Ohio Administrative Code
Title 4123 - Bureau of Workers' Compensation
Chapter 4123-17 - General Rating for the State Insurance Fund
Section 4123-17-56.1 - Workplace wellness grant program rule
Universal Citation: OH Admin Code 4123-17-56.1
Current through all regulations passed and filed through September 16, 2024
(A) For purposes of this rule:
(1) "Health risk factors" means physical and
mental characteristics that can be modified, nearly always with much less cost
compared to waiting for sickness and then attempting to treat the
disease.
(2) "Employer" or "employer" means a private state fund
employer, a public employer taxing district, a marine industry fund employer,
or a coal-workers' pneumoconiosis fund employer.
(3)
"Workplace
wellness program" means a health and wellness program in the workplace which
consists of a biometric screening and health risk appraisal, and activities
based on the results of the screening, program measurements and
policies.
(B) Workplace wellness grant program.
(1) Pursuant
to section 4121.37 of the Revised Code, the
administrator may establish a program of workplace wellness grants for the
prevention of occupational injuries and illnesses for which an employer is
eligible under this rule. The workplace wellness grant may include grants to an
employer to provide funds to address health risk factors to reduce the number
and severity of workplace injuries and illnesses.
(2) The bureau shall determine whether the
employer is eligible for the workplace wellness grant program under this rule.
The bureau may limit participation in the workplace wellness grant program
based upon the availability of bureau resources for the program and upon the
merits of the employer's proposal. The bureau shall award grant funds for
employers on a first come, first serve basis. The workplace wellness grant
program is available to a state-fund employer that satisfies the following
criteria:
(a) The employer
shall be current with respect
to all payroll reporting and payments due to any fund administered by the
bureau.
(b)
The employer shall not have more than forty days of
cumulative lapses in workers' compensation coverage within the prior twelve
months.
(c) The employer shall maintain
active state fund coverage to participate in the workplace wellness grant
program.
(d) For grants to an employer
for the research and
implementation of workplace wellness programs, the employer shall submit to the
bureau an application for participation in the workplace wellness grant
program. The employer shall demonstrate a need for workplace wellness grant
program.
(e) The employer is not eligible for a workplace
wellness program grant if the employer has an existing workplace wellness
program.
(3) The bureau shall assess the employer's
workplace wellness proposal and shall review the
workplace wellness grant program application, including the baseline assessment
of the worksite provided in the application.
(a) If the bureau accepts the employer into
the workplace wellness grant program, the employer shall submit
an annual report to the bureau for
up
to four years following the implementation of the wellness program. The
employer shall develop an implementation strategy plan for
its
workplace wellness grant program.
(b) The bureau and employer shall enter into
a written agreement detailing the rights, obligations, and expectations of the
parties for performance of the workplace wellness grant program.
(c) The employer shall implement the wellness
program within three months from the date that the bureau disburses the grant
funds to the employer. The implementation of the workplace wellness program cannot take place before
the disbursement of the grant funds.
(4) The employer shall agree to not eliminate
jobs or reduce employment due to the implementation of the workplace wellness
program.
(5)
The bureau may
meet with the owner, chief executive officer, chief financial officer, or
persons having fiduciary responsibilities with the employer to evaluate the
employer's progress in the workplace wellness grant program.
(6)
An employer who complies with the requirements of the workplace wellness grant
program under this rule shall be eligible to receive a grant from the bureau as
provided in the written agreement.
(a) The bureau may establish a limit for the
amount of monies it disburses for the workplace wellness grant and this amount
shall be established by written agreement with the employer.
(b)
The bureau may require that the employer must execute its
workplace wellness program through an approved
vendor.
(c) The bureau shall monitor the employer's use of the
workplace wellness grant program
funds.
(7) Reconsideration of
determination of eligibility.
