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Ohio Workers' Compensation Payroll Department Guide

Ohio Workers' Compensation Payroll Department Guide

Ohio requires employers to secure workers' compensation coverage when required under Ohio law. Most private employers obtain coverage through the Ohio Bureau of Workers' Compensation (BWC), while qualifying employers may receive authorization to operate as self-insured employers.

The Ohio Bureau of Workers' Compensation administers the state's workers' compensation insurance system. The Industrial Commission of Ohio handles adjudication and administrative hearings involving disputed workers' compensation matters.

Ohio workers' compensation provides benefits for employees who suffer qualifying work-related injuries, occupational diseases, or death. Depending on the circumstances, benefits may include medical treatment, temporary disability compensation, permanent disability benefits, wage-loss benefits, rehabilitation services, and death benefits.

Payroll departments play an important role in workers' compensation administration because accurate wage, time, employment, and leave records may be required when an employee is injured, a claim is filed, or compensation benefits must be calculated.

Ohio Workers' Compensation Compliance Overview

Ohio's workers' compensation system is governed primarily by Ohio Revised Code Chapters 4121, 4123, 4127, and 4131, together with related Ohio Administrative Code provisions.

The Ohio Bureau of Workers' Compensation administers the state insurance fund and provides coverage and claims services to employers and injured workers. The Industrial Commission of Ohio provides the adjudication process for disputed claims.

For payroll professionals, workers' compensation compliance involves more than processing an employee's regular paycheck. Payroll may be asked to provide wage histories, earnings information, hours worked, leave information, and post-injury earnings during the administration of a claim.

Ohio Workers' Compensation At A Glance

  • Ohio employers subject to the workers' compensation law must secure and maintain workers' compensation coverage
  • Most private employers obtain coverage through the Ohio Bureau of Workers' Compensation
  • Qualifying employers may apply for self-insured status
  • The Ohio Bureau of Workers' Compensation administers the state workers' compensation insurance system
  • The Industrial Commission of Ohio adjudicates disputed workers' compensation claims
  • Ohio workers' compensation generally covers qualifying work-related injuries and occupational diseases
  • Employers should establish procedures for employees to immediately report workplace injuries
  • A First Report of an Injury, Occupational Disease or Death (FROI) is used to initiate a workers' compensation claim
  • The FROI can be filed by an injured worker, employer, medical provider, or authorized representative
  • State-fund employers generally work with a BWC-certified managed care organization (MCO) for medical claim management
  • Self-insured employers handle their own workers' compensation claims subject to Ohio requirements
  • Payroll should maintain accurate wage and employment records for workers' compensation claims
  • Ohio workers' compensation benefits may include medical, temporary total, temporary partial, permanent partial, permanent total, wage-loss, rehabilitation, and death benefits depending on eligibility
  • Employers must comply with Ohio workers' compensation premium, payroll reporting, recordkeeping, and claim requirements

Ohio Workers' Compensation Employer Requirements

Ohio employers should:

  • Determine whether the business is subject to Ohio workers' compensation requirements
  • Secure workers' compensation coverage when required
  • Maintain active workers' compensation coverage
  • Pay required BWC premiums and assessments when applicable
  • Maintain accurate payroll information for BWC reporting and premium purposes
  • Establish procedures for promptly reporting workplace injuries and occupational diseases
  • Assist employees with the workers' compensation claim process
  • Complete or assist with the First Report of an Injury, Occupational Disease or Death when appropriate
  • Provide accurate employment and wage information to BWC, an MCO, or a self-insured claims administrator when requested
  • Maintain required workers' compensation records
  • Cooperate with BWC, the MCO, medical providers, and claims administrators
  • Track employees who are absent because of workplace injuries
  • Track modified-duty assignments and post-injury earnings
  • Coordinate return-to-work information among payroll, HR, management, medical providers, MCOs, and claims administrators

Ohio Workers' Compensation Insurance Coverage

Ohio employers subject to the workers' compensation law must secure and maintain workers' compensation coverage or qualify for self-insured status.

