(a) Every person in the service of the state, or of any | 24 |
county, municipal corporation, township, or school district | 25 |
therein, including regular members of lawfully constituted police | 26 |
and fire departments of municipal corporations and townships, | 27 |
whether paid or volunteer, and wherever serving within the state | 28 |
or on temporary assignment outside thereof, and executive officers | 29 |
of boards of education, under any appointment or contract of hire, | 30 |
express or implied, oral or written, including any elected | 31 |
official of the state, or of any county, municipal corporation, or | 32 |
township, or members of boards of education. | 33 |
As used in division (A)(1)(a) of this section, the term | 34 |
"employee" includes the following persons when
responding to an | 35 |
inherently dangerous situation
that calls for an
immediate | 36 |
response on the part of the person,
regardless of
whether the | 37 |
person is within the limits of the
jurisdiction of the
person's | 38 |
regular employment or voluntary
service when responding,
on the | 39 |
condition that the person responds
to the situation as the
person | 40 |
otherwise would if the person were
on duty in the person's | 41 |
jurisdiction: | 42 |
(b) Every person in the service of any person, firm, or | 54 |
private corporation, including any public service corporation, | 55 |
that (i) employs one or more persons regularly in the same | 56 |
business or in or about the same establishment under any contract | 57 |
of hire, express or implied, oral or written, including aliens and | 58 |
minors, household workers who earn one hundred sixty dollars or | 59 |
more in cash in any calendar quarter from a single household and | 60 |
casual workers who earn one hundred sixty dollars or more in cash | 61 |
in any calendar quarter from a single employer, or (ii) is bound | 62 |
by any such contract of hire or by any other written contract, to | 63 |
pay into the state insurance fund the premiums provided by this | 64 |
chapter. | 65 |
Every person in the service of any independent contractor or | 112 |
subcontractor who has failed to pay into the state insurance fund | 113 |
the amount of premium determined and fixed by the administrator of | 114 |
workers' compensation for the person's employment or occupation or | 115 |
if a self-insuring employer has failed to pay compensation and | 116 |
benefits directly to the employer's injured and to the dependents | 117 |
of the employer's killed employees as required by section 4123.35 | 118 |
of the Revised Code, shall be considered as the employee of the | 119 |
person who has entered into a contract, whether written or verbal, | 120 |
with such independent contractor unless such employees or their | 121 |
legal representatives or beneficiaries elect, after injury or | 122 |
death, to regard such independent contractor as the employer. | 123 |
Any employer may elect to include as an "employee" within | 143 |
this chapter, any person excluded from the definition of | 144 |
"employee" pursuant to division (A)(2) of this section. If an | 145 |
employer is a partnership, sole proprietorship, individual | 146 |
incorporated as a corporation, or family farm
corporation, such | 147 |
employer may elect to include as an "employee"
within this | 148 |
chapter, any member of such partnership, the owner of
the sole | 149 |
proprietorship, the individual incorporated as a corporation, or | 150 |
the officers of the family farm
corporation. In the event of an | 151 |
election, the employer shall
serve upon the bureau of workers' | 152 |
compensation written notice
naming the persons to be covered, | 153 |
include such employee's
remuneration for premium purposes in all | 154 |
future payroll reports,
and no person excluded from the definition | 155 |
of "employee" pursuant
to division (A)(2) of this section, | 156 |
proprietor, individual incorporated as a corporation, or partner | 157 |
shall
be deemed an employee within this division until the | 158 |
employer has
served such notice. | 159 |
For informational purposes only, the bureau shall prescribe | 160 |
such language as it considers appropriate, on such of its forms as | 161 |
it considers appropriate, to advise employers of their right to | 162 |
elect to include as an "employee" within this chapter a sole | 163 |
proprietor, any member of a partnership, an individual | 164 |
incorporated as a corporation, the officers of a family
farm | 165 |
corporation, or a person excluded from the definition of | 166 |
"employee" under division (A)(2) of this section, that they
should | 167 |
check any health and disability insurance policy, or other
form of | 168 |
health and disability plan or contract, presently covering
them, | 169 |
or the purchase of which they may be considering, to
determine | 170 |
whether such policy, plan, or contract excludes benefits
for | 171 |
illness or injury that they might have elected to have covered
by | 172 |
workers' compensation. | 173 |
(2) Every person, firm, professional employer organization as | 179 |
defined in section 4125.01 of the Revised Code, and private | 180 |
corporation, including
any public service corporation, that (a) | 181 |
has in service one or
more employees or shared employees regularly | 182 |
in the same business or in or about the
same establishment under | 183 |
any contract of hire, express or implied,
