and Procedure Name:
4123.651; R.C. 4121.36; O.A.C. 4121-3-09
R. Abrams, Chief Operating Officer
Injury Management policies, procedures, directives and memos regarding IC
suspensions that predate the effective date of this procedure.
07/30/14, Rev. 08/22/17
I. POLICY PURPOSE
of this policy is to ensure that BWC refers employer requests to suspend claim
activity to the Industrial Commission of Ohio (IC) and that BWC executes IC
orders granting suspension.
policy applies to BWC Field Operations staff.
refer to the IC all employer requests for claim suspension due to the injured
worker’s (IW) failure to appear for an employer-requested exam or refusal to
sign a medical release.
shall refer to the Standard Claim File Documentation policy and
procedure for claim-note requirements and shall follow any other specific
instructions included in this procedure.
staff shall refer the employer’s Motion (C-86) or request to suspend a
claim to the IC on a Notice of Referral (NOR) when the employer is claiming
that the IW:
1. Failed to appear for an employer-requested
2. Refused to sign a medical release.
staff shall include in the NOR the employer’s reason for requesting claim
suspension. Claim staff may refer to the Notice of Referral policy for
If the IC
issues a compliance letter denying the claim suspension, field staff shall
continue to process the claim and address any pending applications.
If the IC
issues a compliance letter suspending the claim, claim staff shall:
1. Enter a note titled “IC suspension of all claim
activity” including the status of all allowed or disallowed conditions prior to
updating the claim status reason.
2. In lost time claims:
a. Place any pending indemnity payments on hold to
prevent any payment authorizations from being created.
b. Update Claim Dates, Stop Payment Dates, to
ensure no indemnity payments are released.
3. Update the claim status reason to “Suspended by
claim from suspension status.
1. Once the IW satisfies the terms of the
suspension, field staff shall remove the suspension status. The IC will not
issue additional correspondence.
2. Claim staff shall:
a. Enter a note indicating the claim suspension is
b. Update the claim status reason to the status
prior to suspension of the claim.
c. Expire the stop payment placed in Claim Dates,
Stop Payment Dates, to ensure indemnity payments are able to
d. Process any outstanding compensation requests
and/or medical bills that were filed during the period of the suspension.