(a) An employer
may request reconsideration from a decision finding the employer did not meet
the requirements provided in paragraph (B)(2) or (B)(3) of this rule. The
request must be in writing and filed with the superintendent of the division of
safety and hygiene within thirty days of the notification of the
decision.
(b) The employer may
submit a request for reconsideration of the superintendent's decision to the
adjudicating committee.
(c) The
adjudicating committee shall consider the request and make a recommendation on
the employer's eligibility to the administrator.
(d) The decision of the administrator shall
be final.
(8) Upon the approval of the proposed wellness
program, the employer shall provide to the bureau documentation on the use of
the funds, including submission of original paid itemized invoices, proof of
payment, proof of the employer's contribution, and cancelled checks that
demonstrate the employer spent all workplace wellness grant funds toward the
approved expenditures.
(9) The bureau shall
evaluate the research data from the workplace wellness grant program on a
periodic basis. The bureau may publish reports of the research to assist
employers in preventing workplace injuries and illnesses.
(C) Continuing eligibility for the workplace wellness grant program once acceptance has been granted.
(1) An employer participating in the
workplace wellness grant program shall be eligible to continue participating in
the program only if the employer maintains active workers' compensation
coverage according to the following standards:
(a) The employer must be current
with
respect to all payroll reporting and payment due to any fund administered by
the bureau.
(b)
The employer must not have cumulative lapses in workers' compensation coverage
in excess of forty days within the prior twelve months.
(2) After the first year of enrollment, an
employer participating in the workplace wellness grant program shall be
eligible to renew its application and continue participation at the discretion
of the
bureau.
(3) Applications submitted
for the workplace wellness grant program may be processed and renewed by the
bureau on a rolling basis.
(D) Disqualification from the workplace wellness grant program.
(1) An employer shall
be immediately disqualified from the participation in the workplace wellness
grant program if the employer is found by the bureau to have knowingly
misrepresented information on the initial application for employee
participation and compliance with program requirements.
As used in this paragraph, "knowingly" means that the employer had actual knowledge of the misrepresentation and was aware that the misrepresentation would cause a certain result.
(2) An employer shall be immediately
disqualified from participation in the workplace wellness grant program if the
bureau determines the employer has violated any state or federal statutes
pertaining to confidential personal information and personal health
information, including but not limited to the statutes and rules contained in
rule 4123-10-04 of the Administrative
Code.
(3) An employer shall be
immediately disqualified from participation in the workplace wellness grant
program if the bureau determines the employer has coerced employees to
participate in the workplace wellness grant program. As used in this paragraph,
"coerced" is defined as intimidating an employee to compel the individual to do
some act against his or her will by the use of psychological pressure, physical
force, or threats. The definition of coercion as stated in section
2905.12 of the Revised Code
shall also apply to this paragraph.
(4)
An employer
shall
be immediately disqualified from participation in the workplace wellness
grant program
if the bureau determines the
employer eliminated jobs or reduced employment due to the implementation of its
workplace wellness program.
(5)
The bureau may
disqualify an employer from the workplace wellness grant program if the bureau
determines that the employer has not used the grant for the purposes of the
workplace wellness grant program or has otherwise violated the written
agreement.
(6)
An employer shall be disqualified from continued
participation in the workplace wellness grant program if the employer violated
paragraph (C)(1) of this rule.
(7)
An employer that
is disqualified from participation in the workplace wellness grant program
under the preceding paragraphs shall make restitution of all monies awarded by
the bureau for participating in the program.
(8)
Reconsideration
of disqualification from workplace wellness program.
(a)
An employer may
request reconsideration from a decision finding the employer is disqualified
from the workplace wellness program. The request must be in writing and filed
with the superintendent of the division of safety and hygiene within thirty
days of the notification of the decision.
(b)
The employer may
submit a request for reconsideration of the superintendent's decision to the
adjudicating committee.
(c)
The adjudicating committee shall consider the request
and make a recommendation on the employer's eligibility to the
administrator.
(d)
The decision of the administrator shall be
final.
(e)
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