Ohio Administrative Code

The administrator of workers' compensation, with the advice and consent of the bureau of workers' compensation board of directors, has authority to approve contributions made to the state insurance fund by employers pursuant to section 4121.121 of the Revised Code. The administra…

The administrator of workers' compensation, with the advice and consent of the bureau of workers' compensation board of directors, has authority to approve contributions made to the state insurance fund by employers pursuant to sections 4121.121, 4123.39, and 4123.40 of the Revis…

(A) Public employer state (PES) agency that is not currently participating in a settlement payment program may participate in the lump sum settlement (LSS) direct reimbursement rating and payment program. A PES agency participating in this program will have the LSS payments exclu…

(A) The administrator of workers' compensation, with the advice and consent of the bureau of workers' compensation board of directors, has authority to calculate contributions for administrative costs attributable to the activities of the industrial commission, the bureau of work…

The administrator of workers' compensation, with the advice and consent of the bureau of workers' compensation board of directors, has authority to approve contributions to the state insurance fund by employers pursuant to sections 4121.121 and 4121.37 of the Revised Code. The ad…

The administrator of workers' compensation, with the advice and consent of the bureau of workers' compensation board of directors, has authority to establish factors for the purpose of implementing the procedure for self-insurance buy-outs. The administrator hereby adopts factors…

Rules 4123-17-41 to 4123-17-54 of the Administrative Code apply to individual employer retrospective rating. As used in rules 4123-17-41 to 4123-17-54 of the Administrative Code:(A) "Minimum premium" means the fixed cost chargeable to an employer, independent of the claims costs …

(A) An employer that is either a private or a public employer taxing district as defined in division (B)(1) of section 4123.01 of the Revised Code may be eligible for either the tier I or tier II retrospective rating plan depending upon satisfying the eligibility requirements for…

(A) All operations of an employer electing retrospective rating are subject to retrospective rating.(B) The application must be filed on a bureau application form for the retrospective rating plan. The application must be completed in its entirety, including but not limited to th…

(A) The minimum annual premium due shall not be less than the minimum experience-rated premium threshold times the minimum premium percentage for the employer's hazard group, claim limit, and maximum premium percentage for the applicable policy year. The premium will be subject t…

(A) The hazard group for an employer shall be determined as follows:(1) The employer's experience-rated premium is totaled for each hazard group for the most recently completed policy year. The employer's hazard group is the group with the highest percentage of premium for the re…

(A) Upon completion of a policy year and annually throughout the evaluation period, the employer's aggregate retrospective-rated premium for the policy year will be determined based on the incurred losses and on the audited payrolls of the employer. The bureau shall annually send…

(A) At the end of the tenth-year determination of retrospective premium, the plan for that retrospective policy year shall terminate.(B) As part of the final determination of retrospective premium, the bureau will evaluate the employer's claims and establish reserves. Reserves wi…

Any retrospective-rated employer failing to file a report of payroll expenditures or failing to pay premium when due, as prescribed in rules 4123-17-14, 4123-17-14.2, 4123-17-46, and 4123-17-47 of the Administrative Code, will be penalized in accordance with paragraph (C) of rule…

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. Last updated April 2, 2024 at 9:08 AM Authorized By: 412…

(A) A risk may not retroactively include claims experience in a plan, exclude claims experience from a plan nor voluntarily terminate a plan during the evaluation period.(B) Successor: retrospective-rated predecessor: experience-rated, base-rated, non-complying or self-insuredWhe…

(A) An employer participating in retrospective rating will pay the following:(1) Minimum premium. The minimum premium depends on the assigned hazard group, the per claim limit selected by the employer, the maximum premium limit selected by the employer, and the employer's base-ra…

The administrator of workers' compensation, with the advice and consent of the bureau of workers' compensation board of directors, has authority to approve contributions made to the state insurance fund by employers pursuant to sections 4121.121, 4121.13, 4121.30, 4123.29, and 41…

The administrator of workers' compensation, with the advice and consent of the bureau of workers' compensation board of directors, has authority to approve contributions made to the state insurance fund by employers pursuant to sections 4121.121, 4123.29, and 4123.34 of the Revis…

(A) Definitions.As used in this rule:(1) "AEO" and "PEO" have the same meaning as defined in rule 4123-17-15 of the Administrative Code.(2) "Application deadline" means the applicable application deadline set forth in appendix A or in appendix B to rule 4123-17-74 of the Administ…

(A) Pursuant to section 4121.37 of the Revised Code, the administrator of workers' compensation may establish a program of safety grants for safety interventions or research for eligible employers. The safety grant program may provide grant funds to an eligible employer for safet…

(A) For purposes of this rule:(1) "Health risk factors" means physical and mental characteristics that can be modified, nearly always with much less cost compared to waiting for sickness and then attempting to treat the disease.(2) "Employer" or "employer" means a private state f…

(A) Definitions.For the purposes of this rule,(1) "Local safety council" means an entity contracted with the bureau of workers' compensation to provide a safety campaign in accordance with standards set forth by the superintendent of the division of safety and hygiene.(2) "Progra…

