Products & Solutions Events & Training Blog About Sheakley Careers 0 items$0.00 Client/User Access Contact Us PROTECTION FOR YOU AND YOUR EMPLOYEES Comprehensive Workers’ Compensation Workers’ compensation and unemployment taxes can be some of the most expensive costs of doing business in Ohio. Create a tailored plan of action to help mitigate these costs. Speak to an Expert Get a Quote GROW YOUR BUSINESS CONFIDENTLY Get the Workers’ Compensation Rates You Deserve Cost mitigation is critical to the success of any business. Our Ohio workers’ compensation experts will guide you through the discount and refund programs available to you to ensure your participation in the program that make the most sense for your business, enabling greater control of your cash flow. Speak to an Expert IT’S TIME TO LEVEL UP YOUR BUSINESS Workers’ Compensation & Unemployment Management Specialized teams to help administer handicap reimbursements, lump sum settlements, tax and rate underwriting, and hearing representation, giving our clients individualized focus on each aspect of their programs. WORKERS’ COMPENSATION We specialize in every facet of Ohio workers’ compensation From State Fund to Self Insurance, our team of experts are well versed in all aspects of Ohio workers’ compensation. Serving employers since 1963, our industry leading solutions ensure you are getting the lowest rates across the state. A strategic partner for all of your workers’ comp needs Access to group rating discounts and group retro refund programs Risk management consulting and claims administration Development of workers’ comp cost control strategies Learn More About Workers’ Compensation HEAR IT FROM OUR CIRCLE For nearly 25 years Sheakley has been a partner in assisting Gold Star Chili supporting our Safety, MCO & TPA program efforts. Kim Olden VP Human Resources, Gold Star Chili UNEMPLOYMENT MANAGEMENT Experts to guide you through the complex world of unemployment regulations State unemployment regulations are complex, confusing, and can be a source of endless frustration for employers. Our Unemployment Services clear the confusion and provide you all the tools you need to ensure your claims are handled promptly and thoroughly. Timely management of your contestable claims Monitoring of your account to ensure you never overpay Hearing representatives available to participate in hearings …and more Learn More About Unemployment EVERYTHING UNDER ONE (REALLY BIG) ROOF Over 16,000 Employers Protected From State Funded to Self-Insurance Group rating and group retrospective rating Claims management and nurse case management Attorney hearing representation Assistance with $15k Medical Only Program Self-insured program administration Internal Audits, State and Federal Filings …and more Speak to an Expert Get a Quote Workers Compensation is Confusing If all the terminology, rules, and regulations have you confused, our Complete Guide makes it easy to understand Workers Compensation in the Buckeye State. A strategic partner for all of your HR needs Protect your company and team from the unexpected Top benefit packages to keep and maintain great employees Get your employees back to work as safely as possible SECTION-SERVING Ohio’s Most Trusted Workers’ Compensation Provider for over 55 years. From Cincinnati to Cleveland, we believe that there’s no better place to build a business, or be a good neighbor. At Sheakley, our #1 priority is making our economy the best in the country by serving small businesses like yours. Learn more about Sheakley Get a Quote TRUSTED BY TOP BRANDS THE SHEAKLEY SUCCESS PLAN One Partner. Everything you need. At Sheakley, we collaborate with our clients to free them from the stress of workers’ compensation and unemployment administration so they can see their vision for sustainable growth fulfilled. Assess Your Needs Speak to an expert who understands your business. Create a Customized Plan Develop a tailored solution that best fits your company today and tomorrow. Grow Your Business Focus on your key business initiatives and achieve your full growth potential. Speak to an Expert FROM RESOURCES TO INSIGHTS The Sheakley Library Receive the latest HR news, insights and resources that help you achieve your business goal Today’s Date November 26, 2021 Temporary Authorization to Review Information – AC-3 To check your eligibility for our group, group retro and other programs, please enter and submit the information below. Policy Number Company DBA Street City State Zip Code Ohio County Employer Type Please select… Private Public Entering your name in the First and Last Name fields constitutes your electronic signature. First Name Last Name Title Telephone Number Fax Number Email Address Note: For this to be a valid letter, the self-insured department for self-insured employers, or the employer services department for all other employers, must stamp it. Being temporary in nature, BWC will not record via computer or retain this authorization. Representative must possess a copy when requesting service relative to the authority granted therein. This is to certify that Sheakley Uniservice, Inc 370-80, including its agents or representatives identified to you by them, has been retained to review and perform studies on certain workers’ compensation matters on our behalf. The limited letter of authority provides access to the following types of information relating to our account: 1. Risk Files; 2. Claim Files; 3. Merit-related or non-merit related experiences; 4. Other associated data. This authorization does not include the authority to: 1. Review protest letters; 2. File protest letters; 3. File form Application for Handicap Reimbursement (CHP- 4); 4. Notice of Appeal (IC-12) or Partial Reconsideration (IC- 88); 5. File self-insurance applications; 6. Represent the employer at hearings; 7. Pursue other similar actions on behalf of the employer. Completion of the temporary authorization provides a third-party administrator (TPA) limited authority to view an employer’s payroll and loss experience. By signing the AC-3, the employer grants permission to the BWC to release information to the employer’s authorized representative(s). The form allows a TPA to view an employer’s information regarding payroll, claims and experience modification. Attention Group Rating Prospects Employers may complete the AC-3 for as many TPAs or group-rating sponsors they feel are necessary to obtain quotes for a group-rating program. Group sponsors must notify all current group members if they will not accept them for the next group-rating year. The deadline for this notification is prior to the last business day in October for private employers and prior to the last business day in April for public employers. All potential group-rating prospects must have: Active BWC coverage status as of the application deadline; Active coverage from the application deadline through the group rating year; No outstanding balances; Operations similar in nature to the other members of their group. Any changes to a group member’s policy will affect the group policy. Changes can result in either debits or credits to each of the members. I understand this authorization is limited and temporary in nature and will expire automatically nine months from the date received by the employer services or self-insured departments, whichever is appropriate. In either case, the length of authorization will not exceed nine months. I Agree Date Need assistance with this form? For nearly 25 years Sheakley has been a partner in assisting Gold Star Chili supporting our Safety, MCO & TPA program efforts. Kim Olden, VP Human Resources, Gold Star Chili One Sheakley Way Cincinnati, Ohio 45246 Toll-Free: 800.877.2053 Phone: 513.618.1100 Solutions DOT Compliance Safety Consulting Safety Staffing Ohio Workers’ Comp TPA MDOS Return-To-Work About Our Story Company Leadership Partners & Sponsors More Sheakley Library Client Access Careers Contact Us © 2021, Sheakley Inc. Employee Access Outlook-Cincinnati Partner Access Privacy Policy