Bill Text: OH HB516 | 2011-2012 | 129th General Assembly | Introduced


Bill Title: To make changes to Ohio's Workers' Compensation Law.

Spectrum: Partisan Bill (Republican 18-0)

Status: (Introduced - Dead) 2012-04-17 - To Insurance [HB516 Detail]

Download: Ohio-2011-HB516-Introduced.html
As Introduced

129th General Assembly
Regular Session
2011-2012
H. B. No. 516


Representatives Henne, Hottinger 

Cosponsors: Representatives Sears, Butler, Conditt, Boose, Buchy, Amstutz, Adams, J., Rosenberger, Brenner, Sprague, Roegner, Stebelton, Hackett, Beck, Kozlowski, McGregor 



A BILL
To amend sections 4121.30, 4123.20, 4123.29, 1
4123.291, 4123.35, 4123.37, and 4123.411 and to 2
repeal section 4121.18 of the Revised Code to make 3
changes to Ohio's Workers' Compensation Law.4


BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF OHIO:

       Section 1. That sections 4121.30, 4123.20, 4123.29, 4123.291, 5
4123.35, 4123.37, and 4123.411 of the Revised Code be amended to 6
read as follows:7

       Sec. 4121.30.  (A) All rules governing the operating 8
procedure of the bureau of workers' compensation and the 9
industrial commission shall be adopted in accordance with Chapter 10
119. of the Revised Code, except that determinations of the 11
bureau, district hearing officers, staff hearing officers, and the 12
commission, with respect to an individual employee's claim to 13
participate in the state insurance fund are governed only by 14
Chapter 4123. of the Revised Code.15

       The administrator of workers' compensation and commission 16
shall proceed jointly, in accordance with Chapter 119. of the 17
Revised Code, including a joint hearing, to adopt joint rules 18
governing the operating procedures of the bureau and commission.19
The bureau shall publish the joint rules in a single publication.20

       (B) Upon submission to the bureau or the commission of a 21
petition containing not less than fifteen hundred signatures of 22
adult residents of the state, any individual may propose a rule 23
for adoption, amendment, or rescission by the bureau or the 24
commission. If, upon investigation, the bureau or commission is 25
satisfied that the signatures upon the petition are valid, it 26
shall proceed, in accordance with Chapter 119. of the Revised 27
Code, to consider adoption, amendment, or rescission of the rule.28

       (C) The administrator shall publishmake available 29
electronically all rules adopted by the bureau and the commission 30
in a single publication and shall make available in a timely 31
manner and at cost copies of all rules adopted by the bureau and 32
the commission that are currently in force. For that purpose, the 33
administrator shall maintain a mailing list of all persons 34
requesting copies of the rules.35

       (D) The rule-making authority granted to the administrator 36
under this section does not limit the commission's rule-making 37
authority relative to its overall adjudicatory policy-making and 38
management duties under this chapter and Chapters 4123., 4127., 39
and 4131. of the Revised Code. The administrator shall not 40
disregard any rule adopted by the commission, provided that the 41
rule is within the commission's rule-making authority.42

       Sec. 4123.20.  The administrator of workers' compensation 43
shall cause to be printed, in proper form for distributionmake 44
available electronically to the public, its classifications, 45
rates, rules, and rules of procedure, and shall furnish the same 46
to any person upon application therefor, and the fact that the 47
classifications, rates, rules, and rules of procedure are printed 48
ready for distribution to all who apply for the same is a 49
sufficient publication of the same as required by this chapter50
request.51

       Sec. 4123.29.  (A) The administrator of workers' 52
compensation, subject to the approval of the bureau of workers' 53
compensation board of directors, shall do all of the following:54

       (1) Classify occupations or industries with respect to their 55
degree of hazard and determine the risks of the different classes 56
according to the categories the national council on compensation 57
insurance establishes that are applicable to employers in this 58
state;59

       (2)(a) Fix the rates of premium of the risks of the classes 60
based upon the total payroll in each of the classes of occupation 61
or industry sufficiently large to provide a fund for the 62
compensation provided for in this chapter and to maintain a state 63
insurance fund from year to year. The administrator shall set the 64
rates at a level that assures the solvency of the fund. Where the 65
payroll cannot be obtained or, in the opinion of the 66
administrator, is not an adequate measure for determining the 67
premium to be paid for the degree of hazard, the administrator may 68
determine the rates of premium upon such other basis, consistent 69
with insurance principles, as is equitable in view of the degree 70
of hazard, and whenever in this chapter reference is made to 71
payroll or expenditure of wages with reference to fixing premiums, 72
the reference shall be construed to have been made also to such 73
other basis for fixing the rates of premium as the administrator 74
may determine under this section.75

       (b) If an employer elects to obtain other-states' coverage 76
pursuant to section 4123.292 of the Revised Code through either 77
the administrator, if the administrator elects to offer such 78
coverage, or an other-states' insurer, calculate the employer's 79
premium for the state insurance fund in the same manner as 80
otherwise required under division (A) of this section and section 81
4123.34 of the Revised Code, except that when the administrator 82
determines the expenditure of wages, payroll, or both upon which 83
to base the employer's premium, the administrator shall use only 84
the expenditure of wages, payroll, or both attributable to the 85
labor performed and services provided by that employer's employees 86
when those employees performed labor and provided services in this 87
state only and to which the other-states' coverage does not apply.88

       (c) The administrator in setting or revising rates shall 89
furnish to employers an adequate explanation of the basis for the 90
rates set.91

       (3) Develop and make available to employers who are paying 92
premiums to the state insurance fund alternative premium plans. 93
Alternative premium plans shall include retrospective rating 94
plans. The administrator may make available plans under which an 95
advanced deposit may be applied against a specified deductible 96
amount per claim and may make available other alternative premium, 97
rate, or discount plans that the administrator determines are 98
necessary to encourage employers to participate in safety or 99
compliance programs, including drug-free workplace, workplace 100
wellness, safety, job development, or claims management.101

       (4)(a) Offer to insure the obligations of employers under 102
this chapter under a plan that groups, for rating purposes, 103
employers, and pools the risk of the employers within the group 104
provided that the employers meet all of the following conditions:105

       (i) All of the employers within the group are members of an 106
organization that has been in existence for at least two years 107
prior to the date of application for group coverage;108

       (ii) The organization was formed for purposes other than that 109
of obtaining group workers' compensation under this division;110

       (iii) The employers' business in the organization is 111
substantially similar such that the risks which are grouped are 112
substantially homogeneous;113

       (iv) The group of employers consists of at least one hundred 114
members or the aggregate workers' compensation premiums of the 115
members, as determined by the administrator, are expected to 116
exceed one hundred fifty thousand dollars during the coverage 117
period;118

       (v) The formation and operation of the group program in the 119
organization will substantially improve accident prevention and 120
claims handling for the employers in the group;121

       (vi) Each employer seeking to enroll in a group for workers' 122
compensation coverage has an industrial insurance account in good 123
standing with the bureau of workers' compensation such that at the 124
time the agreement is processed no outstanding premiums, 125
penalties, or assessments are due from any of the employers.126