oral or written, or (b) | 184 |
is bound by any such contract of hire or
by any other written | 185 |
contract, to pay into the insurance fund the
premiums provided by | 186 |
this chapter. | 187 |
All such employers are subject to this chapter. Any member
of | 188 |
a firm or association, who regularly performs manual labor in
or | 189 |
about a mine, factory, or other establishment, including a | 190 |
household establishment, shall be considered an employee in | 191 |
determining whether such person, firm, or private corporation, or | 192 |
public service corporation, has in its service, one or more | 193 |
employees and the employer shall report the income derived from | 194 |
such labor to the bureau as part of the payroll of such employer, | 195 |
and such member shall thereupon be entitled to all the benefits of | 196 |
an employee. | 197 |
(4) A condition that pre-existed an injury unless that | 215 |
pre-existing condition is substantially aggravated by the injury. | 216 |
Such a substantial aggravation must be documented by objective | 217 |
diagnostic findings, objective clinical findings, or objective | 218 |
test results. Subjective complaints may be evidence of such a | 219 |
substantial aggravation. However, subjective complaints without | 220 |
objective diagnostic findings, objective clinical findings, or | 221 |
objective test results are insufficient to substantiate a | 222 |
substantial aggravation. | 223 |
(E) "Family farm corporation" means a corporation founded
for | 226 |
the purpose of farming agricultural land in which the majority
of | 227 |
the voting stock is held by and the majority of the
stockholders | 228 |
are persons or the spouse of persons related to each
other within | 229 |
the fourth degree of kinship, according to the rules
of the civil | 230 |
law, and at least one of the related persons is
residing on or | 231 |
actively operating the farm, and none of whose
stockholders are a | 232 |
corporation. A family farm corporation does
not cease to qualify | 233 |
under this division where, by reason of any
devise, bequest, or | 234 |
the operation of the laws of descent or
distribution, the | 235 |
ownership of shares of voting stock is
transferred to another | 236 |
person, as long as that person is within
the degree of kinship | 237 |
stipulated in this division. | 238 |
(G) "Self-insuring employer" means an employer who is
granted | 246 |
the privilege of paying compensation and benefits directly
under | 247 |
section 4123.35 of the Revised Code, including a board of
county | 248 |
commissioners for the sole purpose of constructing a sports | 249 |
facility as defined in section 307.696 of the Revised Code, | 250 |
provided that the electors of the county in which the sports | 251 |
facility is to be built have approved construction of a sports | 252 |
facility by ballot election no later than November 6, 1997. | 253 |
(I) "Sexual conduct" means vaginal intercourse between a male | 256 |
and female; anal intercourse, fellatio, and cunnilingus between | 257 |
persons regardless of gender; and, without privilege to do so, the | 258 |
insertion, however slight, of any part of the body or any | 259 |
instrument, apparatus, or other object into the vaginal or anal | 260 |
cavity of another. Penetration, however slight, is sufficient to | 261 |
complete vaginal or anal intercourse. | 262 |
Sec. 4123.26. Every employer shall keep records of, and | 273 |
furnish to the bureau of workers' compensation upon request, all | 274 |
information required by the administrator of workers'
compensation | 275 |
to carry out this chapter. In January of each year,
every employer | 276 |
of the state employing one or more employees
regularly in the same | 277 |
business, or in or about the same
establishment, shall prepare and | 278 |
mail to the bureau at its main
office in Columbus a statement | 279 |
containing the following
information, as applicable: | 280 |
The information shall be furnished on a blank to be
prepared | 303 |
by the bureau. The bureau shall furnish the blanks to
employers | 304 |
free of charge upon request therefor. Every employer
receiving | 305 |
from the bureau any blank, with directions to fill out
the same, | 306 |
shall cause the same to be properly filled out so as to
answer | 307 |
fully and correctly all questions therein propounded, and
give all | 308 |
the information therein sought, or if unable to do so,
hethe | 309 |
employer shall give to the bureau in writing good and
sufficient | 310 |
reasons for such failure. The bureau may require that the | 311 |
information required to be furnished be verified under oath and | 312 |
returned to the bureau within the period fixed by it or by law. | 313 |
The bureau or any person employed by the bureau for that purpose, | 314 |
may examine, under oath, any employer, or the officer, agent, or | 315 |
employee thereof, for the purpose of ascertaining any information | 316 |
which the employer is required to furnish to the bureau. | 317 |
(2)(a) Fix the rates of premium of the risks of the classes | 334 |
based upon the total payroll in each of the classes of occupation | 335 |
or industry sufficiently large to provide a fund for the | 336 |
compensation provided for in this chapter and to maintain a state | 337 |
insurance fund from year to year. The administrator shall set
the | 338 |
rates at a level that assures the solvency of the fund.
