Ohio Administrative Code Search
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Rule 4123-3-38 | Surplus fund charge of qualified motor vehicle accident claims.
...rs that pay premiums into the state insurance fund. (a) The employer must have had active workers' compensation coverage on the date of injury of the claim. (b) The employer must be current with respect to all payments due the bureau, as defined in paragraph (A)(1)(b) of rule 4123-17-14 of the Administrative Code. (c) The employer must be current on the payment schedule of any part-pay agreemen... |
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Rule 4123-3-38 | Surplus fund charge of qualified motor vehicle accident claims.
...rs that pay premiums into the state insurance fund. (a) The employer must have had active workers' compensation coverage on the date of injury of the claim. (b) The employer must be current with respect to all payments due the bureau, as defined in paragraph (A)(1)(b) of rule 4123-17-14 of the Administrative Code. (c) The employer must be current on the payment schedule of any part-pay agreemen... |
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Rule 4123-5-01 | Assignment of duties to the bureau's operational units.
... in maintaining the solvency of the insurance fund, establishing policies and procedures for fiscal management, receiving and disbursing funds from the state insurance fund, and preparing the bureau's budget. (B) A division responsible for the medical services function to assist the administrator in establishing and maintaining a quality pool of medical and vocational service providers, devel... |
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Rule 4123-6-02.2 | Provider access to the HPP - provider certification criteria.
...fessional malpractice and liability insurance, and provide proof of such coverage to BWC upon request. (7) Provide documentation of the provider's malpractice history for the previous five years. (8) Not have any outstanding provider overpayment or other indebtedness to the bureau which has been certified to the attorney general for collection. (9) Provide proof of and maintain workers' co... |
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Rule 4123-6-02.2 | Provider access to the HPP - provider certification criteria.
...fessional malpractice and liability insurance, and provide proof of such coverage to BWC upon request. (6) Provide documentation of the provider's malpractice history for the previous five years. (7) Not have any outstanding provider overpayment or other indebtedness to the bureau which has been certified to the attorney general for collection. (8) Maintain workers' compensation coverage t... |
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Rule 4123-6-02.2 | Provider access to the HPP - provider certification criteria.
... professional malpractice and liability insurance, and provide proof of such coverage to BWC upon request. (6) Provide documentation of the provider's malpractice history for the previous five years. (7) Not have any outstanding provider overpayment or other indebtedness to the bureau which has been certified to the attorney general for collection. (8) Maintain workers' compensation coverage to the extent require... |
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Rule 4123-6-03.2 | MCO participation in the HPP -- MCO application for certification or recertification.
...tation of intent to obtain and maintain insurance coverage as required by the MCO contract, with proof of such coverage to be submitted to the bureau prior to execution of the contract, and current workers' compensation coverage. (18) Attestation of intent to obtain and maintain professional accreditations as required by the MCO contract, with proof of such accreditations to be submitted to the bureau prior to execu... |
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Rule 4123-6-03.2 | MCO participation in the HPP -- MCO application for certification or recertification.
...on of intent to obtain and maintain insurance coverage as required by the MCO contract, with proof of such coverage to be submitted to the bureau prior to execution of the contract, and current workers' compensation coverage. (18) Attestation of intent to obtain and maintain professional accreditations as required by the MCO contract, with proof of such accreditations to be submitted to the b... |
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Rule 4123-6-05.3 | Employer access to the HPP- certain solicitation practices by MCOs prohibited.
...rule, "agent" of the MCO means: (a) An insurance agent or broker contracted by the MCO and licensed by the Ohio department of insurance pursuant to Title XXXIX of the Revised Code; (b) A corporation or entity contracted by the MCO to conduct non-telephonic marketing that has not had and does not contemplate having activities of any nature with the Ohio workers' compensation system so as to crea... |
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Rule 4123-6-05.3 | Employer access to the HPP - certain solicitation practices by MCOs prohibited.
...rule, "agent" of the MCO means: (a) An insurance agent or broker contracted by the MCO and licensed by the Ohio department of insurance pursuant to Title XXXIX of the Revised Code; (b) A corporation or entity contracted by the MCO to conduct non-telephonic marketing that has not had and does not contemplate having activities of any nature with the Ohio workers' compensation system so as to crea... |
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Rule 4123-6-21.6 | First fill of outpatient medications.
...count and not charged through the state insurance fund to the employer against whom the claim was filed. |
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Rule 4123-6-37.1 | Payment of hospital inpatient services.
... programs and the children's health insurance program; hospital inpatient prospective payment systems for acute care hospitals and the long-term care hospital prospective payment system and policy changes and fiscal year 2025 rates; quality programs requirements; and other policy changes final rule," 89 Fed. Reg. 68986 - 70046 (2024). (c) The department of health and human services, centers for ... |
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Rule 4123-6-42 | Interest on late payments for equipment, materials, goods, supplies or services in state insurance fund, public work relief employees' compensation fund, coal workers pneumoconiosis fund, and marine industry fund claims.
