4123-17-32 Self-insuring employer assessment based upon paid compensation.

 

 

 

4123-17-32                  Self-insuring     employer      assessment     based       upon                           paid compensation.

 

 

The administrator of workers' compensation, with the advice and consent of the bureau of workers' compensation board of directors, has authority to determine and levy against self-insuring employers amounts to be paid to support the safety and hygiene fund, the administrative cost fund, the portion of the surplus fund that is mandatory, the portion of the surplus fund that is used for rehabilitation reimbursement subject to the self-insuring employer's election under section 4121.66 of the Revised Code, the portion of surplus fund that is used for handicap reimbursement subject to the self-insuring employer's election under section 4123.343 of the Revised Code, and the portion of the surplus fund used for claims reimbursement for self-insuring employers under division (H) of section

4123.512 of the Revised Code, pursuant to sections 4121.12, 4121.37, 4121.66, 4123.34, 4123.342, and 4123.35 of the Revised Code in conjunction with rule 4123-19-01 of the Administrative Code. The administrator hereby sets the self-insuring employer assessments to be effective July 1, 2008 2009, for the period July 1, 2008 2009, to June 30, 2009 2010, payable in two equal remittances by February 29, 2009 2010, and August 31, 2009 2010, as follows:

 

(A)   The assessments shall be on the basis of the paid compensation attributable to the individual self-insuring employer as a fraction of the total amount of paid compensation for the previous calendar year attributable to all amenable self-insuring employers.

 

(B)    Paid compensation means all amounts paid by a self-insuring employer for living maintenance benefits, all amounts for compensation paid pursuant to sections 4121.63, 4121.67, 4123.56, 4123.57, 4123.58, 4123.59, 4123.60 and 4123.64 of the Revised Code, all amounts paid as wages in lieu of such compensation, all amounts paid in lieu of such compensation under a nonoccupational accident and sickness program fully funded by the self-insuring employer, and all amounts paid by a self-insuring employer for a violation of a specific safety standard pursuant to section 35 of article II, Ohio Constitution and section 4121.47 of the Revised Code. Any reimbursement received from the surplus fund pursuant to section 4123.512 of the Revised Code by a self-insuring employer for any such payments or compensation paid shall be applied to reduce the amount of paid compensation reported in the year in which the reimbursement is made. Any amount recovered by the self-insuring employer under section 4123.931 of the Revised Code and any amount that is determined not to have been payable to a claimant in any final administrative or judicial proceeding shall be deducted, in the year collected, from the amount of paid compensation reported.

 

(C)   The assessments shall be computed for all self-insuring employers operating in Ohio by multiplying the following rates by the individual self-insuring employer's paid compensation for calendar year 2007 2008:

 

 

 

 

(1)   Safety and hygiene fund: .0098 .0050.

(2)   Administrative cost fund, BWC: .0847 .0889.

(3)   Administrative cost fund, IC: .0834 .0798.

(4) Administrative cost fund, WCC: .00001.

(4)(5) Surplus fund (mandatory): .0450 .0935.

(D)   The assessment to fund the portion of the surplus fund that is used for rehabilitation reimbursement for all self-insuring employers who have not made an election to opt out of the rehabilitation reimbursement program under the provisions of section

4121.66 of the Revised Code shall be computed by multiplying the following rate by the individual self-insuring employer's paid compensation for calendar year 2007 2008:

Surplus fund (rehabilitation): .1300.

(E)    The assessment to fund the portion of the surplus fund that is used for handicap reimbursement for all self-insuring employers operating in Ohio who have not made an election to opt out of the handicap reimbursement program under the provisions of division (G) of section 4123.343 of the Revised Code shall be computed by multiplying the following rate by the individual self-insuring employer's paid compensation for calendar year 2007 2008:

Surplus fund (handicap): .2480.

(F)     The assessment to fund the portion of the surplus fund that is used for claims reimbursement for all self-insuring employers operating in Ohio who have not made an election to opt out of the right to reimbursement under the provisions of division (H) of section 4123.512 of the Revised Code shall be computed by multiplying the following rate by the individual self-insuring employer's paid compensation for calendar year 2007 2008:

Surplus fund (disallowed claims reimbursement): .0285 .0278.

(G)   An employer who no longer is a self-insuring employer in Ohio or who no longer is operating in this state shall continue to pay assessments for administrative costs and for the portion of the surplus fund that is mandatory. The assessments shall be computed by such employer by multiplying the following rates by the individual employer's paid compensation for calendar year 2007 2008:

(1)   Administrative cost fund, BWC: .0847 .0889.

(2)   Administrative cost fund, IC: .0834 .0798.

(3) Administrative cost fund, WCC: .00001

(3)(4) Surplus fund (mandatory): .0450 .0935.