Where the | 339 |
payroll cannot be obtained or, in the opinion of the | 340 |
administrator, is not an adequate measure for determining the | 341 |
premium to be paid for the degree of hazard, the administrator | 342 |
may determine the rates of premium upon such other basis, | 343 |
consistent with insurance principles, as is equitable in view of | 344 |
the degree of hazard, and whenever in this chapter reference is | 345 |
made to payroll or expenditure of wages with reference to fixing | 346 |
premiums, the reference shall be construed to have been made also | 347 |
to such other basis for fixing the rates of premium as the | 348 |
administrator may determine under this section. | 349 |
(b) If an employer elects to obtain other-states' coverage | 350 |
pursuant to section 4123.292 of the Revised Code
through either | 351 |
the administrator, if the administrator elects to
offer such | 352 |
coverage, or an other-states' insurer, calculate the employer's | 353 |
premium for the state insurance fund in the same manner as | 354 |
otherwise required under division (A) of this section and section | 355 |
4123.34 of the Revised Code, except that when the administrator | 356 |
determines the expenditure of wages, payroll, or both upon which | 357 |
to base the employer's premium, the administrator shall use only | 358 |
the expenditure of wages, payroll, or both attributable to the | 359 |
labor performed and services provided by that employer's employees | 360 |
when those employees performed labor and provided services in this | 361 |
state only and to which the other-states' coverage does not | 362 |
apply. | 363 |
(d) At the time the administrator revises premium rates | 409 |
pursuant to this section and section 4123.34 of the Revised Code, | 410 |
if the premium rate of an employer who participates in a group | 411 |
plan established under this section changes from the rate | 412 |
established for the previous year, the administrator, in addition | 413 |
to sending the invoice with the rate revision to that employer, | 414 |
shall send a copy of that invoice to the third-party administrator | 415 |
that administers the group plan for that employer's group. | 416 |
(e) In providing employer group plans under division (A)(4) | 417 |
of this section, the administrator shall establish a program | 418 |
designed to mitigate the impact of a significant claim that would | 419 |
come into the experience of a private, state fund group-rated | 420 |
employer for the first time and be a contributing factor in that | 421 |
employer being excluded from a group-rated plan. The administrator | 422 |
shall establish eligibility criteria and requirements that such | 423 |
employers must satisfy in order to participate in this program. | 424 |
For purposes of this program, the administrator shall establish a | 425 |
discount on premium rates applicable to employers who qualify for | 426 |
the program. | 427 |
(6) Make available to every employer who is paying
premiums | 442 |
to the state insurance fund a program whereby the
employer or the | 443 |
employer's agent pays to the claimant or on
behalf of the
claimant | 444 |
the first fifteen thousand dollars of a compensable workers' | 445 |
compensation medical-only claim filed by that claimant that is | 446 |
related to the same injury or occupational disease. No formal | 447 |
application is required; however, an employer must elect to | 448 |
participate by telephoning the bureau after July 1, 1995. Once an | 449 |
employer has elected to participate in the program, the employer | 450 |
will be responsible for all bills in all medical-only claims with | 451 |
a date of injury the same or later than the election date, unless | 452 |
the employer notifies the bureau within fourteen days of receipt | 453 |
of the notification of a claim being filed that it does not wish | 454 |
to pay the bills in that claim, or the employer notifies the | 455 |
bureau that the fifteen thousand dollar maximum has been paid, or | 456 |
the employer notifies the bureau of the last day of service on | 457 |
which it will be responsible for the bills in a particular | 458 |
medical-only claim. If an
employer elects to enter the program, | 459 |
the administrator shall not
reimburse the employer for such | 460 |
amounts paid and shall not charge
the first fifteen thousand | 461 |
dollars of any medical-only claim paid by
an employer to the | 462 |
employer's experience or otherwise use it in
merit rating or | 463 |
