Cosponsors:
Senators Seitz, Spada, Coughlin, Mumper, Schaffer, Amstutz, Stivers, Buehrer, Grendell, Harris, Niehaus, Schuring, Wilson, Fedor, Padgett, Sawyer, Cates, Austria
Representatives Yuko, Uecker, Combs, Slesnick, Stewart, D., Adams, Collier, Hughes, Batchelder, Boyd, Brinkman, Brown, Budish, Chandler, Coley, DeBose, Dolan, Domenick, Evans, Fende, Flowers, Gardner, Gerberry, Gibbs, Goyal, Hagan, J., Harwood, Hottinger, Jones, Letson, Mallory, McGregor, J., Mecklenborg, Raussen, Sayre, Schindel, Sears, Setzer, Wachtmann, Wagner, Zehringer
(a) Every person in the service of the state, or of any | 26 |
county, municipal corporation, township, or school district | 27 |
therein, including regular members of lawfully constituted police | 28 |
and fire departments of municipal corporations and townships, | 29 |
whether paid or volunteer, and wherever serving within the state | 30 |
or on temporary assignment outside thereof, and executive officers | 31 |
of boards of education, under any appointment or contract of hire, | 32 |
express or implied, oral or written, including any elected | 33 |
official of the state, or of any county, municipal corporation, or | 34 |
township, or members of boards of education. | 35 |
(b) Every person in the service of any person, firm, or | 56 |
private corporation, including any public service corporation, | 57 |
that (i) employs one or more persons regularly in the same | 58 |
business or in or about the same establishment under any contract | 59 |
of hire, express or implied, oral or written, including aliens and | 60 |
minors, household workers who earn one hundred sixty dollars or | 61 |
more in cash in any calendar quarter from a single household and | 62 |
casual workers who earn one hundred sixty dollars or more in cash | 63 |
in any calendar quarter from a single employer, or (ii) is bound | 64 |
by any such contract of hire or by any other written contract, to | 65 |
pay into the state insurance fund the premiums provided by this | 66 |
chapter. | 67 |
Every person in the service of any independent contractor or | 114 |
subcontractor who has failed to pay into the state insurance fund | 115 |
the amount of premium determined and fixed by the administrator of | 116 |
workers' compensation for the person's employment or occupation or | 117 |
if a self-insuring employer has failed to pay compensation and | 118 |
benefits directly to the employer's injured and to the dependents | 119 |
of the employer's killed employees as required by section 4123.35 | 120 |
of the Revised Code, shall be considered as the employee of the | 121 |
person who has entered into a contract, whether written or verbal, | 122 |
with such independent contractor unless such employees or their | 123 |
legal representatives or beneficiaries elect, after injury or | 124 |
death, to regard such independent contractor as the employer. | 125 |
Any employer may elect to include as an "employee" within | 145 |
this chapter, any person excluded from the definition of | 146 |
"employee" pursuant to division (A)(2) of this section. If an | 147 |
employer is a partnership, sole proprietorship, individual | 148 |
incorporated as a corporation, or family farm
corporation, such | 149 |
employer may elect to include as an "employee"
within this | 150 |
chapter, any member of such partnership, the owner of
the sole | 151 |
proprietorship, the individual incorporated as a corporation, or | 152 |
the officers of the family farm
corporation. In the event of an | 153 |
election, the employer shall
serve upon the bureau of workers' | 154 |
compensation written notice
naming the persons to be covered, | 155 |
include such employee's
remuneration for premium purposes in all | 156 |
future payroll reports,
and no person excluded from the definition | 157 |
of "employee" pursuant
to division (A)(2) of this section, | 158 |
proprietor, individual incorporated as a corporation, or partner | 159 |
shall
be deemed an employee within this division until the | 160 |
employer has
served such notice. | 161 |
For informational purposes only, the bureau shall prescribe | 162 |
such language as it considers appropriate, on such of its forms as | 163 |
it considers appropriate, to advise employers of their right to | 164 |
elect to include as an "employee" within this chapter a sole | 165 |
proprietor, any member of a partnership, an individual | 166 |
incorporated as a corporation, the officers of a family
farm | 167 |
corporation, or a person excluded from the definition of | 168 |
