Ohio Administrative Code Search

...(A) For claims arising before September 15, 2020, an application for an additional award of compensation founded upon the claim that the injury, occupational disease, or death resulted from the failure of the employer to comply with the specific requirement for the protection of health, lives, or safety of employees, must be filed, in duplicate, with the commission, within two years of the injury,...

...(A) Eligibility for a change of occupation allowance: (1) Where it is found that a change of occupation is medically advisable for an employee suffering from silicosis, coal miners' pneumoconiosis or asbestosis contracted in the course of employment but not totally disabled therefrom, and, any other diseases which may be specified by law for which the statutory allowance for change of occupation may be granted, or ...

...(A) Effective August 22, 1986, an employee who voluntarily participates in an employer's sponsored recreation or fitness program or activity may waive and relinquish all rights to workers' compensation benefits pursuant to division (C)(3) of section 4123.01 of the Revised Code. (B) This waiver applies to any injury or disability which is incurred while the employee is participating in an employer's sponsored recreat...

...(A) Purpose The purpose of this rule is to ensure that applications for compensation for permanent total disability are processed and adjudicated in a fair and timely manner. This rule applies to the adjudication of all applications for compensation for permanent total disability filed on or after the effective date of this rule. (B) Definitions The following definitions shall apply to the adju...

...For the purposes of this chapter of the Administrative Code: (A) "Access" as a noun means an instance of copying, viewing, or otherwise perceiving, whereas "access" as a verb means to copy, view, or otherwise perceive. (B) "Acquisition of a new computer system" means the purchase of a "computer system," as defined in this rule, that is not a computer system currently in place nor one for which the acquisition proce...

...The following federal and state regulations, statutes, and administrative rules make personal information maintained by the commission confidential and identify the confidential personal information within the scope of rules promulgated by this agency in accordance with section 1347.15 of the Revised Code: (A) Social security numbers: 5 U.S.C. 522a, unless the individual was told the number would be disclosed. (B) ...

...(A) Preparation and execution of forms. (1) The "First Report of Injury" form (FROI-1) or equivalent for applying for payment from the state insurance fund due to an injury, occupational disease, or death may be completed by the employee, employer, medical provider, or other interested party. If someone other than the employee submits a FROI-1 or equivalent, the bureau may contact the employe...

...(A) Preparation and execution of forms. (1) The "First Report of Injury" form (FROI-1) or equivalent for applying for payment from the state insurance fund due to an injury, occupational disease, or death may be completed by the employee, employer, medical provider, or other interested party. If someone other than the employee submits a FROI-1 or equivalent, the bureau may contact the employe...

...(A) Preparation and execution of forms. (1) The "First Report of Injury" form (FROI) or equivalent for applying for payment from the state insurance fund due to an injury, occupational disease, or death may be completed by the employee, employer, medical provider, or other interested party. If someone other than the employee submits a FROI or equivalent, the bureau may contact the employee to...

...(A) Numbering and recording. (1) Upon receipt, the bureau will assign a claim number to each initial application for benefits. The bureau shall provide the claim number to the claimant and employer. In cases where a deceased employee has filed, during his or her lifetime, an industrial claim for the injury or disability which is the subject matter of the death claim, the application for death ben...

...(A) Numbering and recording. (1) Upon receipt, the bureau will assign a claim number to each initial application for benefits and provide the claim number to the claimant and employer. In cases where a deceased employee has filed, during his or her lifetime, an industrial claim for the injury or disability which is the subject matter of the death claim, the application for death benefits will be ...

...(A) Requests for subsequent actions when a state fund claim has not had activity or a request for further action within a period of time in excess of twenty-four months. (1) The bureau shall consider a request for subsequent action in a claim in the following situations: (a) Where the employee requests that the bureau or commission modify or alter an award of compensation or benefits that has ...