determining the risks of any employer for the
purpose of payment | 464 |
of premiums under this chapter. If an employer elects to enter the | 465 |
program and the employer fails to pay a bill for a medical-only | 466 |
claim included in the program, the employer shall be liable for | 467 |
that bill and the employee for whom the employer failed to pay the | 468 |
bill shall not be liable for that bill. The
administrator shall | 469 |
adopt rules to implement and administer
division (A)(6) of this | 470 |
section. Upon written request from the bureau, the employer shall | 471 |
provide documentation to the bureau of all medical-only bills that | 472 |
they are paying directly. Such requests from the bureau may not be | 473 |
made more frequently than on a semiannual basis. Failure to | 474 |
provide such documentation to the bureau within thirty days of | 475 |
receipt of the request may result in the employer's forfeiture of | 476 |
participation in the program for such injury. The provisions of | 477 |
this section shall not apply to claims in which an employer with | 478 |
knowledge of a claimed compensable injury or occupational disease, | 479 |
has paid wages in lieu of compensation or total disability. | 480 |
Sec. 4123.292. (A) Notwithstanding sections 4123.35 and | 491 |
4123.82 of the Revised Code, an employer may elect to obtain | 492 |
other-states' coverage through an other-states' insurer or, if the | 493 |
administrator of workers' compensation elects to offer such | 494 |
coverage, through the administrator pursuant to
division (B) of | 495 |
this section. An employer who elects to obtain other-states' | 496 |
coverage shall submit a written notice to the
administrator | 497 |
stating that election and, if the employer elects to
obtain that | 498 |
coverage through an other-states' insurer, the name
of the | 499 |
other-states' insurer through whom the employer has
obtained that | 500 |
coverage. If an employer fails
to pay the
employer's premium for | 501 |
other-states' coverage, the
administrator shall consider the | 502 |
employer to be noncompliant for
the purposes of having | 503 |
other-states' coverage but shall not
consider the employer to be | 504 |
a noncomplying employer for purposes
of this chapter or Chapter | 505 |
4121., 4127., or 4131. of the Revised
Code unless the employer | 506 |
otherwise fails to comply with section
4123.35 of the Revised | 507 |
Code. | 508 |
(B) The administrator may secure other-states' coverage
to | 509 |
allow an employer who wishes to obtain other-states' coverage | 510 |
pursuant to this section and who elects to
obtain that coverage | 511 |
through the
administrator for workers'
compensation claims | 512 |
arising in a state
or states other than this
state. If the | 513 |
administrator elects to secure other-states' coverage, the | 514 |
administrator shall follow
the competitive bidding
requirements | 515 |
specified in Chapter 125. of
the Revised Code to
select one | 516 |
other-states' insurer, and the administrator, with the
advice and | 517 |
consent of the bureau of workers' compensation board of | 518 |
directors, shall award the contract to provide other-states' | 519 |
coverage for employers located in this state to the
other-states' | 520 |
insurer that is the lowest and best bidder. | 521 |
(C) If the administrator elects to secure other-states' | 522 |
coverage pursuant to division (B) of this section, the | 523 |
administrator shall calculate an employer's premium
for | 524 |
other-states' coverage provided through the administrator | 525 |
separately from calculating any other
premiums or assessments | 526 |
charged under this chapter or Chapter
4121., 4127., or 4131. of | 527 |
the Revised Code. The administrator shall calculate the employer's | 528 |
other-states' coverage premium in the same manner the | 529 |
administrator calculates an employer's premium for the state | 530 |
insurance fund pursuant to division (A) of section 4123.29 and | 531 |
section 4123.34 of the Revised Code, except that, when calculating | 532 |
the employer's premium for other-states' coverage under this | 533 |
division, the administrator shall do all of the following: | 534 |
Sec. 4123.51. The administrator of workers' compensation | 578 |
shall by published
notices and other appropriate means endeavor to | 579 |
cause claims to be filed in
the service office of the bureau of | 580 |
workers' compensation from which the
investigation and | 581 |
determination of the claim may be made most expeditiously.
