Ohio Administrative Code › Title 4123 - Bureau of Workers' Compensation › Chapter 4123-19 - General Procedures for State Insurance Fund; Self-Insuring Employers › Section 4123-19-14 - Self-insured review panel

Current through all regulations passed and filed through July 1, 2024
(A)
			 The administrator 
			 may delegate the authority granted to the administrator under Chapters 4121.
			 and 4123. of the Revised Code for determining self-insuring employer matters as
			 may be authorized. For this purpose, the administrator may appoint a
			 self-insured review panel to provide advice to the administrator and the
			 self-insured department of the bureau  and provide employers with hearings on matters referred
			 to the panel, or as requested by the employer. The bureau shall refer all
			 unresolved issues involving the financial strength or the administrative
			 ability of the employer to operate a self-insured workers' compensation program
			 to the panel for a hearing.
(B) The
			 panel shall consist of three members appointed by the administrator who
			  have expertise or experience in
			 matters relating to self-insuring employers.
(C) The panel shall hold meetings and
			 hearings to determine matters referred to it by the administrator or the
			 self-insured department for a review. The panel may issue decisions without
			 formal hearing, and may advise the administrator or the self-insured department
			 on issues referred to it. The panel shall afford an employer the opportunity
			 for a formal hearing before the panel upon request.
(D) If an employer requests a hearing before
			 the panel, or the panel determines that a hearing is in the best interests of
			 the employer or the state insurance fund, the panel shall mail a notice of
			 hearing to the employer and its representatives, setting forth the date, time,
			 and place of the hearing. The notice shall be mailed not less than twenty-one
			 days before the date of such hearing. In justifiable cases, an emergency
			 hearing may be arranged with the panel.
(E) The panel shall keep a record of its
			 dockets and proceedings. The panel's decisions shall be reduced to writing and
			 mailed to all interested parties and shall state the evidence upon which the
			 decision was based and the reasons for the panel's actions. The decision of the
			 panel shall be the decision of the administrator. If the employer files a
			 written appeal within fourteen days of the employer's receipt of the panel's
			 decision, at the administrator's discretion, the administrator may reconsider
			 the decision of the panel, and may conduct a formal hearing for such
			 purpose.
(F) The administrator may
			 authorize the panel to consider the following matters:
(1) Granting or denying an application for
			 the privilege to pay compensation and benefits directly;
(2) Non-renewals of self-insured
			 status;
(3) Revocation of
			 self-insuring employer status;
(4)
			 Issues of a self-insuring employer's adequacy of contribution to the
			 self-insuring employers' guaranty fund or need for additional security under
			 section 4123.351 of the Revised Code;
			 and
(5) Any other self-insuring employer matter
			 as authorized and delegated by the administrator under Chapters 4121. and 4123.
			 of the Revised Code.