(A) As used in this rule:(1) As defined in division (F)(3) of section 4123.34 of the Revised Code, "construction industry" includes any activity performed in connection with the erection, alteration, repair, replacement, renovation, installation, or demolition of any building, st…

(A) Definitions.For purposes of this rule:(1) "AEO" and "PEO" have the same meaning as defined in rule 4123-17-15 of the Administrative Code.(2) "Application deadline" means the applicable deadline set forth in appendix A or in appendix B to rule 4123-17-74 of the Administrative …

(A) Any employer who is paying premiums to the state insurance fund and whose coverage is in force may elect to participate in the fifteen thousand dollar medical-only program as provided in section 4123.29 of the Revised Code. No formal application is required; however, an emplo…

The administrator of workers' compensation, with the advice and consent of the bureau of workers' compensation board of directors, has authority to approve contributions made to the state insurance fund by employers pursuant to sections 4121.121, 4123.29, and 4123.34 of the Revis…

(A) The administrator of workers' compensation shall offer a plan that groups employers for rating purposes. Individual employers shall retain their separate risk identity but shall be pooled and grouped for experience rating purposes only.(B) In establishing a group for group ex…

(A) The following certification requirements shall apply to all sponsoring organizations that seek to make application for either the group rating plan, as provided for in rule 4123-17-61 of the Administrative Code, or the group retrospective rating plan as provided in rule 4123-…

(A) Sponsoring organization requirements.(1) A sponsoring organization shall make annual application for group experience rating by submitting an employer roster for group rating plan (AC-25) for each group it sponsors. Each AC-25 shall:(a) Be signed each year by an officer of th…

(A) To be eligible for group experience rating, the group taken as a whole must include at least one hundred employers, each employer being identified as a separate employer for state fund identification purposes, or the group taken as a whole must be of sufficient size that the …

(A) A group meeting all the requirements for group rating shall be considered as a single employing entity for purposes of group experience rating. The eligibility of data for use in the group shall be the same as the eligibility of data for use in the individual employer's rate …

The administrator will apply an adjustment factor to all public empoyer taxing district group rated employer experience modifiers (EM) as indicated in appendix A to this rule. View Appendix Last updated February 3, 2025 at 6:28 AM Authorized By: 4121.121, 4121.13, 4121.30 Amplifi…

If an individual employer is a member of a group for group experience rating and leaves the group, the experience of that individual employer shall be used in experience-rating calculations for the group to impact only the rating years that the employer was a member of the group.…

This rule on termination and transfer of group experience rating shall apply at the group level after the bureau of workers' compensation applies the applicable individual rules on transfer of experience.(A) A group formed for the purpose of group experience rating may not retroa…

(A) A group that has been established and has been accepted by the bureau of workers' compensation for the purpose of group experience rate calculation shall have no more than one permanent authorized representative for representation of the group and the individual employers of …

(A) The purpose of this rule is to establish minimum safety requirements for group experience and group retrospective rating as provided by section 4123.29 of the Revised Code.(B) The bureau safety and hygiene division, upon the request of the sponsoring organization, shall provi…

(A) Definitions.As used in this rule:(1) "Claim impact reduction program" or "CIRP" means the bureau of workers' compensation's voluntary rate program which offers a private employer or a public employer taxing district employer the opportunity to mitigate the impact of a signifi…

(A) Definitions.As used in this rule:(1) "Coverage period" means the twelve month period beginning July first through June thirtieth for private employers, and January first through December thirty-first for public employers. The deductible selected by the employer will apply onl…

(A) 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 …

This rule defines employer program deadlines, miscellaneous dates, and compatibility between programs. Specifics may be found in the following appendices:Appendix A: Private employer program deadlines and miscellaneous dates.Appendix B: Public employer taxing district program dea…

(A) The following bonus and rebate incentives are offered:(1) The transitional work bonus established in rule 4123-17-55 of the Administrative Code;(2) The safety council rebate established in rule 4123-17-56.2 of the Administrative Code; and(3) The substance use prevention and r…

(A) The administrator of the bureau of workers' compensation may cancel an employer's workers' compensation coverage 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 Administrativ…

Managed care organizations (MCOs) provide vocational rehabilitation management to injured workers under the health partnership program (HPP).(A) The rules of this chapter are applicable to the vocational rehabilitation of injured workers, whether the vocational rehabilitation ser…

(A) The bureau will take measures and make expenditures as it deems necessary to aid injured workers who have sustained compensable injuries or contracted compensable occupational diseases to remain at work or to return to work.(B) The objectives of the surplus funded vocational …

(A) Scope of vocational rehabilitation.(1) Vocational rehabilitation is the process of restoring the vocational functioning of a worker who experiences a work related injury and who voluntarily agrees to participate in vocational rehabilitation. Vocational rehabilitation services…

The bureau will make living maintenance payments from the surplus fund to an injured worker approved to participate in vocational rehabilitation pursuant to rule 4123-18-03 of the Administrative Code, in accordance with the criteria set forth in this rule. Living maintenance paym…