"employee" under division (A)(2) of this section, that they
should | 169 |
check any health and disability insurance policy, or other
form of | 170 |
health and disability plan or contract, presently covering
them, | 171 |
or the purchase of which they may be considering, to
determine | 172 |
whether such policy, plan, or contract excludes benefits
for | 173 |
illness or injury that they might have elected to have covered
by | 174 |
workers' compensation. | 175 |
(2) Every person, firm, professional employer organization as | 181 |
defined in section 4125.01 of the Revised Code, and private | 182 |
corporation, including
any public service corporation, that (a) | 183 |
has in service one or
more employees or shared employees regularly | 184 |
in the same business or in or about the
same establishment under | 185 |
any contract of hire, express or implied,
oral or written, or (b) | 186 |
is bound by any such contract of hire or
by any other written | 187 |
contract, to pay into the insurance fund the
premiums provided by | 188 |
this chapter. | 189 |
All such employers are subject to this chapter. Any member
of | 190 |
a firm or association, who regularly performs manual labor in
or | 191 |
about a mine, factory, or other establishment, including a | 192 |
household establishment, shall be considered an employee in | 193 |
determining whether such person, firm, or private corporation, or | 194 |
public service corporation, has in its service, one or more | 195 |
employees and the employer shall report the income derived from | 196 |
such labor to the bureau as part of the payroll of such employer, | 197 |
and such member shall thereupon be entitled to all the benefits of | 198 |
an employee. | 199 |
(E) "Family farm corporation" means a corporation founded
for | 228 |
the purpose of farming agricultural land in which the majority
of | 229 |
the voting stock is held by and the majority of the
stockholders | 230 |
are persons or the spouse of persons related to each
other within | 231 |
the fourth degree of kinship, according to the rules
of the civil | 232 |
law, and at least one of the related persons is
residing on or | 233 |
actively operating the farm, and none of whose
stockholders are a | 234 |
corporation. A family farm corporation does
not cease to qualify | 235 |
under this division where, by reason of any
devise, bequest, or | 236 |
the operation of the laws of descent or
distribution, the | 237 |
ownership of shares of voting stock is
transferred to another | 238 |
person, as long as that person is within
the degree of kinship | 239 |
stipulated in this division. | 240 |
(I) "Sexual conduct" means vaginal intercourse between a male | 258 |
and female; anal intercourse, fellatio, and cunnilingus between | 259 |
persons regardless of gender; and, without privilege to do so, the | 260 |
insertion, however slight, of any part of the body or any | 261 |
instrument, apparatus, or other object into the vaginal or anal | 262 |
cavity of another. Penetration, however slight, is sufficient to | 263 |
complete vaginal or anal intercourse. | 264 |
The information shall be furnished on a blank to be
prepared | 305 |
by the bureau. The bureau shall furnish the blanks to
employers | 306 |
free of charge upon request therefor. Every employer
receiving | 307 |
from the bureau any blank, with directions to fill out
the same, | 308 |
shall cause the same to be properly filled out so as to
answer | 309 |
fully and correctly all questions therein propounded, and
give all | 310 |
the information therein sought, or if unable to do so,
hethe | 311 |
employer shall give to the bureau in writing good and
sufficient | 312 |
reasons for such failure. The bureau may require that the | 313 |
information required to be furnished be verified under oath and | 314 |
returned to the bureau within the period fixed by it or by law. | 315 |
The bureau or any person employed by the bureau for that purpose, | 316 |
may examine, under oath, any employer, or the officer, agent, or | 317 |
employee thereof, for the purpose of ascertaining any information | 318 |
which the employer is required to furnish to the bureau. | 319 |
(2)(a) Fix the rates of premium of the risks of the classes | 336 |
based upon the total payroll in each of the classes of occupation | 337 |
or industry sufficiently large to provide a fund for the | 338 |
compensation provided for in this chapter and to maintain a state | 339 |
insurance fund from year to year. The administrator shall set
the | 340 |
rates at a level that assures the solvency of the fund.