(H)   If the paid compensation for a self-insuring employer for calendar year 2007 2008 is less than thirteen thousand four hundred and fifty-eight eleven thousand two hundred and twenty seven dollars and ninety-five twelve cents, the minimum assessments shall be paid as follows:

(1)   Safety and hygiene fund: $131.90 $56.14.

(2)   Administrative cost fund, BWC: $1,139.97 $998.09.

(3)   Administrative cost fund, IC: $1,122.48 $895.92.

(4) Administrative cost fund, WCC: $0.11.

(4)(5) Surplus fund (mandatory): $605.65 $1,049.74.

If the paid compensation for calendar year 2007 2008 for a self-insuring employer which has not made an election to opt out of the rehabilitation reimbursement program effective on or before July 1, 2008 2009 is less than fifteen thousand three hundred eighty-four dollars and sixty-two cents, the minimum assessment for the surplus fund (rehabilitation) shall be two thousand dollars.

If the paid compensation for calendar year 2007 2008for a self-insuring employer which has opted to participate in the handicap reimbursement program is less than fifty thousand dollars, the minimum assessment for the surplus fund (handicap) shall be twelve thousand four hundred dollars.

Assessments are applicable only for the funds to which payments must be made based upon the status and the options exercised relative to the handicap reimbursement program and the rehabilitation reimbursement program.

An employer who no longer is a self-insuring employer in Ohio or no longer is operating in this state and who has less than thirteen thousand four hundred and fifty-eight eleven thousand two hundred and twenty seven dollars and ninety-five twelve  cents  in  paid  compensation  for  calendar  year  2007  2008  shall  have  a

reduced minimum assessment. The minimum assessment shall be ninety per cent of the above minimum assessments in this paragraph in the year after becoming inactive, eighty per cent in the following year, seventy per cent in the following year, and so forth, being reduced ten per cent each year, until the assessment is phased out over ten years.

(I)   If an individual self-insuring employer has become self-insured in the last five years (on or after July 1, 2003 2004) paid compensation shall be as defined in paragraph

(B) of this rule and shall additionally include compensation paid in calendar year 2007 2008 by the state insurance fund for claim costs directly attributable to the employer prior to becoming self-insured.

(J)   The initial assessment to a self-insuring employer in its first calendar year of operation as a self-insuring employer shall be prorated to cover the time period that self-insurance was in effect, but shall not be less than the minimum assessment for a self-insuring employer as provided in paragraph (H) of this rule.

(K)   Pursuant to rule 4123-19-15 of the Administrative Code, the following assessment, to be billed and payable in two equal remittances by February 28, 2009 2010, and August 31, 2009 2010, shall be computed for all self-insuring employers by multiplying the following rate by the individual self-insuring employer's paid compensation for calendar year 2007 2008:

(1)   Self-insuring employer guaranty fund: 0527.

(L)   If an employer fails to pay the assessment when due, the administrator may add a late fee penalty of not more than five hundred dollars to the assessment plus an additional penalty amount as follows:

(1)   For an assessment from sixty-one to ninety days past due, the prime interest rate plus two per cent, multiplied by the assessment due;

(2)   For assessment from ninety-one to one hundred twenty days past due, the prime interest rate plus two per cent, multiplied by the assessment due;

(3)   For an assessment from one hundred twenty-one to one hundred fifty days past due, the prime interest rate plus four per cent, multiplied by the assessment due;

(4)   For an assessment from one hundred fifty-one to one hundred eighty days past due, the prime interest rate plus six per cent, multiplied by the assessment due;

(5)    For an assessment from one hundred eighty-one to two hundred ten days past due, the prime interest rate plus eight per cent, multiplied by the assessment due;

(6)     For each additional thirty-day period or portion thereof that an assessment remains past due after it has remained past due for more than two hundred ten days, the prime interest rate plus eight per cent, multiplied by the assessment due.

For purposes of this division, "prime interest rate" means the average bank prime rate, and the administrator shall determine the prime interest rate in the same manner as a county auditor determines the average bank prime rate under section 929.02 of the Revised Code.

Effective:                                                     07/01/2009

CERTIFIED ELECTRONICALLY

Certification

06/19/2009

Date

Promulgated Under:                           111.15

Statutory Authority:                           4121.12, 4121.121

Rule Amplifies:                                  4121.37, 4121.66, 4123.34, 4123.342, 4123.343,

4123.35

Prior Effective Dates:                         1/1/90, 7/1/90, 7/1/91, 7/1/92, 7/1/93, 7/1/94, 7/1/94,

1/1/95, 7/1/95, 7/1/96, 7/1/97, 7/1/98, 7/1/99, 7/1/00,

7/1/01, 7/1/02, 7/1/03, 10/6/03, 7/1/04, 7/1/05, 7/1/06,

7/1/07, 7/1/08