Application For Claim Impact Reduction Program {BWC-4842} | Pdf Fpdf Doc Docx | Ohio

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Application For Claim Impact Reduction Program {BWC-4842} | Pdf Fpdf Doc Docx | Ohio

Last updated: 10/11/2024

Application For Claim Impact Reduction Program {BWC-4842}

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Description

BWC-4842 - APPLICATION FOR ONE CLAIM PROGRAM. This form is used in the Bureau of Workers' Compensation (BWC) in Ohio by employers to apply for participation in the One Claim Program (OCP). This program is for employers that have been removed from the Group-Experience-Rating Program due to a significant claim. It helps employers with minimal claims lessen the impact of a large claim coming into their experience next year. To participate in the One Claim Program (OCP), you must have a single significant claim entering your experience for the first time. A significant claim is one whose total cost exceeds the expected losses for an employer based on size and industry — also known as total limited losses — calculated for that policy year. You may only designate one significant claim every four years. www.FormsWorkflow.com

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