As Passed by the Senate

126th General Assembly
Regular Session
2005-2006
Am. Sub. S. B. No. 7


Senators Cates, Spada, Austria, Mumper, Wachtmann, Schuler, Padgett, Clancy, Niehaus, Coughlin, Hottinger, Armbruster, Jacobson, Harris 



A BILL
To amend sections 2913.48, 3121.034, 3121.037, 1
4121.10, 4121.44, 4121.441, 4123.01, 4123.32, 2
4123.35, 4123.512, 4123.52, 4123.54, 4123.56, 3
4123.57, 4123.58, 4123.61, 4123.65, 4123.88, 4
5703.21, and 5747.18, to enact sections 3121.0311, 5
4121.131, 4121.444, 4123.271, and 4123.311 of the 6
Revised Code to make various changes to the 7
Workers' Compensation Law.8


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

       Section 1. That sections 2913.48, 3121.034, 3121.037, 9
4121.10, 4121.44, 4121.441, 4123.01, 4123.32, 4123.35, 4123.512, 10
4123.52, 4123.54, 4123.56, 4123.57, 4123.58, 4123.61, 4123.65, 11
4123.88, 5703.21, and 5747.18 be amended and sections 3121.0311, 12
4121.131, 4121.444, 4123.271, and 4123.311 of the Revised Code be 13
enacted to read as follows:14

       Sec. 2913.48.  (A) No person, with purpose to defraud or15
knowing that the person is facilitating a fraud, shall do any of 16
the following:17

       (1) Receive workers' compensation benefits to which the 18
person is not entitled;19

       (2) Make or present or cause to be made or presented a false 20
or misleading statement with the purpose to secure payment for 21
goods or services rendered under Chapter 4121., 4123., 4127., or 22
4131. of the Revised Code or to secure workers' compensation23
benefits;24

       (3) Alter, falsify, destroy, conceal, or remove any record or 25
document that is necessary to fully establish the validity of any 26
claim filed with, or necessary to establish the nature and27
validity of all goods and services for which reimbursement or28
payment was received or is requested from, the bureau of workers'29
compensation, or a self-insuring employer under Chapter 4121.,30
4123., 4127., or 4131. of the Revised Code;31

       (4) Enter into an agreement or conspiracy to defraud the32
bureau or a self-insuring employer by making or presenting or33
causing to be made or presented a false claim for workers'34
compensation benefits;35

       (5) Make or present or cause to be made or presented a false 36
statement concerning manual codes, classification of employees, 37
payroll, paid compensation, or number of personnel, when 38
information of that nature is necessary to determine the actual 39
workers' compensation premium or assessment owed to the bureau by 40
an employer;41

       (6) Alter, forge, or create a workers' compensation 42
certificate to falsely show current or correct workers' 43
compensation coverage;44

       (7) Fail to secure or maintain workers' compensation coverage 45
as required by Chapter 4123. of the Revised Code with the intent 46
to defraud the bureau of workers' compensation.47

       (B) Whoever violates this section is guilty of workers'48
compensation fraud. Except as otherwise provided in this division, 49
a violation of this section is a misdemeanor of the first degree. 50
If the value of thepremiums and assessments unpaid pursuant to 51
actions described in division (A)(5), (6), or (7) of this section, 52
or of goods, services, property, or money stolen is five hundred 53
dollars or more and is less than five thousand dollars, a 54
violation of this section is a felony of the fifth degree. If the 55
value of thepremiums and assessments unpaid pursuant to actions 56
described in division (A)(5), (6), or (7) of this section, or of57
goods, services, property, or money stolen is five thousand58
dollars or more and is less than one hundred thousand dollars, a 59
violation of this section is a felony of the fourth degree. If the 60
value of thepremiums and assessments unpaid pursuant to actions 61
described in division (A)(5), (6), or (7) of this section, or of62
goods, services, property, or money stolen is one hundred thousand 63
dollars or more, a violation of this section is a felony of the 64
third degree.65

       (C) Upon application of the governmental body that conducted 66
the investigation and prosecution of a violation of this section, 67
the court shall order the person who is convicted of the violation 68
to pay the governmental body its costs of investigating and 69
prosecuting the case. These costs are in addition to any other 70
costs or penalty provided in the Revised Code or any other section 71
of law.72

       (D) The remedies and penalties provided in this section are 73
not exclusive remedies and penalties and do not preclude the use 74
of any other criminal or civil remedy or penalty for any act that 75
is in violation of this section.76

       (E) As used in this section:77

       (1) "False" means wholly or partially untrue or deceptive.78

       (2) "Goods" includes, but is not limited to, medical79
supplies, appliances, rehabilitative equipment, and any other80
apparatus or furnishing provided or used in the care, treatment,81
or rehabilitation of a claimant for workers' compensation82
benefits.83

       (3) "Services" includes, but is not limited to, any service 84
provided by any health care provider to a claimant for workers' 85
compensation benefits and any and all services provided by the86
bureau as part of workers' compensation insurance coverage.87

       (4) "Claim" means any attempt to cause the bureau, an88
independent third party with whom the administrator or an employer 89
contracts under section 4121.44 of the Revised Code, or a 90
self-insuring employer to make payment or reimbursement for91
workers' compensation benefits.92

       (5) "Employment" means participating in any trade,93
occupation, business, service, or profession for substantial94
gainful remuneration.95

       (6) "Employer," "employee," and "self-insuring employer" have 96
the same meanings as in section 4123.01 of the Revised Code.97

       (7) "Remuneration" includes, but is not limited to, wages,98
commissions, rebates, and any other reward or consideration.99

       (8) "Statement" includes, but is not limited to, any oral,100
written, electronic, electronic impulse, or magnetic communication 101
notice, letter, memorandum, receipt for payment, invoice, account, 102
financial statement, or bill for services; a diagnosis, prognosis, 103
prescription, hospital, medical, or dental chart or other record; 104
and a computer generated document.105

       (9) "Records" means any medical, professional, financial, or 106
business record relating to the treatment or care of any person, 107
to goods or services provided to any person, or to rates paid for 108
goods or services provided to any person, or any record that the 109
administrator of workers' compensation requires pursuant to rule.110

       (10) "Workers' compensation benefits" means any compensation 111
or benefits payable under Chapter 4121., 4123., 4127., or 4131. of 112
the Revised Code.113

       Sec. 3121.034.  (A) AExcept for deductions from lump sum 114
payments made in accordance with section 3121.0311 of the Revised 115
Code, a withholding or deduction requirement contained in a 116
withholding or deduction notice described in section 3121.03 of117
the Revised Code has priority over any order of attachment, any 118
order in aid of execution, and any other legal process issued 119
under state law against the same earnings, payments, or account.120

       (B) When two or more withholding notices are received by a 121
payor, the payor shall comply with all of the requirements 122
contained in the notices to the extent that the total amount 123
withheld from the obligor's income does not exceed the maximum 124
amount permitted under section 303(b) of the "Consumer Credit 125
Protection Act," 15 U.S.C. 1673(b), withhold amounts in accordance126
with the allocation set forth in divisions (B)(1) and (2) of this 127
section, notify each court or child support enforcement agency 128
that issued one of the notices of the allocation, and give129
priority to amounts designated in each notice as current support130
in the following manner:131

       (1) If the total of the amounts designated in the notices as 132
current support exceeds the amount available for withholding under 133
section 303(b) of the "Consumer Credit Protection Act," 15 U.S.C. 134
1673(b), the payor shall allocate to each notice an amount for135
current support equal to the amount designated in that notice as136
current support multiplied by a fraction in which the numerator is 137
the amount of income available for withholding and the denominator 138
is the total amount designated in all of the notices as current 139
support.140

       (2) If the total of the amounts designated in the notices as 141
current support does not exceed the amount available for142
withholding under section 303(b) of the "Consumer Credit143
Protection Act," 15 U.S.C. 1673(b), the payor shall pay all of the144
amounts designated as current support in the notices and shall145
allocate to each notice an amount for past-due support equal to146
the amount designated in that notice as past-due support147
multiplied by a fraction in which the numerator is the amount of148
income remaining available for withholding after the payment of 149
current support and the denominator is the total amount designated 150
in all of the notices as past-due support.151

       Sec. 3121.037.  (A) A withholding notice sent under section152
3121.03 of the Revised Code shall contain all of the following:153

       (1) Notice of the amount to be withheld from the obligor's154
income and a statement that, notwithstanding that amount, the155
payor may not withhold an amount for support and other purposes,156
including the fee described in division (A)(11) of this section,157
that exceeds the maximum amounts permitted under section 303(b) of158
the "Consumer Credit Protection Act," 15 U.S.C. 1673(b);159

       (2) A statement that the payor is required to send the amount 160
withheld to the office of child support immediately, but not later 161
than seven business days, after the obligor is paid and is 162
required to report to the agency the date the amount was withheld;163

       (3) A statement that the withholding is binding on the payor164
until further notice from the court or agency;165

       (4) A statement that if the payor is an employer, the payor166
is subject to a fine to be determined under the law of this state167
for discharging the obligor from employment, refusing to employ168
the obligor, or taking any disciplinary action against the obligor169
because of the withholding requirement;170

       (5) A statement that, if the payor fails to withhold in171
accordance with the notice, the payor is liable for the172
accumulated amount the payor should have withheld from the173
obligor's income;174

       (6) A statement that, except for deductions from lump sum 175
payments made in accordance with section 3121.0311 of the Revised 176
Code, the withholding in accordance with the notice has priority177
over any other legal process under the law of this state against178
the same income;179

       (7) The date on which the notice was mailed and a statement180
that the payor is required to implement the withholding no later181
than fourteen business days following the date the notice was182
mailed or, if the payor is an employer, no later than the first183
pay period that occurs after fourteen business days following the184
date the notice was mailed, and is required to continue the185
withholding at the intervals specified in the notice.186

       (8) A requirement that the payor do the following:187

       (a) Promptly notify the child support enforcement agency188
administering the support order, in writing, within ten business189
days after the date of any situation that occurs in which the190
payor ceases to pay income to the obligor in an amount sufficient191
to comply with the order, including termination of employment,192
layoff of the obligor from employment, any leave of absence of the193
obligor from employment without pay, termination of workers'194
compensation benefits, or termination of any pension, annuity,195
allowance, or retirement benefit;196

       (b) Provide the agency with the obligor's last known address197
and, with respect to a court support order and if known, notify198
the agency of any new employer or income source and the name,199
address, and telephone number of the new employer or income200
source.201

       (9) A requirement that, if the payor is an employer, the202
payor do both of the following:203

       (a) Identify in the notice given under division (A)(8) of204
this section any types of benefits other than personal earnings205
the obligor is receiving or is eligible to receive as a benefit of206
employment or as a result of the obligor's termination of207
employment, including, but not limited to, unemployment208
compensation, workers' compensation benefits, severance pay, sick209
leave, lump sum payments of retirement benefits or contributions,210
and bonuses or profit-sharing payments or distributions, and the211
amount of the benefits;212

       (b) Include in the notice the obligor's last known address213
and telephone number, date of birth, social security number, and214
case number and, if known, the name and business address of any215
new employer of the obligor.216

       (10) ASubject to section 3121.0311 of the Revised Code, a217
requirement that, no later than the earlier of forty-five days 218
before a lump sum payment is to be made or, if the obligor's right 219
to the lump sum payment is determined less than forty-five days 220
before it is to be made, the date on which that determination is 221
made, the payor notify the child support enforcement agency 222
administering the support order of any lump sum payment of any 223
kind of one hundred fifty dollars or more that is to be paid to 224
the obligor, hold each lump sum payment of one hundred fifty 225
dollars or more for thirty days after the date on which it would 226
otherwise be paid to the obligor and, on order of the court or 227
agency that issued the support order, pay all or a specified228
amount of the lump sum payment to the office of child support;229

       (11) A statement that, in addition to the amount withheld for 230
support, the payor may withhold a fee from the obligor's income as 231
a charge for its services in complying with the notice and a 232
specification of the amount that may be withheld.233

       (B) A deduction notice sent under section 3121.03 of the234
Revised Code shall contain all of the following:235

       (1) Notice of the amount to be deducted from the obligor's236
account;237

       (2) A statement that the financial institution is required to 238
send the amount deducted to the office of child support239
immediately, but not later than seven business days, after the240
date the last deduction was made and to report to the child241
support enforcement agency the date on which the amount was242
deducted;243

       (3) A statement that the deduction is binding on the244
financial institution until further notice from the court or245
agency;246

       (4) A statement that the deduction in accordance with the247
notice has priority over any other legal process under the law of248
this state against the same account;249

       (5) The date on which the notice was mailed and a statement250
that the financial institution is required to implement the251
deduction no later than fourteen business days following that date252
and to continue the deduction at the intervals specified in the253
notice;254

       (6) A requirement that the financial institution promptly255
notify the child support enforcement agency administering the256
support order, in writing, within ten days after the date of any257
termination of the account from which the deduction is being made258
and notify the agency, in writing, of the opening of a new account259
at that financial institution, the account number of the new260
account, the name of any other known financial institutions in261
which the obligor has any accounts, and the numbers of those262
accounts;263

       (7) A requirement that the financial institution include in264
all notices the obligor's last known mailing address, last known265
residence address, and social security number;266

       (8) A statement that, in addition to the amount deducted for267
support, the financial institution may deduct a fee from the268
obligor's account as a charge for its services in complying with269
the notice and a specification of the amount that may be deducted.270

       Sec. 3121.0311.  (A) If a lump sum payment referred to in 271
division (A)(10) of section 3121.037 of the Revised Code consists 272
of workers' compensation benefits and the obligor is represented 273
by an attorney with respect to the obligor's workers' compensation 274
claim, prior to issuing the notice to the child support 275
enforcement agency required by that division, the administrator of 276
workers' compensation, for claims involving state fund employers, 277
or a self-insuring employer, for that employer's claims, shall 278
notify the obligor and the obligor's attorney in writing that the 279
obligor is subject to a support order and that the administrator 280
or self-insuring employer, as appropriate, shall hold the lump sum 281
payment for a period of thirty days after the administrator or 282
self-insuring employer sends this written notice, pending receipt 283
of the information referred to in division (B) of this section.284

       (B) The administrator or self-insuring employer, as 285
appropriate, shall instruct the obligor's attorney in writing to 286
file a copy of the fee agreement signed by the obligor, along with 287
an affidavit signed by the attorney setting forth the amount of 288
the attorney's fee with respect to the lump sum payment award to 289
the obligor and the amount of all necessary expenses, along with 290
documentation of those expenses, incurred by the attorney with 291
respect to obtaining the lump sum award. The obligor's attorney 292
shall file the fee agreement and attorney affidavit with the 293
administrator or self-insuring employer, as appropriate, within 294
thirty days after the date the administrator or self-insuring 295
employer sends the notice required by division (A) of this 296
section.297

       (C) Upon receipt of the fee agreement and attorney affidavit, 298
the administrator or self-insuring employer, as appropriate, shall 299
deduct from the lump sum payment the amount of the attorney's fee 300
and necessary expenses and pay that amount directly to and solely 301
in the name of the attorney within fourteen days after the fee 302
agreement and attorney affidavit have been filed with the 303
administrator or self-insuring employer.304

       (D) After deducting any attorney's fee and necessary 305
expenses, if the lump sum payment is one hundred fifty dollars or 306
more, the administrator or self-insuring employer, as appropriate, 307
shall hold the balance of the lump sum award in accordance with 308
division (A)(10) of section 3121.037 of the Revised Code.309

       Sec. 4121.10.  The industrial commission shall be in 310
continuous session and open for the transaction of business during 311
all business hours of every day excepting Sundays and legal 312
holidays. The sessions of the commission shall be open to the 313
public and shall stand and be adjourned without further notice314
thereof on its record. All of the proceedings of the commission 315
shall be shown on its record, which shall be a public record 316
except as provided in section 4123.88 of the Revised Code, and all 317
voting shall be had by calling the name of each member of the 318
industrial commission by the executive director, and each member's 319
vote shall be recorded on the record of proceedings as cast. The 320
commission shall keep a separate record of its proceedings 321
relative to claims coming before it for compensation for injured322
and the dependents of killed employees, which record shall contain 323
its findings and the award in each such claim for compensation 324
considered by it, and in all such claims the reasons for the 325
allowance or rejection thereof shall be stated in said record.326

       Sec. 4121.131. The bureau of workers' compensation special 327
investigation department is a criminal justice agency in 328
investigating reported violations of law relating to workers' 329
compensation, and as such may apply for access to the computerized 330
databases administered by the national crime information center or 331
the law enforcement automated data system in Ohio and to other 332
computerized databases administered for the purpose of making 333
criminal justice information accessible to state and criminal 334
justice agencies.335

       Sec. 4121.44.  (A) The administrator of workers' compensation 336
shall oversee the implementation of the Ohio workers' compensation 337
qualified health plan system as established under section 4121.442 338
of the Revised Code.339

       (B) The administrator shall direct the implementation of the340
health partnership program administered by the bureau as set forth341
in section 4121.441 of the Revised Code. To implement the health342
partnership program, the bureau:343

       (1) Shall certify one or more external vendors, which shall344
be known as "managed care organizations," to provide medical345
management and cost containment services in the health partnership346
program for a period of two years beginning on the date of347
certification, consistent with the standards established under348
this section;349

       (2) May recertify external vendors for additional periods of350
two years; and351

       (3) May integrate the certified vendors with bureau staff and 352
existing bureau services for purposes of operation and training to 353
allow the bureau to assume operation of the health partnership 354
program at the conclusion of the certification periods set forth 355
in division (B)(1) or (2) of this section.356

       (C) Any vendor selected shall demonstrate all of the357
following:358

       (1) Arrangements and reimbursement agreements with a359
substantial number of the medical, professional and pharmacy360
providers currently being utilized by claimants.361

       (2) Ability to accept a common format of medical bill data in 362
an electronic fashion from any provider who wishes to submit363
medical bill data in that form.364

       (3) A computer system able to handle the volume of medical365
bills and willingness to customize that system to the bureau's366
needs and to be operated by the vendor's staff, bureau staff, or367
some combination of both staffs.368

       (4) A prescription drug system where pharmacies on a369
statewide basis have access to the eligibility and pricing, at a370
discounted rate, of all prescription drugs.371

       (5) A tracking system to record all telephone calls from372
claimants and providers regarding the status of submitted medical373
bills so as to be able to track each inquiry.374

       (6) Data processing capacity to absorb all of the bureau's375
medical bill processing or at least that part of the processing376
which the bureau arranges to delegate.377

