How Long After An Injury Do I Have To Report It To My Employer?

Mon, 04 Jun 2007 21:51:22 GMT

Under Ohio`s our new managedcare program, BWC and the managedcare organizations (MCOs) have made filing a claim easy. Injured workers, employers and healthcare providers should report an injury to their assigned MCO. If they choose, the injured worker may now report the injury directly to BWC through the Internet by submitting the First Report of Injury online to BWC.

Your doctor will take the necessary information and either submit the injury report electronically or fax a First Report of Injury, Occupational Disease or Death FROI1 form to the MCO within 24 hours.

Once you receive medical attention, if you haven`t already, let your employer know you`ve filed a claim. BWC is here to help you throughout the claims process. If you miss eight or more days of work, a BWC claims service specialist (CSS) will call you within one week of your claim being filed with your MCO.

How Do I Know If My Employer Is Covered By Workers' Compensation?

Tue, 29 May 2007 21:19:00 GMT

If your employer has any employees at all, they must have an active workers compensation policy to insure coverage for those employees against a workplace injury. The owner of a soleproprietorship and a partner in a partnership are not considered employees and has the option whether to cover themselves or not.

If I Am Injured On The Job Can I Choose The Doctor Who Treats Me?

Tue, 29 May 2007 21:19:00 GMT

An injured worker has the right to be treated by the doctor of their choice as long as the doctor is a Bureau of Workers` Compensation (BWC) certified provider. An injured worker wishing to change physicians should notify the managed care organization of this request. If your employer is selfinsured the questions regarding your choice or a change in physician should be sent directly to the employer.

If I Am Unable To Return To The Type Of Work I Did Before I Was Injured, What Happens?

Mon, 04 Jun 2007 21:51:22 GMT

If your employer has employment available to you within your medical restrictions and you decline, your employer may request a modification or termination of your benefits. If you do return to work and wages are less than what you earned before the injury, you may be entitled to partial disability. Wage benefits usually will equal approximately 2/3 of the difference between your current earnings and what you earned before your injury, not exceeding the maximum compensation rate for the year you were injured.

My Employer Has Denied My Claim, What Do I Do?

Tue, 29 May 2007 21:19:00 GMT

If a claim is denied, it is often because of a lack of information. BWC has 28 days to issue a decision. If the information received at that time is not sufficient to allow the claim, then the claim will be disallowed. The specific reason for the disallowance should be documented on the BWC order. If you need assistance understanding the order you may contact BWC at the address or number listed below.

Once you receive the BWC order, you have fourteen days to file an appeal if you disagree with the decision. The appeal must be in writing and should include your name, the name of your employer, your claim number, the order date, and the reason you are appealing the decision. Form IC12, Notice of Appeal, is available from any BWC Service Office. Once an appeal is received the claim will be referred to the Ohio Industrial Commission for a hearing to be scheduled. You will be notified of the hearing date and time.

Bureau of Workers` Compensation
30 W. Spring St.
Columbus, OH, 432152256
18006446292

What Workers' Compensation Benefits Am I Entitled To?

Tue, 29 May 2007 21:19:00 GMT

After a claim for a work injury is allowed, the policy will cover payment of medical bills, compensation for lost wages, permanent disability and settlements.

When Will My Benefits Begin And How Much Will They Be?

Tue, 29 May 2007 21:19:00 GMT

You will be eligible for lost time benefits if you lose more than seven days of work. Also, the first seven days are not payable until you lose fourteen consecutive days. Other than these exceptions, most injured workers are usually paid for the entire period of time they are off. If an injured worker is off work for three months (90 days) a medical exam may be scheduled. Continued payment of temporary total disability will be dependent on the outcome of the independent medical exam.

Compensation rates are based on your earnings prior to the injury taking into account the minimum and maximum rates applicable to the year you were injured. For claim specific rate inquiries contact BWC.

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