Policy
Name:
|
Date of
Injury Coincides with the Effective Date of Coverage
|
Policy #:
|
EP-04-04
|
Code/Rule
Reference
|
Ohio
Administrative Code (OAC) 4123-17-13.
|
Effective
Date:
|
December
4, 2015
|
Approved:
|
Kevin R.
Abrams, Chief of Employer Services
|
Origin:
|
Employer
Policy
|
Supersedes:
|
Date of
Injury Matches Date of Coverage Initiation policy revised February 23, 2011.
|
History:
|
New policy
issued on October 11, 2007, revised February 23, 2011.
|
Review
Date:
|
December
4, 2020
|
I. Policy Purpose
The
Ohio Bureau of Workers’ Compensation (BWC) will establish the exact date and
time an employer’s coverage becomes effective, in accordance with Ohio
Administrative Code (OAC) 4123-17-13, to determine
the coverage status of a claim with a matching date of injury.
II. Applicability
This
policy applies to employers, authorized representatives, BWC Policy Processing
and Field Operations.
III. Definitions
There are no definitions for this policy.
IV. Policy
A.
Whenever BWC
identifies claims with a date of injury that coincides the date the employer
initiated workers’ compensation coverage, BWC will:
1.
Determine the date
and time that the employer’s coverage became effective as outlined in this
policy.
2.
Consider a claim
with a date and time of injury prior to the date and time the employer’s
workers’ compensation coverage became effective as a no-coverage claim.
B.
Workers’
compensation coverage.
1.
BWC coverage is
effective upon completion of the following requirements:
a.
Completion and
submission of the Application for Ohio Workers’ Compensation Coverage (U-3),
or the online U-3 application on BWC’s website www.bwc.ohio.gov and;
b.
Receipt of the
non-refundable application fee equal to the minimum administrative charge set
forth in OAC 4123-17-26, and;
c.
Receipt of the first
estimated premium payment. See the Prospective
Billing Installment Payments policy for additional information.
2.
Once the above
requirements are satisfied, coverage becomes effective at the time BWC time and
date stamps the U-3.
a.
For walk-in
customers, coverage will take effect upon completion of the U-3, receipt of the
non-refundable application fee and receipt of the first estimated premium
payment as indicated by the BWC time and date stamp.
b.
For online
applications, coverage will take effect upon completion of U-3, receipt of the
non-refundable application fee and receipt of the first estimated premium
payment. The website time indicator will serve as the BWC time and date stamp.
c.
For mail-in
applications, coverage will take effect at 12:01 a.m. on the date BWC receives
the U-3, receipt of the non-refundable application fee and receipt of the first
estimated premium payment.
C.
Elective coverage.
1.
On new applications
for coverage, on which the employer marks the U-3 as desiring elective
coverage, elective coverage will take effect at the same time as the effective
date of the new employer’s workers’ compensation coverage upon completion of
the U-3, receipt of the non-refundable application fee and receipt of the first
estimated premium payment.
2.
Employers with an
active BWC policy:
a.
Mail-in applications
for elective coverage will take effect at 12:01 a.m. on the date that BWC
receives the completed Application for Elective Coverage (U-3S).
b.
For walk-in
customers, elective coverage will take effect when BWC time and date stamps the
U-3S.
c.
For online
applications, elective coverage will take effect upon completion of the U-3S as
indicated by the BWC website time indicator.
3.
For additional
information, see the Elective
Coverage policy.