       (7) Capacity to store, retrieve, array, simulate, and model378
in a relational mode all of the detailed medical bill data so that379
analysis can be performed in a variety of ways and so that the380
bureau and its governing authority can make informed decisions.381

       (8) Wide variety of software programs which translate medical 382
terminology into standard codes, and which reveal if a provider is 383
manipulating the procedures codes, commonly called "unbundling."384

       (9) Necessary professional staff to conduct, at a minimum,385
authorizations for treatment, medical necessity, utilization386
review, concurrent review, post-utilization review, and have the387
attendant computer system which supports such activity and388
measures the outcomes and the savings.389

       (10) Management experience and flexibility to be able to390
react quickly to the needs of the bureau in the case of required391
change in federal or state requirements.392

       (D)(1) Information contained in a vendor's application for393
certification in the health partnership program, and other394
information furnished to the bureau by a vendor for purposes of395
obtaining certification or to comply with performance and396
financial auditing requirements established by the administrator,397
is for the exclusive use and information of the bureau in the398
discharge of its official duties, and shall not be open to the399
public or be used in any court in any proceeding pending therein,400
unless the bureau is a party to the action or proceeding, but the401
information may be tabulated and published by the bureau in402
statistical form for the use and information of other state403
departments and the public. No employee of the bureau, except as404
otherwise authorized by the administrator, shall divulge any405
information secured by the employee while in the employ of the406
bureau in respect to a vendor's application for certification or407
in respect to the business or other trade processes of any vendor408
to any person other than the administrator or to the employee's409
superior.410

       (2) Notwithstanding the restrictions imposed by division411
(D)(1) of this section, the governor, members of select or412
standing committees of the senate or house of representatives, the413
auditor of state, the attorney general, or their designees,414
pursuant to the authority granted in this chapter and Chapter415
4123. of the Revised Code, may examine any vendor application or416
other information furnished to the bureau by the vendor. None of417
those individuals shall divulge any information secured in the418
exercise of that authority in respect to a vendor's application419
for certification or in respect to the business or other trade420
processes of any vendor to any person.421

       (E) On and after January 1, 2001, a vendor shall not be any422
insurance company holding a certificate of authority issued423
pursuant to Title XXXIX of the Revised Code or any health insuring424
corporation holding a certificate of authority under Chapter 1751.425
of the Revised Code.426

       (F) The administrator may limit freedom of choice of health427
care provider or supplier by requiring, beginning with the period428
set forth in division (B)(1) or (2) of this section, that429
claimants shall pay an appropriate out-of-plan copayment for430
selecting a medical provider not within the health partnership431
program as provided for in this section.432

       (G) The administrator, six months prior to the expiration of433
the bureau's certification or recertification of the vendor or434
vendors as set forth in division (B)(1) or (2) of this section,435
may certify and provide evidence to the governor, the speaker of436
the house of representatives, and the president of the senate that437
the existing bureau staff is able to match or exceed the438
performance and outcomes of the external vendor or vendors and439
that the bureau should be permitted to internally administer the440
health partnership program upon the expiration of the441
certification or recertification as set forth in division (B)(1)442
or (2) of this section.443

       (H) The administrator shall establish and operate a bureau of 444
workers' compensation health care data program. The administrator 445
shall develop reporting requirements from all employees, employers 446
and medical providers, medical vendors, and plans that participate 447
in the workers' compensation system. The administrator shall do 448
all of the following:449

       (1) Utilize the collected data to measure and perform450
comparison analyses of costs, quality, appropriateness of medical451
care, and effectiveness of medical care delivered by all452
components of the workers' compensation system.453

       (2) Compile data to support activities of the selected vendor 454
or vendors and to measure the outcomes and savings of the health 455
partnership program.456

       (3) Publish and report compiled data to the governor, the457
speaker of the house of representatives, and the president of the458
senate on the first day of each January and July, the measures of459
outcomes and savings of the health partnership program and the460
qualified health plan system. The administrator shall protect the461
confidentiality of all proprietary pricing data.462

       (I) Any rehabilitation facility the bureau operates is463
eligible for inclusion in the Ohio workers' compensation qualified464
health plan system or the health partnership program under the465
same terms as other providers within health care plans or the466
program.467

       (J) In areas outside the state or within the state where no468
qualified health plan or an inadequate number of providers within469
the health partnership program exist, the administrator shall470
permit employees to use a nonplan or nonprogram health care471
provider and shall pay the provider for the services or supplies472
provided to or on behalf of an employee for an injury or473
occupational disease that is compensable under this chapter or474
Chapter 4123., 4127., or 4131. of the Revised Code on a fee475
schedule the administrator adopts.476

       (K) No health care provider, whether certified or not, shall 477
charge, assess, or otherwise attempt to collect from an employee, 478
employer, a managed care organization, or the bureau any amount 479
for covered services or supplies that is in excess of the allowed480
amount paid by a managed care organization, the bureau, or a 481
qualified health plan.482

       (L) The administrator shall permit any employer or group of483
employers who agree to abide by the rules adopted under this484
section and sections 4121.441 and 4121.442 of the Revised Code to485
provide services or supplies to or on behalf of an employee for an486
injury or occupational disease that is compensable under this487
chapter or Chapter 4123., 4127., or 4131. of the Revised Code488
through qualified health plans of the Ohio workers' compensation489
qualified health plan system pursuant to section 4121.442 of the490
Revised Code or through the health partnership program pursuant to491
section 4121.441 of the Revised Code. No amount paid under the492
qualified health plan system pursuant to section 4121.442 of the493
Revised Code by an employer who is a state fund employer shall be494
charged to the employer's experience or otherwise be used in495
merit-rating or determining the risk of that employer for the496
purpose of the payment of premiums under this chapter, and if the497
employer is a self-insuring employer, the employer shall not498
include that amount in the paid compensation the employer reports499
under section 4123.35 of the Revised Code.500

       Sec. 4121.441.  (A) The administrator of workers' 501
compensation, with the advice and consent of the workers' 502
compensation oversight commission, shall adopt rules under Chapter 503
119. of the Revised Code for the health care partnership program 504
administered by the bureau of workers' compensation to provide 505
medical, surgical, nursing, drug, hospital, and rehabilitation506
services and supplies to an employee for an injury or occupational 507
disease that is compensable under this chapter or Chapter 4123., 508
4127., or 4131. of the Revised Code.509

       The rules shall include, but are not limited to, the510
following:511

       (1) Procedures for the resolution of medical disputes between 512
an employer and an employee, an employee and a provider, or an 513
employer and a provider, prior to an appeal under section 4123.511 514
of the Revised Code;. Rules the administrator adopts pursuant to 515
division (A)(1) of this section may specify that the resolution 516
procedures shall not be used to resolve disputes concerning 517
medical services rendered that have been approved through standard 518
treatment guidelines, pathways, or presumptive authorization 519
guidelines.520

       (2) Prohibitions against discrimination against any category 521
of health care providers;522

       (3) Procedures for reporting injuries to employers and the523
bureau by providers;524

       (4) Appropriate financial incentives to reduce service cost 525
and insure proper system utilization without sacrificing the526
quality of service;527

       (5) Adequate methods of peer review, utilization review,528
quality assurance, and dispute resolution to prevent, and provide529
sanctions for, inappropriate, excessive or not medically necessary 530
treatment;531

       (6) A timely and accurate method of collection of necessary 532
information regarding medical and health care service and supply 533
costs, quality, and utilization to enable the administrator to 534
determine the effectiveness of the program;535

       (7) Provisions for necessary emergency medical treatment for 536
an injury or occupational disease provided by a health care537
provider who is not part of the program;538

       (8) Discounted pricing for all in-patient and out-patient539
medical services, all professional services, and all540
pharmaceutical services;541

       (9) Provisions for provider referrals, pre-admission and542
post-admission approvals, second surgical opinions, and other cost 543
management techniques;544

       (10) Antifraud mechanisms;545

       (11) Standards and criteria for the bureau to utilize in 546
certifying or recertifying a health care provider or a vendor for 547
participation in the health partnership program;548

       (12) Standards and criteria for the bureau to utilize in 549
penalizing or decertifying a health care provider or a vendor from 550
participation in the health partnership program.551

       (B) The administrator shall implement the health partnership 552
program according to the rules the administrator adopts under this 553
section for the provision and payment of medical, surgical, 554
nursing, drug, hospital, and rehabilitation services and supplies 555
to an employee for an injury or occupational disease that is 556
compensable under this chapter or Chapter 4123., 4127., or 4131. 557
of the Revised Code.558

       Sec. 4121.444. (A) No person, health care provider, managed 559
care organization, or owner of a health care provider or managed 560
care organization shall obtain or attempt to obtain payments by 561
deception under Chapter 4121., 4123., 4127., or 4131. of the 562
Revised Code to which the person, health care provider, managed 563
care organization, or owner is not entitled under rules of the 564
bureau of workers' compensation adopted pursuant to sections 565
4121.441 and 4121.442 of the Revised Code.566

       (B) Any person, health care provider, managed care 567
organization, or owner that violates division (A) of this section 568
is liable, in addition to any other penalties provided by law, for 569
all of the following penalties:570

       (1) Payment of interest on the amount of the excess payments 571
at the maximum interest rate allowable for real estate mortgages 572
under section 1343.01 of the Revised Code. The interest shall be 573
calculated from the date the payment was made to the person, 574
owner, health care provider, or managed care organization through 575
the date upon which repayment is made to the bureau or the576
self-insuring employer.577

       (2) Payment of an amount equal to three times the amount of 578
any excess payments;579

       (3) Payment of a sum of not less than five thousand dollars 580
and not more than ten thousand dollars for each act of deception;581

       (4) All reasonable and necessary expenses that the court 582
determines have been incurred by the bureau or the self-insuring 583
employer in the enforcement of this section.584

       All moneys collected by the bureau pursuant to this section 585
shall be deposited into the state insurance fund created in 586
section 4123.30 of the Revised Code. All moneys collected by a 587
self-insuring employer pursuant to this section shall be awarded 588
to the self-insuring employer.589

       (C)(1) In addition to the monetary penalties provided in 590
division (B) of this section and except as provided in division 591
(C)(3) of this section, the administrator may terminate any592
agreement between the bureau and a person or a health care 593
provider or managed care organization or its owner and cease 594
reimbursement to that person, provider, organization, or owner for 595
services rendered if any of the following apply:596

       (a) The person, health care provider, managed care597
organization, or its owner, or an officer, authorized agent, 598
associate, manager, or employee of a person, provider, or 599
organization is convicted of or pleads guilty to a violation of 600
sections 2913.48 or 2923.31 to 2923.36 of the Revised Code or any 601
other criminal offense related to the delivery of or billing for 602
health care benefits.603

       (b) There exists an entry of judgment against the person,604
health care provider, managed care organization, or its owner, or 605
an officer, authorized agent, associate, manager, or employee of a 606
person, provider, or organization and proof of the specific intent 607
of the person, health care provider, managed care organization, or 608
owner to defraud, in a civil action brought pursuant to this 609
section.610

       (c) There exists an entry of judgment against the person, 611
health care provider, managed care organization, or its owner, or 612
an officer, authorized agent, associate, manager, or employee of a 613
person, provider, or organization in a civil action brought 614
pursuant to sections 2923.31 to 2923.36 of the Revised Code.615

       (2) No person, health care provider, or managed care 616
organization that has had its agreement with and reimbursement 617
from the bureau terminated by the administrator pursuant to 618
division (C)(1) of this section, or an owner, officer, authorized 619
agent, associate, manager, or employee of that person, health care620
provider, or managed care organization shall do either of the 621
following:622

       (a) Directly provide services to any other bureau provider or 623
have an ownership interest in a provider of services that624
furnishes services to any other bureau provider;625

       (b) Arrange for, render, or order services for claimants 626
during the period that the agreement of the person, health care 627
provider, managed care organization, or its owner is terminated as 628
described in division (C)(1) of this section;629

       (3) The administrator shall not terminate the agreement or 630
reimbursement if the person, health care provider, managed care 631
organization, or owner demonstrates that the person, provider, 632
organization, or owner did not directly or indirectly sanction the 633
action of the authorized agent, associate, manager, or employee 634
that resulted in the conviction, plea of guilty, or entry of 635
judgment as described in division (C)(1) of this section.636

       (4) Nothing in division (C) of this section prohibits an 637
owner, officer, authorized agent, associate, manager, or employee 638
of a person, health care provider, or managed care organization 639
from entering into an agreement with the bureau if the provider, 640
organization, owner, officer, authorized agent, associate, 641
manager, or employee demonstrates absence of knowledge of the 642
action of the person, health care provider, or managed care643
organization with which that individual or organization was 644
formerly associated that resulted in a conviction, plea of guilty, 645
or entry of judgment as described in division (C)(1) of this 646
section.647

       (D) The attorney general may bring an action on behalf of the 648
state and a self-insuring employer may bring an action on its own 649
behalf to enforce this section in any court of competent650
jurisdiction. The attorney general may settle or compromise any 651
action brought under this section with the approval of the 652
administrator.653

       Notwithstanding any other law providing a shorter period of654
limitations, the attorney general or a self-insuring employer may 655
bring an action to enforce this section at any time within six 656
years after the conduct in violation of this section terminates.657

       (E) The availability of remedies under this section and 658
sections 2913.48 and 2923.31 to 2923.36 of the Revised Code for 659
recovering benefits paid on behalf of claimants for medical 660
assistance does not limit the authority of the bureau or a 661
self-insuring employer to recover excess payments made to an 662
owner, health care provider, managed care organization, or person663
under state and federal law.664

       (F) As used in this section:665

       (1) "Deception" means acting with actual knowledge in order 666
to deceive another or cause another to be deceived by means of any 667
of the following:668

       (a) A false or misleading representation;669

       (b) The withholding of information;670

       (c) The preventing of another from acquiring information;671

       (d) Any other conduct, act, or omission that creates, 672
confirms, or perpetuates a false impression as to a fact, the law,673
the value of something, or a person's state of mind.674

       (2) "Owner" means any person having at least a five per cent 675
ownership interest in a health care provider or managed care 676
organization.677

       Sec. 4123.01.  As used in this chapter:678

       (A)(1) "Employee" means:679

       (a) Every person in the service of the state, or of any680
county, municipal corporation, township, or school district681
therein, including regular members of lawfully constituted police682
and fire departments of municipal corporations and townships,683
whether paid or volunteer, and wherever serving within the state684
or on temporary assignment outside thereof, and executive officers685
of boards of education, under any appointment or contract of hire,686
express or implied, oral or written, including any elected687
official of the state, or of any county, municipal corporation, or688
township, or members of boards of education.689

       As used in division (A)(1)(a) of this section, the term 690
"employee" includes the following persons when responding to an 691
inherently dangerous situation that calls for an immediate 692
response on the part of the person, regardless of whether the 693
person is within the limits of the jurisdiction of the person's 694
regular employment or voluntary service when responding, on the 695
condition that the person responds to the situation as the person 696
otherwise would if the person were on duty in the person's697
jurisdiction:698

       (i) Off-duty peace officers. As used in division (A)(1)(a)(i) 699
of this section, "peace officer" has the same meaning as in700
section 2935.01 of the Revised Code.701

       (ii) Off-duty firefighters, whether paid or volunteer, of a702
lawfully constituted fire department.703

       (iii) Off-duty first responders, emergency medical704
technicians-basic, emergency medical technicians-intermediate, or705
emergency medical technicians-paramedic, whether paid or706
volunteer, of an ambulance service organization or emergency707
medical service organization pursuant to Chapter 4765. of the708
Revised Code.709

       (b) Every person in the service of any person, firm, or710
private corporation, including any public service corporation,711
that (i) employs one or more persons regularly in the same712
business or in or about the same establishment under any contract713
of hire, express or implied, oral or written, including aliens and714
minors, household workers who earn one hundred sixty dollars or715
more in cash in any calendar quarter from a single household and716
casual workers who earn one hundred sixty dollars or more in cash717
in any calendar quarter from a single employer, or (ii) is bound718
by any such contract of hire or by any other written contract, to719
pay into the state insurance fund the premiums provided by this720
chapter.721

       (c) Every person who performs labor or provides services722
pursuant to a construction contract, as defined in section 4123.79723
of the Revised Code, if at least ten of the following criteria724
apply:725

       (i) The person is required to comply with instructions from726
the other contracting party regarding the manner or method of727
performing services;728

       (ii) The person is required by the other contracting party to 729
have particular training;730

       (iii) The person's services are integrated into the regular731
functioning of the other contracting party;732

       (iv) The person is required to perform the work personally;733

       (v) The person is hired, supervised, or paid by the other734
contracting party;735

       (vi) A continuing relationship exists between the person and736
the other contracting party that contemplates continuing or737
recurring work even if the work is not full time;738

       (vii) The person's hours of work are established by the other 739
contracting party;740

       (viii) The person is required to devote full time to the741
business of the other contracting party;742

       (ix) The person is required to perform the work on the743
premises of the other contracting party;744

       (x) The person is required to follow the order of work set by 745
the other contracting party;746

       (xi) The person is required to make oral or written reports747
of progress to the other contracting party;748

       (xii) The person is paid for services on a regular basis such 749
as hourly, weekly, or monthly;750

       (xiii) The person's expenses are paid for by the other751
contracting party;752

       (xiv) The person's tools and materials are furnished by the753
other contracting party;754

       (xv) The person is provided with the facilities used to755
perform services;756

       (xvi) The person does not realize a profit or suffer a loss757
as a result of the services provided;758

       (xvii) The person is not performing services for a number of759
employers at the same time;760

       (xviii) The person does not make the same services available761
to the general public;762

       (xix) The other contracting party has a right to discharge763
the person;764

       (xx) The person has the right to end the relationship with765
the other contracting party without incurring liability pursuant766
to an employment contract or agreement.767

       Every person in the service of any independent contractor or768
subcontractor who has failed to pay into the state insurance fund769
the amount of premium determined and fixed by the administrator of770
workers' compensation for the person's employment or occupation or771
if a self-insuring employer has failed to pay compensation and772
benefits directly to the employer's injured and to the dependents773
of the employer's killed employees as required by section 4123.35774
of the Revised Code, shall be considered as the employee of the775
person who has entered into a contract, whether written or verbal,776
with such independent contractor unless such employees or their777
legal representatives or beneficiaries elect, after injury or778
death, to regard such independent contractor as the employer.779

       (2) "Employee" does not mean:780

       (a) A duly ordained, commissioned, or licensed minister or781
assistant or associate minister of a church in the exercise of782
ministry;783