Where the | 341 |
payroll cannot be obtained or, in the opinion of the | 342 |
administrator, is not an adequate measure for determining the | 343 |
premium to be paid for the degree of hazard, the administrator | 344 |
may determine the rates of premium upon such other basis, | 345 |
consistent with insurance principles, as is equitable in view of | 346 |
the degree of hazard, and whenever in this chapter reference is | 347 |
made to payroll or expenditure of wages with reference to fixing | 348 |
premiums, the reference shall be construed to have been made also | 349 |
to such other basis for fixing the rates of premium as the | 350 |
administrator may determine under this section. | 351 |
(b) If an employer elects to obtain other-states' coverage | 352 |
pursuant to section 4123.292 of the Revised Code
through either | 353 |
the administrator, if the administrator elects to
offer such | 354 |
coverage, or an other-states' insurer, calculate the employer's | 355 |
premium for the state insurance fund in the same manner as | 356 |
otherwise required under division (A) of this section and section | 357 |
4123.34 of the Revised Code, except that when the administrator | 358 |
determines the expenditure of wages, payroll, or both upon which | 359 |
to base the employer's premium, the administrator shall use only | 360 |
the expenditure of wages, payroll, or both attributable to the | 361 |
labor performed and services provided by that employer's employees | 362 |
when those employees performed labor and provided services in this | 363 |
state only and to which the other-states' coverage does not | 364 |
apply. | 365 |
(e) In providing employer group plans under division (A)(4) | 419 |
of this section, the administrator shall establish a program | 420 |
designed to mitigate the impact of a significant claim that would | 421 |
come into the experience of a private, state fund group-rated | 422 |
employer for the first time and be a contributing factor in that | 423 |
employer being excluded from a group-rated plan. The administrator | 424 |
shall establish eligibility criteria and requirements that such | 425 |
employers must satisfy in order to participate in this program. | 426 |
For purposes of this program, the administrator shall establish a | 427 |
discount on premium rates applicable to employers who qualify for | 428 |
the program. | 429 |
(6) Make available to every employer who is paying
premiums | 444 |
to the state insurance fund a program whereby the
employer or the | 445 |
employer's agent pays to the claimant or on
behalf of the
claimant | 446 |
the first fifteen thousand dollars of a compensable workers' | 447 |
compensation medical-only claim filed by that claimant that is | 448 |
related to the same injury or occupational disease. No formal | 449 |
application is required; however, an employer must elect to | 450 |
participate by telephoning the bureau after July 1, 1995. Once an | 451 |
employer has elected to participate in the program, the employer | 452 |
will be responsible for all bills in all medical-only claims with | 453 |
a date of injury the same or later than the election date, unless | 454 |
the employer notifies the bureau within fourteen days of receipt | 455 |
of the notification of a claim being filed that it does not wish | 456 |
to pay the bills in that claim, or the employer notifies the | 457 |
bureau that the fifteen thousand dollar maximum has been paid, or | 458 |
the employer notifies the bureau of the last day of service on | 459 |
which it will be responsible for the bills in a particular | 460 |
medical-only claim. If an
employer elects to enter the program, | 461 |
the administrator shall not
reimburse the employer for such | 462 |
amounts paid and shall not charge
the first fifteen thousand | 463 |
dollars of any medical-only claim paid by
an employer to the | 464 |
employer's experience or otherwise use it in
merit rating or | 465 |
determining the risks of any employer for the
purpose of payment | 466 |
of premiums under this chapter. If an employer elects to enter the | 467 |
program and the employer fails to pay a bill for a medical-only | 468 |
claim included in the program, the employer shall be liable for | 469 |
that bill and the employee for whom the employer failed to pay the | 470 |
bill shall not be liable for that bill. The
administrator shall | 471 |
adopt rules to implement and administer
division (A)(6) of this | 472 |
section. Upon written request from the bureau, the employer shall | 473 |
provide documentation to the bureau of all medical-only bills that | 474 |
they are paying directly. Such requests from the bureau may not be | 475 |
made more frequently than on a semiannual basis. Failure to | 476 |
provide such documentation to the bureau within thirty days of | 477 |
receipt of the request may result in the employer's forfeiture of | 478 |
participation in the program for such injury. The provisions of | 479 |
this section shall not apply to claims in which an employer with | 480 |
knowledge of a claimed compensable injury or occupational disease, | 481 |
has paid wages in lieu of compensation or total disability. | 482 |
Sec. 4123.292. (A) Notwithstanding sections 4123.35 and | 493 |
4123.82 of the Revised Code, an employer may elect to obtain | 494 |
other-states' coverage through an other-states' insurer or, if the | 495 |
administrator of workers' compensation elects to offer such | 496 |
coverage, through the administrator pursuant to
division (B) of | 497 |