...onnection with claims against the state insurance fund, public work relief employees' compensation fund, coal workers pneumoconiosis fund, or marine industry fund in accordance with section 126.30 of the Revised Code. For the purpose of this rule, the required payment date is the date on which payment is due under the terms of a written agreement between the bureau, or its agent, and the provider. Payment will be ma... |
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Rule 4123-14-01 | Non-complying employers within the meaning of the law.
... make payments of premiums to the state insurance fund, as required by Chapter 4123. of the Revised Code and the rules of the industrial commission and the bureau of workers' compensation, or fails to comply with the requirements for self-insurance under section 4123.35 of the Revised Code and the rules of the industrial commission or bureau of workers' compensation, shall be regarded as a non-complying employer. (B... |
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Rule 4123-14-01 | Non-complying employers within the meaning of the law.
...e payments of premiums to the state insurance fund, as set forth by Chapter 4123. of the Revised Code and the rules of the industrial commission and the bureau of workers' compensation, or fails to comply with the requirements for self-insurance under section 4123.35 of the Revised Code and the rules of the industrial commission or bureau of workers' compensation, is a non-complying employer. ... |
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Rule 4123-14-02 | Procedures for the collection of premiums from non-complying employers.
...e employer so assessed to the state insurance fund. (D) The bureau or its authorized agent, under the authority of section 4123.78 of the Revised Code, shall file with the county recorder of any counties in which such employer's property may be located a certificate of the amount of premium and penalty due from such employer and the amount due shall be a lien from the date of filing against the ... |
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Rule 4123-14-02 | Procedures for the collection of premiums from non-complying employers.
...e employer so assessed to the state insurance fund. (D) The bureau or its authorized agent, under the authority of section 4123.78 of the Revised Code, shall file with the county recorder of any counties in which such employer's property may be located a certificate of the amount of premium and penalty due from such employer and the amount due shall be a lien from the date of filing against the ... |
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Rule 4123-14-04 | Procedures to recover from a non-complying employer the amount of money paid out of the state insurance fund for an industrial injury, occupational disease and/or death.
...(A) Upon the filing of a workers' compensation claim, naming a non-complying employer as the employer, the attorney general's office shall prepare and the bureau shall file for record in the office of the county recorder in any counties where the employer's property is located, if known, or in any counties where the employer's business is located, an affidavit showing the date on which the app... |
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Rule 4123-14-04 | Procedures to recover from a non-complying employer the amount of money paid out of the state insurance fund for an industrial injury, occupational disease and/or death.
...(A) Upon the filing of a workers' compensation claim, naming a non-complying employer as the employer, the attorney general's office will prepare and the bureau will file for record in the office of the county recorder in any counties where the employer's property is located, if known, or in any counties where the employer's business is located, an affidavit showing the date on which the applicati... |
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Rule 4123-14-05 | Settlement of liability of a non-complying employer.
...ettlement of its liability to the state insurance fund. The request shall: (1) Be in writing and properly signed in handwriting by the employer concerned or by its duly authorized representative. Unsigned requests shall be held in abeyance until properly completed, and the applicant shall be notified accordingly; (2) Clearly set forth the circumstances by reason of which the proposed settlement is deemed desirable;... |
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Rule 4123-14-05 | Settlement of liability of a non-complying employer.
...ement of its liability to the state insurance fund. The request shall: (1) Be submitted to the bureau by the employer concerned or by its duly authorized representative. The bureau may hold a request in abeyance until it is properly completed, and the applicant shall be notified accordingly; (2) Clearly set forth the circumstances by reason of which the proposed settlement is deemed desirabl... |
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Rule 4123-14-05 | Settlement of liability of a non-complying employer.
...ement of its liability to the state insurance fund. The request shall: (1) Be submitted to the bureau by the employer concerned or by its duly authorized representative. The bureau may hold a request in abeyance until it is properly completed, and will notify the applicant of its response accordingly; (2) Clearly set forth the circumstances by reason of which the proposed settlement is deemed ... |
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Rule 4123-14-06 | Bureau of workers' compensation adjudicating committee.
...he interests of employers and the state insurance fund. (D) If an employer requests a hearing before the adjudicating committee, and has complied with paragraph (A)(1) of this rule by filing a protest form with the bureau, or the adjudicating committee determines that a hearing is in the best interests of the employer or the state insurance fund, the adjudicating committee shall mail a notice of ... |
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Rule 4123-14-06 | Bureau of workers' compensation adjudicating committee.
...he interests of employers and the state insurance fund. (D) If an employer requests a hearing before the adjudicating committee, and has complied with paragraph (A)(1) of this rule, or the adjudicating committee determines that a hearing is in the best interests of the employer or the state insurance fund, the adjudicating committee shall notify the employer and its representatives not less than ... |
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Rule 4123-14-06 | Bureau of workers' compensation adjudicating committee.
...he interests of employers and the state insurance fund. (D) If an employer requests a hearing before the adjudicating committee, and has complied with paragraph (A)(1) of this rule, or the adjudicating committee determines that a hearing is in the best interests of the employer or the state insurance fund, the adjudicating committee shall notify the employer and its representatives not less than ... |