Ohio Administrative Code
Title 4123 - Bureau of Workers' Compensation
Chapter 4123-17 - General Rating for the State Insurance Fund
Section 4123-17-14 - Reporting of payroll and reconciliation of premium due
Universal Citation: OH Admin Code 4123-17-14
Current through all regulations passed and filed through September 16, 2024
(A) Definitions.
(1) As used in this chapter of the
Administrative Code:
(a) "Applied EM" means
the experience modification, or "EM," as set forth in rule
4123-17-03 of the Administrative
Code, except where such EM is modified by participation in the group experience
rating program set forth in rules
4123-17-61 to
4123-17-66 of the Administrative
Code, the
claim impact reduction program set forth in rule
4123-17-71 of the Administrative
Code, or the EM cap program set forth in rule
4123-17-03.2 of the
Administrative Code. In such cases, "applied EM" means the experience modifier
resulting from participation in those programs.
(b) "Current" with respect to payments due
the bureau of workers' compensation means not more than forty-five days past
due.
(c) "Payments due the bureau"
means any premiums, administrative costs, assessments, fines or monies
otherwise due to any fund administered by the bureau for which the employer has
not submitted a dispute of the obligation to the bureau's adjudicating
committee as set forth in rule
4123-14-06 of the Administrative
Code.
(d) "Payroll" or "wages"
means the entire remuneration allowed by an employer to employees in the
employer's service for the applicable period.
(e) "Public employer taxing district" means
an employer that is not the state itself and subject to the provisions of
sections 4123.38 and
4123.39 of the Revised
Code.
(f) "Remuneration" has the
same meaning as defined in division (H) of section
4141.01 of the Revised Code.
(i) The definition of remuneration applies to
all persons of such employers considered to be employees under the statutes or
rules of the bureau, regardless of whether the employer is required to report
payroll or remuneration to the Ohio department of job and family services under
Chapter 4141. of the Revised Code or whether the employer reports payroll or
remuneration to the Ohio department of job and family services for such persons
considered to be employees by the bureau.
(ii) For employees who customarily receive
tips or gratuities, remuneration includes all actual wages paid and all tips
and gratuities.
(2) All other terms have the same meaning as
prescribed in section
4123.01 of the Revised
Code.
(B) Private employers: notice of estimated premium.
(1)
Except as otherwise provided in paragraph (E) of this rule, the bureau will
notify private employers of the development of estimated premium no later than
the first day of May preceding the policy year for which such premium is
due.
(2) The bureau will provide
all of the following:
(a) The estimated
payroll used by the bureau to calculate the employer's estimated premium
due;
(b) The classification codes
in which the employer's payroll is allocated and the base rates for each of the
classification codes identified;
(c) The employer's applied EM used in
determining premium due; and
(d)
The employer's estimated premium due for the applicable policy year.
(3) An employer may revise the
estimated payroll amount used to calculate estimated premium due for the policy
year for good cause shown, as determined by bureau policy.
(a) The estimated premium will be revised for
the policy year and the balance of installments for the remainder of the policy
year will be adjusted to reflect the new estimated premium amount.
(b) Requests will not be accepted to revise
payroll for a policy year after the last business day of March in that policy
year; the adjustment to premium due will be upon the employer's report of
actual payroll pursuant to paragraph (D) of this rule.
(C) Private employers: invoice and estimated premium payments.
(1) Except as
otherwise provided in paragraph (E) of this rule, the bureau will provide
private employers with an invoice for estimated premium no later than the first
day of June immediately preceding the policy year for which the estimated
premium is charged. The bureau will provide subsequent invoices according to a
schedule made available with the notice of estimated premium.
(2) Payment of invoices will be due no later
than the date indicated on each invoice.
(3) The administrator of workers'
compensation may assess penalties and late fees on payments received after the
deadlines set forth in paragraph (C)(2) of this rule, pursuant to rule
4123-17-16 of the Administrative
Code.
(D) Private employers: payroll report and reconciliation of premium due.
(1) Except as otherwise provided in
paragraphs (D)(5) and (E) of this rule, after the conclusion of each policy
year, every private employer shall submit a payroll report to the bureau
containing the number of employees employed within each of the employer's
assigned classification codes and the aggregate amount of wages paid to such
employees over the relevant time period.
(2) The bureau will establish an electronic
payroll reconciliation process to address the difference between estimated
gross payroll and actual gross payroll immediately upon the filing of the
payroll report.
(3) The payroll
report shall report data for the full policy year. The report must be filed by,
and any payment due the bureau paid by the fifteenth day of August, and
effective the policy year beginning July 1, 2024, by the thirty-first day of
August, immediately following the conclusion of the policy year. Any balance
due the employer will be credited to the employer's account.
(4) An employer may elect to provide payment
other than through the electronic reconciliation process, provided payment is
received by the fifteenth day of August, and effective the policy year
beginning July 1, 2024, by the thirty-first day of August, immediately
following the conclusion of the policy year.