this section. An employer who elects to obtain other-states' | 498 |
coverage shall submit a written notice to the
administrator | 499 |
stating that election and, if the employer elects to
obtain that | 500 |
coverage through an other-states' insurer, the name
of the | 501 |
other-states' insurer through whom the employer has
obtained that | 502 |
coverage. If an employer fails
to pay the
employer's premium for | 503 |
other-states' coverage, the
administrator shall consider the | 504 |
employer to be noncompliant for
the purposes of having | 505 |
other-states' coverage but shall not
consider the employer to be | 506 |
a noncomplying employer for purposes
of this chapter or Chapter | 507 |
4121., 4127., or 4131. of the Revised
Code unless the employer | 508 |
otherwise fails to comply with section
4123.35 of the Revised | 509 |
Code. | 510 |
(B) The administrator may secure other-states' coverage
to | 511 |
allow an employer who wishes to obtain other-states' coverage | 512 |
pursuant to this section and who elects to
obtain that coverage | 513 |
through the
administrator for workers'
compensation claims | 514 |
arising in a state
or states other than this
state. If the | 515 |
administrator elects to secure other-states' coverage, the | 516 |
administrator shall follow
the competitive bidding
requirements | 517 |
specified in Chapter 125. of
the Revised Code to
select one | 518 |
other-states' insurer, and the administrator, with the
advice and | 519 |
consent of the bureau of workers' compensation board of | 520 |
directors, shall award the contract to provide other-states' | 521 |
coverage for employers located in this state to the
other-states' | 522 |
insurer that is the lowest and best bidder. | 523 |
(C) If the administrator elects to secure other-states' | 524 |
coverage pursuant to division (B) of this section, the | 525 |
administrator shall calculate an employer's premium
for | 526 |
other-states' coverage provided through the administrator | 527 |
separately from calculating any other
premiums or assessments | 528 |
charged under this chapter or Chapter
4121., 4127., or 4131. of | 529 |
the Revised Code. The administrator shall calculate the employer's | 530 |
other-states' coverage premium in the same manner the | 531 |
administrator calculates an employer's premium for the state | 532 |
insurance fund pursuant to division (A) of section 4123.29 and | 533 |
section 4123.34 of the Revised Code, except that, when calculating | 534 |
the employer's premium for other-states' coverage under this | 535 |
division, the administrator shall do all of the following: | 536 |
Sec. 4123.34. It shall be the duty of the bureau of | 580 |
workers'
compensation board of directors and the administrator of | 581 |
workers'
compensation to safeguard and maintain the solvency of | 582 |
the state
insurance fund and all other funds specified in this | 583 |
chapter and
Chapters 4121., 4127., and 4131. of the Revised Code. | 584 |
The
administrator,
in the exercise of the powers and discretion | 585 |
conferred upon the
administrator in section 4123.29 of the Revised | 586 |
Code, shall fix and
maintain, with the advice and consent of the | 587 |
board, for each class of occupation or industry, the lowest | 588 |
possible
rates of premium consistent with the maintenance of a | 589 |
solvent state
insurance fund and the creation and maintenance of a | 590 |
reasonable
surplus, after the payment of legitimate claims for | 591 |
injury,
occupational disease, and death that the administrator | 592 |
authorizes to be paid from the state insurance fund for the | 593 |
benefit of
injured, diseased, and the dependents of killed | 594 |
employees. In
establishing rates, the administrator shall take | 595 |
into account the
necessity of ensuring sufficient money is set | 596 |
aside in the
premium payment security fund to cover any defaults | 597 |
in premium
obligations. The administrator shall observe all of the | 598 |
following requirements in fixing the rates of premium for the | 599 |
risks of occupations or industries: | 600 |
(B) Ten per cent of the money paid into the state
insurance | 609 |
fund shall be set aside for the creation of a surplus
until the | 610 |
surplus amounts to the sum of one hundred thousand
dollars, after | 611 |
which time, whenever necessary in the judgment of
the | 612 |
administrator to guarantee a solvent state insurance fund, a
sum | 613 |
not exceeding five per cent of all the money paid into the
state | 614 |
insurance fund shall be credited to the surplus fund. In addition | 615 |
to all statutory authority under this chapter and Chapter 4121. of | 616 |
the Revised Code, the administrator has discretionary and | 617 |
contingency authority to make charges to surplus. The | 618 |
administrator shall account for all charges, whether statutory, | 619 |
discretionary, or contingency, that the administrator may make to | 620 |
surplus. A
revision
of basic
rates shall be made annually on the | 621 |
first day
of July. | 622 |
Notwithstanding any provision of the law to the contrary,
one | 623 |
hundred eighty days after the effective date on which | 624 |
self-insuring employers first may elect under division (D) of | 625 |
section 4121.66 of the Revised Code to directly pay for | 626 |
rehabilitation expenses, the administrator shall calculate the | 627 |
deficit, if any, in the portion of surplus fund that is used for | 628 |
reimbursement to self-insuring employers for all expenses other | 629 |
than handicapped reimbursement under section 4123.343 of the | 630 |