       (b) If an organization sponsors more than one employer group 127
to participate in group plans established under this section, that 128
organization may submit a single application that supplies all of 129
the information necessary for each group of employers that the 130
organization wishes to sponsor.131

       (c) In providing employer group plans under division (A)(4) 132
of this section, the administrator shall consider an employer 133
group as a single employing entity for purposes of group rating. 134
No employer may be a member of more than one group for the purpose 135
of obtaining workers' compensation coverage under this division.136

       (d) At the time the administrator revises premium rates 137
pursuant to this section and section 4123.34 of the Revised Code, 138
if the premium rate of an employer who participates in a group 139
plan established under this section changes from the rate 140
established for the previous year, the administrator, in addition 141
to sending the invoice with the rate revision to that employer, 142
shall send a copy of that invoice to the third-party administrator 143
that administers the group plan for that employer's group.144

       (e) In providing employer group plans under division (A)(4) 145
of this section, the administrator shall establish a program 146
designed to mitigate the impact of a significant claim that would 147
come into the experience of a private, state fund group-rated 148
employer or a taxing district employer for the first time and be a 149
contributing factor in that employer being excluded from a 150
group-rated plan. The administrator shall establish eligibility 151
criteria and requirements that such employers must satisfy in 152
order to participate in this program. For purposes of this 153
program, the administrator shall establish a discount on premium 154
rates applicable to employers who qualify for the program.155

       (f) In no event shall division (A)(4) of this section be 156
construed as granting to an employer status as a self-insuring 157
employer.158

       (g) The administrator shall develop classifications of 159
occupations or industries that are sufficiently distinct so as not 160
to group employers in classifications that unfairly represent the 161
risks of employment with the employer.162

       (5) Generally promote employer participation in the state 163
insurance fund through the regular dissemination of information to 164
all classes of employers describing the advantages and benefits of 165
opting to make premium payments to the fund. To that end, the 166
administrator shall regularly make employers aware of the various 167
workers' compensation premium packages developed and offered 168
pursuant to this section.169

       (6) Make available to every employer who is paying premiums 170
to the state insurance fund a program whereby the employer or the 171
employer's agent pays to the claimant or on behalf of the claimant 172
the first fifteen thousand dollars of a compensable workers' 173
compensation medical-only claim filed by that claimant that is 174
related to the same injury or occupational disease. No formal 175
application is required; however, an employer must elect to 176
participate by telephoning the bureau after July 1, 1995. Once an 177
employer has elected to participate in the program, the employer 178
will be responsible for all bills in all medical-only claims with 179
a date of injury the same or later than the election date, unless 180
the employer notifies the bureau within fourteen days of receipt 181
of the notification of a claim being filed that it does not wish 182
to pay the bills in that claim, or the employer notifies the 183
bureau that the fifteen thousand dollar maximum has been paid, or 184
the employer notifies the bureau of the last day of service on 185
which it will be responsible for the bills in a particular 186
medical-only claim. If an employer elects to enter the program, 187
the administrator shall not reimburse the employer for such 188
amounts paid and shall not charge the first fifteen thousand 189
dollars of any medical-only claim paid by an employer to the 190
employer's experience or otherwise use it in merit rating or 191
determining the risks of any employer for the purpose of payment 192
of premiums under this chapter. A certified health care provider 193
shall extend to an employer who participates in this program the 194
same rates for services rendered to an employee of that employer 195
as the provider bills the administrator for the same type of 196
medical claim processed by the bureau and shall not charge, 197
assess, or otherwise attempt to collect from an employee any 198
amount for covered services or supplies that is in excess of that 199
rate. If an employer elects to enter the program and the employer 200
fails to pay a bill for a medical-only claim included in the 201
program, the employer shall be liable for that bill and the 202
employee for whom the employer failed to pay the bill shall not be 203
liable for that bill. The administrator shall adopt rules to 204
implement and administer division (A)(6) of this section. Upon 205
written request from the bureau, the employer shall provide 206
documentation to the bureau of all medical-only bills that they 207
are paying directly. Such requests from the bureau may not be made 208
more frequently than on a semiannual basis. Failure to provide 209
such documentation to the bureau within thirty days of receipt of 210
the request may result in the employer's forfeiture of 211
participation in the program for such injury. The provisions of 212
this section shall not apply to claims in which an employer with 213
knowledge of a claimed compensable injury or occupational disease, 214
has paid wages in lieu of compensation or total disability.215

        (B) The administrator, with the advice and consent of the 216
board, by rule, may do bothestablish alternative premium, rate, 217
or discount plans, including any of the following:218

       (1) Grant an employer who makes the employer's semiannual 219
premium payment at least one month prior to the last day on which 220
the payment may be made without penalty, a discount as the 221
administrator fixes from time to time;222

       (2) Levy a minimum annual administrative charge upon risks 223
where semiannual premium reports develop a charge less than the 224
administrator considers adequate to offset administrative costs of 225
processing;226

       (3) Establish any other alternative premium, rate, or 227
discount plans the administrator considers necessary.228

       Sec. 4123.291.  (A) An adjudicating committee appointed by 229
the administrator of workers' compensation to hear any matter 230
specified in divisions (B)(1) to (7) of this section shall hear 231
the matter within sixty days of the date on which an employer 232
files the request, protest, or petition. An employer desiring to 233
file a request, protest, or petition regarding any matter 234
specified in divisions (B)(1) to (7) of this section shall file 235
the request, protest, or petition to the adjudicating committee on 236
or before twenty-four months after the administrator sends notice 237
of the determination about which the employer is filing the 238
request, protest, or petition.239

       (B) An employer who is adversely affected by a decision of an 240
adjudicating committee appointed by the administrator may appeal 241
the decision of the committee to the administrator or the 242
administrator's designee. The employer shall file the appeal in 243
writing within thirty days after the employer receives the 244
decision of the adjudicating committee. The administrator or the 245
designee shall hear the appeal and hold a hearing, provided that 246
the decision of the adjudicating committee relates to one of the 247
following:248

       (1) An employer request for a waiver of a default in the 249
payment of premiums pursuant to section 4123.37 of the Revised 250
Code;251

       (2) An employer request for the settlement of liability as a 252
noncomplying employer under section 4123.75 of the Revised Code;253

       (3) An employer petition objecting to thean assessment of a 254
premium pursuant to section 4123.37 of the Revised Code and the 255
rules adopted pursuant to that section;256

       (4) An employer request for the abatement of penalties 257
assessed pursuant to section 4123.32 of the Revised Code and the 258
rules adopted pursuant to that section;259

       (5) An employer protest relating to an audit finding or a 260
determination of a manual classification, experience rating, or 261
transfer or combination of risk experience;262

       (6) Any decision relating to any other risk premium matter 263
under Chapters 4121., 4123., and 4131. of the Revised Code;264

       (7) An employer petition objecting to the amount of security 265
required under division (C) of section 4125.05 of the Revised Code 266
and the rules adopted pursuant to that section.267

       (C) The bureau of workers' compensation board of directors, 268
based upon recommendations of the workers' compensation actuarial 269
committee, shall establish the policy for all adjudicating 270
committee procedures, including, but not limited to, specific 271
criteria for manual premium rate adjustment.272

