Policy Name:
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Elective Coverage
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Policy #:
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EP-05-03
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Code/Rule Reference
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Ohio Revised Code (ORC) 4123.01;
Ohio Administrative Code (OAC) 4123-17-07,
4123-17-30,
4123-17-14.
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Effective Date:
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September 4, 2025
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Approved:
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Rex Blateri, Chief of Employer Services
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Origin:
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Employer Policy
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Supersedes:
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Elective Coverage policy effective July 1, 2023
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History:
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Revised September 4, 2025; June 12, 2024; April 1,
2023; December 14, 2021; January 13, 2020; November 27, 2018; March 24, 2016;
October 22, 2007. New policy September 12, 2007.
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Review Date:
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September 4, 2030
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I.
Policy Purpose
The Ohio Bureau of Workers’
Compensation (BWC) administers elective coverage in accordance with all
applicable laws and rules.
II.
Applicability
The policy applies
to private employers, authorized representatives, and the following BWC
departments: Customer Assistance, Collections, Regional Employer Management
Services, and Policy Processing.
III. Definitions
A. Church:
An established and legally recognized church, congregation, denomination,
society, corporation, fellowship, convention, or association that is formed
primarily or exclusively for religious purposes.
B. Elective
coverage person: A sole proprietor, a member of a partnership, a member of
a limited partnership, an individual incorporated as a corporation (ICORP) with
no employees, an officer of a family farm corporation, or an individual member
of a limited liability company (LLC) filing a federal tax form as a sole
proprietorship or partnership.
C. Elective
coverage entity: A sole proprietorship, partnership, limited partnership,
ICORP, a family farm corporation, or an LLC filing a federal tax form as a sole
proprietorship or partnership.
D. Family
farm corporation: A corporation founded for the purpose of farming
agricultural land in which the majority of the voting stock is held by, and the
majority of the stockholders are, persons or the spouse of persons related to
each other. For a complete definition see ORC 4123.01(E).
E. Individual
incorporated as a corporation (ICORP): A single or sole owner of a
corporation with no employees is excluded as an employee under Ohio workers'
compensation laws.
F. Minister:
A duly ordained, commissioned, accredited, or licensed minister, member of the
clergy, rabbi, priest, or Christian Science practitioner. This definition also
includes assistant ministers and associate ministers.
IV. Policy
A. BWC policy
on elective coverage entities, elective coverage persons, and ministers.
1.
An employer that elects to cover an elective coverage person or minister
must notify BWC, by using the online Application for Ohio Workers' Compensation
Coverage (U-3)
or the online Application for or Request to Cancel Elective Coverage (U-3S).
An employer may also notify BWC by submitting a U-3
or a U-3S
in writing.
a.
The U-3 may only be used by an employer that is initially applying for
workers' compensation coverage.
b.
The U-3S is used by an employer with an active BWC policy.
2.
Coverage for elective coverage persons and ministers is not effective
until a U-3 and non-refundable application fee, or a U-3S, has been filed with
BWC. See section IV.A.1 above.
a.
On the U-3 on which the employer elects coverage, elective coverage will
take effect at the same time as the new employer's workers' compensation
coverage. See the Application
for Coverage (U-3) policy for additional information.
b.
Employers with an active BWC policy.
i.
Mail-in applications: Elective coverage will take effect at 12:01 a.m.
on the date BWC receives the completed U-3S.
ii.
Walk-in applications: Elective coverage will take effect when BWC time
and date stamps the U-3S.
iii. Online
applications: Elective coverage will take effect upon submission of the
completed U-3S as indicated by the BWC website time and date indicator.
3.
After proper election and notice, elective coverage persons and
ministers are entitled to receive compensation and benefits as provided in ORC Chapter 4123.
4.
Coverage for elective coverage persons and ministers is not effective
until notice has been filed and the mandatory payment made with BWC. Additional
premium for elective coverage must be paid by the due date indicated on the
invoice.
5.
Payroll will be assigned to the National Council on Compensation
Insurance (NCCI) classification code and description applicable to the duties
performed.
a.
If the elective coverage person has multiple duties, payroll will be
assigned to the highest rated classification code applicable to the duties
performed.
b.
BWC will adjust the employer's estimated annual premium and installment
payments if an elective coverage person or minister is added during the policy
year.
6.
Elective coverage remains in effect, and the employer is responsible for
the payment of estimated premium, until BWC receives notice from the employer
requesting termination of coverage for any elective coverage person or
minister.
7.
BWC may accept an email from a BWC staff member to cancel an employer's
elective coverage, if the BWC staff member made new employer outreach and
confirmed the employer's intent to cancel elective coverage. This request must
be received within forty-five (45) days of the policy issued date.
8.
BWC will lapse the elective coverage and policy coverage if the employer
fails to pay an installment timely. See the Prospective
Billing Installment Payments policy for additional information
regarding installment payment plans, due dates, grace periods, and a default in
installment payment.
a.
The lapse effective date is the first day of the month after the due
date for the installment.
b.
For a new employer who fails to pay its initial installment payment, BWC
lapses elective coverage and policy coverage retroactive to the policy effective
date.
