What is the Self Insurance Application Timeframe?

The initial application process for Self Insurance (SI) generally takes approximately 120 days from the time the application is submitted to the time a decision is made by the Bureau of Workers’ Compensation (BWC). There is an opportunity to appeal an unfavorable initial decision to the Self-Insured Review Panel. What requirements make an employer eligible for Self Insurance?

The basic requirements for an employer to apply for self insurance are:

  • 500+ employees in Ohio.
  • Minimum of two years in state fund insurance
  • BWC-approved medical management plan
  • Demonstrated strong financial base
  • Bank account with a financial institution in Ohio – or the ability to draw compensation checks from the same account as payroll

What information is needed to begin the application process?

  • BWC SI application forms.
  • Five years of certified audited company financials
  • A “Z-Score analysis” – this is a tool used by BWC to predict the company’s financial stability
  • Certificate of Good Standing from the Ohio Secretary of State
  • Corporate organization charts and identification of plan administrator

What needs to happen before the final review of the application?

Before a final application is filed, CareWorks Consultants works closely with our clients to complete a comprehensive medical management plan that includes establishing a PPO network, a claims management workflow and developing custom employer injury packets. CareWorks Consultants will also guide clients through the Ohio BWC Self-Insurance orientation program.

What are some other key elements to a successful Self-Insured program?:

  • Active management leadership
  • Employee involvement and training
  • Structured return-to-work practices
  • Formal reporting and record-keeping practices
  • Formal safety and health practices that are monitored and enforced
  • Written policies and active training on safe work practices