       Sec. 4123.35.  (A) Except as provided in this section, every 273
employer mentioned in division (B)(2) of section 4123.01 of the 274
Revised Code, and every publicly owned utility shall pay 275
semiannually in the months of January and July into the state 276
insurance fund the amount of annual premium the administrator of 277
workers' compensation fixes for the employment or occupation of 278
the employer, the amount of which premium to be paid by each 279
employer to be determined by the classifications, rules, and rates 280
made and published by the administrator. The employer shall pay 281
semiannually a further sum of money into the state insurance fund 282
as may be ascertained to be due from the employer by applying the 283
rules of the administrator, and a receipt or certificate 284
certifying that payment has been made, along with a written notice 285
as is required in section 4123.54 of the Revised Code, shall be 286
mailed immediately to the employer by the bureau of workers' 287
compensation. The receipt or certificate is prima-facie evidence 288
of the payment of the premium, and the proper posting of the 289
notice constitutes the employer's compliance with the notice 290
requirement mandated in section 4123.54 of the Revised Code.291

       The bureau of workers' compensation shall verify with the 292
secretary of state the existence of all corporations and 293
organizations making application for workers' compensation 294
coverage and shall require every such application to include the 295
employer's federal identification number.296

       An employer as defined in division (B)(2) of section 4123.01 297
of the Revised Code who has contracted with a subcontractor is 298
liable for the unpaid premium due from any subcontractor with 299
respect to that part of the payroll of the subcontractor that is 300
for work performed pursuant to the contract with the employer.301

       Division (A) of this section providing for the payment of 302
premiums semiannually does not apply to any employer who was a 303
subscriber to the state insurance fund prior to January 1, 1914, 304
or who may first become a subscriber to the fund in any month 305
other than January or July. Instead, the semiannual premiums shall 306
be paid by those employers from time to time upon the expiration 307
of the respective periods for which payments into the fund have 308
been made by them.309

       The administrator shall adopt rules to permit employers to 310
make periodic payments of the semiannual premium due under this 311
division. The rules shall include provisions for the assessment of 312
interest charges, where appropriate, and for the assessment of 313
penalties when an employer fails to make timely premium payments. 314
An employer who timely pays the amounts due under this division is 315
entitled to all of the benefits and protections of this chapter. 316
Upon receipt of payment, the bureau immediately shall mail a 317
receipt or certificate to the employer certifying that payment has 318
been made, which receipt is prima-facie evidence of payment. 319
Workers' compensation coverage under this chapter continues 320
uninterrupted upon timely receipt of payment under this division.321

       Every public employer, except public employers that are 322
self-insuring employers under this section, shall comply with 323
sections 4123.38 to 4123.41, and 4123.48 of the Revised Code in 324
regard to the contribution of moneys to the public insurance fund.325

       (B) Employers who will abide by the rules of the 326
administrator and who may be of sufficient financial ability to 327
render certain the payment of compensation to injured employees or 328
the dependents of killed employees, and the furnishing of medical, 329
surgical, nursing, and hospital attention and services and 330
medicines, and funeral expenses, equal to or greater than is 331
provided for in sections 4123.52, 4123.55 to 4123.62, and 4123.64 332
to 4123.67 of the Revised Code, and who do not desire to insure 333
the payment thereof or indemnify themselves against loss sustained 334
by the direct payment thereof, upon a finding of such facts by the 335
administrator, may be granted the privilege to pay individually 336
compensation, and furnish medical, surgical, nursing, and hospital 337
services and attention and funeral expenses directly to injured 338
employees or the dependents of killed employees, thereby being 339
granted status as a self-insuring employer. The administrator may 340
charge employers who apply for the status as a self-insuring 341
employer a reasonable application fee to cover the bureau's costs 342
in connection with processing and making a determination with 343
respect to an application.344

       All employers granted status as self-insuring employers shall 345
demonstrate sufficient financial and administrative ability to 346
assure that all obligations under this section are promptly met. 347
The administrator shall deny the privilege where the employer is 348
unable to demonstrate the employer's ability to promptly meet all 349
the obligations imposed on the employer by this section.350

       (1) The administrator shall consider, but is not limited to, 351
the following factors, where applicable, in determining the 352
employer's ability to meet all of the obligations imposed on the 353
employer by this section:354

       (a) The employer employs a minimum of five hundred employees 355
in this state;356

       (b) The employer has operated in this state for a minimum of 357
two years, provided that an employer who has purchased, acquired, 358
or otherwise succeeded to the operation of a business, or any part 359
thereof, situated in this state that has operated for at least two 360
years in this state, also shall qualify;361

       (c) Where the employer previously contributed to the state 362
insurance fund or is a successor employer as defined by bureau 363
rules, the amount of the buyout, as defined by bureau rules;364

       (d) The sufficiency of the employer's assets located in this 365
state to insure the employer's solvency in paying compensation 366
directly;367

       (e) The financial records, documents, and data, certified by 368
a certified public accountant, necessary to provide the employer's 369
full financial disclosure. The records, documents, and data 370
include, but are not limited to, balance sheets and profit and 371
loss history for the current year and previous four years.372

       (f) The employer's organizational plan for the administration 373
of the workers' compensation law;374

       (g) The employer's proposed plan to inform employees of the 375
change from a state fund insurer to a self-insuring employer, the 376
procedures the employer will follow as a self-insuring employer, 377
and the employees' rights to compensation and benefits; and378

       (h) The employer has either an account in a financial 379
institution in this state, or if the employer maintains an account 380
with a financial institution outside this state, ensures that 381
workers' compensation checks are drawn from the same account as 382
payroll checks or the employer clearly indicates that payment will 383
be honored by a financial institution in this state.384

       The administrator may waive the requirements of divisions 385
(B)(1)(a) and (b) of this section and the requirement of division 386
(B)(1)(e) of this section that the financial records, documents, 387
and data be certified by a certified public accountant. The 388
administrator shall adopt rules establishing the criteria that an 389
employer shall meet in order for the administrator to waive the 390
requirement of division (B)(1)(e) of this section. Such rules may 391
require additional security of that employer pursuant to division 392
(E) of section 4123.351 of the Revised Code.393

       The administrator shall not grant the status of self-insuring 394
employer to the state, except that the administrator may grant the 395
status of self-insuring employer to a state institution of higher 396
education, excludingincluding its hospitals, that meets the 397
requirements of division (B)(2) of this section.398

       (2) When considering the application of a public employer, 399
except for a board of county commissioners described in division 400
(G) of section 4123.01 of the Revised Code, a board of a county 401
hospital, or a publicly owned utility, the administrator shall 402
verify that the public employer satisfies all of the following 403
requirements as the requirements apply to that public employer:404

       (a) For the two-year period preceding application under this 405
section, the public employer has maintained an unvoted debt 406
capacity equal to at least two times the amount of the current 407
annual premium established by the administrator under this chapter 408
for that public employer for the year immediately preceding the 409
year in which the public employer makes application under this 410
section.411

       (b) For each of the two fiscal years preceding application 412
under this section, the unreserved and undesignated year-end fund 413
balance in the public employer's general fund is equal to at least 414
five per cent of the public employer's general fund revenues for 415
the fiscal year computed in accordance with generally accepted 416
accounting principles.417