Revised Code. The administrator, from time to time, may
determine | 631 |
whether the
surplus fund has such a deficit and may assess all | 632 |
self-insuring
employers who participated in the portion of the | 633 |
surplus fund
during the accrual of the deficit and who during that | 634 |
time period
have not made the election under division (D) of | 635 |
section 4121.66
of the Revised Code the amount the administrator | 636 |
determines
necessary to reduce the deficit. | 637 |
Revisions of basic rates shall be in accordance with the | 638 |
oldest four of the last five calendar years of the combined | 639 |
accident and occupational disease experience of the administrator | 640 |
in the administration of this chapter, as shown by the accounts | 641 |
kept as provided in this section, excluding the experience of | 642 |
employers that are no longer active if the administrator | 643 |
determines that the
inclusion of those employers would have a | 644 |
significant negative impact on the
remainder of the employers in a | 645 |
particular manual classification; and the
administrator shall | 646 |
adopt rules, with the advice and
consent of the board, governing | 647 |
rate
revisions, the object of which shall be to make an equitable | 648 |
distribution of losses among the several classes of occupation or | 649 |
industry, which rules shall be general in their application. | 650 |
The fund shall be in the custody of the treasurer of state. | 664 |
All investment earnings of the fund shall be deposited in the | 665 |
fund. Disbursements from the fund shall be made by the bureau of | 666 |
workers' compensation upon order of the administrator to the
state | 667 |
insurance fund. The use of the moneys held by the premium
payment | 668 |
security fund is restricted to reimbursement to the state | 669 |
insurance fund of premiums due and uncollected in excess of an | 670 |
employer's premium security deposit. The moneys constituting the | 671 |
premium payment security fund shall be maintained without regard | 672 |
to or reliance upon any other fund. This section does not
prevent | 673 |
the deposit or investment of the premium payment security
fund | 674 |
with any other fund created by this chapter, but the premium | 675 |
payment security fund is separate and distinct for every other | 676 |
purpose and a strict accounting thereof shall be maintained. | 677 |
Sec. 4123.51. The administrator of workers' compensation | 703 |
shall by published
notices and other appropriate means endeavor to | 704 |
cause claims to be filed in
the service office of the bureau of | 705 |
workers' compensation from which the
investigation and | 706 |
determination of the claim may be made most expeditiously.
A | 707 |
claim or appeal under this chapter or Chapter 4121., 4127., or | 708 |
4131. of the
Revised Code may be filed with any office of the | 709 |
bureau of workers'
compensation or the industrial commission, | 710 |
within the required statutory
period, and is considered received | 711 |
for the purpose of processing the claims or
appeals. | 712 |
"By signing this form, I elect to only receive
compensation, | 720 |
benefits, or both that are provided for in this claim under Ohio's | 721 |
workers' compensation laws.
I understand and I hereby waive and | 722 |
release my right to receive
compensation and benefits under the | 723 |
workers' compensation laws of
another state for the injury or | 724 |
occupational disease, or the death
resulting from an injury or | 725 |
occupational disease, for which I am
filing this claim. I have | 726 |
not received compensation and benefits
under the workers' | 727 |
compensation laws of another state for this
claim, and I will not | 728 |
file and have not filed a claim in another state for the injury | 729 |
or occupational disease or death resulting from an injury or | 730 |
occupational disease for which I am filing this claim." | 731 |
(2) Caused by the employee being intoxicated or under the | 739 |
influence of a controlled substance not prescribed by a physician | 740 |
where the intoxication or being under the influence of the | 741 |
controlled substance not prescribed by a physician was the | 742 |
proximate cause of the injury, is entitled to receive, either | 743 |
directly from the employee's self-insuring employer as
provided in | 744 |
section
4123.35 of the Revised Code, or from the state insurance | 745 |
fund,
the compensation for loss sustained on account of the | 746 |
injury,
occupational disease, or death, and the medical, nurse, | 747 |
and
hospital services and medicines, and the amount of funeral | 748 |
expenses in case of death, as are provided by this chapter. | 749 |
(B) For the purpose of this section, provided that an
| 750 |
employer has posted written notice to employees that the results | 751 |
of, or
the employee's refusal
to submit to, any chemical test | 752 |
described
under this division may affect the
employee's | 753 |
eligibility for
compensation and benefits pursuant to this chapter | 754 |
and Chapter
4121. of the Revised Code,
there is a rebuttable | 755 |
presumption that
an employee is intoxicated
or under the influence | 756 |
of a controlled
substance not prescribed by the employee's | 757 |
physician and that being intoxicated
or under the influence of a | 758 |
controlled substance not prescribed by
the employee's physician is | 759 |
the
proximate cause of an injury under either of the following | 760 |
conditions: | 761 |
(H)(1) Whenever, with respect to an employee of an employer | 879 |
who
is
