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The legal State entity which
administers claims, collects premiums and monitors compliance
with the Ohio Revised Code and the Administrative Code.
A fund established by the State to compensate a worker
who has been injured or has contracted an occupational
disease in the course of and arising out of employment.
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A fund for permanently and totally
disabled employees whose workers' compensation benefits
have not kept up with inflation.
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The first level of the Industrial
Commission hearing process. This hearing is informal
in nature.
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The rate calculated annually
by the BWC based on payroll and claim costs.
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A discount program offered by
the BWC to employers that implement a drug free workplace.
The discount levels vary depending on the Program Level.
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A provision of the state laws
of Ohio set up as a cost relief program to encourage
employers to hire and retain handicapped employees.
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The IC is the adjudicating body
in the Ohio Workers' Compensation system. The IC adopts
rules (Ohio Administrative Code) governing the conduct
of hearings and rendering decisions by any of the three
levels of hearings, the District Hearing Officer (DHO),
Staff Hearing Officer (SHO) and Commissioners
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An employee who has been injured
or contracted an occupational disease in the course
of and arising out of employment, on premises controlled
by the employer or at an employer sponsored function.
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A type of compensation paid to
an injured worker while they are actively participating
in an approved rehabilitation plan. These payments are
provided to the injured worker in place of temporary
total compensation when participating in a vocational
rehabilitation plan.
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Being incapacitated from work
eight or more calendar days due to an injury or occupational
disease. These days need not be consecutive.
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An award of money paid to an
injured worker to close or settle a Workers' Compensation
Claim.
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BWC and the private-sector managed
care organizations (MCOs) must work together to provide
comprehensive claims-management and medical-management
services. BWC is responsible for claim determinations
and allowances, paying lost time compensation, second
level of dispute resolution. The MCOs are responsible
for provider management, utilization review, first level
of dispute resolution, determining reimbursement eligibility
and paying providers for services.
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Maximum Medical Improvement (MMI)
is a treatment plateau in each person's healing process.
It can mean that the patient has fully recovered from
the injury or that the patient's medical condition has
stabilized to the point that no major medical or emotional
change can be expected in the injured workers' condition.
This occurs despite continuing medical treatment or
rehabilitative programs the injured worker partakes
in.
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Being incapacitated from work
seven or less calendar days due to an injury or occupational
disease.
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Any decision, rule, regulation,
direction, requirement, standard, or any other determination
which the Industrial Commission or the Department of
Industrial Relations is empowered to and does make.
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A discount program offered to
employers with an experience modifier greater than .90
that implement a Ten Step Business Plan for safety.
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An impairment from a work-related
injury or occupational disease that has become permanent
but is only partially disabling to the employee.
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An impairment from a work-related
injury or occupational disease that has become permanent
and has totally disabled the employee from returning
to substantially remunerative employment.
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A service that specifically deals
with attempting to rehabilitate injured workers so they
may return to their former position of employment.
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Where an injured worker continues
to receive his or her full salary or wages for the time
they are off work due to the work-related injury or
occupational disease, instead of workers' compensation
payments.
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The privilege granted by BWC
to employers to pay workers' compensation and benefits
directly to their employees in accordance with the laws
and rules of the Industrial Commission and BWC.
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The second level of the Industrial
Commission hearing process.
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The legal time limitations set
by the legislature for an employee to file a workers'
compensation claim. If it is an injury claim, the time
limitation is two years from the date of injury or death.
The time limitation on an occupational disease claim
is two years from the date of the diagnosis, disability
or death, or six months from date of disability or diagnosis,
whichever is later.
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The injured worker's state of
being temporarily and totally disabled from his or her
regular position of employment.
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A type of claim payment that
deals with only certain industries. It can be awarded
to the employee only by the Industrial Commission and
is in addition to any compensation, payable in the claim.
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Compensation awarded in claims
filed for injuries occurring on or after August 22,
1986, where an employee suffers a loss in wages due
to a work-related injury.
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