       (b) Any officer of a family farm corporation;784

       (c) An individual incorporated as a corporation; or785

        (d) An individual who otherwise is an employee of an employer 786
but who signs the waiver and affidavit specified in section 787
4123.15 of the Revised Code on the condition that the 788
administrator has granted a waiver and exception to the 789
individual's employer under section 4123.15 of the Revised Code.790

       Any employer may elect to include as an "employee" within791
this chapter, any person excluded from the definition of792
"employee" pursuant to division (A)(2) of this section. If an793
employer is a partnership, sole proprietorship, individual 794
incorporated as a corporation, or family farm corporation, such 795
employer may elect to include as an "employee" within this 796
chapter, any member of such partnership, the owner of the sole 797
proprietorship, the individual incorporated as a corporation, or 798
the officers of the family farm corporation. In the event of an 799
election, the employer shall serve upon the bureau of workers' 800
compensation written notice naming the persons to be covered, 801
include such employee's remuneration for premium purposes in all 802
future payroll reports, and no person excluded from the definition 803
of "employee" pursuant to division (A)(2) of this section, 804
proprietor, individual incorporated as a corporation, or partner 805
shall be deemed an employee within this division until the 806
employer has served such notice.807

       For informational purposes only, the bureau shall prescribe808
such language as it considers appropriate, on such of its forms as809
it considers appropriate, to advise employers of their right to810
elect to include as an "employee" within this chapter a sole811
proprietor, any member of a partnership, an individual 812
incorporated as a corporation, the officers of a family farm 813
corporation, or a person excluded from the definition of814
"employee" under division (A)(2) of this section, that they should 815
check any health and disability insurance policy, or other form of 816
health and disability plan or contract, presently covering them, 817
or the purchase of which they may be considering, to determine 818
whether such policy, plan, or contract excludes benefits for 819
illness or injury that they might have elected to have covered by 820
workers' compensation.821

       (B) "Employer" means:822

       (1) The state, including state hospitals, each county,823
municipal corporation, township, school district, and hospital824
owned by a political subdivision or subdivisions other than the825
state;826

       (2) Every person, firm, professional employer organization as 827
defined in section 4125.01 of the Revised Code, and private 828
corporation, including any public service corporation, that (a) 829
has in service one or more employees or shared employees regularly 830
in the same business or in or about the same establishment under 831
any contract of hire, express or implied, oral or written, or (b) 832
is bound by any such contract of hire or by any other written 833
contract, to pay into the insurance fund the premiums provided by 834
this chapter.835

       All such employers are subject to this chapter. Any member of 836
a firm or association, who regularly performs manual labor in or 837
about a mine, factory, or other establishment, including a838
household establishment, shall be considered an employee in839
determining whether such person, firm, or private corporation, or840
public service corporation, has in its service, one or more841
employees and the employer shall report the income derived from842
such labor to the bureau as part of the payroll of such employer,843
and such member shall thereupon be entitled to all the benefits of844
an employee.845

       (C) "Injury" includes any injury, whether caused by external846
accidental means or accidental in character and result, received847
in the course of, and arising out of, the injured employee's848
employment. "Injury" does not include:849

       (1) Psychiatric conditions except where the claimant's 850
psychiatric conditions have arisen from an injury or occupational 851
disease sustained by that claimant or where the claimant's 852
psychiatric conditions have arisen from sexual conduct in which 853
the claimant was forced by threat of physical harm to engage or 854
participate;855

       (2) Injury or disability caused primarily by the natural856
deterioration of tissue, an organ, or part of the body;857

       (3) Injury or disability incurred in voluntary participation858
in an employer-sponsored recreation or fitness activity if the859
employee signs a waiver of the employee's right to compensation or860
benefits under this chapter prior to engaging in the recreation or861
fitness activity;862

       (4) A condition that pre-existed an injury unless that 863
pre-existing condition is substantially aggravated by the injury. 864
Such a substantial aggravation must be documented by objective 865
diagnostic findings, objective clinical findings, or objective 866
test results. Subjective complaints may be evidence of such a 867
substantial aggravation. However, subjective complaints without 868
objective diagnostic findings, objective clinical findings, or 869
objective test results are insufficient to substantiate a 870
substantial aggravation.871

       (D) "Child" includes a posthumous child and a child legally872
adopted prior to the injury.873

       (E) "Family farm corporation" means a corporation founded for 874
the purpose of farming agricultural land in which the majority of 875
the voting stock is held by and the majority of the stockholders 876
are persons or the spouse of persons related to each other within 877
the fourth degree of kinship, according to the rules of the civil 878
law, and at least one of the related persons is residing on or 879
actively operating the farm, and none of whose stockholders are a 880
corporation. A family farm corporation does not cease to qualify 881
under this division where, by reason of any devise, bequest, or 882
the operation of the laws of descent or distribution, the 883
ownership of shares of voting stock is transferred to another 884
person, as long as that person is within the degree of kinship 885
stipulated in this division.886

       (F) "Occupational disease" means a disease contracted in the887
course of employment, which by its causes and the characteristics888
of its manifestation or the condition of the employment results in889
a hazard which distinguishes the employment in character from890
employment generally, and the employment creates a risk of891
contracting the disease in greater degree and in a different892
manner from the public in general.893

       (G) "Self-insuring employer" means an employer who is granted 894
the privilege of paying compensation and benefits directly under 895
section 4123.35 of the Revised Code, including a board of county 896
commissioners for the sole purpose of constructing a sports897
facility as defined in section 307.696 of the Revised Code,898
provided that the electors of the county in which the sports899
facility is to be built have approved construction of a sports900
facility by ballot election no later than November 6, 1997.901

       (H) "Public employer" means an employer as defined in902
division (B)(1) of this section.903

       (I) "Sexual conduct" means vaginal intercourse between a male 904
and female; anal intercourse, fellatio, and cunnilingus between 905
persons regardless of gender; and, without privilege to do so, the 906
insertion, however slight, of any part of the body or any 907
instrument, apparatus, or other object into the vaginal or anal 908
cavity of another. Penetration, however slight, is sufficient to 909
complete vaginal or anal intercourse.910

       Sec. 4123.271. The administrator of workers' compensation may 911
furnish to the tax commissioner, on a quarterly basis, a list in a 912
format approved by the tax commissioner containing the name and 913
social security number or employer identification number of any 914
employer, and may request that the tax commissioner, on a 915
quarterly basis, report the total amount of compensation paid that 916
the employer reported for the period for which the annual return 917
is made pursuant to division (F)(3) of section 5747.07 of the 918
Revised Code, for each employer contained on the administrator's 919
list.920

       Upon receipt of this list and request, the tax commissioner 921
shall provide to the administrator, in a format designed by the 922
tax commissioner, information identifying any employer listed by 923
the administrator who reported compensation paid to employees on 924
the most recent return filed by the person pursuant to section 925
5747.07 of the Revised Code and the total amount of compensation 926
paid that the employer reported for the period for which the 927
annual return is made pursuant to division (F)(3) of section 928
5747.07 of the Revised Code.929

       Sec. 4123.311.  (A) The administrator of workers' 930
compensation may do all of the following:931

       (1) Utilize direct deposit of funds by electronic transfer 932
for all disbursements the administrator is authorized to pay under 933
this chapter and Chapters 4121., 4127., and 4131. of the Revised 934
Code;935

       (2) Require any payee to provide a written authorization 936
designating a financial institution and an account number to which 937
a payment made according to division (A)(1) of this section is to 938
be credited, notwithstanding division (B) of section 9.37 of the 939
Revised Code;940

       (3) Contract with an agent to do both of the following:941

       (a) Supply debit cards for claimants to access payments made 942
to them pursuant to this chapter and Chapters 4121., 4127., and 943
4131. of the Revised Code;944

       (b) Credit the debit cards described in division (A)(3)(a) of 945
this section with the amounts specified by the administrator 946
pursuant to this chapter and Chapters 4121., 4127., and 4131. of 947
the Revised Code by utilizing direct deposit of funds by 948
electronic transfer.949

       (4) Enter into agreements with financial institutions to 950
credit the debit cards described in division (A)(3)(a) of this 951
section with the amounts specified by the administrator pursuant 952
to this chapter and Chapters 4121., 4127., and 4131. of the 953
Revised Code by utilizing direct deposit of funds by electronic 954
transfer.955

       (B) The administrator shall inform claimants about the 956
administrator's utilization of direct deposit of funds by 957
electronic transfer under this section and section 9.37 of the 958
Revised Code, furnish debit cards to claimants as appropriate, and 959
provide claimants with instructions regarding use of those debit 960
cards.961

       (C) The administrator, with the advice and consent of the 962
workers' compensation oversight commission, shall adopt rules in 963
accordance with Chapter 119. of the Revised Code regarding 964
utilization of the direct deposit of funds by electronic transfer 965
under this section and section 9.37 of the Revised Code.966

       Sec. 4123.32.  The administrator of workers' compensation,967
with the advice and consent of the workers' compensation oversight968
commission, shall adopt rules with respect to the collection,969
maintenance, and disbursements of the state insurance fund970
including all of the following:971

       (A) A rule providing that in the event there is developed as972
of any given rate revision date a surplus of earned premium over973
all losses which, in the judgment of the administrator, is larger974
than is necessary adequately to safeguard the solvency of the975
fund, the administrator may return such excess surplus to the976
subscriber to the fund in either the form of cash refunds or a977
reduction of premiums, regardless of when the premium obligations 978
have accrued;979

       (B) A rule providing that the premium security deposit980
collected from any employer entitles the employer to the benefits981
of this chapter for the remainder of the six months and also for982
an additional adjustment period of two months, and, thereafter, if983
the employer pays the premium due at the close of any six-month984
period, coverage shall be extended for an additional eight-month985
period beginning from the end of the six-month period for which986
the employer pays the premium due;987

       (C) A rule providing for ascertaining the correctness of any988
employer's report of estimated or actual expenditure of wages and989
the determination and adjustment of proper premiums and the990
payment of those premiums by the employer for or during any period991
less than eight months and notwithstanding any payment or992
determination of premium made when exceptional conditions or993
circumstances in the judgment of the administrator justify the994
action;995

       (D) Such special rules as the administrator considers996
necessary to safeguard the fund and that are just in the997
circumstances, covering the rates to be applied where one employer998
takes over the occupation or industry of another or where an999
employer first makes application for state insurance, and the1000
administrator may require that if any employer transfers a1001
business in whole or in part or otherwise reorganizes the1002
business, the successor in interest shall assume, in proportion to1003
the extent of the transfer, as determined by the administrator,1004
the employer's account and shall continue the payment of all1005
contributions due under this chapter;1006

       (E) A rule providing for all of the following:1007

       (1) If, within two months immediately after the expiration of 1008
the six-month period, an employer fails to file a report of the1009
employer's actual payroll expenditures for the period, the premium1010
found to be due from the employer for the period shall be1011
increased in an amount equal to one per cent of the premium, but1012
the increase shall not be less than three nor more than fifteen1013
dollars;1014

       (2) The premium determined by the administrator to be due1015
from an employer shall be payable on or before the end of the1016
coverage period established by the premium security deposit, or1017
within the time specified by the administrator if the period for1018
which the advance premium has been paid is less than eight months.1019
If an employer fails to pay the premium when due, an amount equal1020
to three per cent of the premium shall be added to the premium. If1021
the failure to pay continues for more than one month, the premium1022
shall be increased further in an amount equal to two per cent of1023
the premium for each additional month or part of a month, but the1024
total of all additional amounts shall not exceed twelve per cent1025
of the premium. Ifthe administrator may add a thirty dollar late 1026
fee penalty to the premium plus an additional penalty amount as 1027
follows:1028

       (a) For a premium from eleven to thirty days past due, three 1029
per cent of the premium due; 1030

       (b) For a premium from thirty-one to sixty days past due, the 1031
prime interest rate multiplied by the premium due;1032

       (c) For a premium from sixty-one to ninety days past due, the 1033
prime interest rate plus two per cent, multiplied by the premium 1034
due;1035

       (d) For a premium from ninety-one to one hundred twenty days 1036
past due, the prime interest rate plus four per cent, multiplied 1037
by the premium due;1038

       (e) For a premium from one hundred twenty-one to one hundred 1039
fifty days past due, the prime interest rate plus six per cent, 1040
multiplied by the premium due;1041

       (f) For a premium from one hundred fifty-one to one hundred 1042
eighty days past due, the prime interest rate plus eight per cent, 1043
multiplied by the premium due;1044

       (g) For a premium from one hundred eighty-one to two hundred 1045
ten days past due, the prime interest rate plus ten per cent, 1046
multiplied by the premium due;1047

       (h) For each additional thirty-day period or portion thereof 1048
that a premium remains past due after it has remained past due for 1049
more than two hundred ten days, the prime interest rate plus ten 1050
per cent, multiplied by the premium due.1051

        (3) An employer may appeal a late fee penalty or additional 1052
penalty to an adjudicating committee pursuant to section 4123.291 1053
of the Revised Code.1054

        For purposes of this division, "prime interest rate" means 1055
the average bank prime rate, and the administrator shall determine 1056
the prime interest rate in the same manner as a county auditor 1057
determines the average bank prime rate under section 929.02 of the 1058
Revised Code.1059

       (4) If the employer files an appropriate payroll report, 1060
within the time provided by law or within the time specified by 1061
the administrator if the period for which the employer paid an 1062
estimated premium is less than eight months, the employer shall 1063
not be in default and division (E)(2) of this section 4123.32 of 1064
the Revised Code shall not apply if the employer pays the premiums 1065
within fifteen days after being first notified by the1066
administrator of the amount due.1067

       (3)(5) Any deficiencies in the amounts of the premium 1068
security deposit paid by an employer for any period shall be 1069
subject to an interest charge of six per cent per annum from the 1070
date the premium obligation is incurred. In determining the 1071
interest due on deficiencies in premium security deposit payments, 1072
a charge in each case shall be made against the employer in an1073
amount equal to interest at the rate of six per cent per annum on 1074
the premium security deposit due but remaining unpaid sixty days 1075
after notice by the administrator.1076

       (4)(6) Any interest charges or penalties provided for in1077
divisions (E)(2) and (3)(5) of this section shall be credited to 1078
the employer's account for rating purposes in the same manner as1079
premiums.1080

       (F) A rule providing that each employer, on the occasion of1081
instituting coverage under this chapter, shall submit a premium1082
security deposit. The deposit shall be calculated equivalent to1083
thirty per cent of the semiannual premium obligation of the1084
employer based upon the employer's estimated expenditure for wages1085
for the ensuing six-month period plus thirty per cent of an1086
additional adjustment period of two months but only up to a1087
maximum of one thousand dollars and not less than ten dollars. The1088
administrator shall review the security deposit of every employer1089
who has submitted a deposit which is less than the1090
one-thousand-dollar maximum. The administrator may require any1091
such employer to submit additional money up to the maximum of one1092
thousand dollars that, in the administrator's opinion, reflects1093
the employer's current payroll expenditure for an eight-month1094
period.1095

       Sec. 4123.35.  (A) Except as provided in this section, every 1096
employer mentioned in division (B)(2) of section 4123.01 of the 1097
Revised Code, and every publicly owned utility shall pay1098
semiannually in the months of January and July into the state1099
insurance fund the amount of annual premium the administrator of1100
workers' compensation fixes for the employment or occupation of1101
the employer, the amount of which premium to be paid by each1102
employer to be determined by the classifications, rules, and rates1103
made and published by the administrator. The employer shall pay1104
semiannually a further sum of money into the state insurance fund1105
as may be ascertained to be due from the employer by applying the1106
rules of the administrator, and a receipt or certificate1107
certifying that payment has been made, along with a written notice 1108
as is required in section 4123.54 of the Revised Code, shall be 1109
mailed immediately to the employer by the bureau of workers' 1110
compensation. The receipt or certificate is prima-facie evidence 1111
of the payment of the premium, and the proper posting of the 1112
notice constitutes the employer's compliance with the notice 1113
requirement mandated in section 4123.54 of the Revised Code.1114

       The bureau of workers' compensation shall verify with the1115
secretary of state the existence of all corporations and1116
organizations making application for workers' compensation1117
coverage and shall require every such application to include the1118
employer's federal identification number.1119

       An employer as defined in division (B)(2) of section 4123.011120
of the Revised Code who has contracted with a subcontractor is1121
liable for the unpaid premium due from any subcontractor with1122
respect to that part of the payroll of the subcontractor that is1123
for work performed pursuant to the contract with the employer.1124

       Division (A) of this section providing for the payment of1125
premiums semiannually does not apply to any employer who was a1126
subscriber to the state insurance fund prior to January 1, 1914,1127
or who may first become a subscriber to the fund in any month1128
other than January or July. Instead, the semiannual premiums shall 1129
be paid by those employers from time to time upon the expiration 1130
of the respective periods for which payments into the fund have 1131
been made by them.1132

       The administrator shall adopt rules to permit employers to1133
make periodic payments of the semiannual premium due under this1134
division. The rules shall include provisions for the assessment of 1135
interest charges, where appropriate, and for the assessment of1136
penalties when an employer fails to make timely premium payments.1137
An employer who timely pays the amounts due under this division is1138
entitled to all of the benefits and protections of this chapter.1139
Upon receipt of payment, the bureau immediately shall mail a1140
receipt or certificate to the employer certifying that payment has1141
been made, which receipt is prima-facie evidence of payment.1142
Workers' compensation coverage under this chapter continues1143
uninterrupted upon timely receipt of payment under this division.1144

       Every public employer, except public employers that are1145
self-insuring employers under this section, shall comply with1146
sections 4123.38 to 4123.41, and 4123.48 of the Revised Code in1147
regard to the contribution of moneys to the public insurance fund.1148

       (B) Employers who will abide by the rules of the1149
administrator and who may be of sufficient financial ability to1150
render certain the payment of compensation to injured employees or1151
the dependents of killed employees, and the furnishing of medical,1152
surgical, nursing, and hospital attention and services and1153
medicines, and funeral expenses, equal to or greater than is1154
provided for in sections 4123.52, 4123.55 to 4123.62, and 4123.641155
to 4123.67 of the Revised Code, and who do not desire to insure1156
the payment thereof or indemnify themselves against loss sustained1157
by the direct payment thereof, upon a finding of such facts by the1158
administrator, may be granted the privilege to pay individually1159
compensation, and furnish medical, surgical, nursing, and hospital1160
services and attention and funeral expenses directly to injured1161
employees or the dependents of killed employees, thereby being1162
granted status as a self-insuring employer. The administrator may1163
charge employers who apply for the status as a self-insuring1164
employer a reasonable application fee to cover the bureau's costs1165
in connection with processing and making a determination with1166
respect to an application.1167

