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Rule 4121-3-13 | Disputed self-insuring employers' claims.

...(A) In the event there is a dispute or disagreement between the injured worker or an eligible applicant and the self-insuring employer that concerns a contested claims matter, the claim shall be referred to the commission for hearing. (B) Upon receipt of a notice of a dispute or disagreement that concerns a contested claims matter, the bureau of workers' compensation shall immediately notify the ...

Rule 4121-3-15 | Percentage of permanent partial disability.

...(A) Definitions (1) For purpose of this rule, both an application for the determination of percentage of permanent partial disability and an application for an increase in the percentage of permanent partial disability will be referred to as an "application." (2) For purpose of this rule, a substantial disparity means fifteen per cent or more difference. (B) Procedure upon filing of objection to a tentative order ...

Rule 4121-3-16 | Motions.

...(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 claimant or the employer to seek a determination by the bureau or the commission on any matter not otherwise provided for in Chapter 4121-3 of the Administrative Code. (C) A motion shall fully set forth the question presented together with a succinct stateme...

Rule 4121-3-18 | Administrative appeals.

...(A) This rule applies to administrative appeals filed to district hearing officers, staff hearing officers, and the commission under section 4123.511 of the Revised Code. (B) Filing requirements for administrative appeals. (1) Appeals may be filed electronically with the commission. Appeals filed electronically with the commission shall only be filed online through the industrial commission online network (I.C.O.N....

Rule 4121-3-20 | Additional awards by reason of violations of specific safety requirements.

...(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,...

Rule 4121-3-24 | Fee controversies.

...(A) The commission may inquire into the amounts of fees charged by attorneys, agents or representatives of the parties for services in matters before the commission and shall protect parties against unfair fees. Attorney fees shall be based upon: (1) The time and labor required. (2) The novelty and difficulty of the questions involved and the skill requisite to perform the legal services properly. (3) The amount i...

Rule 4121-3-32 | Temporary disability.

...(A) The following provisions shall apply to all claims where the date of injury or the date of disability in occupational disease claims accrued on or after August 22, 1986. The following definitions shall be applicable to this rule: (1) "Maximum medical improvement" is a treatment plateau (static or well-stabilized) at which no fundamental functional or physiological change can be expected within reasonable medical...

Rule 4121-3-34 | Permanent total disability.

...(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...

Rule 4121-4-01 | Definitions.

...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...

Rule 4121-15-07 | Representatives' responsibility relative to employees' code of ethics.

...Representatives of claimants and employers as well as their employees and agents shall conduct their business with the employees of the bureau of workers' compensation and the industrial commission in accordance with the highest moral principles and are expected to support the "Code of Ethics for the Bureau of Workers' Compensation and the Industrial Commission of Ohio" by conduct that will not tempt employ...

Rule 4121-15-10 | Standards of conduct for adjudicators.

...(A) Definitions. The following definitions shall apply to the adjudication of all disputes before the industrial commission: (1) "Claimant" means an employee as defined in division (A) of section 4121.01 and division (A) of section 4123.01 of the Revised Code, who asserts a right, demand, or claim for workers' compensation benefits. (2) "Employer" shall have the same meaning as in division (A) of section 4121.01 an...

Rule 4123-3-02 | Forms.

...(A) Printed forms for all applications, reports, notices, proofs, etc., necessary for perfecting any claim before the bureau or commission will be furnished without charge by the bureau. Such forms may be obtained online or from any office of the bureau or commission. (B) Each employer shall maintain a sufficient supply of forms as required by section 4123.07 of the Revised Code, and make the forms available to the ...

Rule 4123-3-02 | Forms.

...(A) Printed forms for all applications, reports, notices, proofs, etc., necessary for perfecting any claim before the bureau or commission will be furnished without charge by the bureau. Such forms may be obtained online or from any office of the bureau or commission. (B) Each employer shall make such forms available to employees who sustain industrial injuries or contract occupational diseas...

Rule 4123-3-08 | Preparation and filing of applications for compensation and/or benefits.

...(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...

Rule 4123-3-08 | Preparation and filing of applications for compensation and/or benefits.

...(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...

Rule 4123-3-08 | Preparation and filing of applications for compensation and/or benefits.

...(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...

Rule 4123-3-10 | Awards.

...(A) Compensation check issuance, delivery and endorsement. (1) Definition of claimant. As used in this rule the word "claimant" shall apply to an employee who sustained an injury or contracted an occupational disease in the course of and arising out of employment, to the dependent of a deceased employee, as well as to any person who was awarded compensation under the Ohio Workers' Compensati...

Rule 4123-3-10 | Awards.

...(A) Compensation check issuance, delivery and endorsement. (1) Definition of claimant. As used in this rule the word "claimant" shall apply to an employee who sustained an injury or contracted an occupational disease in the course of and arising out of employment, to the dependent of a deceased employee, as well as to any person who was awarded compensation under the Ohio Workers' Compensati...

Rule 4123-3-10 | Awards.

...(A) Compensation check issuance, delivery and endorsement. (1) Definition of claimant. As used in this rule the word "claimant" applies to an employee who sustained an injury or contracted an occupational disease in the course of and arising out of employment, to the dependent of a deceased employee, as well as to any person who was awarded compensation under the Ohio Workers' Compensation ...

Rule 4123-3-15 | Claim procedures subsequent to allowance.

...(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 ...

Rule 4123-3-15 | Claim procedures subsequent to allowance.

...(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 ...

Rule 4123-3-15.1 | Dismissal of an application for the determination of percentage of permanent partial disability.

...(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 ...

Rule 4123-3-15.1 | Dismissal of an application for the determination of percentage of permanent partial disability.

...(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 ...

Rule 4123-3-16 | Motions.

...(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...

Rule 4123-3-16 | Motions.

...(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...