...(A) Requests for subsequent actions when a state fund claim has not had activity or a request for further action within a period of time in excess of twenty-four months. (1) The bureau shall consider a request for subsequent action in a claim in the following situations: (a) Where the employee requests that the bureau or commission modify or alter an award of compensation or benefits that has ...

...(A) This paragraph of this rule applies to any employee's application for a determination of the percentage of permanent partial disability or for an increase of permanent partial disability filed on or after September 29, 2017. (1) If an employee who files an application for a determination of percentage of permanent partial disability or for an increase of permanent partial disability fails to ...

...(A) This paragraph of this rule applies to any employee's application for a determination of the percentage of permanent partial disability or for an increase of permanent partial disability filed on or after September 29, 2017. (1) If an employee who files an application for a determination of percentage of permanent partial disability or for an increase of permanent partial disability fails to ...

...(A) Form C-86 motion shall be used to request action from the bureau or commission. (B) A motion may be submitted by the employee or the employer to seek a determination by the bureau or the commission on any matter not otherwise provided for in this chapter. It is appropriate to file a motion in order to secure allowance of a disability or condition not previously considered in a claim. A motio...

...(A) Form C-86 motion or its equivalent shall be used to request action from the bureau or commission. (B) A motion may be submitted by the employee or the employer to seek a determination by the bureau or the commission on any matter not otherwise provided for in this chapter. It is appropriate to file a motion in order to secure allowance of a disability or condition not previously considered i...

...(A) Administrative appeals. (1) The right of an administrative appeal is limited to the claimant, the dependents of a deceased worker, the employer, and the administrator, where the administrator or the administrator's representative appeals on behalf of the state insurance fund and/or the surplus fund. (2) The named eligible appellants may appeal decisions of the district hearing officers, or s...

...(A) Administrative appeals. (1) The right of an administrative appeal is limited to the claimant, the dependents of a deceased worker, the employer, and the administrator, where the administrator or the administrator's representative appeals on behalf of the state insurance fund and/or the surplus fund. (2) The named eligible appellants may appeal decisions of the district hearing officers, or staff hearing officer...

...(A) Administrative appeals. (1) The right of an administrative appeal is limited to the claimant, the dependents of a deceased worker, the employer, and the administrator, where the administrator or the administrator's representative appeals on behalf of the state insurance fund or the surplus fund. (2) The named eligible appellants may appeal decisions of district hearing officers or staff hear...

...(A) Eligibility for a change of occupation allowance. (1) Where it is found that a change of occupation is medically advisable for an employee suffering from silicosis, coal miners' pneumoconiosis, or asbestosis contracted in the course of employment, but the employee is not totally disabled therefrom, and any other diseases which may be specified by law for which the statutory allowance for change of occupation may...

...(A) Eligibility for a change of occupation allowance. (1) Where it is found that a change of occupation is medically advisable for an employee suffering from silicosis, coal miners' pneumoconiosis, or asbestosis contracted in the course of employment, but the employee is not totally disabled therefrom, and any other diseases which may be specified by law for which the statutory allowance for ...

...(A) Except as provided in paragraph (E) of this rule and paragraph (B)(1)(b) of rule 4123-3-09 of the Administrative Code, no payment of compensation shall be approved by the bureau of workers' compensation in a claim unless supported by a report of a physician duly licensed to render the treatment. (B) When evaluating the sufficiency of medical proof, the following criteria shall be considered:...

...(A) Except as provided in paragraph (E) of this rule and paragraph (B)(1)(b) of rule 4123-3-09 of the Administrative Code, no payment of compensation shall be approved by the bureau of workers' compensation in a claim unless supported by a report of a physician duly licensed to render the treatment. (B) When evaluating the sufficiency of medical proof, the following criteria shall be considered:...

...As used in this chapter: (A) "Authorization" or "prior authorization" means: Notification that a specific treatment, service, or equipment is medically necessary for the diagnosis or treatment of an allowed condition. (B) "Bureau certified provider" means: A provider who is approved by the bureau for participation in the health partnership program (HPP) pursuant to this chapter of Administ...