       (c) For the five-year period preceding application under this 418
section, the public employer, to the extent applicable, has 419
complied fully with the continuing disclosure requirements 420
established in rules adopted by the United States securities and 421
exchange commission under 17 C.F.R. 240.15c 2-12.422

       (d) For the five-year period preceding application under this 423
section, the public employer has not had its local government fund 424
distribution withheld on account of the public employer being 425
indebted or otherwise obligated to the state.426

       (e) For the five-year period preceding application under this 427
section, the public employer has not been under a fiscal watch or 428
fiscal emergency pursuant to section 118.023, 118.04, or 3316.03 429
of the Revised Code.430

       (f) For the public employer's fiscal year preceding 431
application under this section, the public employer has obtained 432
an annual financial audit as required under section 117.10 of the 433
Revised Code, which has been released by the auditor of state 434
within seven months after the end of the public employer's fiscal 435
year.436

       (g) On the date of application, the public employer holds a 437
debt rating of Aa3 or higher according to Moody's investors 438
service, inc., or a comparable rating by an independent rating 439
agency similar to Moody's investors service, inc.440

       (h) The public employer agrees to generate an annual 441
accumulating book reserve in its financial statements reflecting 442
an actuarially generated reserve adequate to pay projected claims 443
under this chapter for the applicable period of time, as 444
determined by the administrator.445

       (i) For a public employer that is a hospital, the public 446
employer shall submit audited financial statements showing the 447
hospital's overall liquidity characteristics, and the 448
administrator shall determine, on an individual basis, whether the 449
public employer satisfies liquidity standards equivalent to the 450
liquidity standards of other public employers.451

       (j) Any additional criteria that the administrator adopts by 452
rule pursuant to division (E) of this section.453

       The administrator may adopt rules establishing the criteria 454
that a public employer shall satisfy in order for the 455
administrator to waive any of the requirements listed in divisions 456
(B)(2)(a) to (j) of this section. The rules may require additional 457
security from that employer pursuant to division (E) of section 458
4123.351 of the Revised Code. The administrator shall not waive 459
any of the requirements listed in divisions (B)(2)(a) to (j) of 460
this section for a public employer who does not satisfy the 461
criteria established in the rules the administrator adopts.462

       (C) A board of county commissioners described in division (G) 463
of section 4123.01 of the Revised Code, as an employer, that will 464
abide by the rules of the administrator and that may be of 465
sufficient financial ability to render certain the payment of 466
compensation to injured employees or the dependents of killed 467
employees, and the furnishing of medical, surgical, nursing, and 468
hospital attention and services and medicines, and funeral 469
expenses, equal to or greater than is provided for in sections 470
4123.52, 4123.55 to 4123.62, and 4123.64 to 4123.67 of the Revised 471
Code, and that does not desire to insure the payment thereof or 472
indemnify itself against loss sustained by the direct payment 473
thereof, upon a finding of such facts by the administrator, may be 474
granted the privilege to pay individually compensation, and 475
furnish medical, surgical, nursing, and hospital services and 476
attention and funeral expenses directly to injured employees or 477
the dependents of killed employees, thereby being granted status 478
as a self-insuring employer. The administrator may charge a board 479
of county commissioners described in division (G) of section 480
4123.01 of the Revised Code that applies for the status as a 481
self-insuring employer a reasonable application fee to cover the 482
bureau's costs in connection with processing and making a 483
determination with respect to an application. All employers 484
granted such status shall demonstrate sufficient financial and 485
administrative ability to assure that all obligations under this 486
section are promptly met. The administrator shall deny the 487
privilege where the employer is unable to demonstrate the 488
employer's ability to promptly meet all the obligations imposed on 489
the employer by this section. The administrator shall consider, 490
but is not limited to, the following factors, where applicable, in 491
determining the employer's ability to meet all of the obligations 492
imposed on the board as an employer by this section:493

       (1) The board as an employer employs a minimum of five 494
hundred employees in this state;495

       (2) The board has operated in this state for a minimum of two 496
years;497

       (3) Where the board previously contributed to the state 498
insurance fund or is a successor employer as defined by bureau 499
rules, the amount of the buyout, as defined by bureau rules;500

       (4) The sufficiency of the board's assets located in this 501
state to insure the board's solvency in paying compensation 502
directly;503

       (5) The financial records, documents, and data, certified by 504
a certified public accountant, necessary to provide the board's 505
full financial disclosure. The records, documents, and data 506
include, but are not limited to, balance sheets and profit and 507
loss history for the current year and previous four years.508

       (6) The board's organizational plan for the administration of 509
the workers' compensation law;510

       (7) The board's proposed plan to inform employees of the 511
proposed self-insurance, the procedures the board will follow as a 512
self-insuring employer, and the employees' rights to compensation 513
and benefits;514

       (8) The board has either an account in a financial 515
institution in this state, or if the board maintains an account 516
with a financial institution outside this state, ensures that 517
workers' compensation checks are drawn from the same account as 518
payroll checks or the board clearly indicates that payment will be 519
honored by a financial institution in this state;520

       (9) The board shall provide the administrator a surety bond 521
in an amount equal to one hundred twenty-five per cent of the 522
projected losses as determined by the administrator.523

       (D) The administrator shall require a surety bond from all 524
self-insuring employers, issued pursuant to section 4123.351 of 525
the Revised Code, that is sufficient to compel, or secure to 526
injured employees, or to the dependents of employees killed, the 527
payment of compensation and expenses, which shall in no event be 528
less than that paid or furnished out of the state insurance fund 529
in similar cases to injured employees or to dependents of killed 530
employees whose employers contribute to the fund, except when an 531
employee of the employer, who has suffered the loss of a hand, 532
arm, foot, leg, or eye prior to the injury for which compensation 533
is to be paid, and thereafter suffers the loss of any other of the 534
members as the result of any injury sustained in the course of and 535
arising out of the employee's employment, the compensation to be 536
paid by the self-insuring employer is limited to the disability 537
suffered in the subsequent injury, additional compensation, if 538
any, to be paid by the bureau out of the surplus created by 539
section 4123.34 of the Revised Code.540

       (E) In addition to the requirements of this section, the 541
administrator shall make and publish rules governing the manner of 542
making application and the nature and extent of the proof required 543
to justify a finding of fact by the administrator as to granting 544
the status of a self-insuring employer, which rules shall be 545
general in their application, one of which rules shall provide 546
that all self-insuring employers shall pay into the state 547
insurance fund such amounts as are required to be credited to the 548
surplus fund in division (B) of section 4123.34 of the Revised 549
Code. The administrator may adopt rules establishing requirements 550
in addition to the requirements described in division (B)(2) of 551
this section that a public employer shall meet in order to qualify 552
for self-insuring status.553

       Employers shall secure directly from the bureau central 554
offices application forms upon which the bureau shall stamp a 555
designating number. Prior to submission of an application, an 556
employer shall make available to the bureau, and the bureau shall 557
review, the information described in division (B)(1) of this 558
section, and public employers shall make available, and the bureau 559
shall review, the information necessary to verify whether the 560
public employer meets the requirements listed in division (B)(2) 561
of this section. An employer shall file the completed application 562
forms with an application fee, which shall cover the costs of 563
processing the application, as established by the administrator, 564
by rule, with the bureau at least ninety days prior to the 565
effective date of the employer's new status as a self-insuring 566
employer. The application form is not deemed complete until all 567
the required information is attached thereto. The bureau shall 568
only accept applications that contain the required information.569