A | 582 |
claim or appeal under this chapter or Chapter 4121., 4127., or | 583 |
4131. of the
Revised Code may be filed with any office of the | 584 |
bureau of workers'
compensation or the industrial commission, | 585 |
within the required statutory
period, and is considered received | 586 |
for the purpose of processing the claims or
appeals. | 587 |
"By signing this form, I elect to receive workers' | 595 |
compensation benefits for this claim from only the state of Ohio. | 596 |
I understand and I hereby waive and release my right to receive | 597 |
compensation and benefits under the workers' compensation laws of | 598 |
another state for the injury or occupational disease, or the death | 599 |
resulting from an injury or occupational disease, for which I am | 600 |
filing this claim. I have not received compensation and benefits | 601 |
under the workers' compensation laws of another state for this | 602 |
claim, and I will not file a claim in another state for the injury | 603 |
or occupational disease or death resulting from an injury or | 604 |
occupational disease for which I am filing this claim." | 605 |
(2) Caused by the employee being intoxicated or under the | 613 |
influence of a controlled substance not prescribed by a physician | 614 |
where the intoxication or being under the influence of the | 615 |
controlled substance not prescribed by a physician was the | 616 |
proximate cause of the injury, is entitled to receive, either | 617 |
directly from the employee's self-insuring employer as
provided in | 618 |
section
4123.35 of the Revised Code, or from the state insurance | 619 |
fund,
the compensation for loss sustained on account of the | 620 |
injury,
occupational disease, or death, and the medical, nurse, | 621 |
and
hospital services and medicines, and the amount of funeral | 622 |
expenses in case of death, as are provided by this chapter. | 623 |
(B) For the purpose of this section, provided that an
| 624 |
employer has posted written notice to employees that the results | 625 |
of, or
the employee's refusal
to submit to, any chemical test | 626 |
described
under this division may affect the
employee's | 627 |
eligibility for
compensation and benefits pursuant to this chapter | 628 |
and Chapter
4121. of the Revised Code,
there is a rebuttable | 629 |
presumption that
an employee is intoxicated
or under the influence | 630 |
of a controlled
substance not prescribed by the employee's | 631 |
physician and that being intoxicated
or under the influence of a | 632 |
controlled substance not prescribed by
the employee's physician is | 633 |
the
proximate cause of an injury under either of the following | 634 |
conditions: | 635 |
(a) Observable phenomena, such as direct observation of use, | 709 |
possession, or distribution of alcohol or a controlled substance, | 710 |
or of the physical symptoms of being under the influence of | 711 |
alcohol or a controlled substance, such as but not limited to | 712 |
slurred speech, dilated pupils, odor of alcohol or a controlled | 713 |
substance, changes in affect, or dynamic mood swings; | 714 |
(H)(1) Whenever, with respect to an employee of an employer | 753 |
who
is
subject to and has complied with this chapter, there is | 754 |
possibility of conflict with respect to the application of | 755 |
workers' compensation laws because the contract of employment is | 756 |
entered into and all or some portion of the work is or is to be | 757 |
performed in a state or states other than Ohio, the employer and | 758 |
the employee may agree to be bound by the laws of this state or
by | 759 |
the laws of some other state in which all or some portion of
the | 760 |
work of the employee is to be performed. The agreement shall
be
in | 761 |
writing and shall be filed with the bureau of workers' | 762 |
compensation within ten days after it is executed and shall
remain | 763 |
in force until terminated or modified by agreement of the
parties | 764 |
similarly filed. If the agreement is to be bound by the
laws of | 765 |
this state and the employer has complied with this
chapter, then | 766 |
the employee is entitled to compensation and
benefits regardless | 767 |
of where the injury occurs or the disease is
contracted and the | 768 |
rights of the employee and the employee's
dependents
under the | 769 |
laws of this state are the exclusive remedy against the
employer | 770 |
on account of injury, disease, or death in the course of
and | 771 |
arising out of the employee's employment. If the
agreement is to | 772 |
be
bound by the laws of another state and the employer has | 773 |
complied
with the laws of that state, the rights of the employee | 774 |
and the
employee's
dependents under the laws of that state are the | 775 |
exclusive remedy
against the employer on account of injury, | 776 |
disease, or death in
the course of and arising out of the | 777 |
employee's employment
without regard
to
the place where the injury | 778 |