       All employers granted status as self-insuring employers shall 1168
demonstrate sufficient financial and administrative ability to 1169
assure that all obligations under this section are promptly met. 1170
The administrator shall deny the privilege where the employer is1171
unable to demonstrate the employer's ability to promptly meet all1172
the obligations imposed on the employer by this section.1173

       (1) The administrator shall consider, but is not limited to,1174
the following factors, where applicable, in determining the1175
employer's ability to meet all of the obligations imposed on the1176
employer by this section:1177

       (a) The employer employs a minimum of five hundred employees1178
in this state;1179

       (b) The employer has operated in this state for a minimum of1180
two years, provided that an employer who has purchased, acquired,1181
or otherwise succeeded to the operation of a business, or any part1182
thereof, situated in this state that has operated for at least two1183
years in this state, also shall qualify;1184

       (c) Where the employer previously contributed to the state1185
insurance fund or is a successor employer as defined by bureau1186
rules, the amount of the buyout, as defined by bureau rules;1187

       (d) The sufficiency of the employer's assets located in this1188
state to insure the employer's solvency in paying compensation1189
directly;1190

       (e) The financial records, documents, and data, certified by1191
a certified public accountant, necessary to provide the employer's1192
full financial disclosure. The records, documents, and data1193
include, but are not limited to, balance sheets and profit and1194
loss history for the current year and previous four years.1195

       (f) The employer's organizational plan for the administration 1196
of the workers' compensation law;1197

       (g) The employer's proposed plan to inform employees of the1198
change from a state fund insurer to a self-insuring employer, the1199
procedures the employer will follow as a self-insuring employer,1200
and the employees' rights to compensation and benefits; and1201

       (h) The employer has either an account in a financial1202
institution in this state, or if the employer maintains an account1203
with a financial institution outside this state, ensures that1204
workers' compensation checks are drawn from the same account as1205
payroll checks or the employer clearly indicates that payment will1206
be honored by a financial institution in this state.1207

       The administrator may waive the requirements of divisions1208
(B)(1)(a) and (b) of this section and the requirement of division1209
(B)(1)(e) of this section that the financial records, documents,1210
and data be certified by a certified public accountant. The1211
administrator shall adopt rules establishing the criteria that an1212
employer shall meet in order for the administrator to waive the1213
requirement of division (B)(1)(e) of this section. Such rules may1214
require additional security of that employer pursuant to division1215
(E) of section 4123.351 of the Revised Code.1216

       The administrator shall not grant the status of self-insuring1217
employer to the state, except that the administrator may grant the1218
status of self-insuring employer to a state institution of higher1219
education, excluding its hospitals, that meets the requirements of1220
division (B)(2) of this section.1221

       (2) When considering the application of a public employer,1222
except for a board of county commissioners described in division1223
(G) of section 4123.01 of the Revised Code, a board of a county1224
hospital, or a publicly owned utility, the administrator shall1225
verify that the public employer satisfies all of the following1226
requirements as the requirements apply to that public employer:1227

       (a) For the two-year period preceding application under this1228
section, the public employer has maintained an unvoted debt1229
capacity equal to at least two times the amount of the current1230
annual premium established by the administrator under this chapter1231
for that public employer for the year immediately preceding the1232
year in which the public employer makes application under this1233
section.1234

       (b) For each of the two fiscal years preceding application1235
under this section, the unreserved and undesignated year-end fund1236
balance in the public employer's general fund is equal to at least1237
five per cent of the public employer's general fund revenues for1238
the fiscal year computed in accordance with generally accepted1239
accounting principles.1240

       (c) For the five-year period preceding application under this 1241
section, the public employer, to the extent applicable, has1242
complied fully with the continuing disclosure requirements1243
established in rules adopted by the United States securities and1244
exchange commission under 17 C.F.R. 240.15c 2-12.1245

       (d) For the five-year period preceding application under this 1246
section, the public employer has not had its local government fund 1247
distribution withheld on account of the public employer being1248
indebted or otherwise obligated to the state.1249

       (e) For the five-year period preceding application under this 1250
section, the public employer has not been under a fiscal watch or 1251
fiscal emergency pursuant to section 118.023, 118.04, or 3316.03 1252
of the Revised Code.1253

       (f) For the public employer's fiscal year preceding1254
application under this section, the public employer has obtained1255
an annual financial audit as required under section 117.10 of the1256
Revised Code, which has been released by the auditor of state1257
within seven months after the end of the public employer's fiscal1258
year.1259

       (g) On the date of application, the public employer holds a1260
debt rating of Aa3 or higher according to Moody's investors1261
service, inc., or a comparable rating by an independent rating1262
agency similar to Moody's investors service, inc.1263

       (h) The public employer agrees to generate an annual1264
accumulating book reserve in its financial statements reflecting1265
an actuarially generated reserve adequate to pay projected claims1266
under this chapter for the applicable period of time, as1267
determined by the administrator.1268

       (i) For a public employer that is a hospital, the public1269
employer shall submit audited financial statements showing the1270
hospital's overall liquidity characteristics, and the1271
administrator shall determine, on an individual basis, whether the1272
public employer satisfies liquidity standards equivalent to the1273
liquidity standards of other public employers.1274

       (j) Any additional criteria that the administrator adopts by1275
rule pursuant to division (E) of this section.1276

       The administrator shall not approve the application of a1277
public employer, except for a board of county commissioners1278
described in division (G) of section 4123.01 of the Revised Code,1279
a board of a county hospital, or publicly owned utility, who does1280
not satisfy all of the requirements listed in division (B)(2) of1281
this section.1282

       (C) A board of county commissioners described in division (G) 1283
of section 4123.01 of the Revised Code, as an employer, that will 1284
abide by the rules of the administrator and that may be of1285
sufficient financial ability to render certain the payment of1286
compensation to injured employees or the dependents of killed1287
employees, and the furnishing of medical, surgical, nursing, and1288
hospital attention and services and medicines, and funeral1289
expenses, equal to or greater than is provided for in sections1290
4123.52, 4123.55 to 4123.62, and 4123.64 to 4123.67 of the Revised1291
Code, and that does not desire to insure the payment thereof or1292
indemnify itself against loss sustained by the direct payment1293
thereof, upon a finding of such facts by the administrator, may be1294
granted the privilege to pay individually compensation, and1295
furnish medical, surgical, nursing, and hospital services and1296
attention and funeral expenses directly to injured employees or1297
the dependents of killed employees, thereby being granted status1298
as a self-insuring employer. The administrator may charge a board1299
of county commissioners described in division (G) of section1300
4123.01 of the Revised Code that applies for the status as a1301
self-insuring employer a reasonable application fee to cover the1302
bureau's costs in connection with processing and making a1303
determination with respect to an application. All employers1304
granted such status shall demonstrate sufficient financial and1305
administrative ability to assure that all obligations under this1306
section are promptly met. The administrator shall deny the1307
privilege where the employer is unable to demonstrate the1308
employer's ability to promptly meet all the obligations imposed on1309
the employer by this section. The administrator shall consider,1310
but is not limited to, the following factors, where applicable, in1311
determining the employer's ability to meet all of the obligations1312
imposed on the board as an employer by this section:1313

       (1) The board as an employer employs a minimum of five1314
hundred employees in this state;1315

       (2) The board has operated in this state for a minimum of two 1316
years;1317

       (3) Where the board previously contributed to the state1318
insurance fund or is a successor employer as defined by bureau1319
rules, the amount of the buyout, as defined by bureau rules;1320

       (4) The sufficiency of the board's assets located in this1321
state to insure the board's solvency in paying compensation1322
directly;1323

       (5) The financial records, documents, and data, certified by1324
a certified public accountant, necessary to provide the board's1325
full financial disclosure. The records, documents, and data1326
include, but are not limited to, balance sheets and profit and1327
loss history for the current year and previous four years.1328

       (6) The board's organizational plan for the administration of 1329
the workers' compensation law;1330

       (7) The board's proposed plan to inform employees of the1331
proposed self-insurance, the procedures the board will follow as a1332
self-insuring employer, and the employees' rights to compensation1333
and benefits;1334

       (8) The board has either an account in a financial1335
institution in this state, or if the board maintains an account1336
with a financial institution outside this state, ensures that1337
workers' compensation checks are drawn from the same account as1338
payroll checks or the board clearly indicates that payment will be1339
honored by a financial institution in this state;1340

       (9) The board shall provide the administrator a surety bond1341
in an amount equal to one hundred twenty-five per cent of the1342
projected losses as determined by the administrator.1343

       (D) The administrator shall require a surety bond from all1344
self-insuring employers, issued pursuant to section 4123.351 of1345
the Revised Code, that is sufficient to compel, or secure to1346
injured employees, or to the dependents of employees killed, the1347
payment of compensation and expenses, which shall in no event be1348
less than that paid or furnished out of the state insurance fund1349
in similar cases to injured employees or to dependents of killed1350
employees whose employers contribute to the fund, except when an1351
employee of the employer, who has suffered the loss of a hand,1352
arm, foot, leg, or eye prior to the injury for which compensation1353
is to be paid, and thereafter suffers the loss of any other of the1354
members as the result of any injury sustained in the course of and1355
arising out of the employee's employment, the compensation to be1356
paid by the self-insuring employer is limited to the disability 1357
suffered in the subsequent injury, additional compensation, if1358
any, to be paid by the bureau out of the surplus created by1359
section 4123.34 of the Revised Code.1360

       (E) In addition to the requirements of this section, the1361
administrator shall make and publish rules governing the manner of1362
making application and the nature and extent of the proof required1363
to justify a finding of fact by the administrator as to granting1364
the status of a self-insuring employer, which rules shall be1365
general in their application, one of which rules shall provide1366
that all self-insuring employers shall pay into the state1367
insurance fund such amounts as are required to be credited to the1368
surplus fund in division (B) of section 4123.34 of the Revised1369
Code. The administrator may adopt rules establishing requirements1370
in addition to the requirements described in division (B)(2) of1371
this section that a public employer shall meet in order to qualify1372
for self-insuring status.1373

       Employers shall secure directly from the bureau central1374
offices application forms upon which the bureau shall stamp a1375
designating number. Prior to submission of an application, an1376
employer shall make available to the bureau, and the bureau shall1377
review, the information described in division (B)(1) of this1378
section, and public employers shall make available, and the bureau1379
shall review, the information necessary to verify whether the1380
public employer meets the requirements listed in division (B)(2)1381
of this section. An employer shall file the completed application1382
forms with an application fee, which shall cover the costs of1383
processing the application, as established by the administrator,1384
by rule, with the bureau at least ninety days prior to the1385
effective date of the employer's new status as a self-insuring1386
employer. The application form is not deemed complete until all1387
the required information is attached thereto. The bureau shall1388
only accept applications that contain the required information.1389

       (F) The bureau shall review completed applications within a1390
reasonable time. If the bureau determines to grant an employer the 1391
status as a self-insuring employer, the bureau shall issue a1392
statement, containing its findings of fact, that is prepared by1393
the bureau and signed by the administrator. If the bureau1394
determines not to grant the status as a self-insuring employer,1395
the bureau shall notify the employer of the determination and1396
require the employer to continue to pay its full premium into the1397
state insurance fund. The administrator also shall adopt rules1398
establishing a minimum level of performance as a criterion for1399
granting and maintaining the status as a self-insuring employer1400
and fixing time limits beyond which failure of the self-insuring1401
employer to provide for the necessary medical examinations and1402
evaluations may not delay a decision on a claim.1403

       (G) The administrator shall adopt rules setting forth1404
procedures for auditing the program of self-insuring employers.1405
The bureau shall conduct the audit upon a random basis or whenever1406
the bureau has grounds for believing that a self-insuring employer1407
is not in full compliance with bureau rules or this chapter.1408

       The administrator shall monitor the programs conducted by1409
self-insuring employers, to ensure compliance with bureau1410
requirements and for that purpose, shall develop and issue to1411
self-insuring employers standardized forms for use by the1412
self-insuring employer in all aspects of the self-insuring1413
employers' direct compensation program and for reporting of1414
information to the bureau.1415

       The bureau shall receive and transmit to the self-insuring1416
employer all complaints concerning any self-insuring employer. In1417
the case of a complaint against a self-insuring employer, the1418
administrator shall handle the complaint through the1419
self-insurance division of the bureau. The bureau shall maintain a 1420
file by employer of all complaints received that relate to the1421
employer. The bureau shall evaluate each complaint and take1422
appropriate action.1423

       The administrator shall adopt as a rule a prohibition against1424
any self-insuring employer from harassing, dismissing, or1425
otherwise disciplining any employee making a complaint, which rule1426
shall provide for a financial penalty to be levied by the1427
administrator payable by the offending self-insuring employer.1428

       (H) For the purpose of making determinations as to whether to 1429
grant status as a self-insuring employer, the administrator may1430
subscribe to and pay for a credit reporting service that offers1431
financial and other business information about individual1432
employers. The costs in connection with the bureau's subscription1433
or individual reports from the service about an applicant may be1434
included in the application fee charged employers under this1435
section.1436

       (I) The administrator, notwithstanding other provisions of1437
this chapter, may permit a self-insuring employer to resume1438
payment of premiums to the state insurance fund with appropriate1439
credit modifications to the employer's basic premium rate as such1440
rate is determined pursuant to section 4123.29 of the Revised1441
Code.1442

       (J) On the first day of July of each year, the administrator1443
shall calculate separately each self-insuring employer's1444
assessments for the safety and hygiene fund, administrative costs1445
pursuant to section 4123.342 of the Revised Code, and for the1446
portion of the surplus fund under division (B) of section 4123.341447
of the Revised Code that is not used for handicapped1448
reimbursement, on the basis of the paid compensation attributable1449
to the individual self-insuring employer according to the1450
following calculation:1451

       (1) The total assessment against all self-insuring employers1452
as a class for each fund and for the administrative costs for the1453
year that the assessment is being made, as determined by the1454
administrator, divided by the total amount of paid compensation1455
for the previous calendar year attributable to all amenable1456
self-insuring employers;1457

       (2) Multiply the quotient in division (J)(1) of this section1458
by the total amount of paid compensation for the previous calendar1459
year that is attributable to the individual self-insuring employer1460
for whom the assessment is being determined. Each self-insuring1461
employer shall pay the assessment that results from this1462
calculation, unless the assessment resulting from this calculation1463
falls below a minimum assessment, which minimum assessment the1464
administrator shall determine on the first day of July of each1465
year with the advice and consent of the workers' compensation1466
oversight commission, in which event, the self-insuring employer1467
shall pay the minimum assessment.1468

       In determining the total amount due for the total assessment1469
against all self-insuring employers as a class for each fund and1470
the administrative assessment, the administrator shall reduce1471
proportionately the total for each fund and assessment by the1472
amount of money in the self-insurance assessment fund as of the1473
date of the computation of the assessment.1474

       The administrator shall calculate the assessment for the1475
portion of the surplus fund under division (B) of section 4123.341476
of the Revised Code that is used for handicapped reimbursement in1477
the same manner as set forth in divisions (J)(1) and (2) of this1478
section except that the administrator shall calculate the total1479
assessment for this portion of the surplus fund only on the basis1480
of those self-insuring employers that retain participation in the1481
handicapped reimbursement program and the individual self-insuring1482
employer's proportion of paid compensation shall be calculated1483
only for those self-insuring employers who retain participation in1484
the handicapped reimbursement program. The administrator, as the1485
administrator determines appropriate, may determine the total1486
assessment for the handicapped portion of the surplus fund in1487
accordance with sound actuarial principles.1488

       The administrator shall calculate the assessment for the1489
portion of the surplus fund under division (B) of section 4123.341490
of the Revised Code that under division (D) of section 4121.66 of1491
the Revised Code is used for rehabilitation costs in the same1492
manner as set forth in divisions (J)(1) and (2) of this section,1493
except that the administrator shall calculate the total assessment1494
for this portion of the surplus fund only on the basis of those1495
self-insuring employers who have not made the election to make1496
payments directly under division (D) of section 4121.66 of the1497
Revised Code and an individual self-insuring employer's proportion1498
of paid compensation only for those self-insuring employers who1499
have not made that election.1500

       The administrator shall calculate the assessment for the 1501
portion of the surplus fund under division (B) of section 4123.34 1502
of the Revised Code that is used for reimbursement to a 1503
self-insuring employer under division (H) of section 4123.512 of 1504
the Revised Code in the same manner as set forth in divisions 1505
(J)(1) and (2) of this section except that the administrator shall 1506
calculate the total assessment for this portion of the surplus 1507
fund only on the basis of those self-insuring employers that 1508
retain participation in reimbursement to the self-insuring 1509
employer under division (H) of section 4123.512 of the Revised 1510
Code and the individual self-insuring employer's proportion of 1511
paid compensation shall be calculated only for those self-insuring 1512
employers who retain participation in reimbursement to the 1513
self-insuring employer under division (H) of section 4123.512 of 1514
the Revised Code.1515

       An employer who no longer is a self-insuring employer in this1516
state or who no longer is operating in this state, shall continue1517
to pay assessments for administrative costs and for the portion of1518
the surplus fund under division (B) of section 4123.34 of the1519
Revised Code that is not used for handicapped reimbursement, based1520
upon paid compensation attributable to claims that occurred while1521
the employer was a self-insuring employer within this state.1522

       (K) There is hereby created in the state treasury the1523
self-insurance assessment fund. All investment earnings of the1524
fund shall be deposited in the fund. The administrator shall use1525
the money in the self-insurance assessment fund only for1526
administrative costs as specified in section 4123.341 of the1527
Revised Code.1528

       (L) Every self-insuring employer shall certify, in affidavit1529
form subject to the penalty for perjury, to the bureau the amount1530
of the self-insuring employer's paid compensation for the previous1531
calendar year. In reporting paid compensation paid for the1532
previous year, a self-insuring employer shall exclude from the1533
total amount of paid compensation any reimbursement the1534
self-insuring employer receives in the previous calendar year from1535
the surplus fund pursuant to section 4123.512 of the Revised Code1536
for any paid compensation. The self-insuring employer also shall1537
exclude from the paid compensation reported any amount recovered1538
under section 4123.931 of the Revised Code and any amount that is1539
determined not to have been payable to or on behalf of a claimant1540
in any final administrative or judicial proceeding. The1541
self-insuring employer shall exclude such amounts from the paid1542
compensation reported in the reporting period subsequent to the1543
date the determination is made. The administrator shall adopt1544
rules, in accordance with Chapter 119. of the Revised Code,1545
establishingthat provide for all of the following:1546

       (1) Establishing the date by which self-insuring employers 1547
must submit such information and the amount of the assessments 1548
provided for in division (J) of this section for employers who 1549
have been granted self-insuring status within the last calendar 1550
year;1551

