This is one of the official workers' compensation forms for the state of Ohio.
Columbus Ohio Filing of an Allegation Against a Self-Insured for Workers' Compensation
Category:
State:
Ohio
City:
Columbus
Control #:
OH-SI28-WC
Format:
PDF
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Description
How to fill out Ohio Filing Of An Allegation Against A Self-Insured For Workers' Compensation?
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FAQ
Do you need workers' compensation in Ohio if you are self-employed? A sole proprietor or member of a partnership must carry workers' compensation insurance for any employees of the business, but it is optional for owners to have insurance for themselves.
Ohio law requires employers with one or more employees to obtain workers' compensation coverage or be granted the privilege of self-insurance for liabilities associated with work-related accidents or occupational diseases.
You may also resolve your complaint with the IC by calling 1-800-521- 2691 or by logging on to . If your problem is still unresolved, call the Om- buds Office at 1-800-335-0996. The Ombuds Office is an independent service of Ohio's workers' compensation system.
One exception to no-fault workers' compensation occurs when there is an ?intentional tort.? Ohio law allows an employee to recover lawsuit damages against their employer under the following circumstances: The employer deliberately intended to cause an employee to suffer an injury, occupational disease, or death.
Actually, you, your employer, a medical provider, your employer's managed care organization or a legal representative can file the claim with us. We accept claims online, by phone, fax, mail or in person.
Within one year of the date of injury or death.
John Logue Bureau of Workers' Compensation.
BWC pays medical benefits and lost wages to employees who are injured or contract an occupational disease on the job. We also pay death benefits to survivors when a death results from a work-related injury or disease. Ohio law requires employers to obtain workers' compensation insurance for all employees.
The Ohio Bureau of Workers' Compensation (BWC) is the primary state agency that handles workers' comp claims. Most of the law for WC insurance is contained in Ohio's Workers' Compensation Act (Chapter 4123 of the Ohio Revised Code).
Self-insurance ? Some large Ohio businesses elect to insure themselves. This means they are directly responsible for paying the medical bills and wage replacement costs for their injured employees. Injured workers file a claim directly with the employer, and the employer pays the benefits out of its own funds.