Posted: February, 2009
BWC Rule Amendments
The BWC has amended a number of rules. The amendments are
effective February 19, 2009. The amended rules are listed
below and some of the changes which may be important are listed:- O.A.C. 4123-3-05 -- Applications for the payment of compensation or medical benefits -- rescinded
- O.A.C. 4123-3-08 -- Preparation and filing of applications for compensation and/or benefits -- amended
- O.A.C. 4123-3-09 -- Procedures in
the
processing of applications for benefits -- amended
- Removes the requirement that the BWC refer claims which are eligible for amputation awards to the Industrial Commission for approval.
- Removes the requirement that orders approved for payment be forwarded to the proper department for payment by the next working day following approval.
- Provides that disputed claims involving self-insured employers are to be referred to the Industrial Commission for hearing; removes requirement that BWC examine payments made in self-insured claims to ensure they comply with the law and notify the self-insurer of what payments must be made if they don't comply.
- Removes provisions providing for the BWC to issue tentative orders when the employer requests a medical exam.
- O.A.C. 4123-3-12 -- Suspension of the processing of claims -- rescinded
- O.A.C. 4123-3-15 -- Claim
procedures subsequent
to allowance -- amended
- Eliminates provision extending 60 day waiting period before processing permanent partial increase to 90 days if the employer has requested a medical exam.
- Eliminates 60 day waiting period before processing permanent partial increase if employer is out of business.
- O.A.C. 4123-3-16 -- Motions --
amended
- Changes provisions relating to motions for allowance of psychiatric disability. Instead of requiring the BWC to send a questionnaire seeking an affidavit upon receipt of the motion, contains language which the motion is required to contain. Also requires a motion for allowance of psychiatric disability to be accompanied by specified supporting medical evidence.
- O.A.C. 4123-3-17 -- Briefs -- amended
- O.A.C. 4123-3-18 -- Appellate procedure -- amended
- O.A.C. 4123-3-21 -- Change of address -- rescinded
- O.A.C. 4123-3-22 -- Inspection of claim files -- amended
- O.A.C. 4123-3-24 -- Fee controversies -- amended
- O.A.C. 4123-3-25 -- Application for change
of occupation
allowance -- replaced
- Replaces previous rule with more detailed explanation of eligibility and procedures for change of occupation awards to employees with specified occupational diseases.
- Requires employee to establish that they changed employment to substantially decrease exposure.
- Requires evidence of "reasonable attempts to secure employment" for change of occupation award beyond thirty weeks.
- O.A.C. 4123-3-29 Informing the claimant of the right to representation -- amended
- O.A.C. 4123-3-30 -- Procedures to inform claimant on request as to the status of his claim and of any action necessary to maintain the claim -- amended
- O.A.C. 4123-3-31 -- Disabled workers' relief fund: claimant's payments -- amended
- O.A.C. 4123-3-32 -- Temporary total examinations -- amended
- O.A.C. 4123-3-36 -- Immediate allowance and
payment of
medical bills in claims -- amended
- Extends program identifying specified medical conditions for
immediate allowance and payment
- Extends program identifying specified medical conditions for
immediate allowance and payment
This information was provided courtesy
of the Ohio
Workers'
Compensation Bulletin.