(5) The administrator may waive the
provisions of paragraph (D)(1) of this rule for private employers who:
(a) Are not
an alternate employer organization
("AEO") as defined in section
4133.01 of the Revised Code or a
professional employer organization ("PEO") as defined in section
4125.01 of the Revised
Code;
(b) Do not have any
employees in the policy year, including no employees subject to rule
4123-17-07 of the Administrative
Code; and
(c) Have reported no
payroll on the payroll report for the three previous policy years.
(E) Alternate employer organizations and professional employer organizations.
(1) Each employer that is recognized by the
administrator as an AEO or as a PEO shall submit a monthly payroll
report.
(2) The AEO or the PEO
shall electronically report data for each month no later than the fifteenth day
after the last day of the month for which payroll is being reported and pay all
monthly premium and assessments concurrently with the filing of the monthly
payroll report.
(3) If an AEO or a
PEO fails to make timely payment of premiums and assessments pursuant to this
rule, coverage will lapse, and the administrator will proceed to revoke the
registration of the AEO or the PEO pursuant to rule
4123-17-15.7 of the
Administrative Code.
(4)
The administrator may waive the provisions of paragraph
(D)(1) of this rule for a client employer of an AEO or a PEO if the client
employer:
(a)
meets all of the criteria of paragraphs (D)(5)(a) and
(D)(5)(b) of this rule;
(b)
has been in an AEO agreement or a PEO agreement for the
entire policy period; and
(c)
reports all wages under the workers' compensation
policy for the AEO or PEO for the entire policy period.
(F) Public employer taxing districts: notice of estimated premium.
(1) The bureau will notify public employer
taxing districts of the development of estimated premium due no later than the
last day of October preceding the start of the policy year.
(2) The bureau will provide all of the
following:
(a) The estimated payroll used by
the bureau to calculate the employer's estimated premium due;
(b) The classification codes in which the
employer's payroll is allocated and the base rates for each of the
classification codes identified;
(c) The employer's applied EM; and
(d) The employer's estimated premium due for
the applicable policy year.
(3) An employer may revise the estimated
payroll amount used to calculate estimated premium due for the policy year for
good cause shown, as determined by bureau policy.
(a) The estimated premium will be revised for
the policy year and the balance of installments for the rest of the year will
be adjusted to reflect the new estimated premium amount.
(b) Requests will not be accepted to revise
payroll for a policy year after the last business day of September in that
policy year; the adjustment to premium due will be upon the employer's report
of actual payroll pursuant to paragraph (H) of this rule.
(G) Public employer taxing districts: invoice and estimated premium payments.
(1) The bureau will provide public employer
taxing districts with an invoice for estimated premium no later than the first
day of December immediately preceding the policy year for which the estimated
premium is charged. The bureau will provide subsequent invoices according to a
schedule made available with the notice of estimated premium.
(2) Payment of invoices will be due no later
than the date indicated on each invoice.
(3) The administrator may assess penalties
and late fees on payments received after the deadlines set forth in paragraph
(G)(2) of this rule pursuant to rule
4123-17-16 of the Administrative
Code.
(H) Public employer taxing districts: payroll report and reconciliation of premium due.
(1) After the conclusion of each policy year,
every public employer taxing district shall submit a payroll report to the
bureau containing the number of employees employed within each of the
employer's assigned classification codes and the aggregate
amount of wages paid to such employees over the policy year.
(2) The employer shall submit its payroll
report electronically and remit any payments due the bureau no later than the
fifteenth day of February, and effective the policy year beginning January 1,
2025, no later than the last day of February, immediately following the
conclusion of the policy year. Immediately upon receipt of the payroll report,
the bureau will adjust the premium and assessments charged to each employer for
the difference between estimated gross payrolls and actual gross payrolls. At
the conclusion of the payroll and premium reconciliation, each employer shall
remit any payments due the bureau. If the reconciled premium results in a
credit, the bureau will post such credit to the employer's account.
(I) Allocation of payroll.
(1) If an employer elects under section
4123.292 of the Revised Code to
obtain other-states' coverage directly from an other-states' insurer for
employment relationships localized in Ohio, the employer shall notify the
bureau of the election on a form prescribed by the bureau and provide the
bureau with a copy of the other-states' coverage policy.
(2) An employer that elects to obtain
other-states' coverage directly from an other- states' insurer under section
4123.292 of the Revised Code
shall include on the payroll report required by this rule only the remuneration
for work the employees performed in Ohio and other work not covered by the
other- states' policy. The employer will maintain documentation of the amount
of remuneration paid to its employees for work performed outside of Ohio and
covered by the other-states' policy and provide it to the bureau upon
request.
(3) If an employer employs
an employee covered under a federal Longshore and Harbor Workers' Compensation
Act policy, the employer shall include on the payroll report the remuneration
for work the employees performed in Ohio for which the employees are eligible
to receive compensation and benefits under Chapters 4121. and 4123. of the
Revised Code. The employer will maintain documentation of the amount of
remuneration for work covered by an insurer under the federal Longshore and
Harbor Workers' Compensation Act and provide it to the bureau upon
request.
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