Ohio Administrative Code
Title 4123 - Bureau of Workers' Compensation
Chapter 4123-5 - Miscellaneous Provisions
Section 4123-5-01 - Assignment of duties to the bureau's operational units
Current through all regulations passed and filed through September 16, 2024
The administrator of workers' compensation may reorganize the work of the bureau of workers' compensation to the extent necessary to achieve the most efficient performance of its functions. The duties of the operational units of the bureau include, but are not limited to the following:
(A) A division responsible for the fiscal and planning function to assist the administrator in maintaining the solvency of the insurance fund, establishing policies and procedures for fiscal management, receiving and disbursing funds from the state insurance fund, and preparing the bureau's budget.
(B) A division responsible for the medical services function to assist the administrator in establishing and maintaining a quality pool of medical and vocational service providers, developing and maintaining quality medical, vocational rehabilitation, and pharmaceutical benefits plans, overseeing managed care services, and ensuring the proper and timely payment of medical bills.
(C) A department responsible for the special investigations function to conduct investigations of alleged workers' compensation fraud and alleged violations of specific safety requirements pursuant to workers' compensation claims.
(D) A division or divisions responsible for the customer service function to assist the administrator in:
(E) A division responsible for the actuarial function to assist the administrator in ensuring that rates for all employers are calculated based on actuarial principles and standards of practice, ensuring that financial liabilities for compensation and compensation adjustment are calculated based on actuarial principles and standards of practice, and developing and supporting alternative rating options for employers.
(F) A division responsible for the investment function to assist the administrator in the investment and monitoring of assets of the state insurance fund and other funds administrated by the bureau, and in the implementation and monitoring of the bureau investment policy approved by the board of directors.
(G) A division responsible for the internal audit function to conduct reviews of divisions and control systems within the bureau, at appropriate intervals, to determine whether they are effectively carrying out their functions of administration, accounting, safeguarding of bureau assets, and control in accordance with management's instructions, policies, and procedures, and in a manner that is in agreement with both agency objectives and high standards of administrative practice; conduct special examinations at the request of management or the bureau of workers' compensation board of directors audit committee; submit an annual audit plan to the administrator and the audit committee for their review and approval.
Effective: 12/12/2019
Five Year
Review (FYR) Dates: 9/27/2019 and
12/01/2024
Promulgated
Under: 119.03
Statutory
Authority: 4121.12,
4121.121,
4121.13,
4121.30
Rule
Amplifies: 4123.05
Prior
Effective Dates: 01/01/1978, 09/01/1996, 12/01/2009,
09/01/2014