       (2) If an employer fails to pay the assessment when due, the 1552
administrator may add a late fee penalty of not more than five 1553
hundred dollars to the assessment plus an additional penalty 1554
amount as follows:1555

       (a) For an assessment from sixty-one to ninety days past due, 1556
the prime interest rate, multiplied by the assessment due;1557

       (b) For an assessment from ninety-one to one hundred twenty 1558
days past due, the prime interest rate plus two per cent, 1559
multiplied by the assessment due;1560

       (c) For an assessment from one hundred twenty-one to one 1561
hundred fifty days past due, the prime interest rate plus four per 1562
cent, multiplied by the assessment due;1563

       (d) For an assessment from one hundred fifty-one to one 1564
hundred eighty days past due, the prime interest rate plus six per 1565
cent, multiplied by the assessment due;1566

       (e) For an assessment from one hundred eighty-one to two 1567
hundred ten days past due, the prime interest rate plus eight per 1568
cent, multiplied by the assessment due;1569

       (f) For each additional thirty-day period or portion thereof 1570
that an assessment remains past due after it has remained past due 1571
for more than two hundred ten days, the prime interest rate plus 1572
eight per cent, multiplied by the assessment due.1573

        (3) An employer may appeal a late fee penalty and penalty 1574
assessment to the administrator.1575

        For purposes of this division, "prime interest rate" means 1576
the average bank prime rate, and the administrator shall determine 1577
the prime interest rate in the same manner as a county auditor 1578
determines the average bank prime rate under section 929.02 of the 1579
Revised Code.1580

       The administrator shall include any assessment and penalties1581
that remainsremain unpaid for previous assessment periods in the 1582
calculation and collection of any assessments due under this 1583
division or division (J) of this section.1584

       (M) As used in this section, "paid compensation" means all1585
amounts paid by a self-insuring employer for living maintenance1586
benefits, all amounts for compensation paid pursuant to sections1587
4121.63, 4121.67, 4123.56, 4123.57, 4123.58, 4123.59, 4123.60, and1588
4123.64 of the Revised Code, all amounts paid as wages in lieu of1589
such compensation, all amounts paid in lieu of such compensation1590
under a nonoccupational accident and sickness program fully funded1591
by the self-insuring employer, and all amounts paid by a1592
self-insuring employer for a violation of a specific safety1593
standard pursuant to Section 35 of Article II, Ohio Constitution1594
and section 4121.47 of the Revised Code.1595

       (N) Should any section of this chapter or Chapter 4121. of1596
the Revised Code providing for self-insuring employers'1597
assessments based upon compensation paid be declared1598
unconstitutional by a final decision of any court, then that1599
section of the Revised Code declared unconstitutional shall revert1600
back to the section in existence prior to November 3, 1989,1601
providing for assessments based upon payroll.1602

       (O) The administrator may grant a self-insuring employer the1603
privilege to self-insure a construction project entered into by1604
the self-insuring employer that is scheduled for completion within1605
six years after the date the project begins, and the total cost of1606
which is estimated to exceed one hundred million dollars or, for1607
employers described in division (R) of this section, if the1608
construction project is estimated to exceed twenty-five million1609
dollars. The administrator may waive such cost and time criteria1610
and grant a self-insuring employer the privilege to self-insure a1611
construction project regardless of the time needed to complete the1612
construction project and provided that the cost of the1613
construction project is estimated to exceed fifty million dollars.1614
A self-insuring employer who desires to self-insure a construction1615
project shall submit to the administrator an application listing1616
the dates the construction project is scheduled to begin and end,1617
the estimated cost of the construction project, the contractors1618
and subcontractors whose employees are to be self-insured by the1619
self-insuring employer, the provisions of a safety program that is1620
specifically designed for the construction project, and a1621
statement as to whether a collective bargaining agreement1622
governing the rights, duties, and obligations of each of the1623
parties to the agreement with respect to the construction project1624
exists between the self-insuring employer and a labor1625
organization.1626

       A self-insuring employer may apply to self-insure the1627
employees of either of the following:1628

       (1) All contractors and subcontractors who perform labor or1629
work or provide materials for the construction project;1630

       (2) All contractors and, at the administrator's discretion, a 1631
substantial number of all the subcontractors who perform labor or 1632
work or provide materials for the construction project.1633

       Upon approval of the application, the administrator shall1634
mail a certificate granting the privilege to self-insure the1635
construction project to the self-insuring employer. The1636
certificate shall contain the name of the self-insuring employer1637
and the name, address, and telephone number of the self-insuring1638
employer's representatives who are responsible for administering1639
workers' compensation claims for the construction project. The1640
self-insuring employer shall post the certificate in a conspicuous1641
place at the site of the construction project.1642

       The administrator shall maintain a record of the contractors1643
and subcontractors whose employees are covered under the1644
certificate issued to the self-insured employer. A self-insuring1645
employer immediately shall notify the administrator when any1646
contractor or subcontractor is added or eliminated from inclusion1647
under the certificate.1648

       Upon approval of the application, the self-insuring employer1649
is responsible for the administration and payment of all claims1650
under this chapter and Chapter 4121. of the Revised Code for the1651
employees of the contractor and subcontractors covered under the1652
certificate who receive injuries or are killed in the course of1653
and arising out of employment on the construction project, or who1654
contract an occupational disease in the course of employment on1655
the construction project. For purposes of this chapter and Chapter 1656
4121. of the Revised Code, a claim that is administered and paid 1657
in accordance with this division is considered a claim against the 1658
self-insuring employer listed in the certificate. A contractor or 1659
subcontractor included under the certificate shall report to the 1660
self-insuring employer listed in the certificate, all claims that 1661
arise under this chapter and Chapter 4121. of the Revised Code in 1662
connection with the construction project for which the certificate 1663
is issued.1664

       A self-insuring employer who complies with this division is1665
entitled to the protections provided under this chapter and1666
Chapter 4121. of the Revised Code with respect to the employees of1667
the contractors and subcontractors covered under a certificate1668
issued under this division for death or injuries that arise out1669
of, or death, injuries, or occupational diseases that arise in the1670
course of, those employees' employment on that construction1671
project, as if the employees were employees of the self-insuring1672
employer, provided that the self-insuring employer also complies1673
with this section. No employee of the contractors and1674
subcontractors covered under a certificate issued under this1675
division shall be considered the employee of the self-insuring1676
employer listed in that certificate for any purposes other than1677
this chapter and Chapter 4121. of the Revised Code. Nothing in1678
this division gives a self-insuring employer authority to control1679
the means, manner, or method of employment of the employees of the1680
contractors and subcontractors covered under a certificate issued1681
under this division.1682

       The contractors and subcontractors included under a1683
certificate issued under this division are entitled to the1684
protections provided under this chapter and Chapter 4121. of the1685
Revised Code with respect to the contractor's or subcontractor's1686
employees who are employed on the construction project which is1687
the subject of the certificate, for death or injuries that arise1688
out of, or death, injuries, or occupational diseases that arise in1689
the course of, those employees' employment on that construction1690
project.1691

       The contractors and subcontractors included under a1692
certificate issued under this division shall identify in their1693
payroll records the employees who are considered the employees of1694
the self-insuring employer listed in that certificate for purposes1695
of this chapter and Chapter 4121. of the Revised Code, and the1696
amount that those employees earned for employment on the1697
construction project that is the subject of that certificate.1698
Notwithstanding any provision to the contrary under this chapter1699
and Chapter 4121. of the Revised Code, the administrator shall1700
exclude the payroll that is reported for employees who are1701
considered the employees of the self-insuring employer listed in1702
that certificate, and that the employees earned for employment on1703
the construction project that is the subject of that certificate,1704
when determining those contractors' or subcontractors' premiums or1705
assessments required under this chapter and Chapter 4121. of the1706
Revised Code. A self-insuring employer issued a certificate under1707
this division shall include in the amount of paid compensation it1708
reports pursuant to division (L) of this section, the amount of1709
paid compensation the self-insuring employer paid pursuant to this1710
division for the previous calendar year.1711

       Nothing in this division shall be construed as altering the1712
rights of employees under this chapter and Chapter 4121. of the1713
Revised Code as those rights existed prior to September 17, 1996.1714
Nothing in this division shall be construed as altering the rights1715
devolved under sections 2305.31 and 4123.82 of the Revised Code as1716
those rights existed prior to September 17, 1996.1717

       As used in this division, "privilege to self-insure a1718
construction project" means privilege to pay individually1719
compensation, and to furnish medical, surgical, nursing, and1720
hospital services and attention and funeral expenses directly to1721
injured employees or the dependents of killed employees.1722

       (P) A self-insuring employer whose application is granted1723
under division (O) of this section shall designate a safety1724
professional to be responsible for the administration and1725
enforcement of the safety program that is specifically designed1726
for the construction project that is the subject of the1727
application.1728

       A self-insuring employer whose application is granted under1729
division (O) of this section shall employ an ombudsperson for the1730
construction project that is the subject of the application. The1731
ombudsperson shall have experience in workers' compensation or the1732
construction industry, or both. The ombudsperson shall perform all 1733
of the following duties:1734

       (1) Communicate with and provide information to employees who 1735
are injured in the course of, or whose injury arises out of1736
employment on the construction project, or who contract an1737
occupational disease in the course of employment on the1738
construction project;1739

       (2) Investigate the status of a claim upon the request of an1740
employee to do so;1741

       (3) Provide information to claimants, third party1742
administrators, employers, and other persons to assist those1743
persons in protecting their rights under this chapter and Chapter1744
4121. of the Revised Code.1745

       A self-insuring employer whose application is granted under1746
division (O) of this section shall post the name of the safety1747
professional and the ombudsperson and instructions for contacting1748
the safety professional and the ombudsperson in a conspicuous1749
place at the site of the construction project.1750

       (Q) The administrator may consider all of the following when1751
deciding whether to grant a self-insuring employer the privilege1752
to self-insure a construction project as provided under division1753
(O) of this section:1754

       (1) Whether the self-insuring employer has an organizational1755
plan for the administration of the workers' compensation law;1756

       (2) Whether the safety program that is specifically designed1757
for the construction project provides for the safety of employees1758
employed on the construction project, is applicable to all1759
contractors and subcontractors who perform labor or work or1760
provide materials for the construction project, and has as a1761
component, a safety training program that complies with standards1762
adopted pursuant to the "Occupational Safety and Health Act of1763
1970," 84 Stat. 1590, 29 U.S.C.A. 651, and provides for continuing1764
management and employee involvement;1765

       (3) Whether granting the privilege to self-insure the1766
construction project will reduce the costs of the construction1767
project;1768

       (4) Whether the self-insuring employer has employed an1769
ombudsperson as required under division (P) of this section;1770

       (5) Whether the self-insuring employer has sufficient surety1771
to secure the payment of claims for which the self-insuring1772
employer would be responsible pursuant to the granting of the1773
privilege to self-insure a construction project under division (O)1774
of this section.1775

       (R) As used in divisions (O), (P), and (Q), "self-insuring1776
employer" includes the following employers, whether or not they1777
have been granted the status of being a self-insuring employer1778
under division (B) of this section:1779

        (1) A state institution of higher education;1780

        (2) A school district;1781

        (3) A county school financing district;1782

        (4) An educational service center;1783

        (5) A community school established under Chapter 3314. of the 1784
Revised Code.1785

        (S) As used in this section:1786

       (1) "Unvoted debt capacity" means the amount of money that a1787
public employer may borrow without voter approval of a tax levy;1788

       (2) "State institution of higher education" means the state1789
universities listed in section 3345.011 of the Revised Code,1790
community colleges created pursuant to Chapter 3354. of the1791
Revised Code, university branches created pursuant to Chapter1792
3355. of the Revised Code, technical colleges created pursuant to1793
Chapter 3357. of the Revised Code, and state community colleges1794
created pursuant to Chapter 3358. of the Revised Code.1795

       Sec. 4123.512.  (A) The claimant or the employer may appeal 1796
an order of the industrial commission made under division (E) of 1797
section 4123.511 of the Revised Code in any injury or occupational 1798
disease case, other than a decision as to the extent of disability 1799
to the court of common pleas of the county in which the injury was 1800
inflicted or in which the contract of employment was made if the 1801
injury occurred outside the state, or in which the contract of 1802
employment was made if the exposure occurred outside the state. If 1803
no common pleas court has jurisdiction for the purposes of an 1804
appeal by the use of the jurisdictional requirements described in 1805
this division, the appellant may use the venue provisions in the 1806
Rules of Civil Procedure to vest jurisdiction in a court. If the 1807
claim is for an occupational disease, the appeal shall be to the 1808
court of common pleas of the county in which the exposure which 1809
caused the disease occurred. Like appeal may be taken from an 1810
order of a staff hearing officer made under division (D) of 1811
section 4123.511 of the Revised Code from which the commission has 1812
refused to hear an appeal. The appellant shall file the notice of 1813
appeal with a court of common pleas within sixty days after the 1814
date of the receipt of the order appealed from or the date of 1815
receipt of the order of the commission refusing to hear an appeal 1816
of a staff hearing officer's decision under division (D) of 1817
section 4123.511 of the Revised Code. The filing of the notice of 1818
the appeal with the court is the only act required to perfect the 1819
appeal.1820

       If an action has been commenced in a court of a county other 1821
than a court of a county having jurisdiction over the action, the 1822
court, upon notice by any party or upon its own motion, shall 1823
transfer the action to a court of a county having jurisdiction.1824

       Notwithstanding anything to the contrary in this section, if 1825
the commission determines under section 4123.522 of the Revised 1826
Code that an employee, employer, or their respective1827
representatives have not received written notice of an order or1828
decision which is appealable to a court under this section and1829
which grants relief pursuant to section 4123.522 of the Revised1830
Code, the party granted the relief has sixty days from receipt of1831
the order under section 4123.522 of the Revised Code to file a1832
notice of appeal under this section.1833

       (B) The notice of appeal shall state the names of the1834
claimant and the employer, the number of the claim, the date of1835
the order appealed from, and the fact that the appellant appeals1836
therefrom.1837

       The administrator of workers' compensation, the claimant, and 1838
the employer shall be parties to the appeal and the court, upon 1839
the application of the commission, shall make the commission a 1840
party. The party filing the appeal shall serve a copy of the 1841
notice of appeal on the admnistrator of workers' compensation1842
administrator at the central office of the bureau of workers' 1843
compensation in Columbus. The administrator shall notify the 1844
employer that if the employer fails to become an active party to 1845
the appeal, then the administrator may act on behalf of the 1846
employer and the results of the appeal could have an adverse1847
effect upon the employer's premium rates.1848

       (C) The attorney general or one or more of the attorney1849
general's assistants or special counsel designated by the attorney 1850
general shall represent the administrator and the commission. In 1851
the event the attorney general or the attorney general's 1852
designated assistants or special counsel are absent, the 1853
administrator or the commission shall select one or more of the 1854
attorneys in the employ of the administrator or the commission as 1855
the administrator's attorney or the commission's attorney in the 1856
appeal. Any attorney so employed shall continue the representation 1857
during the entire period of the appeal and in all hearings thereof 1858
except where the continued representation becomes impractical.1859

       (D) Upon receipt of notice of appeal, the clerk of courts1860
shall provide notice to all parties who are appellees and to the1861
commission.1862

       The claimant shall, within thirty days after the filing of1863
the notice of appeal, file a petition containing a statement of1864
facts in ordinary and concise language showing a cause of action1865
to participate or to continue to participate in the fund and1866
setting forth the basis for the jurisdiction of the court over the 1867
action. Further pleadings shall be had in accordance with the 1868
Rules of Civil Procedure, provided that service of summons on such 1869
petition shall not be required and provided that the claimant may 1870
not dismiss the complaint without the employer's consent if the 1871
employer is the party that filed the notice of appeal to court 1872
pursuant to this section. The clerk of the court shall, upon 1873
receipt thereof, transmit by certified mail a copy thereof to each 1874
party named in the notice of appeal other than the claimant. Any 1875
party may file with the clerk prior to the trial of the action a 1876
deposition of any physician taken in accordance with the 1877
provisions of the Revised Code, which deposition may be read in 1878
the trial of the action even though the physician is a resident of 1879
or subject to service in the county in which the trial is had. The 1880
bureau of workers' compensation shall pay the cost of the 1881
stenographic deposition filed in court and of copies of the 1882
stenographic deposition for each party from the surplus fund and1883
charge the costs thereof against the unsuccessful party if the1884
claimant's right to participate or continue to participate is1885
finally sustained or established in the appeal. In the event the1886
deposition is taken and filed, the physician whose deposition is1887
taken is not required to respond to any subpoena issued in the1888
trial of the action. The court, or the jury under the instructions 1889
of the court, if a jury is demanded, shall determine the right of 1890
the claimant to participate or to continue to participate in the 1891
fund upon the evidence adduced at the hearing of the action.1892

       (E) The court shall certify its decision to the commission1893
and the certificate shall be entered in the records of the court.1894
Appeals from the judgment are governed by the law applicable to1895
the appeal of civil actions.1896

       (F) The cost of any legal proceedings authorized by this1897
section, including an attorney's fee to the claimant's attorney to 1898
be fixed by the trial judge, based upon the effort expended, in 1899
the event the claimant's right to participate or to continue to 1900
participate in the fund is established upon the final1901
determination of an appeal, shall be taxed against the employer or 1902
the commission if the commission or the administrator rather than 1903
the employer contested the right of the claimant to participate in 1904
the fund. The attorney's fee shall not exceed twenty-five1905
forty-two hundred dollars.1906

       (G) If the finding of the court or the verdict of the jury is 1907
in favor of the claimant's right to participate in the fund, the 1908
commission and the administrator shall thereafter proceed in the 1909
matter of the claim as if the judgment were the decision of the 1910
commission, subject to the power of modification provided by1911
section 4123.52 of the Revised Code.1912

       (H) An appeal from an order issued under division (E) of1913
section 4123.511 of the Revised Code or any action filed in court1914
in a case in which an award of compensation has been made shall1915
not stay the payment of compensation under the award or payment of 1916
compensation for subsequent periods of total disability during the 1917
pendency of the appeal. If, in a final administrative or judicial 1918
action, it is determined that payments of compensation or 1919
benefits, or both, made to or on behalf of a claimant should not 1920
have been made, the amount thereof shall be charged to the surplus 1921
fund under division (B) of section 4123.34 of the Revised Code. In 1922
the event the employer is a state risk, the amount shall not be 1923
charged to the employer's experience. In the event the employer is 1924
a self-insuring employer, the self-insuring employer shall deduct 1925
the amount from the paid compensation the self-insuring employer1926
reports to the administrator under division (L) of section 4123.35 1927
of the Revised Code. All1928

