amount of compensation and benefits due to the disabled employee or the dependents of deceased empl...

... than seven days of temporary total disability or death occurring to its employees and report the same to the bureau upon forms to be furnished by the bureau; and (3) Observe all the rules, regulations, and procedures of the industrial commission and the bureau with reference to determining the amount of compensation and benefits due to the disabled employee or the dependents of deceased employee...