subject to and has complied with this chapter, there is | 880 |
possibility of conflict with respect to the application of | 881 |
workers' compensation laws because the contract of employment is | 882 |
entered into and all or some portion of the work is or is to be | 883 |
performed in a state or states other than Ohio, the employer and | 884 |
the employee may agree to be bound by the laws of this state or
by | 885 |
the laws of some other state in which all or some portion of
the | 886 |
work of the employee is to be performed. The agreement shall
be
in | 887 |
writing and shall be filed with the bureau of workers' | 888 |
compensation within ten days after it is executed and shall
remain | 889 |
in force until terminated or modified by agreement of the
parties | 890 |
similarly filed. If the agreement is to be bound by the
laws of | 891 |
this state and the employer has complied with this
chapter, then | 892 |
the employee is entitled to compensation and
benefits regardless | 893 |
of where the injury occurs or the disease is
contracted and the | 894 |
rights of the employee and the employee's
dependents
under the | 895 |
laws of this state are the exclusive remedy against the
employer | 896 |
on account of injury, disease, or death in the course of
and | 897 |
arising out of the employee's employment. If the
agreement is to | 898 |
be
bound by the laws of another state and the employer has | 899 |
complied
with the laws of that state, the rights of the employee | 900 |
and the
employee's
dependents under the laws of that state are the | 901 |
exclusive remedy
against the employer on account of injury, | 902 |
disease, or death in
the course of and arising out of the | 903 |
employee's employment
without regard
to
the place where the injury | 904 |
was sustained or the disease
contracted. If an employer and an | 905 |
employee enter into an agreement under this division, the fact | 906 |
that the employer and the employee entered into that agreement | 907 |
shall not be construed to change the status of an employee whose | 908 |
continued employment is subject to the will of the employer or the | 909 |
employee, unless the agreement contains a provision that expressly | 910 |
changes that status. | 911 |
(2) If any employee or the employee's dependents are awarded | 912 |
pursue
workers'
compensation benefits or recover damages from the | 913 |
employer under
the laws of another state, the amount awarded or | 914 |
recovered,
whether paid or to be paid in future installments, | 915 |
shall be
credited on the amount of any award of
compensation or | 916 |
benefits
made to the employee or the employee's
dependents by the | 917 |
bureau. If an employee or the employee's dependents pursue or | 918 |
receive an award of compensation or benefits under this chapter or | 919 |
Chapter 4121.,
4127., or 4131. of the
Revised Code for the same | 920 |
injury,
occupational disease, or death
for which the employee or | 921 |
the
employee's dependents pursued
workers' compensation benefits | 922 |
and received a decision on the merits as defined in section | 923 |
4123.542 of the Revised Code under the laws of another state or | 924 |
recovered damages under the laws
of another state, the | 925 |
administrator or any employer,
by
any lawful means, may collect | 926 |
the amount of compensation or
benefits paid to or on behalf of | 927 |
the employee or the employee's
dependents by the administrator or | 928 |
a self-insuring employer pursuant
to this chapter or Chapter | 929 |
4121., 4127., or 4131. of the Revised
Code for that award. The | 930 |
administrator or any employer
also may collect from the employee | 931 |
or the
employee's dependents
any costs and attorney's fees the | 932 |
administrator or the employer incurs in collecting
that payment | 933 |
and any
attorney's fees, penalties, interest, awards, and costs | 934 |
incurred by an employer in contesting or
responding to any claim | 935 |
filed by the employee or the employee's dependents for the same | 936 |
injury, occupational disease, or death that was filed
after the | 937 |
original claim for which the employee or the employee's dependents | 938 |
received a decision on the merits as described in section 4123.542 | 939 |
of the Revised
Code. If the
employee's employer pays
premiums | 940 |
into
the
state insurance
fund, the administrator shall
not | 941 |
charge the
amount of
compensation or benefits the
administrator | 942 |
collects
pursuant to
this division to the
employer's | 943 |
experience.
If the administrator
collects any costs, penalties, | 944 |
interest, awards, or
attorney's fees
incurred by a state fund | 945 |
employer, the
administrator shall forward
the amount of such | 946 |
costs, penalties, interest, awards, and attorney's fees the | 947 |
administrator collects to
that employer. If
the
employee's | 948 |
employer is a
self-insuring
employer, the
self-insuring | 949 |
employer shall deduct
the amount of
compensation
or
benefits | 950 |
the self-insuring employer collects
pursuant to
this
division | 951 |
from the paid compensation the
self-insuring
employer
reports | 952 |
to
the administrator under
division (L) of
section 4123.35
of | 953 |
the
Revised Code. | 954 |
If(3) Except as otherwise stipulated in division (H)(4) of | 955 |
this section, if an employee is a resident of a state other than | 956 |
this
state
and is insured under the workers' compensation law or | 957 |
similar laws
of a state other than this state, the employee and | 958 |
the employee's
dependents are not entitled to receive