       A self-insuring employer may elect to pay compensation and 1929
benefits under this section directly to an employee or an 1930
employee's dependents by filing an application with the bureau of 1931
workers' compensation not more than one hundred eighty days and 1932
not less than ninety days before the first day of the employer's 1933
next six-month coverage period. If the self-insuring employer 1934
timely files the application, the application is effective on the 1935
first day of the employer's next six-month coverage period, 1936
provided that the administrator shall compute the employer's 1937
assessment for the surplus fund due with respect to the period 1938
during which that application was filed without regard to the 1939
filing of the application. On and after the effective date of the 1940
employer's election, the self-insuring employer shall pay directly 1941
to an employee or to an employee's dependents compensation and 1942
benefits under this section regardless of the date of the injury 1943
or occupational disease, and the employer shall receive no money 1944
or credits from the surplus fund on account of those payments and 1945
shall not be required to pay any amounts into the surplus fund on 1946
account of this section. The election made under this division is 1947
irrevocable.1948

       All actions and proceedings under this section which are the 1949
subject of an appeal to the court of common pleas or the court of 1950
appeals shall be preferred over all other civil actions except 1951
election causes, irrespective of position on the calendar.1952

       This section applies to all decisions of the commission or1953
the administrator on November 2, 1959, and all claims filed1954
thereafter are governed by sections 4123.511 and 4123.512 of the1955
Revised Code.1956

       Any action pending in common pleas court or any other court1957
on January 1, 1986, under this section is governed by former1958
sections 4123.514, 4123.515, 4123.516, and 4123.519 and section1959
4123.522 of the Revised Code.1960

       Sec. 4123.52.  The jurisdiction of the industrial commission 1961
and the authority of the administrator of workers' compensation 1962
over each case is continuing, and the commission may make such 1963
modification or change with respect to former findings or orders 1964
with respect thereto, as, in its opinion is justified. No 1965
modification or change nor any finding or award in respect of any 1966
claim shall be made with respect to disability, compensation,1967
dependency, or benefits, after sixfive years from the date of1968
injury in the absence of the payment of medical benefits under 1969
this chapter, in which event the modification, change, finding, or1970
award shall be made within six years after the payment of medical 1971
benefits, or in the absence of payment of compensation under1972
section 4123.57, 4123.58, or division (A) or (B) of section 1973
4123.56 of the Revised Code or wages in lieu of compensation in a 1974
manner so as to satisfy the requirements of section 4123.84 of the 1975
Revised Code, in which event the modification, change, finding, or 1976
award shall be made within tenfive years from the date of the 1977
last payment of compensation or from the date of death, nor unless 1978
written notice of claim for the specific part or parts of the body 1979
injured or disabled has been given as provided in section 4123.84 1980
or 4123.85 of the Revised Code, and the. The commission shall not 1981
make any modification, change, finding, or award which shall award 1982
compensation for a back period in excess of two years prior to the 1983
date of filing application therefor. This section does not affect 1984
the right of a claimant to compensation accruing subsequent to the 1985
filing of any such application, provided the application is filed 1986
within the time limit provided in this section.1987

        This section does not deprive the commission of its1988
continuing jurisdiction to determine the questions raised by any1989
application for modification of award which has been filed with1990
the commission after June 1, 1932, and prior to the expiration of1991
the applicable period but in respect to which no award has been1992
granted or denied during the applicable period.1993

        The commission may, by general rules, provide for the1994
destruction of files of cases in which no further action may be1995
taken.1996

       The commission and administrator of workers' compensation1997
each may, by general rules, provide for the retention and1998
destruction of all other records in their possession or under1999
their control pursuant to section 121.211 and sections 149.34 to2000
149.36 of the Revised Code. The bureau of workers' compensation2001
may purchase or rent required equipment for the document retention 2002
media, as determined necessary to preserve the records. 2003
Photographs, microphotographs, microfilm, films, or other direct2004
document retention media, when properly identified, have the same2005
effect as the original record and may be offered in like manner2006
and may be received as evidence in proceedings before the 2007
industrial commission, staff hearing officers, and district 2008
hearing officers, and in any court where the original record could 2009
have been introduced.2010

       Sec. 4123.54.  (A) Every employee, who is injured or who2011
contracts an occupational disease, and the dependents of each2012
employee who is killed, or dies as the result of an occupational2013
disease contracted in the course of employment, wherever such2014
injury has occurred or occupational disease has been contracted,2015
provided the same were not:2016

       (1) Purposely self-inflicted; or2017

       (2) Caused by the employee being intoxicated or under the2018
influence of a controlled substance not prescribed by a physician2019
where the intoxication or being under the influence of the2020
controlled substance not prescribed by a physician was the2021
proximate cause of the injury, is entitled to receive, either2022
directly from the employee's self-insuring employer as provided in2023
section 4123.35 of the Revised Code, or from the state insurance2024
fund, the compensation for loss sustained on account of the2025
injury, occupational disease, or death, and the medical, nurse,2026
and hospital services and medicines, and the amount of funeral2027
expenses in case of death, as are provided by this chapter.2028

       (B) For the purpose of this section, provided that an 2029
employer has posted written notice to employees that the results 2030
of, or the employee's refusal to submit to, any chemical test 2031
described under this division may affect the employee's 2032
eligibility for compensation and benefits pursuant to this chapter2033
and Chapter 4121. of the Revised Code, there is a rebuttable 2034
presumption that an employee is intoxicated or under the influence 2035
of a controlled substance not prescribed by the employee's2036
physician and that being intoxicated or under the influence of a2037
controlled substance not prescribed by the employee's physician is 2038
the proximate cause of an injury under either of the following 2039
conditions:2040

       (1) When any one or more of the following is true:2041

       (a) The employee, through a qualifying chemical test 2042
administered within eight hours of an injury, is determined to 2043
have an alcohol concentration level equal to or in excess of the 2044
levels established in divisions (A)(1)(b) to (i) of section 2045
4511.19 of the Revised Code;2046

       (b) The employee, through a qualifying chemical test 2047
administered within thirty-two hours of an injury, is determined 2048
to have one of the following controlled substances not prescribed 2049
by the employee's physician in the employee's system that tests 2050
above the following levels in an enzyme multiplied immunoassay 2051
technique screening test and above the levels established in 2052
division (B)(3)(1)(c) of this section in a gas chromatography mass 2053
spectrometry test:2054

       (i) For amphetamines, one thousand nanograms per milliliter2055
of urine;2056

       (ii) For cannabinoids, fifty nanograms per milliliter of2057
urine;2058

       (iii) For cocaine, including crack cocaine, three hundred2059
nanograms per milliliter of urine;2060

       (iv) For opiates, two thousand nanograms per milliliter of2061
urine;2062

       (v) For phencyclidine, twenty-five nanograms per milliliter2063
of urine.2064

       (c) The employee, through a qualifying chemical test 2065
administered within thirty-two hours of an injury, is determined 2066
to have one of the following controlled substances not prescribed 2067
by the employee's physician in the employee's system that tests 2068
above the following levels by a gas chromatography mass 2069
spectrometry test:2070

       (i) For amphetamines, five hundred nanograms per milliliter2071
of urine;2072

       (ii) For cannabinoids, fifteen nanograms per milliliter of2073
urine;2074

       (iii) For cocaine, including crack cocaine, one hundred fifty2075
nanograms per milliliter of urine;2076

       (iv) For opiates, two thousand nanograms per milliliter of2077
urine;2078

       (v) For phencyclidine, twenty-five nanograms per milliliter2079
of urine.2080

       (d) The employee, through a qualifying chemical test 2081
administered within thirty-two hours of an injury, is determined 2082
to have barbiturates, benzodiazepines, methadone, or propoxyphene 2083
in the employee's system that tests above levels established by2084
laboratories certified by the United States department of health2085
and human services.2086

        (2) When the employee refuses to submit to a requested 2087
chemical test, on the condition that that employee is or was given 2088
notice that the refusal to submit to any chemical test described 2089
in division (B)(1) of this section may affect the employee's 2090
eligibility for compensation and benefits under this chapter and 2091
Chapter 4121. of the Revised Code.2092

       (C)(1) For purposes of division (B) of this section, a 2093
chemical test is a qualifying chemical test if it is administered 2094
to an employee after an injury under at least one of the following 2095
conditions:2096

       (a) When the employee's employer had reasonable cause to 2097
suspect that the employee may be intoxicated or under the 2098
influence of a controlled substance not prescribed by the 2099
employee's physician;2100

       (b) At the request of a police officer pursuant to section 2101
4511.191 of the Revised Code, and not at the request of the 2102
employee's employer;2103

       (c) At the request of a licensed physician who is not 2104
employed by the employee's employer, and not at the request of the 2105
employee's employer.2106

       (2) As used in division (C)(1)(a) of this section, 2107
"reasonable cause" means, but is not limited to, evidence that an 2108
employee is or was using alcohol or a controlled substance drawn 2109
from specific, objective facts and reasonable inferences drawn 2110
from these facts in light of experience and training. These facts 2111
and inferences may be based on, but are not limited to, any of the 2112
following:2113

       (a) Observable phenomena, such as direct observation of use, 2114
possession, or distribution of alcohol or a controlled substance, 2115
or of the physical symptoms of being under the influence of 2116
alcohol or a controlled substance, such as but not limited to 2117
slurred speech, dilated pupils, odor of alcohol or a controlled 2118
substance, changes in affect, or dynamic mood swings;2119

       (b) A pattern of abnormal conduct, erratic or aberrant 2120
behavior, or deteriorating work performance such as frequent 2121
absenteeism, excessive tardiness, or recurrent accidents, that 2122
appears to be related to the use of alcohol or a controlled 2123
substance, and does not appear to be attributable to other 2124
factors;2125

       (c) The identification of an employee as the focus of a 2126
criminal investigation into unauthorized possession, use, or 2127
trafficking of a controlled substance;2128

       (d) A report of use of alcohol or a controlled substance 2129
provided by a reliable and credible source;2130

       (e) Repeated or flagrant violations of the safety or work 2131
rules of the employee's employer, that are determined by the 2132
employee's supervisor to pose a substantial risk of physical 2133
injury or property damage and that appear to be related to the use 2134
of alcohol or a controlled substance and that do not appear 2135
attributable to other factors.2136

       (D) Nothing in this section shall be construed to affect the 2137
rights of an employer to test employees for alcohol or controlled 2138
substance abuse.2139

       (E) For the purpose of this section, laboratories certified 2140
by the United States department of health and human services or 2141
laboratories that meet or exceed the standards of that department 2142
for laboratory certification shall be used for processing the test 2143
results of a qualifying chemical test.2144

       (F) The written notice required by division (B) of this 2145
section shall be the same size or larger then the certificate of 2146
premium payment notice furnished by the bureau of workers' 2147
compensation and shall be posted by the employer in the same 2148
location as the certificate of premium payment notice or the 2149
certificate of self-insurance.2150

       (G) If a condition that pre-existed an injury is 2151
substantially aggravated by the injury, and that substantial 2152
aggravation is documented by objective diagnostic findings, 2153
objective clinical findings, or objective test results, no 2154
compensation or benefits are payable because of the pre-existing 2155
condition once that condition has returned to a level that would 2156
have existed without the injury.2157

       (H) Whenever, with respect to an employee of an employer who 2158
is subject to and has complied with this chapter, there is2159
possibility of conflict with respect to the application of2160
workers' compensation laws because the contract of employment is2161
entered into and all or some portion of the work is or is to be2162
performed in a state or states other than Ohio, the employer and2163
the employee may agree to be bound by the laws of this state or by2164
the laws of some other state in which all or some portion of the2165
work of the employee is to be performed. The agreement shall be in 2166
writing and shall be filed with the bureau of workers'2167
compensation within ten days after it is executed and shall remain2168
in force until terminated or modified by agreement of the parties2169
similarly filed. If the agreement is to be bound by the laws of2170
this state and the employer has complied with this chapter, then2171
the employee is entitled to compensation and benefits regardless2172
of where the injury occurs or the disease is contracted and the2173
rights of the employee and the employee's dependents under the2174
laws of this state are the exclusive remedy against the employer2175
on account of injury, disease, or death in the course of and2176
arising out of the employee's employment. If the agreement is to2177
be bound by the laws of another state and the employer has2178
complied with the laws of that state, the rights of the employee2179
and the employee's dependents under the laws of that state are the2180
exclusive remedy against the employer on account of injury,2181
disease, or death in the course of and arising out of the2182
employee's employment without regard to the place where the injury2183
was sustained or the disease contracted.2184

       If any employee or the employee's dependents are awarded2185
workers' compensation benefits or recover damages from the2186
employer under the laws of another state, the amount awarded or2187
recovered, whether paid or to be paid in future installments,2188
shall be credited on the amount of any award of compensation or2189
benefits made to the employee or the employee's dependents by the2190
bureau.2191

       If an employee is a resident of a state other than this state2192
and is insured under the workers' compensation law or similar laws2193
of a state other than this state, the employee and the employee's2194
dependents are not entitled to receive compensation or benefits2195
under this chapter, on account of injury, disease, or death2196
arising out of or in the course of employment while temporarily2197
within this state, and the rights of the employee and the2198
employee's dependents under the laws of the other state are the2199
exclusive remedy against the employer on account of the injury,2200
disease, or death.2201

       (H)(I) Compensation or benefits are not payable to a claimant2202
during the period of confinement of the claimant in any state or2203
federal correctional institution, or in any county jail in lieu of 2204
incarceration in a state or federal correctional institution,2205
whether in this or any other state for conviction of violation of 2206
any state or federal criminal law.2207

       Sec. 4123.56.  (A) Except as provided in division (D) of this 2208
section, in the case of temporary disability, an employee shall 2209
receive sixty-six and two-thirds per cent of the employee's2210
average weekly wage so long as such disability is total, not to2211
exceed a maximum amount of weekly compensation which is equal to2212
the statewide average weekly wage as defined in division (C) of2213
section 4123.62 of the Revised Code, and not less than a minimum2214
amount of compensation which is equal to thirty-three and2215
one-third per cent of the statewide average weekly wage as defined2216
in division (C) of section 4123.62 of the Revised Code unless the2217
employee's wage is less than thirty-three and one-third per cent2218
of the minimum statewide average weekly wage, in which event the2219
employee shall receive compensation equal to the employee's full2220
wages; provided that for the first twelve weeks of total2221
disability the employee shall receive seventy-two per cent of the2222
employee's full weekly wage, but not to exceed a maximum amount of2223
weekly compensation which is equal to the lesser of the statewide2224
average weekly wage as defined in division (C) of section 4123.622225
of the Revised Code or one hundred per cent of the employee's net2226
take-home weekly wage. In the case of a self-insuring employer,2227
payments shall be for a duration based upon the medical reports of2228
the attending physician. If the employer disputes the attending2229
physician's report, payments may be terminated only upon2230
application and hearing by a district hearing officer pursuant to2231
division (C) of section 4123.511 of the Revised Code. Payments2232
shall continue pending the determination of the matter, however2233
payment shall not be made for the period when any employee has2234
returned to work, when an employee's treating physician has made a2235
written statement that the employee is capable of returning to the2236
employee's former position of employment, when work within the2237
physical capabilities of the employee is made available by the2238
employer or another employer, or when the employee has reached the2239
maximum medical improvement. Where the employee is capable of work 2240
activity, but the employee's employer is unable to offer the2241
employee any employment, the employee shall register with the2242
director of job and family services, who shall assist the employee2243
in finding suitable employment. The termination of temporary total2244
disability, whether by order or otherwise, does not preclude the2245
commencement of temporary total disability at another point in2246
time if the employee again becomes temporarily totally disabled.2247

       After two hundred weeks of temporary total disability2248
benefits, the medical section of the bureau of workers'2249
compensation shall schedule the claimant for an examination for an2250
evaluation to determine whether or not the temporary disability2251
has become permanent. A self-insuring employer shall notify the2252
bureau immediately after payment of two hundred weeks of temporary2253
total disability and request that the bureau schedule the claimant2254
for such an examination.2255

       When the employee is awarded compensation for temporary total2256
disability for a period for which the employee has received2257
benefits under Chapter 4141. of the Revised Code, the bureau shall2258
pay an amount equal to the amount received from the award to the2259
director of job and family services and the director shall credit2260
the amount to the accounts of the employers to whose accounts the2261
payment of benefits was charged or is chargeable to the extent it2262
was charged or is chargeable.2263

       If any compensation under this section has been paid for the2264
same period or periods for which temporary nonoccupational2265
accident and sickness insurance is or has been paid pursuant to an2266
insurance policy or program to which the employer has made the2267
entire contribution or payment for providing insurance or under a2268
nonoccupational accident and sickness program fully funded by the2269
employer, compensation paid under this section for the period or2270
periods shall be paid only to the extent by which the payment or2271
payments exceeds the amount of the nonoccupational insurance or2272
program paid or payable. Offset of the compensation shall be made2273
only upon the prior order of the bureau or industrial commission2274
or agreement of the claimant.2275

       As used in this division, "net take-home weekly wage" means2276
the amount obtained by dividing an employee's total remuneration,2277
as defined in section 4141.01 of the Revised Code, paid to or2278
earned by the employee during the first four of the last five2279
completed calendar quarters which immediately precede the first2280
day of the employee's entitlement to benefits under this division,2281
by the number of weeks during which the employee was paid or2282
earned remuneration during those four quarters, less the amount of2283
local, state, and federal income taxes deducted for each such2284
week.2285

       (B) Where(1) If an employee in a claim allowed under this2286
chapter suffers a wage loss as a result of returning to employment 2287
other than the employee's former position of employment or as a 2288
result of being unable to find employment consistent with the 2289
claimant's physical capabilities due to an injury or occupational 2290
disease, the employee shall receive compensation at sixty-six and 2291
two-thirds per cent of the difference between the employee's 2292
average weekly wage lossand the employee's present earnings not 2293
to exceed the statewide average weekly wage for a period not to 2294
exceed two hundred weeks. The payments may continue for up to a2295
maximum of two hundred weeks, but the payments shall be reduced by 2296
the corresponding number of weeks in which the employee receives 2297
payments pursuant to division (B) of section 4121.67 Of the 2298
Revised Code.2299