was sustained or the disease
contracted. If an employer and an | 779 |
employee enter into an agreement under this division, the fact | 780 |
that the employer and the employee entered into that agreement | 781 |
shall not be construed to change the status of an employee whose | 782 |
continued employment is subject to the will of the employer or the | 783 |
employee, unless the agreement contains a provision that expressly | 784 |
changes that status. | 785 |
(2) If any employee or the employee's dependents are awarded | 786 |
pursue
workers'
compensation benefits or recover damages from the | 787 |
employer under
the laws of another state, the amount awarded or | 788 |
recovered,
whether paid or to be paid in future installments, | 789 |
shall be
credited on the amount of anyand the employee or the | 790 |
employee's dependents also pursue or receive an award of | 791 |
compensation or
benefits
made to the employee or the employee's | 792 |
dependents by the
bureauunder this chapter or Chapter 4121., | 793 |
4127., or 4131. of the
Revised Code for the same injury, | 794 |
occupational disease, or death
for which the employee or the | 795 |
employee's dependents pursued
workers' compensation benefits or | 796 |
recovered damages under the laws
of another state, the | 797 |
administrator or any employer,
by
any lawful means, may collect | 798 |
the amount of compensation or
benefits paid to or on behalf of | 799 |
the employee or the employee's
dependents by the administrator or | 800 |
a self-insuring employer pursuant
to this chapter or Chapter | 801 |
4121., 4127., or 4131. of the Revised
Code for that award. The | 802 |
administrator or any employer
also may collect from the employee | 803 |
or the
employee's dependents
any costs and attorney's fees the | 804 |
administrator or the employer incurs in collecting
that payment | 805 |
and any
attorney's fees, penalties, interest, awards, and costs | 806 |
incurred by an employer in contesting or
responding to any claim | 807 |
after the original claim under section 4123.542 of the Revised | 808 |
Code by that employee or
the
employee's dependents. If the | 809 |
employee's employer pays
premiums
into
the
state insurance | 810 |
fund, the administrator shall
not
charge the
amount of | 811 |
compensation or benefits the
administrator
collects
pursuant to | 812 |
this division to the
employer's experience.
If the administrator | 813 |
collects any costs or
attorney's fees
incurred by a state fund | 814 |
employer, the
administrator shall forward
the amount of such | 815 |
costs and fees the
administrator collects to
that employer. If | 816 |
the
employee's
employer is a
self-insuring
employer, the | 817 |
self-insuring
employer shall deduct
the amount of
compensation | 818 |
or
benefits
the self-insuring employer collects
pursuant to | 819 |
this
division
from the paid compensation the
self-insuring | 820 |
employer
reports to
the administrator under
division (L) of | 821 |
section 4123.35
of the
Revised Code. | 822 |
If(3) Except as otherwise stipulated in division (H)(4) of | 823 |
this section, if an employee is a resident of a state other than | 824 |
this
state
and is insured under the workers' compensation law or | 825 |
similar laws
of a state other than this state, the employee and | 826 |
the employee's
dependents are not entitled to receive
compensation | 827 |
or
benefits
under this chapter, on account of injury, disease, or | 828 |
death
arising out of or in the course of employment while | 829 |
temporarily
within this state, and the rights of the employee and | 830 |
the
employee's dependents under the laws of the other state
are | 831 |
the
exclusive remedy against the employer on account of the | 832 |
injury,
disease, or death. | 833 |
(a) The laws of the other state limit the ability of an | 837 |
employee who is a resident of this state and is covered by this | 838 |
chapter and Chapter 4123. of the Revised Code, or the employee's | 839 |
dependents, to receive compensation or benefits under the other | 840 |
state's workers' compensation law on account of injury, disease, | 841 |
or death incurred by the employee that arises out of or in the | 842 |
course of the employee's employment while temporarily within that | 843 |
state in the same manner as specified in division (H)(3) of this | 844 |
section for an employee who is a resident of a state other than | 845 |
this state, or the employee's dependents; | 846 |
(5) An employee, or the dependent of an employee, who elects | 853 |
to receive compensation and benefits under this chapter or Chapter | 854 |
4121., 4127., or 4131. of the Revised Code for a claim may not | 855 |
receive compensation and benefits under the workers' compensation | 856 |
laws of any state other than this state for that same claim. For | 857 |
each claim submitted by or on behalf of an employee, the | 858 |
administrator or, if the employee is employed by a self-insuring | 859 |