       (F) The bureau shall review completed applications within a 570
reasonable time. If the bureau determines to grant an employer the 571
status as a self-insuring employer, the bureau shall issue a 572
statement, containing its findings of fact, that is prepared by 573
the bureau and signed by the administrator. If the bureau 574
determines not to grant the status as a self-insuring employer, 575
the bureau shall notify the employer of the determination and 576
require the employer to continue to pay its full premium into the 577
state insurance fund. The administrator also shall adopt rules 578
establishing a minimum level of performance as a criterion for 579
granting and maintaining the status as a self-insuring employer 580
and fixing time limits beyond which failure of the self-insuring 581
employer to provide for the necessary medical examinations and 582
evaluations may not delay a decision on a claim.583

       (G) The administrator shall adopt rules setting forth 584
procedures for auditing the program of self-insuring employers. 585
The bureau shall conduct the audit upon a random basis or whenever 586
the bureau has grounds for believing that a self-insuring employer 587
is not in full compliance with bureau rules or this chapter.588

       The administrator shall monitor the programs conducted by 589
self-insuring employers, to ensure compliance with bureau 590
requirements and for that purpose, shall develop and issue to 591
self-insuring employers standardized forms for use by the 592
self-insuring employer in all aspects of the self-insuring 593
employers' direct compensation program and for reporting of 594
information to the bureau.595

       The bureau shall receive and transmit to the self-insuring 596
employer all complaints concerning any self-insuring employer. In 597
the case of a complaint against a self-insuring employer, the 598
administrator shall handle the complaint through the 599
self-insurance division of the bureau. The bureau shall maintain a 600
file by employer of all complaints received that relate to the 601
employer. The bureau shall evaluate each complaint and take 602
appropriate action.603

       The administrator shall adopt as a rule a prohibition against 604
any self-insuring employer from harassing, dismissing, or 605
otherwise disciplining any employee making a complaint, which rule 606
shall provide for a financial penalty to be levied by the 607
administrator payable by the offending self-insuring employer.608

       (H) For the purpose of making determinations as to whether to 609
grant status as a self-insuring employer, the administrator may 610
subscribe to and pay for a credit reporting service that offers 611
financial and other business information about individual 612
employers. The costs in connection with the bureau's subscription 613
or individual reports from the service about an applicant may be 614
included in the application fee charged employers under this 615
section.616

       (I) The administrator, notwithstanding other provisions of 617
this chapter, may permit a self-insuring employer to resume 618
payment of premiums to the state insurance fund with appropriate 619
credit modifications to the employer's basic premium rate as such 620
rate is determined pursuant to section 4123.29 of the Revised 621
Code.622

       (J) On the first day of July of each year, the administrator 623
shall calculate separately each self-insuring employer's 624
assessments for the safety and hygiene fund, administrative costs 625
pursuant to section 4123.342 of the Revised Code, and for the 626
portion of the surplus fund under division (B) of section 4123.34 627
of the Revised Code that is not used for handicapped 628
reimbursement, on the basis of the paid compensation attributable 629
to the individual self-insuring employer according to the 630
following calculation:631

       (1) The total assessment against all self-insuring employers 632
as a class for each fund and for the administrative costs for the 633
year that the assessment is being made, as determined by the 634
administrator, divided by the total amount of paid compensation 635
for the previous calendar year attributable to all amenable 636
self-insuring employers;637

       (2) Multiply the quotient in division (J)(1) of this section 638
by the total amount of paid compensation for the previous calendar 639
year that is attributable to the individual self-insuring employer 640
for whom the assessment is being determined. Each self-insuring 641
employer shall pay the assessment that results from this 642
calculation, unless the assessment resulting from this calculation 643
falls below a minimum assessment, which minimum assessment the 644
administrator shall determine on the first day of July of each 645
year with the advice and consent of the bureau of workers' 646
compensation board of directors, in which event, the self-insuring 647
employer shall pay the minimum assessment.648

       In determining the total amount due for the total assessment 649
against all self-insuring employers as a class for each fund and 650
the administrative assessment, the administrator shall reduce 651
proportionately the total for each fund and assessment by the 652
amount of money in the self-insurance assessment fund as of the 653
date of the computation of the assessment.654

       The administrator shall calculate the assessment for the 655
portion of the surplus fund under division (B) of section 4123.34 656
of the Revised Code that is used for handicapped reimbursement in 657
the same manner as set forth in divisions (J)(1) and (2) of this 658
section except that the administrator shall calculate the total 659
assessment for this portion of the surplus fund only on the basis 660
of those self-insuring employers that retain participation in the 661
handicapped reimbursement program and the individual self-insuring 662
employer's proportion of paid compensation shall be calculated 663
only for those self-insuring employers who retain participation in 664
the handicapped reimbursement program. The administrator, as the 665
administrator determines appropriate, may determine the total 666
assessment for the handicapped portion of the surplus fund in 667
accordance with sound actuarial principles.668

       The administrator shall calculate the assessment for the 669
portion of the surplus fund under division (B) of section 4123.34 670
of the Revised Code that under division (D) of section 4121.66 of 671
the Revised Code is used for rehabilitation costs in the same 672
manner as set forth in divisions (J)(1) and (2) of this section, 673
except that the administrator shall calculate the total assessment 674
for this portion of the surplus fund only on the basis of those 675
self-insuring employers who have not made the election to make 676
payments directly under division (D) of section 4121.66 of the 677
Revised Code and an individual self-insuring employer's proportion 678
of paid compensation only for those self-insuring employers who 679
have not made that election.680

       The administrator shall calculate the assessment for the 681
portion of the surplus fund under division (B) of section 4123.34 682
of the Revised Code that is used for reimbursement to a 683
self-insuring employer under division (H) of section 4123.512 of 684
the Revised Code in the same manner as set forth in divisions 685
(J)(1) and (2) of this section except that the administrator shall 686
calculate the total assessment for this portion of the surplus 687
fund only on the basis of those self-insuring employers that 688
retain participation in reimbursement to the self-insuring 689
employer under division (H) of section 4123.512 of the Revised 690
Code and the individual self-insuring employer's proportion of 691
paid compensation shall be calculated only for those self-insuring 692
employers who retain participation in reimbursement to the 693
self-insuring employer under division (H) of section 4123.512 of 694
the Revised Code.695

       An employer who no longer is a self-insuring employer in this 696
state or who no longer is operating in this state, shall continue 697
to pay assessments for administrative costs and for the portion of 698
the surplus fund under division (B) of section 4123.34 of the 699
Revised Code that is not used for handicapped reimbursement, based 700
upon paid compensation attributable to claims that occurred while 701
the employer was a self-insuring employer within this state.702

       (K) There is hereby created in the state treasury the 703
self-insurance assessment fund. All investment earnings of the 704
fund shall be deposited in the fund. The administrator shall use 705
the money in the self-insurance assessment fund only for 706
administrative costs as specified in section 4123.341 of the 707
Revised Code.708