       (2) If an employee in a claim allowed under this chapter 2300
suffers a wage loss as a result of being unable to find employment 2301
consistent with the employee's disability resulting from the 2302
employee's injury or occupational disease, the employee shall 2303
receive compensation at sixty-six and two-thirds per cent of the 2304
difference between the employee's average weekly wage and the2305
employee's present earnings, not to exceed the statewide average2306
weekly wage. The payments may continue for up to a maximum of2307
fifty-two weeks. The first twenty-six weeks of payments under 2308
division (B)(2) of this section shall be in addition to the 2309
maximum of two hundred weeks of payments allowed under division 2310
(B)(1) of this section. If an employee in a claim allowed under 2311
this chapter receives compensation under division (B)(2) of this 2312
section in excess of twenty-six weeks, the number of weeks of 2313
compensation allowable under division (B)(1) of this section shall 2314
be reduced by the corresponding number of weeks in excess of 2315
twenty-six, and up to fifty-two, that is allowable under division 2316
(B)(1) of this section.2317

       (3) The number of weeks of wage loss payable to an employee 2318
under divisions (B)(1) and (2) of this section shall not exceed 2319
two hundred and twenty-six weeks in the aggregate.2320

       (C) In the event an employee of a professional sports2321
franchise domiciled in this state is disabled as the result of an2322
injury or occupational disease, the total amount of payments made2323
under a contract of hire or collective bargaining agreement to the2324
employee during a period of disability is deemed an advanced2325
payment of compensation payable under sections 4123.56 to 4123.582326
of the Revised Code. The employer shall be reimbursed the total2327
amount of the advanced payments out of any award of compensation2328
made pursuant to sections 4123.56 to 4123.58 of the Revised Code.2329

       (D) If an employee receives temporary total disability2330
benefits pursuant to division (A) of this section and social2331
security retirement benefits pursuant to the "Social Security2332
Act," the weekly benefit amount under division (A) of this section2333
shall not exceed sixty-six and two-thirds per cent of the2334
statewide average weekly wage as defined in division (C) of2335
section 4123.62 of the Revised Code.2336

       Sec. 4123.57.  Partial disability compensation shall be paid 2337
as follows.2338

       Except as provided in this section, not earlier than forty2339
twenty-six weeks after the date of termination of the latest 2340
period of payments under section 4123.56 of the Revised Code, or 2341
not earlier than fortytwenty-six weeks after the date of the 2342
injury or contraction of an occupational disease in the absence of 2343
payments under section 4123.56 of the Revised Code, the employee 2344
may file an application with the bureau of workers' compensation 2345
for the determination of the percentage of the employee's2346
permanent partial disability resulting from an injury or 2347
occupational disease.2348

       Whenever the application is filed, the bureau shall send a2349
copy of the application to the employee's employer or the2350
employer's representative and shall schedule the employee for a2351
medical examination by the bureau medical section. The bureau2352
shall send a copy of the report of the medical examination to the2353
employee, the employer, and their representatives. Thereafter, the2354
administrator of workers' compensation shall review the employee's 2355
claim file and make a tentative order as the evidence before the 2356
administrator at the time of the making of the order warrants. If 2357
the administrator determines that there is a conflict of evidence, 2358
the administrator shall send the application, along with the 2359
claimant's file, to the district hearing officer who shall set the 2360
application for a hearing.2361

       The administrator shall notify the employee, the employer,2362
and their representatives, in writing, of the tentative order and2363
of the parties' right to request a hearing. Unless the employee,2364
the employer, or their representative notifies the administrator,2365
in writing, of an objection to the tentative order within twenty2366
days after receipt of the notice thereof, the tentative order2367
shall go into effect and the employee shall receive the2368
compensation provided in the order. In no event shall there be a2369
reconsideration of a tentative order issued under this division.2370

       If the employee, the employer, or their representatives2371
timely notify the administrator of an objection to the tentative2372
order, the matter shall be referred to a district hearing officer2373
who shall set the application for hearing with written notices to2374
all interested persons. Upon referral to a district hearing 2375
officer, the employer may obtain a medical examination of the 2376
employee, pursuant to rules of the industrial commission.2377

       (A) The district hearing officer, upon the application, shall 2378
determine the percentage of the employee's permanent disability, 2379
except as is subject to division (B) of this section, based upon 2380
that condition of the employee resulting from the injury or 2381
occupational disease and causing permanent impairment evidenced by 2382
medical or clinical findings reasonably demonstrable. The employee 2383
shall receive sixty-six and two-thirds per cent of the employee's 2384
average weekly wage, but not more than a maximum of thirty-three 2385
and one-third per cent of the statewide average weekly wage as 2386
defined in division (C) of section 4123.62 of the Revised Code, 2387
per week regardless of the average weekly wage, for the number of 2388
weeks which equals the percentage of two hundred weeks. Except on 2389
application for reconsideration, review, or modification, which is 2390
filed within ten days after the date of receipt of the decision of 2391
the district hearing officer, in no instance shall the former 2392
award be modified unless it is found from medical or clinical 2393
findings that the condition of the claimant resulting from the 2394
injury has so progressed as to have increased the percentage of 2395
permanent partial disability. A staff hearing officer shall hear 2396
an application for reconsideration filed and the staff hearing 2397
officer's decision is final. An employee may file an application 2398
for a subsequent determination of the percentage of the employee's 2399
permanent disability. If such an application is filed, the bureau 2400
shall send a copy of the application to the employer or the 2401
employer's representative. No sooner than sixty days from the date 2402
of the mailing of the application to the employer or the 2403
employer's representative, the administrator shall review the 2404
application. The administrator may require a medical examination 2405
or medical review of the employee. The administrator shall issue a 2406
tentative order based upon the evidence before the administrator, 2407
provided that if the administrator requires a medical examination 2408
or medical review, the administrator shall not issue the tentative 2409
order until the completion of the examination or review.2410

       The employer may obtain a medical examination of the employee 2411
and may submit medical evidence at any stage of the process up to 2412
a hearing before the district hearing officer, pursuant to rules 2413
of the commission. The administrator shall notify the employee, 2414
the employer, and their representatives, in writing, of the nature 2415
and amount of any tentative order issued on an application 2416
requesting a subsequent determination of the percentage of an 2417
employee's permanent disability. An employee, employer, or their 2418
representatives may object to the tentative order within twenty 2419
days after the receipt of the notice thereof. If no timely 2420
objection is made, the tentative order shall go into effect. In no 2421
event shall there be a reconsideration of a tentative order issued 2422
under this division. If an objection is timely made, the 2423
application for a subsequent determination shall be referred to a 2424
district hearing officer who shall set the application for a 2425
hearing with written notice to all interested persons. No 2426
application for subsequent percentage determinations on the same 2427
claim for injury or occupational disease shall be accepted for 2428
review by the district hearing officer unless supported by 2429
substantial evidence of new and changed circumstances developing 2430
since the time of the hearing on the original or last 2431
determination.2432

       No award shall be made under this division based upon a2433
percentage of disability which, when taken with all other 2434
percentages of permanent disability, exceeds one hundred per cent. 2435
If the percentage of the permanent disability of the employee 2436
equals or exceeds ninety per cent, compensation for permanent 2437
partial disability shall be paid for two hundred weeks.2438

       Compensation payable under this division accrues and is2439
payable to the employee from the date of last payment of2440
compensation, or, in cases where no previous compensation has been 2441
paid, from the date of the injury or the date of the diagnosis of 2442
the occupational disease.2443

       When an award under this division has been made prior to the 2444
death of an employee, all unpaid installments accrued or to accrue 2445
under the provisions of the award are payable to the surviving 2446
spouse, or if there is no surviving spouse, to the dependent 2447
children of the employee, and if there are no children surviving, 2448
then to other dependents as the administrator determines.2449

       (B) In cases included in the following schedule the2450
compensation payable per week to the employee is the statewide2451
average weekly wage as defined in division (C) of section 4123.622452
of the Revised Code per week and shall continue during the periods 2453
provided in the following schedule:2454

       For the loss of a first finger, commonly known as a thumb, 2455
sixty weeks.2456

       For the loss of a firstsecond finger, commonly called index2457
finger, thirty-five weeks.2458

       For the loss of a secondthird finger, thirty weeks.2459

       For the loss of a thirdfourth finger, twenty weeks.2460

       For the loss of a fourthfifth finger, commonly known as the2461
little finger, fifteen weeks.2462

       The loss of a second, or distal, phalange of the thumb is2463
considered equal to the loss of one half of such thumb; the loss2464
of more than one half of such thumb is considered equal to the2465
loss of the whole thumb.2466

       The loss of the third, or distal, phalange of any finger is2467
considered equal to the loss of one-third of the finger.2468

       The loss of the middle, or second, phalange of any finger is 2469
considered equal to the loss of two-thirds of the finger.2470

       The loss of more than the middle and distal phalanges of any 2471
finger is considered equal to the loss of the whole finger. In no 2472
case shall the amount received for more than one finger exceed the 2473
amount provided in this schedule for the loss of a hand.2474

       For the loss of the metacarpal bone (bones of the palm) for2475
the corresponding thumb, or fingers, add ten weeks to the number2476
of weeks under this division.2477

       For ankylosis (total stiffness of) or contractures (due to2478
scars or injuries) which makes any of the fingers, thumbs, or2479
parts of either useless, the same number of weeks apply to the2480
members or parts thereof as given for the loss thereof.2481

       If the claimant has suffered the loss of two or more fingers 2482
by amputation or ankylosis and the nature of the claimant's 2483
employment in the course of which the claimant was working at the 2484
time of the injury or occupational disease is such that the2485
handicap or disability resulting from the loss of fingers, or loss 2486
of use of fingers, exceeds the normal handicap or disability2487
resulting from the loss of fingers, or loss of use of fingers, the 2488
administrator may take that fact into consideration and increase 2489
the award of compensation accordingly, but the award made shall 2490
not exceed the amount of compensation for loss of a hand.2491

       For the loss of a hand, one hundred seventy-five weeks.2492

       For the loss of an arm, two hundred twenty-five weeks.2493

       For the loss of a great toe, thirty weeks.2494

       For the loss of one of the toes other than the great toe, ten 2495
weeks.2496

       The loss of more than two-thirds of any toe is considered2497
equal to the loss of the whole toe.2498

       The loss of less than two-thirds of any toe is considered no 2499
loss, except as to the great toe; the loss of the great toe up to 2500
the interphalangeal joint is co-equal to the loss of one-half of 2501
the great toe; the loss of the great toe beyond the2502
interphalangeal joint is considered equal to the loss of the whole 2503
great toe.2504

       For the loss of a foot, one hundred fifty weeks.2505

       For the loss of a leg, two hundred weeks.2506

       For the loss of the sight of an eye, one hundred twenty-five 2507
weeks.2508

       For the permanent partial loss of sight of an eye, the2509
portion of one hundred twenty-five weeks as the administrator in2510
each case determines, based upon the percentage of vision actually 2511
lost as a result of the injury or occupational disease, but, in no 2512
case shall an award of compensation be made for less than 2513
twenty-five per cent loss of uncorrected vision. "Loss of2514
uncorrected vision" means the percentage of vision actually lost2515
as the result of the injury or occupational disease.2516

       For the permanent and total loss of hearing of one ear,2517
twenty-five weeks; but in no case shall an award of compensation2518
be made for less than permanent and total loss of hearing of one2519
ear.2520

       For the permanent and total loss of hearing, one hundred2521
twenty-five weeks; but, except pursuant to the next preceding2522
paragraph, in no case shall an award of compensation be made for2523
less than permanent and total loss of hearing.2524

       In case an injury or occupational disease results in serious 2525
facial or head disfigurement which either impairs or may in the 2526
future impair the opportunities to secure or retain employment, 2527
the administrator shall make an award of compensation as it deems 2528
proper and equitable, in view of the nature of the disfigurement, 2529
and not to exceed the sum of fiveten thousand dollars. For the 2530
purpose of making the award, it is not material whether the 2531
employee is gainfully employed in any occupation or trade at the 2532
time of the administrator's determination.2533

       When an award under this division has been made prior to the 2534
death of an employee all unpaid installments accrued or to accrue 2535
under the provisions of the award shall be payable to the2536
surviving spouse, or if there is no surviving spouse, to the2537
dependent children of the employee and if there are no such2538
children, then to such dependents as the administrator determines.2539

       When an employee has sustained the loss of a member by2540
severance, but no award has been made on account thereof prior to2541
the employee's death, the administrator shall make an award in 2542
accordance with this division for the loss which shall be payable 2543
to the surviving spouse, or if there is no surviving spouse, to 2544
the dependent children of the employee and if there are no such2545
children, then to such dependents as the administrator determines.2546

       (C) Compensation for partial impairment under divisions (A) 2547
and (B) of this section is in addition to the compensation paid 2548
the employee pursuant to section 4123.56 of the Revised Code. A 2549
claimant may receive compensation under divisions (A) and (B) of 2550
this section.2551

       In all cases arising under division (B) of this section, if2552
it is determined by any one of the following: (1) the amputee2553
clinic at University hospital, Ohio state university; (2) the2554
rehabilitation services commission; (3) an amputee clinic or2555
prescribing physician approved by the administrator or the2556
administrator's designee, that an injured or disabled employee is 2557
in need of an artificial appliance, or in need of a repair 2558
thereof, regardless of whether the appliance or its repair will be 2559
serviceable in the vocational rehabilitation of the injured 2560
employee, and regardless of whether the employee has returned to 2561
or can ever again return to any gainful employment, the bureau 2562
shall pay the cost of the artificial appliance or its repair out 2563
of the surplus created by division (B) of section 4123.34 of the 2564
Revised Code.2565

       In those cases where a rehabilitation services commission2566
recommendation that an injured or disabled employee is in need of2567
an artificial appliance would conflict with their state plan,2568
adopted pursuant to the "Rehabilitation Act of 1973," 87 Stat.2569
355, 29 U.S.C.A. 701, the administrator or the administrator's 2570
designee or the bureau may obtain a recommendation from an amputee 2571
clinic or prescribing physician that they determine appropriate.2572

       (D) If an employee of a state fund employer makes application 2573
for a finding and the administrator finds that the employee has 2574
contracted silicosis as defined in division (X), or coal miners' 2575
pneumoconiosis as defined in division (Y), or asbestosis as2576
defined in division (AA) of section 4123.68 of the Revised Code,2577
and that a change of such employee's occupation is medically2578
advisable in order to decrease substantially further exposure to2579
silica dust, asbestos, or coal dust and if the employee, after the 2580
finding, has changed or shall change the employee's occupation to 2581
an occupation in which the exposure to silica dust, asbestos, or2582
coal dust is substantially decreased, the administrator shall 2583
allow to the employee an amount equal to fifty per cent of the2584
statewide average weekly wage per week for a period of thirty2585
weeks, commencing as of the date of the discontinuance or change,2586
and for a period of one hundred weeks immediately following the2587
expiration of the period of thirty weeks, the employee shall2588
receive sixty-six and two-thirds per cent of the loss of wages 2589
resulting directly and solely from the change of occupation but 2590
not to exceed a maximum of an amount equal to fifty per cent of 2591
the statewide average weekly wage per week. No such employee is 2592
entitled to receive more than one allowance on account of 2593
discontinuance of employment or change of occupation and benefits 2594
shall cease for any period during which the employee is employed 2595
in an occupation in which the exposure to silica dust, asbestos, 2596
or coal dust is not substantially less than the exposure in the 2597
occupation in which the employee was formerly employed or for any 2598
period during which the employee may be entitled to receive 2599
compensation or benefits under section 4123.68 of the Revised Code 2600
on account of disability from silicosis, asbestosis, or coal 2601
miners' pneumoconiosis. An award for change of occupation for a 2602
coal miner who has contracted coal miners' pneumoconiosis may be 2603
granted under this division even though the coal miner continues 2604
employment with the same employer, so long as the coal miner's 2605
employment subsequent to the change is such that the coal miner's 2606
exposure to coal dust is substantially decreased and a change of 2607
occupation is certified by the claimant as permanent. The 2608
administrator may accord to the employee medical and other 2609
benefits in accordance with section 4123.66 of the Revised Code.2610

       (E) If a firefighter or police officer makes application for 2611
a finding and the administrator finds that the firefighter or 2612
police officer has contracted a cardiovascular and pulmonary 2613
disease as defined in division (W) of section 4123.68 of the 2614
Revised Code, and that a change of the firefighter's or police 2615
officer's occupation is medically advisable in order to decrease 2616
substantially further exposure to smoke, toxic gases, chemical 2617
fumes, and other toxic vapors, and if the firefighter, or police 2618
officer, after the finding, has changed or changes occupation to 2619
an occupation in which the exposure to smoke, toxic gases, 2620
chemical fumes, and other toxic vapors is substantially decreased, 2621
the administrator shall allow to the firefighter or police officer 2622
an amount equal to fifty per cent of the statewide average weekly 2623
wage per week for a period of thirty weeks, commencing as of the 2624
date of the discontinuance or change, and for a period of 2625
seventy-five weeks immediately following the expiration of the 2626
period of thirty weeks the administrator shall allow the 2627
firefighter or police officer sixty-six and two-thirds per cent of 2628
the loss of wages resulting directly and solely from the change of 2629
occupation but not to exceed a maximum of an amount equal to fifty 2630
per cent of the statewide average weekly wage per week. No such2631
firefighter or police officer is entitled to receive more than one 2632
allowance on account of discontinuance of employment or change of2633
occupation and benefits shall cease for any period during which2634
the firefighter or police officer is employed in an occupation in 2635
which the exposure to smoke, toxic gases, chemical fumes, and2636
other toxic vapors is not substantially less than the exposure in2637
the occupation in which the firefighter or police officer was 2638
formerly employed or for any period during which the firefighter 2639
or police officer may be entitled to receive compensation or 2640
benefits under section 4123.68 of the Revised Code on account of 2641
disability from a cardiovascular and pulmonary disease. The 2642
administrator may accord to the firefighter or police officer 2643
medical and other benefits in accordance with section 4123.66 of 2644
the Revised Code.2645

       (F) An order issued under this section is appealable pursuant 2646
to section 4123.511 of the Revised Code but is not appealable to 2647
court under section 4123.512 of the Revised Code.2648

       Sec. 4123.58.  (A) In cases of permanent total disability, 2649
the employee shall receive an award to continue until histhe 2650
employee's death in the amount of sixty-six and two-thirds per 2651
cent of histhe employee's average weekly wage, but, except as 2652
otherwise provided in division (B) of this section, not more than 2653
a maximum amount of weekly compensation which is equal to 2654
sixty-six and two-thirds per cent of the statewide average weekly 2655
wage as defined in division (C) of section 4123.62 of the Revised 2656
Code in effect on the date of injury or on the date the disability 2657
due to the occupational disease begins, nor not less than a2658
minimum amount of weekly compensation which is equal to fifty per2659
cent of the statewide average weekly wage as defined in division2660
(C) of section 4123.62 of the Revised Code in effect on the date 2661
of injury or on the date the disability due to the occupational 2662
disease begins, unless the employee's average weekly wage is less 2663
than fifty per cent of the statewide average weekly wage at the 2664
time of the injury, in which event hethe employee shall receive 2665
compensation in an amount equal to histhe employee's average 2666
weekly wage.2667