employer, the self-insuring employer shall request the employee or | 860 |
the employee's dependent to sign an election that affirms the | 861 |
employee's or employee's dependent's acceptance of electing to | 862 |
receive compensation and benefits under this chapter or Chapter | 863 |
4121., 4127., or 4131. of the Revised Code for that claim that | 864 |
also affirmatively waives and releases the employee's or the | 865 |
employee's dependent's right to
file for and receive compensation | 866 |
and benefits under the laws of
any state other than this state | 867 |
for that claim. The employee or
employee's dependent shall sign | 868 |
the election form within
twenty-eight days after the | 869 |
administrator or self-insuring
employer submits the request or | 870 |
the administrator or self-insuring
employer shall suspend that | 871 |
claim until the administrator or
self-insuring employer receives | 872 |
the signed election form. | 873 |
Sec. 4123.542. An employee or the dependents of an employee | 880 |
who receive a decision on the merits of a claim for compensation | 881 |
or benefits under this chapter or Chapter 4121., 4127., or 4131. | 882 |
of the Revised Code shall not file a claim for the same injury, | 883 |
occupational disease, or death in another
state under the | 884 |
workers' compensation laws of that state. An
employee or the | 885 |
employee's dependents who receive a decision on
the merits of a | 886 |
claim for compensation or benefits under the
workers' | 887 |
compensation laws of another state shall not file a claim for | 888 |
compensation and benefits under this chapter or
Chapter 4121., | 889 |
4127., or 4131. of the Revised Code for the same injury, | 890 |
occupational disease, or death. | 891 |
Sec. 4123.82. (A) All contracts and agreements are void | 895 |
which undertake to indemnify or insure an employer against loss
or | 896 |
liability for the payment of compensation to workers or their | 897 |
dependents for death, injury, or occupational disease occasioned | 898 |
in the course of the workers' employment, or which provide that | 899 |
the insurer shall pay the compensation, or which indemnify the | 900 |
employer against damages when the injury, disease, or death
arises | 901 |
from the failure to comply with any lawful requirement for
the | 902 |
protection of the lives, health, and safety of employees, or
when | 903 |
the same is occasioned by the willful act of the employer or
any | 904 |
of the employer's officers or agents, or by which it is
agreed | 905 |
that the
insurer shall pay any such damages. No license or | 906 |
authority to
enter into any such agreements or issue any such | 907 |
policies of
insurance shall be granted or issued by any public | 908 |
authority in
this state. Any corporation organized or admitted | 909 |
under the laws
of this state to transact liability insurance as | 910 |
defined in
section 3929.01 of the Revised Code may by amendment of | 911 |
its
articles of incorporation or by original articles of | 912 |
incorporation, provide therein for the authority and purpose to | 913 |
make insurance in states, territories, districts, and counties, | 914 |
other than the state of Ohio, and in the state of Ohio in respect | 915 |
of contracts permitted by division (B) of this section, | 916 |
indemnifying employers against loss or liability for payment of | 917 |
compensation to workers and employees and their dependents for | 918 |
death, injury, or occupational disease occasioned in the course
of | 919 |
the employment and to insure and indemnify employers against
loss, | 920 |
expense, and liability by risk of bodily injury or death by | 921 |
accident, disability, sickness, or disease suffered by workers
and | 922 |
employees for which the employer may be liable or has assumed | 923 |
liability. | 924 |
(1) No contract because of that division is void which | 926 |
undertakes to indemnify a self-insuring employer against all or | 927 |
part of such employer's loss in excess of at least fifty thousand | 928 |
dollars from any one disaster or event arising out of the | 929 |
employer's liability under this chapter, but no insurance | 930 |
corporation shall, directly or indirectly, represent an employer | 931 |
in the settlement, adjudication, determination, allowance, or | 932 |
payment of claims. The superintendent of insurance shall enforce | 933 |
this prohibition by such disciplinary orders directed against the | 934 |
offending insurance corporation as the superintendent of
insurance | 935 |
deems appropriate in the circumstances and the
administrator of | 936 |
workers' compensation shall enforce this
prohibition by such | 937 |
disciplinary orders directed against the
offending employer as the | 938 |
administrator deems appropriate in the
circumstances, which orders | 939 |
may include revocation of the
insurance corporation's right to | 940 |
enter into indemnity contracts
and revocation of the employer's | 941 |
status as a self-insuring