       (L) Every self-insuring employer shall certify, in affidavit 709
form subject to the penalty for perjury, to the bureau the amount 710
of the self-insuring employer's paid compensation for the previous 711
calendar year. In reporting paid compensation paid for the 712
previous year, a self-insuring employer shall exclude from the 713
total amount of paid compensation any reimbursement the 714
self-insuring employer receives in the previous calendar year from 715
the surplus fund pursuant to section 4123.512 of the Revised Code 716
for any paid compensation. The self-insuring employer also shall 717
exclude from the paid compensation reported any amount recovered 718
under section 4123.931 of the Revised Code and any amount that is 719
determined not to have been payable to or on behalf of a claimant 720
in any final administrative or judicial proceeding. The 721
self-insuring employer shall exclude such amounts from the paid 722
compensation reported in the reporting period subsequent to the 723
date the determination is made. The administrator shall adopt 724
rules, in accordance with Chapter 119. of the Revised Code, that 725
provide for all of the following:726

       (1) Establishing the date by which self-insuring employers 727
must submit such information and the amount of the assessments 728
provided for in division (J) of this section for employers who 729
have been granted self-insuring status within the last calendar 730
year;731

       (2) If an employer fails to pay the assessment when due, the 732
administrator may add a late fee penalty of not more than five 733
hundred dollars to the assessment plus an additional penalty 734
amount as follows:735

       (a) For an assessment from sixty-one to ninety days past due, 736
the prime interest rate, multiplied by the assessment due;737

       (b) For an assessment from ninety-one to one hundred twenty 738
days past due, the prime interest rate plus two per cent, 739
multiplied by the assessment due;740

       (c) For an assessment from one hundred twenty-one to one 741
hundred fifty days past due, the prime interest rate plus four per 742
cent, multiplied by the assessment due;743

       (d) For an assessment from one hundred fifty-one to one 744
hundred eighty days past due, the prime interest rate plus six per 745
cent, multiplied by the assessment due;746

       (e) For an assessment from one hundred eighty-one to two 747
hundred ten days past due, the prime interest rate plus eight per 748
cent, multiplied by the assessment due;749

       (f) For each additional thirty-day period or portion thereof 750
that an assessment remains past due after it has remained past due 751
for more than two hundred ten days, the prime interest rate plus 752
eight per cent, multiplied by the assessment due.753

        (3) An employer may appeal a late fee penalty and penalty 754
assessment to the administrator.755

        For purposes of division (L)(2) of this section, "prime 756
interest rate" means the average bank prime rate, and the 757
administrator shall determine the prime interest rate in the same 758
manner as a county auditor determines the average bank prime rate 759
under section 929.02 of the Revised Code.760

       The administrator shall include any assessment and penalties 761
that remain unpaid for previous assessment periods in the 762
calculation and collection of any assessments due under this 763
division or division (J) of this section.764

       (M) As used in this section, "paid compensation" means all 765
amounts paid by a self-insuring employer for living maintenance 766
benefits, all amounts for compensation paid pursuant to sections 767
4121.63, 4121.67, 4123.56, 4123.57, 4123.58, 4123.59, 4123.60, and 768
4123.64 of the Revised Code, all amounts paid as wages in lieu of 769
such compensation, all amounts paid in lieu of such compensation 770
under a nonoccupational accident and sickness program fully funded 771
by the self-insuring employer, and all amounts paid by a 772
self-insuring employer for a violation of a specific safety 773
standard pursuant to Section 35 of Article II, Ohio Constitution 774
and section 4121.47 of the Revised Code.775

       (N) Should any section of this chapter or Chapter 4121. of 776
the Revised Code providing for self-insuring employers' 777
assessments based upon compensation paid be declared 778
unconstitutional by a final decision of any court, then that 779
section of the Revised Code declared unconstitutional shall revert 780
back to the section in existence prior to November 3, 1989, 781
providing for assessments based upon payroll.782

       (O) The administrator may grant a self-insuring employer the 783
privilege to self-insure a construction project entered into by 784
the self-insuring employer that is scheduled for completion within 785
six years after the date the project begins, and the total cost of 786
which is estimated to exceed one hundred million dollars or, for 787
employers described in division (R) of this section, if the 788
construction project is estimated to exceed twenty-five million 789
dollars. The administrator may waive such cost and time criteria 790
and grant a self-insuring employer the privilege to self-insure a 791
construction project regardless of the time needed to complete the 792
construction project and provided that the cost of the 793
construction project is estimated to exceed fifty million dollars. 794
A self-insuring employer who desires to self-insure a construction 795
project shall submit to the administrator an application listing 796
the dates the construction project is scheduled to begin and end, 797
the estimated cost of the construction project, the contractors 798
and subcontractors whose employees are to be self-insured by the 799
self-insuring employer, the provisions of a safety program that is 800
specifically designed for the construction project, and a 801
statement as to whether a collective bargaining agreement 802
governing the rights, duties, and obligations of each of the 803
parties to the agreement with respect to the construction project 804
exists between the self-insuring employer and a labor 805
organization.806

       A self-insuring employer may apply to self-insure the 807
employees of either of the following:808

       (1) All contractors and subcontractors who perform labor or 809
work or provide materials for the construction project;810

       (2) All contractors and, at the administrator's discretion, a 811
substantial number of all the subcontractors who perform labor or 812
work or provide materials for the construction project.813

       Upon approval of the application, the administrator shall 814
mail a certificate granting the privilege to self-insure the 815
construction project to the self-insuring employer. The 816
certificate shall contain the name of the self-insuring employer 817
and the name, address, and telephone number of the self-insuring 818
employer's representatives who are responsible for administering 819
workers' compensation claims for the construction project. The 820
self-insuring employer shall post the certificate in a conspicuous 821
place at the site of the construction project.822

       The administrator shall maintain a record of the contractors 823
and subcontractors whose employees are covered under the 824
certificate issued to the self-insured employer. A self-insuring 825
employer immediately shall notify the administrator when any 826
contractor or subcontractor is added or eliminated from inclusion 827
under the certificate.828

       Upon approval of the application, the self-insuring employer 829
is responsible for the administration and payment of all claims 830
under this chapter and Chapter 4121. of the Revised Code for the 831
employees of the contractor and subcontractors covered under the 832
certificate who receive injuries or are killed in the course of 833
and arising out of employment on the construction project, or who 834
contract an occupational disease in the course of employment on 835
the construction project. For purposes of this chapter and Chapter 836
4121. of the Revised Code, a claim that is administered and paid 837
in accordance with this division is considered a claim against the 838
self-insuring employer listed in the certificate. A contractor or 839
subcontractor included under the certificate shall report to the 840
self-insuring employer listed in the certificate, all claims that 841
arise under this chapter and Chapter 4121. of the Revised Code in 842
connection with the construction project for which the certificate 843
is issued.844