       (B) In the event the weekly workers' compensation amount when 2668
combined with disability benefits received pursuant to the Social 2669
Security Act is less than the statewide average weekly wage as 2670
defined in division (C) of section 4123.62 of the Revised Code, 2671
then the maximum amount of weekly compensation shall be the2672
statewide average weekly wage as defined in division (C) of2673
section 4123.62 of the Revised Code. At any time that social2674
security disability benefits terminate or are reduced, the2675
workers' compensation award shall be recomputed to pay the maximum 2676
amount permitted under this division.2677

       (C) The loss or loss ofPermanent total disability shall be 2678
compensated according to this section only when at least one of 2679
the following applies to the claimant:2680

       (1) The claimant has lost, or lost the use of both hands or 2681
both arms, or both feet or both legs, or both eyes, or of any two 2682
thereof, constitutes total and permanent disability, to be 2683
compensated according to this section. Compensation; however, the 2684
loss or loss of use of one limb does not constitute the loss or 2685
loss of use of two body parts;2686

       (2) The impairment resulting from the employee's injury or 2687
occupational disease prevents the employee from engaging in 2688
sustained remunerative employment utilizing the employment skills 2689
that the employee has or may reasonably be expected to develop.2690

       (D) Permanent total disability shall not be compensated when 2691
the reason the employee is unable to engage in sustained 2692
remunerative employment is due to any of the following reasons, 2693
whether individually or in combination:2694

       (1) Impairments of the employee that are not the result of an 2695
allowed injury or occupational disease;2696

       (2) Solely the employee's age or aging;2697

       (3) The employee retired or otherwise voluntarily abandoned 2698
the workforce for reasons unrelated to the allowed injury or 2699
occupational disease.2700

       (4) The employee has not engaged in educational or 2701
rehabilitative efforts to enhance the employee's employability, 2702
unless such efforts are determined to be in vain.2703

       (E) Compensation payable under this section for permanent 2704
total disability is in addition to benefits payable under division 2705
(B) of section 4123.57 of the Revised Code.2706

       (F) If an employee is awarded compensation for permanent 2707
total disability under this section because the employee sustained 2708
a traumatic brain injury, the employee is entitled to that 2709
compensation regardless of the employee's employment in a 2710
sheltered workshop subsequent to the award, on the condition that 2711
the employee does not receive income, compensation, or 2712
remuneration from that employment in excess of two thousand 2713
dollars in any calendar quarter. As used in this division, 2714
"sheltered workshop" means a state agency or nonprofit 2715
organization established to carry out a program of rehabilitation 2716
for handicapped individuals or to provide these individuals with 2717
remunerative employment or other occupational rehabilitating 2718
activity.2719

       Sec. 4123.61.  The average weekly wage of an injured employee 2720
at the time of the injury or at the time disability due to the 2721
occupational disease begins is the basis upon which to compute 2722
benefits.2723

       In cases of temporary total disability the compensation for2724
the first twelve weeks for which compensation is payable shall be2725
based on the full weekly wage of the claimant at the time of the2726
injury or at the time of the disability due to occupational2727
disease begins; when a factory, mine, or other place of employment 2728
is working short time in order to divide work among the employees,2729
the bureau of workers' compensation shall take that fact into2730
consideration when determining the wage for the first twelve weeks 2731
of temporary total disability.2732

       Compensation for all further temporary total disability shall 2733
be based as provided for permanent disability claims.2734

       In death, permanent total disability claims, permanent 2735
partial disability claims, and impairment of earnings claims, the2736
claimant's or the decedent's average weekly wage for the year2737
preceding the injury or the date the disability due to the2738
occupational disease begins is the weekly wage upon which2739
compensation shall be based. In ascertaining the average weekly2740
wage for the year previous to the injury, or the date the2741
disability due to the occupational disease begins any period of2742
unemployment due to sickness, industrial depression, strike,2743
lockout, or other cause beyond the employee's control shall be2744
eliminated.2745

       In cases where there are special circumstances under which2746
the average weekly wage cannot justly be determined by applying2747
this section, the administrator of workers' compensation, in2748
determining the average weekly wage in such cases, shall use such2749
method as will enable himthe administrator to do substantial2750
justice to the claimants, provided that the administrator shall 2751
not recalculate the claimant's average weekly wage for awards for 2752
permanent total disability solely for the reason that the claimant 2753
continued working and the claimant's wages increased following the 2754
injury.2755

       Sec. 4123.65.  (A) A state fund employer or the employee of 2756
such an employer may file an application with the administrator of 2757
workers' compensation for approval of a final settlement of a 2758
claim under this chapter. The application shall include the 2759
settlement agreement, and except as otherwise specified in this2760
division, be signed by the claimant and employer, and clearly set 2761
forth the circumstances by reason of which the proposed settlement 2762
is deemed desirable and that the parties agree to the terms of the 2763
settlement agreement provided that the agreement need not be 2764
signed by the employer if the. A claimant may file an application 2765
without an employer's signature in the following situations:2766

       (1) The employer is no longer doing business in Ohio. If;2767

       (2) The claim no longer is in the employer's industrial 2768
accident or occupational disease experience as provided in 2769
division (B) of section 4123.34 of the Revised Code and the 2770
claimant no longer is employed with that employer;2771

       (3) The employer has failed to comply with section 4123.35 of 2772
the Revised Code.2773

       If a claimant files an application without an employer's 2774
signature, and the employer still is doing business in this state, 2775
the administrator shall send written notice of the application to 2776
the employer immediately upon receipt of the application. If the 2777
employer fails to respond to the notice within thirty days after 2778
the notice is sent, the application need not contain the 2779
employer's signature.2780

       If a state fund employer or an employee of such an employer 2781
has not filed an application for a final settlement under this 2782
division, the administrator may file an application on behalf of 2783
the employer or the employee, provided that the administrator 2784
gives notice of the filing to the employer and the employee and to 2785
the representative of record of the employer and of the employee2786
immediately upon the filing. An application filed by the2787
administrator shall contain all of the information and signatures2788
required of an employer or an employee who files an application2789
under this division. Every self-insuring employer that enters into 2790
a final settlement agreement with an employee shall mail, within 2791
seven days of executing the agreement, a copy of the agreement to 2792
the administrator and the employee's representative. The 2793
administrator shall place the agreement into the claimant's file.2794

       (B) Except as provided in divisions (C) and (D) of this2795
section, a settlement agreed to under this section is binding upon 2796
all parties thereto and as to items, injuries, and occupational 2797
diseases to which the settlement applies.2798

       (C) No settlement agreed to under division (A) of this2799
section or agreed to by a self-insuring employer and the2800
self-insuring employer's employee shall take effect until thirty 2801
days after the administrator approves the settlement for state 2802
fund employees and employers, or after the self-insuring employer 2803
and employee sign the final settlement agreement. During the 2804
thirty-day period, the employer, employee, or administrator, for 2805
state fund settlements, and the employer or employee, for 2806
self-insuring settlements, may withdraw consent to the settlement 2807
by an employer providing written notice to the employer's employee 2808
and the administrator or by an employee providing written notice 2809
to the employee's employer and the administrator, or by the 2810
administrator providing written notice to the state fund employer 2811
and employee. If an employee dies during the thirty-day waiting 2812
period following the approval of a settlement, the settlement can 2813
be voided by any party for good cause shown.2814

       (D) At the time of agreement to any final settlement2815
agreement under division (A) of this section or agreement between2816
a self-insuring employer and the self-insuring employer's2817
employee, the administrator, for state fund settlements, and the 2818
self-insuring employer, for self-insuring settlements, immediately 2819
shall send a copy of the agreement to the industrial commission 2820
who shall assign the matter to a staff hearing officer. The staff 2821
hearing officer shall determine, within the time limitations 2822
specified in division (C) of this section, whether the settlement 2823
agreement is or is not a gross miscarriage of justice. If the2824
staff hearing officer determines within that time period that the 2825
settlement agreement is clearly unfair, the staff hearing officer 2826
shall issue an order disapproving the settlement agreement. If the 2827
staff hearing officer determines that the settlement agreement is 2828
not clearly unfair or fails to act within those time limits, the 2829
settlement agreement is approved.2830

       (E) A settlement entered into under this section may pertain 2831
to one or more claims of a claimant, or one or more parts of a 2832
claim, or the compensation or benefits pertaining to either, or 2833
any combination thereof, provided that nothing in this section2834
shall be interpreted to require a claimant to enter into a2835
settlement agreement for every claim that has been filed with the2836
bureau of workers' compensation by that claimant under Chapter2837
4121., 4123., 4127., or 4131. of the Revised Code.2838

       (F) A settlement entered into under this section is not2839
appealable under section 4123.511 or 4123.512 of the Revised Code.2840

       Sec. 4123.88. (A) No person shall orally or in writing,2841
directly or indirectly, or through any agent or other person2842
fraudulently hold himselfthe person's self out or represent 2843
himselfthe person's self or hisany of the person's partners or 2844
associates as authorized by a claimant or employer to take charge 2845
of, or represent the claimant or employer in respect of, any claim 2846
or matter in connection therewith before the bureau of workers' 2847
compensation or the industrial commission or its district or staff 2848
hearing officers. No person shall directly or indirectly solicit2849
authority, or pay or give anything of value to another person to2850
solicit authority, or accept or receive pay or anything of value2851
from another person for soliciting authority, from a claimant or2852
employer to take charge of, or represent the claimant or employer2853
in respect of, any claim or appeal which is or may be filed with2854
the bureau or commission. No person shall, without prior authority 2855
from the bureau, a member of the commission, the claimant, or the 2856
employer, examine or directly or indirectly cause or employ 2857
another person to examine any claim file or any other file 2858
pertaining thereto. No person shall forge an authorization for the 2859
purpose of examining or cause another person to examine any such 2860
file. No district or staff hearing officer or other employee of 2861
the bureau or commission, notwithstanding the provisions of 2862
section 4123.27 of the Revised Code, shall divulge any information 2863
in respect of any claim or appeal which is or may be filed with a 2864
district or staff hearing officer, the bureau, or commission to 2865
any person other than members of the commission or to the superior 2866
of the employee except upon authorization of the administrator of 2867
workers' compensation or a member of the commission or upon 2868
authorization of the claimant or employer. No2869

       (B) The records described or referred to in division (A) of 2870
this section are not public records as defined in division (A)(1) 2871
of section 149.43 of the Revised Code. Any information directly or 2872
indirectly identifying the address or telephone number of a 2873
claimant, regardless of whether the claimant's claim is active or 2874
closed, is not a public record. No person shall solicit or obtain2875
any such information from any such employee without first having2876
obtained an authorization therefor as provided in this section.2877

       (C) Except as otherwise specified in division (D) of this 2878
section, information kept by the commission or the bureau pursuant 2879
to this section is for the exclusive use and information of the 2880
commission and the bureau in the discharge of their official 2881
duties, and shall not be open to the public nor be used in any 2882
court in any action or proceeding pending therein, unless the 2883
commission or the bureau is a party to the action or proceeding. 2884
The information, however, may be tabulated and published by the 2885
commission or the bureau in statistical form for the use and 2886
information of other state agencies and the public.2887

       (D)(1) Upon receiving a written request made and signed by a 2888
journalist, the commission or the bureau shall disclose to the 2889
journalist the address or addresses and telephone number or 2890
numbers of claimants, regardless of whether their claims are 2891
active or closed, and the dependents of those claimants. 2892

       (2) A journalist is permitted to request the information 2893
described in division (D)(1) of this section for multiple workers 2894
or dependents in one written request.2895

       (3) A journalist shall include all of the following in the 2896
written request:2897

       (a) The journalist's name, title, and signature;2898

       (b) The name and title of the journalist's employer;2899

       (c) A statement that the disclosure of the information sought 2900
is in the public interest.2901

       (4) Neither the commission nor the bureau may inquire as to 2902
the specific public interest served by the disclosure of 2903
information requested by a journalist under division (D) of this 2904
section.2905

       (E) As used in this section, "journalist" has the same 2906
meaning as in division (B)(5) of section 149.43 of the Revised 2907
Code.2908

       Sec. 5703.21.  (A) Except as provided in divisions (B) and2909
(C) of this section, no agent of the department of taxation,2910
except in the agent's report to the department or when called on2911
to testify in any court or proceeding, shall divulge any2912
information acquired by the agent as to the transactions,2913
property, or business of any person while acting or claiming to2914
act under orders of the department. Whoever violates this2915
provision shall thereafter be disqualified from acting as an2916
officer or employee or in any other capacity under appointment or2917
employment of the department.2918

       (B)(1) For purposes of an audit pursuant to section 117.15 of 2919
the Revised Code, or an audit of the department pursuant to2920
Chapter 117. of the Revised Code, or an audit, pursuant to that2921
chapter, the objective of which is to express an opinion on a2922
financial report or statement prepared or issued pursuant to2923
division (A)(7) or (9) of section 126.21 of the Revised Code, the2924
officers and employees of the auditor of state charged with2925
conducting the audit shall have access to and the right to examine2926
any state tax returns and state tax return information in the2927
possession of the department to the extent that the access and2928
examination are necessary for purposes of the audit. Any2929
information acquired as the result of that access and examination2930
shall not be divulged for any purpose other than as required for2931
the audit or unless the officers and employees are required to2932
testify in a court or proceeding under compulsion of legal2933
process. Whoever violates this provision shall thereafter be2934
disqualified from acting as an officer or employee or in any other2935
capacity under appointment or employment of the auditor of state.2936

       (2) As provided by section 6103(d)(2) of the Internal Revenue 2937
Code, any federal tax returns or federal tax information that the 2938
department has acquired from the internal revenue service, through 2939
federal and state statutory authority, may be disclosed to the 2940
auditor of state solely for purposes of an audit of the 2941
department.2942

       (C) Division (A) of this section does not prohibit any of the 2943
following:2944

       (1) Divulging information contained in applications,2945
complaints, and related documents filed with the department under2946
section 5715.27 of the Revised Code or in applications filed with2947
the department under section 5715.39 of the Revised Code;2948

       (2) Providing information to the office of child support2949
within the department of job and family services pursuant to2950
section 3125.43 of the Revised Code;2951

       (3) Disclosing to the board of motor vehicle collision repair 2952
registration any information in the possession of the department 2953
that is necessary for the board to verify the existence of an 2954
applicant's valid vendor's license and current state tax2955
identification number under section 4775.07 of the Revised Code;2956

       (4) Providing information to the administrator of workers'2957
compensation pursuant to sectionsections 4123.271 and 4123.591 of 2958
the Revised Code;2959

       (5) Providing to the attorney general information the2960
department obtains under division (J) of section 1346.01 of the2961
Revised Code;2962

       (6) Permitting properly authorized officers, employees, or2963
agents of a municipal corporation from inspecting reports or2964
information pursuant to rules adopted under section 5745.16 of the2965
Revised Code;2966

       (7) Providing information regarding the name, account number, 2967
or business address of a holder of a vendor's license issued 2968
pursuant to section 5739.17 of the Revised Code, a holder of a2969
direct payment permit issued pursuant to section 5739.031 of the2970
Revised Code, or a seller having a use tax account maintained2971
pursuant to section 5741.17 of the Revised Code, or information2972
regarding the active or inactive status of a vendor's license,2973
direct payment permit, or seller's use tax account;2974

       (8) Releasing invoices or invoice information furnished under2975
section 4301.433 of the Revised Code pursuant to that section;2976

       (9) Providing to a county auditor notices or documents 2977
concerning or affecting the taxable value of property in the 2978
county auditor's county. Unless authorized by law to disclose 2979
documents so provided, the county auditor shall not disclose such 2980
documents.2981

       Sec. 5747.18.  The tax commissioner shall enforce and2982
administer this chapter. In addition to any other powers conferred 2983
upon the commissioner by law, the commissioner may:2984

       (A) Prescribe all forms required to be filed pursuant to this 2985
chapter;2986

       (B) Adopt such rules as the commissioner finds necessary to 2987
carry out this chapter;2988

       (C) Appoint and employ such personnel as are necessary to2989
carry out the duties imposed upon the commissioner by this 2990
chapter.2991

       Any information gained as the result of returns,2992
investigations, hearings, or verifications required or authorized2993
by this chapter is confidential, and no person shall disclose such 2994
information, except for official purposes, or as provided by2995
section 3125.43, 4123.271, 4123.591, 4507.023, or 5101.182, 2996
division (B) of section 5703.21 of the Revised Code, or in 2997
accordance with a proper judicial order. The tax commissioner may 2998
furnish the internal revenue service with copies of returns or 2999
reports filed and may furnish the officer of a municipal 3000
corporation charged with the duty of enforcing a tax subject to 3001
Chapter 718. of the Revised Code with the names, addresses, and 3002
identification numbers of taxpayers who may be subject to such 3003
tax. A municipal corporation shall use this information for tax 3004
collection purposes only. This section does not prohibit the 3005
publication of statistics in a form which does not disclose 3006
information with respect to individual taxpayers.3007

       Section 2. That existing sections 2913.48, 3121.034, 3008
3121.037, 4121.10, 4121.44, 4121.441, 4123.01, 4123.32, 4123.35, 3009
4123.512, 4123.52, 4123.54, 4123.56, 4123.57, 4123.58, 4123.61, 3010
4123.65, 4123.88, 5703.21, and 5747.18 of the Revised Code are 3011
hereby repealed.3012

       Section 3. This act applies to all claims pursuant to 3013
Chapters 4121., 4123., 4127., and 4131. of the Revised Code 3014
arising on and after the effective date of this act, except that 3015
division (H) of section 4123.512 as amended by this act also 3016
applies to claims that are pending on the effective date of this 3017
act.3018

       Section 4.  Section 4123.54 of the Revised Code is presented 3019
in this act as a composite of the section as amended by both Am. 3020
Sub. H.B. 163 and Sub. H.B. 223 of the 125th General Assembly. The 3021
General Assembly, applying the principle stated in division (B) of 3022
section 1.52 of the Revised Code that amendments are to be 3023
harmonized if reasonably capable of simultaneous operation, finds 3024
that the composite is the resulting version of the section in 3025
effect prior to the effective date of the section as presented in 3026
this act.3027