Most private employers participate in Ohio's state insurance fund through the Ohio Bureau of Workers' Compensation. Employers pay premiums and assessments based on applicable classifications, payroll, experience, and other factors used by BWC.

Some employers may qualify for self-insured status. Self-insured employers assume responsibility for paying qualifying workers' compensation benefits and must comply with Ohio's requirements for self-insurance, claims administration, reporting, and financial responsibility.

Employers should not assume that a worker is exempt from workers' compensation simply because the worker is classified as an independent contractor. Employee classification should be reviewed carefully under applicable Ohio requirements.

Ohio Bureau of Workers' Compensation

The Ohio Bureau of Workers' Compensation is the primary agency responsible for administering Ohio's state workers' compensation insurance system.

BWC provides employer services involving coverage, payroll reporting, premiums, claims, managed care organizations, safety programs, and workers' compensation resources.

Employers can also use BWC's online services to review policy information, coverage information, payroll history, and other employer account information.

Ohio Workers' Compensation Managed Care Organizations

Ohio uses managed care organizations (MCOs) as part of its workers' compensation system. State-fund employers select a BWC-certified MCO to assist with medical management of workers' compensation claims.

An MCO may coordinate medical care, communicate with providers, assist with treatment authorization, and help manage the medical aspects of a claim.

Payroll departments should know which MCO is associated with the employer's BWC policy and should know how to route work-status information and employment information when requested.

Ohio Workers' Compensation Injury Reporting

Employees should report work-related injuries or occupational diseases to their employer as soon as possible after becoming aware of the injury or condition.

Ohio's workers' compensation claim process allows an injured worker, employer, medical provider, or authorized representative to initiate a claim using the First Report of an Injury, Occupational Disease or Death (FROI).

Employers should establish an internal procedure that directs employees to immediately notify their supervisor, Human Resources department, safety department, or other designated representative after an injury.

Payroll should have procedures for immediately notifying the appropriate personnel when an injury may affect:

  • Hours worked
  • Regular wages
  • Overtime
  • Paid leave
  • Attendance
  • Work status
  • Modified duty
  • Post-injury earnings
  • Salary continuation
  • Return-to-work status

Ohio First Report of Injury

The First Report of an Injury, Occupational Disease or Death, commonly referred to as the FROI, is used to initiate an Ohio workers' compensation claim. The FROI can be submitted by an injured worker, employer, medical provider, or authorized representative. Ohio BWC provides an electronic filing process as well as a printable form.

Information needed to complete the FROI can include the employee's personal information, employer information, details concerning the injury or occupational disease, and medical treatment information.

When a claim involves a self-insured employer, the claim may be submitted directly to the employer's workers' compensation manager or claims administrator rather than being processed in the same manner as a state-fund claim.

Ohio Workers' Compensation Payroll Records

Accurate payroll records can be critical when a workers' compensation claim is filed. Wage information may be required to determine an employee's eligibility for wage-loss or disability compensation. Payroll should maintain records including:

  • Employee name
  • Employee identification information
  • Job title
  • Job duties
  • Work location
  • Date of hire
  • Date of termination, when applicable
  • Regular pay rate
  • Hours worked
  • Overtime
  • Bonuses
  • Commissions
  • Tips and other compensation
  • Paid sick leave
  • Vacation or PTO
  • Pre-injury earnings
  • Post-injury earnings
  • Reduced hours
  • Modified-duty wages
  • Salary continuation
  • Other employer-paid compensation

Payroll should ensure that information supplied for workers' compensation purposes agrees with payroll, timekeeping, HR, and personnel records.

Ohio Workers' Compensation Payroll Reporting

Ohio employers have payroll reporting responsibilities associated with their BWC policies. Accurate payroll reporting is important because BWC premiums and assessments can be affected by reported payroll and classification information.

Employers should report payroll accurately and maintain supporting records that document the amounts reported to BWC.

BWC provides employer services that allow employers and authorized representatives to review policy information, payroll history, payroll reporting information, and other account information.