       A self-insuring employer who complies with this division is 845
entitled to the protections provided under this chapter and 846
Chapter 4121. of the Revised Code with respect to the employees of 847
the contractors and subcontractors covered under a certificate 848
issued under this division for death or injuries that arise out 849
of, or death, injuries, or occupational diseases that arise in the 850
course of, those employees' employment on that construction 851
project, as if the employees were employees of the self-insuring 852
employer, provided that the self-insuring employer also complies 853
with this section. No employee of the contractors and 854
subcontractors covered under a certificate issued under this 855
division shall be considered the employee of the self-insuring 856
employer listed in that certificate for any purposes other than 857
this chapter and Chapter 4121. of the Revised Code. Nothing in 858
this division gives a self-insuring employer authority to control 859
the means, manner, or method of employment of the employees of the 860
contractors and subcontractors covered under a certificate issued 861
under this division.862

       The contractors and subcontractors included under a 863
certificate issued under this division are entitled to the 864
protections provided under this chapter and Chapter 4121. of the 865
Revised Code with respect to the contractor's or subcontractor's 866
employees who are employed on the construction project which is 867
the subject of the certificate, for death or injuries that arise 868
out of, or death, injuries, or occupational diseases that arise in 869
the course of, those employees' employment on that construction 870
project.871

       The contractors and subcontractors included under a 872
certificate issued under this division shall identify in their 873
payroll records the employees who are considered the employees of 874
the self-insuring employer listed in that certificate for purposes 875
of this chapter and Chapter 4121. of the Revised Code, and the 876
amount that those employees earned for employment on the 877
construction project that is the subject of that certificate. 878
Notwithstanding any provision to the contrary under this chapter 879
and Chapter 4121. of the Revised Code, the administrator shall 880
exclude the payroll that is reported for employees who are 881
considered the employees of the self-insuring employer listed in 882
that certificate, and that the employees earned for employment on 883
the construction project that is the subject of that certificate, 884
when determining those contractors' or subcontractors' premiums or 885
assessments required under this chapter and Chapter 4121. of the 886
Revised Code. A self-insuring employer issued a certificate under 887
this division shall include in the amount of paid compensation it 888
reports pursuant to division (L) of this section, the amount of 889
paid compensation the self-insuring employer paid pursuant to this 890
division for the previous calendar year.891

       Nothing in this division shall be construed as altering the 892
rights of employees under this chapter and Chapter 4121. of the 893
Revised Code as those rights existed prior to September 17, 1996. 894
Nothing in this division shall be construed as altering the rights 895
devolved under sections 2305.31 and 4123.82 of the Revised Code as 896
those rights existed prior to September 17, 1996.897

       As used in this division, "privilege to self-insure a 898
construction project" means privilege to pay individually 899
compensation, and to furnish medical, surgical, nursing, and 900
hospital services and attention and funeral expenses directly to 901
injured employees or the dependents of killed employees.902

       (P) A self-insuring employer whose application is granted 903
under division (O) of this section shall designate a safety 904
professional to be responsible for the administration and 905
enforcement of the safety program that is specifically designed 906
for the construction project that is the subject of the 907
application.908

       A self-insuring employer whose application is granted under 909
division (O) of this section shall employ an ombudsperson for the 910
construction project that is the subject of the application. The 911
ombudsperson shall have experience in workers' compensation or the 912
construction industry, or both. The ombudsperson shall perform all 913
of the following duties:914

       (1) Communicate with and provide information to employees who 915
are injured in the course of, or whose injury arises out of 916
employment on the construction project, or who contract an 917
occupational disease in the course of employment on the 918
construction project;919

       (2) Investigate the status of a claim upon the request of an 920
employee to do so;921

       (3) Provide information to claimants, third party 922
administrators, employers, and other persons to assist those 923
persons in protecting their rights under this chapter and Chapter 924
4121. of the Revised Code.925

       A self-insuring employer whose application is granted under 926
division (O) of this section shall post the name of the safety 927
professional and the ombudsperson and instructions for contacting 928
the safety professional and the ombudsperson in a conspicuous 929
place at the site of the construction project.930

       (Q) The administrator may consider all of the following when 931
deciding whether to grant a self-insuring employer the privilege 932
to self-insure a construction project as provided under division 933
(O) of this section:934

       (1) Whether the self-insuring employer has an organizational 935
plan for the administration of the workers' compensation law;936

       (2) Whether the safety program that is specifically designed 937
for the construction project provides for the safety of employees 938
employed on the construction project, is applicable to all 939
contractors and subcontractors who perform labor or work or 940
provide materials for the construction project, and has as a 941
component, a safety training program that complies with standards 942
adopted pursuant to the "Occupational Safety and Health Act of 943
1970," 84 Stat. 1590, 29 U.S.C.A. 651, and provides for continuing 944
management and employee involvement;945

       (3) Whether granting the privilege to self-insure the 946
construction project will reduce the costs of the construction 947
project;948

       (4) Whether the self-insuring employer has employed an 949
ombudsperson as required under division (P) of this section;950

       (5) Whether the self-insuring employer has sufficient surety 951
to secure the payment of claims for which the self-insuring 952
employer would be responsible pursuant to the granting of the 953
privilege to self-insure a construction project under division (O) 954
of this section.955

       (R) As used in divisions (O), (P), and (Q), "self-insuring 956
employer" includes the following employers, whether or not they 957
have been granted the status of being a self-insuring employer 958
under division (B) of this section:959

        (1) A state institution of higher education;960

        (2) A school district;961

        (3) A county school financing district;962

        (4) An educational service center;963

        (5) A community school established under Chapter 3314. of the 964
Revised Code;965

       (6) A municipal power agency as defined in section 3734.058 966
of the Revised Code.967

        (S) As used in this section:968

       (1) "Unvoted debt capacity" means the amount of money that a 969
public employer may borrow without voter approval of a tax levy;970

       (2) "State institution of higher education" means the state 971
universities listed in section 3345.011 of the Revised Code, 972
community colleges created pursuant to Chapter 3354. of the 973
Revised Code, university branches created pursuant to Chapter 974
3355. of the Revised Code, technical colleges created pursuant to 975
Chapter 3357. of the Revised Code, and state community colleges 976
created pursuant to Chapter 3358. of the Revised Code.977

       Sec. 4123.37. In(A) As used in this section "amenable:978

       (1) "Amenable employer" has the same meaning as "employer" as 979
defined in division (J) of section 4123.32 of the Revised Code.980

       (2) "Assessment" means any determination by the administrator 981
of workers' compensation that a specific sum of money is owed by 982
an employer under this chapter or Chapter 4121., 4127., or 4131. 983
of the Revised Code, except for amounts owed by an employer 984
pursuant to section 4123.75 of the Revised Code.985

       (B) If the administrator of workers' compensation finds that 986
any person, firm, or private corporation, including any public 987
service corporation, is, or has been at any time after January 1, 988
1923, an amenable employer and has not complied with section 989
4123.35 of the Revised Code the administrator shall determine the 990
period during which the person, firm, or corporation was an 991
amenable employer and shall forthwith give notice of the 992
determination to the employer. Within twenty days thereafter the 993
employer shall furnish the bureau of workers' compensation with 994
the payroll covering the period included in the determination and, 995
if the employer is an amenable employer at the time of the 996
determination, shall pay a premium security deposit for the eight 997
months next succeeding the date of the determination and shall pay 998
into the state insurance fund the amount of premium applicable to 999
such payroll.1000