compensation | 959 |
or
benefits
under this chapter, on account of injury, disease, or | 960 |
death
arising out of or in the course of employment while | 961 |
temporarily
within this state, and the rights of the employee and | 962 |
the
employee's dependents under the laws of the other state
are | 963 |
the
exclusive remedy against the employer on account of the | 964 |
injury,
disease, or death. | 965 |
(a) The laws of the other state limit the ability of an | 969 |
employee who is a resident of this state and is covered by this | 970 |
chapter and Chapter 4123. of the Revised Code, or the employee's | 971 |
dependents, to receive compensation or benefits under the other | 972 |
state's workers' compensation law on account of injury, disease, | 973 |
or death incurred by the employee that arises out of or in the | 974 |
course of the employee's employment while temporarily within that | 975 |
state in the same manner as specified in division (H)(3) of this | 976 |
section for an employee who is a resident of a state other than | 977 |
this state, or the employee's dependents; | 978 |
(5) An employee, or the dependent of an employee, who elects | 985 |
to receive compensation and benefits under this chapter or Chapter | 986 |
4121., 4127., or 4131. of the Revised Code for a claim may not | 987 |
receive compensation and benefits under the workers' compensation | 988 |
laws of any state other than this state for that same claim. For | 989 |
each claim submitted by or on behalf of an employee, the | 990 |
administrator or, if the employee is employed by a self-insuring | 991 |
employer, the self-insuring employer shall request the employee or | 992 |
the employee's dependent to sign an election that affirms the | 993 |
employee's or employee's dependent's acceptance of electing to | 994 |
receive compensation and benefits under this chapter or Chapter | 995 |
4121., 4127., or 4131. of the Revised Code for that claim that | 996 |
also affirmatively waives and releases the employee's or the | 997 |
employee's dependent's right to
file for and receive compensation | 998 |
and benefits under the laws of
any state other than this state | 999 |
for that claim. The employee or
employee's dependent shall sign | 1000 |
the election form within
twenty-eight days after the | 1001 |
administrator or self-insuring
employer submits the request or | 1002 |
the administrator or self-insuring
employer shall suspend that | 1003 |
claim until the administrator or
self-insuring employer receives | 1004 |
the signed election form. | 1005 |
Sec. 4123.542. An employee or the dependents of an employee | 1012 |
who receive a decision on the merits of a claim for compensation | 1013 |
or benefits under this chapter or Chapter 4121., 4127., or 4131. | 1014 |
of the Revised Code shall not file a claim for the same injury, | 1015 |
occupational disease, or death in another
state under the | 1016 |
workers' compensation laws of that state. An
employee or the | 1017 |
employee's dependents who receive a decision on
the merits of a | 1018 |
claim for compensation or benefits under the
workers' | 1019 |
compensation laws of another state shall not file a claim for | 1020 |
compensation and benefits under this chapter or
Chapter 4121., | 1021 |
4127., or 4131. of the Revised Code for the same injury, | 1022 |
occupational disease, or death. | 1023 |
Sec. 4123.82. (A) All contracts and agreements are void | 1027 |
which undertake to indemnify or insure an employer against loss
or | 1028 |
liability for the payment of compensation to workers or their | 1029 |
dependents for death, injury, or occupational disease occasioned | 1030 |
in the course of the workers' employment, or which provide that | 1031 |
the insurer shall pay the compensation, or which indemnify the | 1032 |
employer against damages when the injury, disease, or death
arises | 1033 |
from the failure to comply with any lawful requirement for
the | 1034 |
protection of the lives, health, and safety of employees, or
when | 1035 |
the same is occasioned by the willful act of the employer or
any | 1036 |
of the employer's officers or agents, or by which it is
agreed | 1037 |
that the
insurer shall pay any such damages. No license or | 1038 |
authority to
enter into any such agreements or issue any such | 1039 |
policies of
insurance shall be granted or issued by any public | 1040 |
authority in
this state. Any corporation organized or admitted | 1041 |
under the laws
of this state to transact liability insurance as | 1042 |
defined in
section 3929.01 of the Revised Code may by amendment of | 1043 |
its
articles of incorporation or by original articles of | 1044 |
incorporation, provide therein for the authority and purpose to | 1045 |
make insurance in states, territories, districts, and counties, | 1046 |
other than the state of Ohio, and in the state of Ohio in respect | 1047 |
of contracts permitted by division (B) of this section, | 1048 |
indemnifying employers against loss or liability for payment of | 1049 |
compensation to workers and employees and their dependents for | 1050 |
death, injury, or occupational disease occasioned in the course
of | 1051 |
the employment and to insure and indemnify employers against
loss, | 1052 |
expense, and liability by risk of bodily injury or death by | 1053 |
accident, disability, sickness, or disease suffered by workers
and | 1054 |
employees for which the employer may be liable or has assumed | 1055 |
liability. | 1056 |
(1) No contract because of that division is void which | 1058 |