Ohio Workers' Compensation Benefits

Qualifying Ohio workers' compensation claims can provide several types of benefits depending on the nature and severity of the injury or occupational disease. Potential benefits may include:

  • Medical benefits
  • Temporary total compensation
  • Temporary partial compensation
  • Permanent partial compensation
  • Permanent total disability benefits
  • Working wage-loss benefits
  • Non-working wage-loss benefits
  • Living maintenance benefits in qualifying rehabilitation situations
  • Facial disfigurement benefits in qualifying circumstances
  • Vocational rehabilitation services
  • Death benefits for qualifying dependents

Eligibility, payment amounts, duration, and claim conditions vary depending on the employee's injury, medical status, work status, and applicable Ohio workers' compensation requirements.

Ohio Workers' Compensation Medical Treatment

Ohio workers' compensation provides medical benefits for qualifying work-related injuries and occupational diseases. in coordinating medical services and managing medical aspects of workers' compensation claims.

Medical providers may submit requests for treatment or additional conditions through the appropriate BWC or MCO process. Payroll should obtain and maintain the appropriate work-status information when medical treatment affects an employee's schedule, wages, or ability to perform regular duties. Payroll should not interpret medical restrictions or make medical determinations. Questions concerning treatment and work restrictions should be directed to the employee's medical provider, HR department, MCO, or workers' compensation claims administrator.

Ohio Temporary Total Compensation

Temporary total compensation may be available when a qualifying work-related injury or occupational disease prevents an employee from returning to work.

Payroll should accurately document periods of lost time, wages paid, employer-provided leave, salary continuation, and any return-to-work activity.

Payroll should distinguish workers' compensation compensation from ordinary wages and should coordinate payment information with HR and the claims administrator.

Ohio Workers' Compensation Wage Loss

An injured employee may qualify for wage-loss compensation when a work-related injury or occupational disease results in qualifying wage loss after the employee returns to work or is otherwise unable to earn the same level of wages.

Accurate payroll information is particularly important for wage-loss claims because the claims administrator may need to compare pre-injury and post-injury earnings. Payroll should be prepared to provide:

  • Pre-injury wages
  • Current wages
  • Hours worked
  • Overtime
  • Bonuses
  • Commissions
  • Reduced schedules
  • Modified-duty earnings
  • Post-injury earnings

Ohio Permanent Partial Disability

An employee who has a qualifying permanent impairment resulting from a workplace injury or occupational disease may be eligible for permanent partial compensation.

Permanent partial disability determinations involve medical and legal considerations and should not be made by payroll.

Payroll should preserve accurate employment and wage records when a claim involves permanent disability because employment and earnings information may be relevant to claim administration.

Ohio Workers' Compensation Payment Administration

For state-fund claims, BWC and its claims-management partners administer workers' compensation benefits. For self-insured employers, the employer or its authorized claims administrator is responsible for administering qualifying claims.

Payroll may be asked to provide wage information, employment information, time records, leave records, and post-injury earnings to support the claims process.

Payroll should avoid independently changing an employee's compensation or leave status based solely on an injury report. Changes should be coordinated with HR, the claims administrator, and the appropriate workers' compensation representative.

Ohio Workers' Compensation Modified Duty

An employee recovering from a workplace injury may return to work with restrictions or modified duties when medically appropriate. Payroll should accurately document:

  • Date modified duty begins
  • Modified job duties
  • Hours authorized
  • Hours actually worked
  • Reduced schedules
  • Modified-duty wages
  • Changes in pay rates
  • Overtime
  • Paid leave
  • Other employer-paid compensation

Payroll should coordinate work restrictions and modified-duty information with HR, management, the employee's medical provider, and the applicable claims administrator.