employer. | 942 |
(2) The administrator may enter into a contract of
indemnity | 943 |
with any such employer upon such terms, payment of such
premium, | 944 |
and for such amount and form of indemnity as the
administrator | 945 |
determines and the bureau of workers' compensation board of | 946 |
directors may procure
reinsurance of the liability of the public | 947 |
and private funds
under this chapter, or any part of the liability | 948 |
in respect of
either or both of the funds, upon such terms and | 949 |
premiums or
other payments from the fund or funds as the | 950 |
administrator deems
prudent in the maintenance of a solvent fund | 951 |
or funds from year
to year. When making the finding of fact which | 952 |
the administrator
is required by section 4123.35 of the Revised | 953 |
Code to make with
respect to the financial ability of an employer, | 954 |
no contract of
indemnity, or the ability of the employer to | 955 |
procure such a
contract, shall be considered as increasing the | 956 |
financial ability
of the employer. | 957 |
Sec. 4123.88. (A) No person shall orally or in writing, | 962 |
directly or indirectly, or through any agent or other person | 963 |
fraudulently hold the person's self out or represent the person's | 964 |
self or any of the person's partners or associates as authorized | 965 |
by a
claimant or employer to
take charge of, or represent the | 966 |
claimant or employer in respect
of, any claim or matter in | 967 |
connection therewith before the bureau
of workers' compensation or | 968 |
the industrial commission or its
district or staff hearing | 969 |
officers. No person shall directly or indirectly
solicit | 970 |
authority, or pay or give anything of value to another person to | 971 |
solicit authority, or accept or receive pay or anything of value | 972 |
from another person for soliciting authority, from a claimant or | 973 |
employer to take charge of, or represent the claimant or employer | 974 |
in respect of, any claim or appeal which is or may be filed with | 975 |
the bureau or commission. No person shall, without prior
authority | 976 |
from the bureau, a member of the commission, the
claimant, or the | 977 |
employer, examine or directly or indirectly
cause or employ | 978 |
another person to examine any claim file or any
other file | 979 |
pertaining thereto. No person shall forge an
authorization for the | 980 |
purpose of examining or cause another
person to examine any such | 981 |
file. No district or staff hearing
officer or other employee of | 982 |
the bureau or commission,
notwithstanding the provisions of | 983 |
section 4123.27 of the Revised
Code, shall divulge any information | 984 |
in respect of any claim or
appeal which is or may be filed with a | 985 |
district or staff hearing
officer, the bureau, or commission to | 986 |
any person other than
members of the commission or to the superior | 987 |
of the employee
except upon authorization of the administrator of | 988 |
workers'
compensation or a member of the commission or upon | 989 |
authorization
of the claimant or employer. | 990 |
(B) The records described or referred to in division (A) of | 991 |
this section are not public records as defined in division (A)(1) | 992 |
of section 149.43 of the Revised Code. Any information directly or | 993 |
indirectly identifying the address or telephone number of a | 994 |
claimant, regardless of whether the claimant's claim is active or | 995 |
closed, is not a public record. No person shall solicit or obtain | 996 |
any such information from any such employee without first having | 997 |
obtained an authorization therefor as provided in this section. | 998 |
(C) Except as otherwise specified in division (D) of this | 999 |
section, information kept by the commission or the bureau pursuant | 1000 |
to this section is for the exclusive use and information of the | 1001 |
commission and the bureau in the discharge of their official | 1002 |
duties, and shall not be open to the public nor be used in any | 1003 |
court in any action or proceeding pending therein, unless the | 1004 |
commission or the bureau is a party to the action or proceeding. | 1005 |
The information, however, may be tabulated and published by the | 1006 |
commission or the bureau in statistical form for the use and | 1007 |
information of other state agencies and the public. | 1008 |
Section 5. Notwithstanding division (A) of section 4121.78 of | 1049 |
the Revised Code, any legislation proposing to make changes to | 1050 |
Chapters 4121., 4123., 4125., 4127., and 4131. of the Revised Code | 1051 |
that is enacted by the General Assembly on or before June 30, | 1052 |
2008, shall not be subject to the requirement of the Workers' | 1053 |
Compensation Council to study all changes to those chapters and to | 1054 |
report to the General Assembly on their probable costs, actuarial | 1055 |
implications, and desirability as a matter of public policy. | 1056 |