undertakes to indemnify a self-insuring employer against all or | 1059 |
part of such employer's loss in excess of at least fifty thousand | 1060 |
dollars from any one disaster or event arising out of the | 1061 |
employer's liability under this chapter, but no insurance | 1062 |
corporation shall, directly or indirectly, represent an employer | 1063 |
in the settlement, adjudication, determination, allowance, or | 1064 |
payment of claims. The superintendent of insurance shall enforce | 1065 |
this prohibition by such disciplinary orders directed against the | 1066 |
offending insurance corporation as the superintendent of
insurance | 1067 |
deems appropriate in the circumstances and the
administrator of | 1068 |
workers' compensation shall enforce this
prohibition by such | 1069 |
disciplinary orders directed against the
offending employer as the | 1070 |
administrator deems appropriate in the
circumstances, which orders | 1071 |
may include revocation of the
insurance corporation's right to | 1072 |
enter into indemnity contracts
and revocation of the employer's | 1073 |
status as a self-insuring
employer. | 1074 |
(2) The administrator may enter into a contract of
indemnity | 1075 |
with any such employer upon such terms, payment of such
premium, | 1076 |
and for such amount and form of indemnity as the
administrator | 1077 |
determines and the bureau of workers' compensation board of | 1078 |
directors may procure
reinsurance of the liability of the public | 1079 |
and private funds
under this chapter, or any part of the liability | 1080 |
in respect of
either or both of the funds, upon such terms and | 1081 |
premiums or
other payments from the fund or funds as the | 1082 |
administrator deems
prudent in the maintenance of a solvent fund | 1083 |
or funds from year
to year. When making the finding of fact which | 1084 |
the administrator
is required by section 4123.35 of the Revised | 1085 |
Code to make with
respect to the financial ability of an employer, | 1086 |
no contract of
indemnity, or the ability of the employer to | 1087 |
procure such a
contract, shall be considered as increasing the | 1088 |
financial ability
of the employer. | 1089 |
Sec. 4123.88. (A) No person shall orally or in writing, | 1094 |
directly or indirectly, or through any agent or other person | 1095 |
fraudulently hold the person's self out or represent the person's | 1096 |
self or any of the person's partners or associates as authorized | 1097 |
by a
claimant or employer to
take charge of, or represent the | 1098 |
claimant or employer in respect
of, any claim or matter in | 1099 |
connection therewith before the bureau
of workers' compensation or | 1100 |
the industrial commission or its
district or staff hearing | 1101 |
officers. No person shall directly or indirectly
solicit | 1102 |
authority, or pay or give anything of value to another person to | 1103 |
solicit authority, or accept or receive pay or anything of value | 1104 |
from another person for soliciting authority, from a claimant or | 1105 |
employer to take charge of, or represent the claimant or employer | 1106 |
in respect of, any claim or appeal which is or may be filed with | 1107 |
the bureau or commission. No person shall, without prior
authority | 1108 |
from the bureau, a member of the commission, the
claimant, or the | 1109 |
employer, examine or directly or indirectly
cause or employ | 1110 |
another person to examine any claim file or any
other file | 1111 |
pertaining thereto. No person shall forge an
authorization for the | 1112 |
purpose of examining or cause another
person to examine any such | 1113 |
file. No district or staff hearing
officer or other employee of | 1114 |
the bureau or commission,
notwithstanding the provisions of | 1115 |
section 4123.27 of the Revised
Code, shall divulge any information | 1116 |
in respect of any claim or
appeal which is or may be filed with a | 1117 |
district or staff hearing
officer, the bureau, or commission to | 1118 |
any person other than
members of the commission or to the superior | 1119 |
of the employee
except upon authorization of the administrator of | 1120 |
workers'
compensation or a member of the commission or upon | 1121 |
authorization
of the claimant or employer. | 1122 |
(C) Except as otherwise specified in division (D) of this | 1131 |
section, information kept by the commission or the bureau pursuant | 1132 |
to this section is for the exclusive use and information of the | 1133 |
commission and the bureau in the discharge of their official | 1134 |
duties, and shall not be open to the public nor be used in any | 1135 |
court in any action or proceeding pending therein, unless the | 1136 |
commission or the bureau is a party to the action or proceeding. | 1137 |
The information, however, may be tabulated and published by the | 1138 |
commission or the bureau in statistical form for the use and | 1139 |
information of other state agencies and the public. | 1140 |
Section 5. Notwithstanding division (A) of section 4121.78 of | 1181 |
the Revised Code, any legislation proposing to make changes to | 1182 |
Chapters 4121., 4123., 4125., 4127., and 4131. of the Revised Code | 1183 |
that is enacted by the General Assembly on or before June 30, | 1184 |
2008, shall not be subject to the requirement of the Workers' | 1185 |
Compensation Council to study all changes to those chapters and to | 1186 |
report to the General Assembly on their probable costs, actuarial | 1187 |
implications, and desirability as a matter of public policy. | 1188 |