Ohio Workers' Compensation Return-To-Work

A structured return-to-work program can help an injured employee resume productive employment while complying with medical restrictions. Payroll should:

  • Record the employee's return-to-work date
  • Determine whether the employee returned to regular or modified duties
  • Track applicable restrictions
  • Record hours worked
  • Record changes in wages
  • Track post-injury earnings
  • Coordinate PTO, sick leave, and other paid leave
  • Maintain documentation supporting wage calculations
  • Notify the appropriate claims administrator of material payroll changes when required

Ohio Workers' Compensation Claim Administration

Ohio workers' compensation claims may involve the Ohio Bureau of Workers' Compensation, an MCO, medical providers, employers, self-insured claims administrators, and the Industrial Commission of Ohio.

The Industrial Commission of Ohio provides hearings and adjudication for disputed workers' compensation matters.

An injured worker or other party may need to file an application or request a hearing when a workers' compensation issue cannot be resolved through ordinary claim administration.

Payroll professionals generally should not attempt to resolve disputed medical or legal issues. Payroll should provide accurate records and direct substantive claim questions to the appropriate HR, claims-management, insurance, MCO, or legal contact.

Ohio Workers' Compensation Self-Insurance

Ohio permits qualifying employers to apply for self-insured status. A self-insured employer assumes responsibility for paying workers' compensation benefits directly rather than participating solely as a state-fund employer.

Self-insured employers must satisfy Ohio requirements and remain responsible for claims administration, benefit payments, reporting, and other obligations associated with self-insured status.

Ohio BWC provides an application for employers seeking authority to pay workers' compensation compensation directly. The SI-6 is used in the self-insured application process.

Payroll departments working for a self-insured employer should understand the organization's claims-administration procedures and know which internal or third-party claims administrator is responsible for workers' compensation.

Ohio Workers' Compensation Employer Managed Care

State-fund employers participate in Ohio's managed care system. Employers select a BWC-certified managed care organization, or BWC may assign one under applicable circumstances. The MCO assists with medical management and communication between the employer, injured worker, medical providers, and BWC.

Payroll should know the employer's MCO and understand how wage and work-status information should be communicated when requested.

Ohio Workers' Compensation Safety Programs

Employers should maintain workplace safety programs designed to reduce the frequency and severity of work-related injuries and occupational diseases.

Ohio BWC provides safety resources, training, consultation, and other employer programs intended to help employers improve workplace safety and control workers' compensation costs.

Employers should coordinate workplace safety initiatives with HR, management, payroll, workers' compensation representatives, and applicable occupational safety requirements.

Ohio Workers' Compensation Administrative Challenges

Ohio payroll departments may encounter challenges involving:

  • Determining whether the employer must maintain Ohio workers' compensation coverage
  • Maintaining active BWC coverage
  • Accurately reporting payroll to BWC
  • Maintaining accurate employee classification information
  • Identifying the employer's BWC policy number
  • Identifying the employer's managed care organization
  • Promptly reporting workplace injuries
  • Assisting employees with the FROI process
  • Providing accurate wage information for claims
  • Tracking post-injury earnings
  • Processing modified-duty wages
  • Coordinating workers' compensation benefits with employer-paid leave
  • Handling employees who work in multiple jurisdictions
  • Maintaining consistent payroll, HR, and timekeeping records
  • Responding to requests from BWC, MCOs, and claims administrators
  • Managing return-to-work changes
  • Understanding the distinction between workers' compensation benefits and regular payroll
  • Coordinating payroll information with self-insured claims administrators when applicable

Common Ohio Workers' Compensation Payroll Errors

  • Failing to maintain required workers' compensation coverage
  • Failing to accurately report payroll to BWC
  • Using incorrect employee classification information
  • Failing to identify the correct BWC policy
  • Failing to identify the employer's MCO
  • Delaying notification of a workplace injury
  • Failing to assist with the FROI process
  • Providing inaccurate wage information
  • Failing to include applicable earnings in wage documentation
  • Failing to track post-injury earnings
  • Failing to document modified-duty hours
  • Incorrectly treating workers' compensation benefits as regular wages
  • Processing paid leave without coordinating with HR and the claims administrator
  • Failing to maintain consistent payroll and timekeeping records
  • Failing to update payroll when an injured employee returns to work
  • Making independent decisions about the compensability of a claim
  • Failing to respond promptly to requests for payroll information

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Frequently Asked Questions About Ohio Workers' Compensation

Does Ohio require employers to carry workers' compensation insurance?