       If the employer does not furnish the payroll and pay the 1001
applicable premium and premium security deposit within the twenty 1002
days, the administrator shall forthwith make an assessment of the 1003
premium due from the employer for the period the administrator 1004
determined the employer to be an amenable employer including the 1005
premium security deposit according to section 4123.32 of the 1006
Revised Code if the employer is an amenable employer at the time 1007
of the determination, basing the assessmentamount due upon the 1008
information in the possession of the administrator.1009

       (C) The administrator shall give to the employer assessed 1010
written notice of thean assessment and include in that notice a 1011
demand for payment in accordance with this division. The notice 1012
shall be mailed to the employer at the employer's residence or 1013
usual place of business by certified mail. Unless the employer to 1014
whom the notice of assessment is directed files with the bureau 1015
within twenty days after receipt thereof, a petition in writing, 1016
verified under oath by the employer, or the employer's authorized 1017
agent having knowledge of the facts, setting forth with 1018
particularity the items of the assessment objected to, together 1019
with the reason for the objections, the assessment shall become 1020
conclusive and the amount thereof shall be due and payable from 1021
the employer so assessed to the state insurance fund. When a 1022
petition objecting to an assessment is filed the bureau shall 1023
assign a time and place for the hearing of the same and shall 1024
notify the petitioner thereof by certified mail. When an employer 1025
files a petition the assessment made by the administrator shall 1026
become due and payable ten days after the bureau sends notice of 1027
the finding made at the hearing has been sent by certified mail1028
to the party assessed. An employer may first appeal an adverse 1029
decision to the administrator or the designee of the administrator 1030
as provided in section 4123.291 of the Revised Code, and 1031
subsequently an appeal may be taken from any finding to the court 1032
of common pleas of Franklin county upon the execution by the party 1033
assessed of a bond to the state in double the amount found due 1034
and ordered paid by the bureau conditioned that the party will pay 1035
any judgment and costs rendered against it for the premium1036
assessment.1037

       (D) When no petition objecting to an assessment is filed or 1038
when a finding is made affirming or modifying an assessment after 1039
hearing, a certified copy of the assessment as affirmed or 1040
modified may be filed by the administrator in the office of the 1041
clerk of the court of common pleas in any county in which the 1042
employer has property or in which the employer has a place of 1043
business. The clerk, immediately upon the filing of the 1044
assessment, shall enter a judgment for the state against the 1045
employer in the amount shown on the assessment. The judgment may 1046
be filed by the clerk in a loose leaf book entitled "special 1047
judgments for state insurance fund." The judgment shall bear the 1048
same rate of interest, have the same effect as other judgments, 1049
and be given the same preference allowed by law on other judgments 1050
rendered for claims for taxes. An assessment or judgment under 1051
this section shall not be a bar to the adjustment of the 1052
employer's account upon the employer furnishing the employer's 1053
payroll records to the bureau.1054

       (E) The administrator, for good cause shown, may waive a 1055
default in the payment of premium where the default is of less 1056
than sixty days' duration, and upon payment by the employer of the 1057
premium for the period, the employer and the employer's employees 1058
are entitled to all of the benefits and immunities provided by 1059
this chapter.1060

       Sec. 4123.411.  (A) For the purpose of carrying out sections 1061
4123.412 to 4123.418 of the Revised Code, the administrator of 1062
workers' compensation, with the advice and consent of the bureau 1063
of workers' compensation board of directors, shall levy an 1064
assessment against all employers at a rate, of at least five but1065
not to exceed ten cents per one hundred dollars of payroll, such 1066
rate to be determined annually for each employer group listed in 1067
divisions (A)(1) to (3) of this section, which will produce an 1068
amount no greater than the amount the administrator estimates to 1069
be necessary to carry out such sections for the period for which 1070
the assessment is levied. In the event the amount produced by the 1071
assessment is not sufficient to carry out such sections the 1072
additional amount necessary shall be provided from the income 1073
produced as a result of investments made pursuant to section 1074
4123.44 of the Revised Code.1075

       Assessments shall be levied according to the following 1076
schedule:1077

       (1) Private fund employers, except self-insuring 1078
employers--in January and July of each year upon gross payrolls of 1079
the preceding six months;1080

       (2) Counties and taxing district employers therein, except 1081
county hospitals that are self-insuring employers--in January of 1082
each year upon gross payrolls of the preceding twelve months;1083

       (3) The state as an employer--in January, April, July, and 1084
October of each year upon gross payrolls of the preceding three 1085
months.1086

       Amounts assessed in accordance with this section shall be 1087
collected from each employer as prescribed in rules the 1088
administrator adopts.1089

       The moneys derived from the assessment provided for in this 1090
section shall be credited to the disabled workers' relief fund 1091
created by section 4123.412 of the Revised Code. The administrator 1092
shall establish by rule classifications of employers within 1093
divisions (A)(1) to (3) of this section and shall determine rates 1094
for each class so as to fairly apportion the costs of carrying out 1095
sections 4123.412 to 4123.418 of the Revised Code.1096

       (B) For all injuries and disabilities occurring on or after 1097
January 1, 1987, the administrator, for the purposes of carrying 1098
out sections 4123.412 to 4123.418 of the Revised Code, shall levy 1099
an assessment against all employers at a rate per one hundred 1100
dollars of payroll, such rate to be determined annually for each 1101
classification of employer in each employer group listed in 1102
divisions (A)(1) to (3) of this section, which will produce an 1103
amount no greater than the amount the administrator estimates to 1104
be necessary to carry out such sections for the period for which 1105
the assessment is levied. The administrator annually shall 1106
establish the contributions due from employers for the disabled 1107
workers' relief fund at rates as low as possible but that will 1108
assure sufficient moneys to guarantee the payment of any claims 1109
against that fund.1110

       Amounts assessed in accordance with this division shall be 1111
billed at the same time premiums are billed and credited to the 1112
disabled workers' relief fund created by section 4123.412 of the 1113
Revised Code. The administrator shall determine the rates for each 1114
class in the same manner as the administrator fixes the rates for 1115
premiums pursuant to section 4123.29 of the Revised Code.1116

       (C) For a self-insuring employer, the bureau of workers' 1117
compensation shall pay to employees who are participants 1118
regardless of the date of injury, any amounts due to the 1119
participants under section 4123.414 of the Revised Code and shall 1120
bill the self-insuring employer, semiannually, for all amounts 1121
paid to a participant.1122

       Section 2. That existing sections 4121.30, 4123.20, 4123.29, 1123
4123.291, 4123.35, 4123.37, and 4123.411 and section 4121.18 of 1124
the Revised Code are hereby repealed.1125

       Section 3.  Section 4123.35 of the Revised Code is presented 1126
in this act as a composite of the section as amended by Sub. H.B. 1127
123, Am. Sub. H.B. 153, and Sub. S.B. 171 of the 129th General 1128
Assembly. The General Assembly, applying the principle stated in 1129
division (B) of section 1.52 of the Revised Code that amendments 1130
are to be harmonized if reasonably capable of simultaneous 1131
operation, finds that the composite is the resulting version of 1132
the section in effect prior to the effective date of the section 1133
as presented in this act.1134

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