Ohio Administrative Code › Title 4123 - Bureau of Workers' Compensation › Chapter 4123-19 - General Procedures for State Insurance Fund; Self-Insuring Employers › Section 4123-19-06 - Procedures for revocation of self-insuring status

Current through all regulations passed and filed through July 1, 2024
(A)
			 The bureau may direct that a public hearing be held on the question of
			 revocation of a self-insuring employer's privilege of self-insurance if the
			 employer that has elected with the approval of the bureau to pay compensation
			 and benefits, directly thereafter fails in any one of the following:
(1) Continued failure to file medical reports
			 requested by the bureau or industrial commission or to submit reports to the
			 injured worker required under law or rule;
(2) Continued failure to pay compensation or
			 benefits in accordance with any law or bureau or industrial commission rules in a timely
			 manner;
(3) Failure to provide
			 reasonable medical facilities;
(4)
			 Continued failure to pay all costs of administration including fees of medical
			 specialists to whom the industrial commission or
			 the bureau refers claimants for physical
			 examinations or refers claim files for review and opinion, or failure to pay
			 claimant's travel expenses within thirty days as required by law or
			 rule;
(5) Continued failure to keep
			 a record of all injuries and occupational diseases resulting in more than seven
			 days of temporary total disability or death or involving seven days or less of
			 lost time where it appears that there will be permanent partial disability
			 compensable under division 
									(A) of section
			 4123.57 of the Revised Code, or
			 where the employer denies the claim, and to report the same to the bureau, and
			 to furnish a copy of such report to the employee it concerns or to his
			 surviving dependents;
(6) Continued
			 failure to pay compensation within 
									two weeks or benefits including failure to
			 respond to a written request for authorization to change physicians within
			 seven days, failure to approve or deny a written request for treatment within
			 ten days, failure to pay hospital, medical, nursing, or medication bills duly
			 incurred by the claimant within the period of thirty days after receipt of a
			 fee bill, unless the employer contests any of such matters, in which event the
			 employer shall promptly notify the employee in writing, as well as the
			 provider, for requests to change physicians or for treatment requests of for
			 fee bill, and, only upon request, the bureau or the industrial commission of
			 such contest, specifically stating the reason for contesting such matter, and
			 notifying the employee of the right to request a hearing before the industrial
			 commission;
(7) Failure to make its
			 records and facilities available to employees of the bureau;
(8) Repeated failure to permit a claimant,
			  dependents of a
			 deceased worker, or 
									their representatives , to review all of the employer's medical
			 records pertaining to the claim at all reasonable times and places within
			 
									three business days of receiving a request;
(9)
									
									Repeated failure
			 to timely provide a claimant, dependents of a deceased worker, or their
			 representatives, copies of claim file records in accordance with paragraph
			 (L)(12) of rule
			 4123-19-03 of the Administrative
			 Code;
(10)
									Repeated failure to inform a claimant or
			  dependents of a
			 deceased worker and the bureau , in writing, as to what conditions it has recognized as
			 related to his injury or occupational disease and what, if any, conditions it
			 denies;
(11) Harassing,
			 dismissing, or disciplining employees who have
			 made complaints to the bureau;
(12) Failure to pay
			 contributions to the self-insuring employers' guaranty fund as set forth in
			 section 4123.351 of the Revised Code;
			 or,
(13) Repeated failure
			 to comply strictly with any rule, regulation or order prescribed by the
			 industrial commission 
									or the
			 bureau.