9.
When BWC receives payment from the employer for all installments due,
elective coverage and policy coverage reinstates.
10. An elective
coverage entity is not required to report the payroll of an elective coverage
person unless the entity elects to cover such person for workers' compensation.
a.
If election is made, the elective coverage entity must report the
payroll of the elective coverage person.
b.
The payroll of an elective coverage person is subject to the weekly
minimum and maximum reporting requirements. See the Minimum
and Maximum Private State Fund Payroll Limitations policy.
11. A church
employer that elects to cover a minister must report the actual payroll for the
minister. A church electing coverage for its minister is not subject to minimum
and maximum payroll reporting requirements.
12. A minister
may elect coverage as a sole proprietor. If such election is made, the minister
is subject to the minimum and maximum payroll reporting requirements.
13. An ICORP is
not considered an employee and can elect workers' compensation coverage. ORC
4123.01(A)(2)(c).
a.
BWC may identify and confirm ICORP status with an employer during the
new business application process or during the review of an entity type change
on the Notification of Policy Update (U-117). When an ICORP hires an employee,
the corporation is no longer an ICORP, and the owner becomes a corporate
officer of that corporation and can no longer elect coverage.
i.
As a corporate officer, the owner of the corporation with an employee is
subject to the minimum and maximum payroll reporting requirements.
ii.
BWC will not permit an employer to revert to ICORP status, even if the
employer no longer has employees. The owner shall remain a corporate officer
subject to minimum and maximum payroll reporting requirements.
b.
An employer that hires periodic or seasonal employees does not qualify
for ICORP status.
c.
If coverage was elected, the ICORP must notify BWC to cancel elective
coverage upon the hiring of an employee. BWC will update the employer's entity
type to the appropriate corporation status, and the minimum and maximum payroll
reporting requirements for corporate officers will be applicable.
B. Determining
legal entity type. If a question arises regarding the proper legal entity type
of an employer for workers’ compensation purposes, BWC will use the federal tax
form filed by the employer to define legal entity type, as follows.
1.
Sole proprietor or LLC acting as a sole proprietor: Internal Revenue
Service (IRS) Form 1040 with Schedule C.
2.
Partnership or LLC acting as a partnership: IRS Form 1065 with Schedule
K-1.
3.
Corporations including family farm corporate officers, and ICORPs: IRS
Form 1120 or 1120S.
4.
Ministers: IRS Form 990.
C. Payroll
true-up reporting guidelines.
1.
After the conclusion of each policy year, every private employer must
report actual payroll to BWC for the full policy year, from July 1 through June
30. BWC may waive this requirement for certain employers. See the Payroll
True-Up policy for additional information.
2.
Specific payroll reporting requirements associated with elective
coverage.
a.
Sole proprietors and partners, including LLC acting as sole
proprietorship or partnership. Individuals who earn between the minimum and
maximum will report payroll based on their actual net incomes as follows.
i.
Sole proprietors: Net income is based on Form 1040, Schedule C, E, or F.
ii.
Partnerships: Net income is based on Form 1065, Schedule K-1 ordinary
income minus section 179 depreciation, plus guaranteed payments.
b.
Officers of family farm corporations who earn between the minimum and
maximum will report payroll based on their actual W-2 wages.
c.
ICORPs who earn between the minimum and maximum must report payroll
based on their actual W-2 wages.
D. Employer and
elective coverage person requests to cancel elective coverage.
1.
To cancel elective coverage the employer or the elective coverage person
must notify BWC by:
a.
Completing and submitting a U-3S;
b.
Notifying online via www.bwc.ohio.gov for the individual(s) listed on
the U-3S service offering;
c.
Formal letter or email identifying the individual that no longer elects
to be covered;
d.
Informing a BWC staff member making new employer outreach to the
employer within forty-five (45) days of the policy issued date; or
e.
Telephoning BWC.
2.
A cancellation by phone requires verification and documentation by BWC
staff.
a.
For cancellation by phone the following information must be verified:
i.
The caller is an authorized representative or employer contact on the
policy;
ii.
The Federal Employer Identification Number (FEIN), Social Security
number (SSN), or other identifier associated with the policy; and
iii. The
mailing address.
b.
The following details must be saved in a CoreSuite note on the policy:
i.
Name and title of caller; and
ii.
Name of individual whose elective coverage is being cancelled.
3.
BWC will adjust the employer's estimated annual premium and installment
payments.
4.
BWC will cancel elective coverage effective:
a.
The date BWC receives the request from the employer or elective coverage
person;
b.
The future effective date of cancellation provided by the employer on
the U-3S; or
c.
The date the employer last operated the business. See the Cancellation
of Workers' Compensation Coverage policy. The employer may be required
to provide documentation of the date the employer last operated the business.
E. Resolution
of complaints.
1.
Employer complaints are processed under the General
Employer Complaint Policy.
2.
BWC has identified a specific extenuating circumstance regarding retroactive
elective coverage. This circumstance is outlined in section IV.F below.
F. Specific
extenuating circumstance regarding retroactive elective coverage. Elective
coverage person or church believes there is elective coverage for a claim.
