and Procedure Name:
4123.651; R.C. 4121.36; O.A.C. 4121-3-09
R. Abrams, Chief Operating Officer
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
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.
staff 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 exam; or,
2. Refused to sign a
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
the IC issues a compliance letter denying the claim suspension, field staff
shall continue to process the claim and address any pending applications.
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 IC”.
a 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 lifted.
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 be released.
d. Process any outstanding
compensation requests and/or medical bills that were filed during the period of