Ohio employers subject to the state's workers' compensation law must secure and maintain workers' compensation coverage or qualify for self-insured status. Most private employers obtain coverage through the Ohio Bureau of Workers' Compensation.

Who administers workers' compensation in Ohio?

The Ohio Bureau of Workers' Compensation administers the state's workers' compensation insurance system. The Industrial Commission of Ohio handles adjudication of disputed workers' compensation matters.

How should an employee report a workplace injury in Ohio?

An employee should report a work-related injury or occupational disease to the employer as soon as possible. The claim can be initiated using the First Report of an Injury, Occupational Disease or Death (FROI).

What is the Ohio FROI?

The First Report of an Injury, Occupational Disease or Death is the form used to initiate an Ohio workers' compensation claim. An injured worker, employer, medical provider, or authorized representative can file the FROI.

Can an employer file a workers' compensation claim in Ohio?

Yes. Ohio BWC allows employers to file a First Report of an Injury, Occupational Disease or Death on behalf of an injured worker.

What information is needed for an Ohio FROI?

Information can include the employee's personal information, employer information, injury date and details, injury location and description, medical treatment information, and health-care provider information.

What happens if the employer is self-insured?

A self-insured employer generally handles its own workers' compensation claims and benefit payments subject to Ohio requirements. Employees working for self-insured employers may submit claim information directly to the employer's workers' compensation manager or claims administrator.

What is an Ohio managed care organization?

A managed care organization, or MCO, assists with the medical management of workers' compensation claims for state-fund employers. MCOs coordinate with injured workers, employers, medical providers, and BWC.

Does payroll determine whether an Ohio injury is covered by workers' compensation?

Generally, no. Payroll's role is to maintain and provide accurate employment and wage information. Questions concerning compensability, medical treatment, disability, or disputed claims should be handled through the employer's HR, claims, BWC, MCO, insurance, or legal process.

What records should payroll maintain for Ohio workers' compensation?

Payroll should maintain accurate records of employee wages, hours, overtime, bonuses, commissions, paid leave, job information, pre-injury earnings, post-injury earnings, modified-duty wages, and other compensation that may be relevant to a claim.

Does Ohio use workers' compensation payroll reporting?

Yes. Employers have payroll reporting responsibilities associated with their BWC policies. Accurate payroll reporting is important for workers' compensation premium and policy administration.

Can an Ohio employer self-insure workers' compensation?

Yes. Qualifying employers can apply for self-insured status. A self-insured employer assumes responsibility for paying qualifying workers' compensation benefits and complying with applicable Ohio requirements.

What workers' compensation benefits are available in Ohio?

Depending on the circumstances, qualifying claims may involve medical benefits, temporary total compensation, temporary partial compensation, permanent partial compensation, permanent total disability benefits, wage-loss benefits, vocational rehabilitation, and death benefits.

Can an Ohio employee receive workers' compensation after returning to work?

Depending on the circumstances, an employee may remain eligible for certain benefits after returning to work, including qualifying wage-loss or permanent disability benefits. Eligibility depends on the specific claim and applicable Ohio requirements.

How does payroll help with an Ohio workers' compensation claim?

Payroll can provide accurate wage histories, hours worked, overtime, bonuses, commissions, paid leave, reduced schedules, modified-duty earnings, and post-injury wages. This information may be used by BWC, an MCO, or a self-insured claims administrator when administering benefits.

What happens when an injured Ohio employee returns to work?

Payroll should document the return-to-work date, whether the employee returns to regular or modified duties, hours worked, restrictions, wages, and post-injury earnings. Payroll should coordinate these changes with HR and the applicable claims administrator.

Where can employers find official Ohio workers' compensation information?

Employers can obtain current information, forms, coverage information, claims resources, payroll resources, and employer services from the Ohio Bureau of Workers' Compensation. Disputed claim information is available through the Industrial Commission of Ohio.

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