1.
An elective coverage person or minister has been injured and files a
workers' compensation claim. However, no elective coverage exists. In this
situation, the elective coverage person or church believes there is elective
coverage due to payroll being reported with employee payroll for past policy
years prior to the date of injury. If BWC was not provided notice for elective
coverage by the filing of a U-3 or a U-3S, BWC will not grant retroactive
elective coverage. Any requests for covered claims would need to follow the
appeal process.
2.
If retroactive elective coverage is granted to the individual by a claim
allowance, BWC will add elective coverage and assign payroll for the policy
year the claim was in. The employer would need to file a U-3S to continue
elective coverage for future policy years.
G. Scenarios.
1.
Sole proprietorship or partnership not electing coverage.
A sole proprietorship
or partnership that does not elect workers’ compensation coverage is not
required to pay estimated premium and report actual net income as payroll to
BWC. The sole proprietor or partners would not be eligible for workers’
compensation benefits in the event of an injury or illness while on the job.
2.
Sole proprietorship or partnership electing coverage.
A sole proprietorship
or partnership elects coverage when submitting a U-3, or elects coverage when
submitting a U-3S after coverage has been established. Sole proprietors and partners
are required to pay estimated premium and report actual net income as payroll
according to minimum and maximum payroll reporting requirements. If a sole
proprietor or partner who elected coverage was injured on the job, the claim
would be a covered claim if elective coverage was active on the date of injury.
3.
LLC as a sole proprietor.
a.
An LLC is formed by an individual who operates the LLC as a sole
proprietorship for tax purposes. The individual who owns the business applies
for coverage for their employees as required, but the individual does not elect
coverage as the sole proprietor. The policy is kept in force with timely
estimated premium payments. In this case, if an employee is injured, the claim
would be a covered claim.
b.
If the sole proprietor is injured, BWC does not provide benefits because
coverage was not elected for the individual.
4.
LLC as a partnership.
a.
An LLC is formed by individuals who operate the LLC as a partnership for
tax purposes. The partners who own the business apply for coverage for their
employees as required, but the partners do not elect coverage for themselves.
The policy is kept in force with timely estimated premium payments. In this
case, if an employee is injured, the claim would be a covered claim.
b.
If a partner is injured, BWC does not provide benefits because coverage
was not elected for the partners.
5.
Family farm officers are required to update policy information.
A family farm
corporation properly applies for and maintains elective coverage on the family
members that are officers of the corporation. If a spouse is subsequently made
an officer of the corporation, BWC must be notified by the completion of a U-3S
and payment of adjusted estimated premium reflecting the addition of the
elective coverage. Without completion of the U-3S and payment of estimated
premium, the spouse does not have elective coverage and would not be covered if
an injury occurred.
6.
Church electing to cover its ordained minister as an employee under the
church’s workers’ compensation policy.
A church opts
to provide elective coverage for a minister under its workers’ compensation
policy. When a new minister arrives to replace the minister covered previously,
the church must complete and submit a U-3S to add coverage for the new minister
and cancel coverage for the prior minister. The minister’s actual earnings must
be reported under this option.
7.
Ordained minister as a sole proprietor with elective coverage.
A church
decides not to cover its minister as an employee under its workers’
compensation policy. In this situation, the minister may elect to establish
elective coverage as a sole proprietor by filing a U-3. Ordained ministers who
elect coverage as sole proprietors are subject to the minimum and maximum
payroll reporting requirements.
8.
ICORP with no employees other than the owner, including S-Corp, LLC,
C-Corp.
a.
A recently incorporated dentist plans to work alone until such time that
his practice requires the services of an assistant. The dentist desires
coverage for workers' compensation. He completes and submits a U-3 to establish
coverage in preparation for the practice to open. The dentist selects elective
coverage on the U-3 application. Elective coverage is actively maintained with
timely estimated premium payments. Estimated premium is based on minimum and
maximum payroll reporting requirements.
b.
When the assistant is hired, the status of the employer changes from an
ICORP to a corporation. As a corporation, the dentist is still an officer of
the corporation. The dentist is now required to report his earnings, subject to
the minimum and maximum payroll reporting requirements, as well as the earnings
of the assistant to BWC. Because of this status change, the dentist must notify
BWC and cancel elective coverage.
9.
ICORP expects to have seasonal employees.
A recently
incorporated landscaper contacts BWC regarding workers’ compensation coverage.
The employer plans to work alone initially and hire employees based upon
seasonal fluctuations in business. As an employer with a periodic need for
employees, the landscaper does not meet the conditions to qualify as an ICORP
with no employees. The landscaper must complete and submit a U-3 to establish a
policy and coverage as a corporation. Wages should be reported following the
requirements for a corporation.
10. A company
has two shareholders, in which one works for the company, and the other does
not.
The company
believes it should be considered an ICORP. Pursuant to ORC section 4123.01(A)(2)(c)
an employee is not "an individual incorporated as a corporation,"
therefore the company would not apply to this situation. Shareholders are
owners, and if there is more than one owner, the company is not an ICORP.