Ohio Administrative Code
Title 4123 - Bureau of Workers' Compensation
Chapter 4123-6 - Health Partnership Program
Section 4123-6-55 - Employer participation in the QHP system - bureau's authority to decertify, to refuse to certify or recertify a QHP
Universal Citation: OH Admin Code 4123-6-55
Current through all regulations passed and filed through September 16, 2024
(A) The bureau is authorized to decertify, to refuse to certify or recertify a QHP from participation in the QHP system.
(B) Should the bureau determine that sufficient evidence exists that an employer or QHP has failed to comply with applicable workers' compensation statutes or rules governing QHPs, the bureau will take one of two courses of action:
(1) The bureau
will serve
written notice to the employer, employee representative and QHP
of the facts
and issues relating to the bureau's determination that the employer or QHP has
failed to comply with applicable workers' compensation statutes or rules
governing QHPs. Such notice
will set forth a period of time for the employer
or QHP to resolve or correct the problem. Failure of the employer or QHP to
resolve or correct the problem within the time period
will
result in the bureau
serving notice to the employer and QHP in writing
of administrative action
that might result in a bureau determination to revoke certification, refusal to
certify or recertify, and the employer's and QHP's right to a hearing within
thirty days of the notice, if requested by the employer or QHP, pursuant to
rule 4123-6-17 of the Administrative
Code.
(2)
Serve written
notice to the employer, employee representative and QHP
of
administrative action that might result in a bureau determination to revoke
certification, refusal to certify or recertify, and the employer's and QHP's
right to a hearing within thirty days of the notice, if requested by the
employer or QHP, pursuant to rule
4123-6-17 of the Administrative
Code.
(3) For the purpose of this
rule, "employee representative" does not include the employee's
attorney.
(4)
The bureau will serve all notices pursuant to this rule
in accordance with section
119.05 of the Revised
Code.
(C) Upon a final order of the administrator to decertify, refuse to recertify, or revoke or suspend the certification of a QHP, employees and employers cannot receive services from such QHP pursuant to the QHP system.
Disclaimer: These regulations may not be the most recent version. Ohio may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.
