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presented by Randy Mikes September 18, 2009 Voluntary Abandonment: Legal Relic or Valid Defense?
Voluntary Abandonment ,[object Object],[object Object],[object Object],[object Object]
Voluntary Abandonment ,[object Object],[object Object],[object Object]
Voluntary Abandonment ,[object Object],[object Object],[object Object],[object Object],[object Object]
Voluntary Abandonment ,[object Object],[object Object],[object Object],[object Object],[object Object]
Voluntary Abandonment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Voluntary Abandonment ,[object Object],[object Object],[object Object],[object Object],[object Object]
Voluntary Abandonment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Voluntary Abandonment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Voluntary Abandonment ,[object Object],[object Object],[object Object],[object Object]
Voluntary Abandonment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Voluntary Abandonment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Voluntary Abandonment ,[object Object],[object Object],[object Object],[object Object],[object Object]
2008-2009 Workers Compensation Case Law Update Brendan P. Feheley, Esq. [email_address] (614) 462-5482
Major Areas ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Just an FYI ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Prescription Medications ,[object Object],[object Object],[object Object],[object Object],[object Object]
Prescription Meds ,[object Object],[object Object],[object Object],[object Object]
Successorship Liability ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Successorship Liability  (cont’d.) ,[object Object],[object Object],[object Object]
Successorship Liability  (cont’d.) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Temporary Total Disability ,[object Object],[object Object],[object Object]
Temporary Total Disability ,[object Object],[object Object],[object Object],[object Object]
Temporary Total Disability ,[object Object],[object Object],[object Object],[object Object]
VSSR ,[object Object],[object Object],[object Object]
VSSR  (cont’d.) ,[object Object],[object Object],[object Object],[object Object],[object Object]
VSSR (cont’d.) ,[object Object],[object Object],[object Object],[object Object],[object Object]
VSSR (cont’d .) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Coming and Going Rule ,[object Object],[object Object],[object Object],[object Object]
Coming and Going…  ,[object Object],[object Object],[object Object],[object Object]
Coming and Going Rule ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Coming and Going (travel) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Coming and Going (travel) ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Coming and Going (travel)
Coming and Going (random) ,[object Object],[object Object],[object Object]
Coming and Going (random) ,[object Object],[object Object],[object Object],[object Object]
What’s left? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Still more? ,[object Object],[object Object],[object Object],[object Object],[object Object]
The End ,[object Object]
presented by Dave McCarty September 18, 2009 So You Wanna Settle that Workers’ Comp Claim and Move On?
Why Are We Talking About Settlements?
Wise v. Ryan  (April 2008)
O.R.C. 4123.65(A)  ,[object Object]
O.R.C. 4123.65(D) ,[object Object]
O.R.C. 4123.65(D),  cont. ,[object Object]
Back to  Wise v. Ryan ,[object Object],[object Object],[object Object],[object Object],[object Object]
Wise v. Ryan, cont. ,[object Object],[object Object],[object Object],[object Object],[object Object]
Wise v. Ryan, cont. ,[object Object],[object Object],[object Object]
Wise v. Ryan, cont. ,[object Object],[object Object]
Wise v. Ryan, cont. ,[object Object],[object Object],[object Object],[object Object],[object Object]
So NOW What? ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
Look at the language in O.R.C. 4123.65(A)  ,[object Object],[object Object]
However: ,[object Object],[object Object],[object Object],[object Object]
Some self-insured employers have decided to "comply" with 4123.65(A) requirement just in case.
Sample Language ,[object Object]
SO -- How has the Bureau reacted to the  Wise  decision with regard to settlement of state-funded claims?
MELTDOWN!!!
[object Object],[object Object],[object Object],[object Object]
External Stakeholder Committee ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
Any Questions, Comments or Concerns?
The Latest and Greatest in Third Party Administration Presented by: Jim Vassar V&A Risk Services
Role of the Third Party Administrator  (TPA) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Effective TPAs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Role of the  Managed Care Organization   (MCO) ,[object Object],[object Object],[object Object],[object Object]
TPA as an Educator/Advisor: BWC Programs
Group Rating Program ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Group Rating Program – 2010 timing ,[object Object],[object Object],[object Object],[object Object],[object Object]
Experience Modifier Cap Program (EM Cap) ,[object Object],[object Object],[object Object],[object Object],[object Object]
One Claim Program (OCP) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Drug-Free Workplace Program (DFWP) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Safety Council Discount Program ,[object Object],[object Object]
Deductible Program ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Individual Retrospective Rating ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Group Retrospective Rating ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Self-Insurance (SI) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Changes for Next  Policy Year 2011
2010 BWC Rating Formula ,[object Object],[object Object]
2011 BWC Rating Formula - Split Plan ,[object Object]
Q&A

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2009 Workers' Compensation Overview

Editor's Notes

  1. payment shall not be made for the period when any employee has returned to work, when an employee’s treating physician has made a written statement that the employee is capable of returning to the employee’s former position of employment, when work within the physical capabilities of the employee is made available by the employer or another employer, or when the employee has reached the maximum medical improvement.
  2. Ohio Admin. Code 4123:1-5-05(D)(2) requires requires an employer to supply a device to lock a machine's controls in the off position when machines are shut down for repair, adjusting, or cleaning.
  3. The Company argued the Commission could not rely on post accident evidence that the alarm did not work, especially considering the OSHA investigation had determined that the alarm may have been broken during the attempted rescue. that it was no abuse of discretion to deny the employer's rehearing motion claiming its "first-time failure" defense was not considered, because it never raised the defense before a hearing officer, so the commission could not be compelled to grant an appeal in order to consider it.