Effective July 1, 2020, Ohio BWC implemented a new reserve system called ACES. Based on a large sampling of claims, we’ve found that this system can drastically increase reserves for future claims costs - which will then impact premiums and Group Retro performance. A reserve is a dollar amount placed on every claim, in which the insurer (BWC) “reserves” assumed future costs within the claim. The concept of a reserve is considered standard practice in workers’ compensation insurance, even for self-insured employers.
Once a reserve is set, it will not leave the claim until the claimant has ceased medical treatment for at least six (6) months. The only other way to eliminate a reserve is through the process of a settlement. If a claim has a reserve when Ohio BWC’s September “snapshot” is taken - those reserves will be treated as dollars already spent on the claim, impacting premiums for the coming policy year. Lost time claims will see the largest impact, as medical reserves for 2019 were roughly four (4) times paid compensation and are now 19 times paid compensation. This does not necessarily mean your company should consider salary continuation to soften the blow, as all claims have reserves. That should be discussed with your TPA on a case-by-case basis and not used as a remedy to avoid a lost-time claim with BWC.
We are expecting these changes to have an impact on Group Retro refunds for the 2020 policy year and beyond and will keep clients educated on their effects so they can make the best program choice each year.
Please email Matt Matusek if you have any questions. Matt can be reached at mmatusek@spoonerinc.com.
Posted By Brandy King
June 05, 2025
Category: General
Along with the new Ohio BWC policy year beginning on July 1, 2025 – one of their most beneficial programs now has an increased ROI for employers. Participating in a local safety council is beneficial not just for the savings – but also the education, networking, and locating resources to aid your internal safety programs. Ohio businesses have until July 31, 2025 to sign on for the 2025-2026 program. Your company can earn a 3% rebate (not to exceed $5000) on ’25-26 policy year premiums by attending 10 in-person safety council meetings. At least eight (8) of these must be attended through the safety council you’re enrolled with, and up to two (2) credits can be earned through attending BWC-sponsored in-person or virtual events, or in-person training from external sources like your TPA or trade organizations and Chambers of Commerce. Remember – to get the 3% rebate, your policy premiums must be current and your most recent True-Up should have been completed on time. This rebate program can be combined with Group Rating, Group Retro and virtually any other BWC program your company participates in. For more information on the Safety Council Program, reach out to us at 440-249-5260 or check out this
Posted By Brandy King
June 05, 2025
Category: General
We’d like to sincerely thank every Ohio employer that chose Spooner Medical Administrators, Inc. (SMAI) as their MCO during MCO Open Enrollment last month, as well as those loyal clients who chose to remain with our MCO. SMAI continues to experience sustainable, organic growth, thanks to the partnerships we have with Chambers of Commerce, trade organizations, Associations, and simply by word of mouth. SMAI has grown in both policies assigned and claims managed, and was also one of only four MCOs to see a net growth during Open Enrollment. The team at SMAI is excited to begin building partnerships with the hundreds of new employers that moved to Spooner Medical Administrators this year. Thanks for putting your faith in us, Ohio businesses! We can’t wait to meet even more new customers when the next Open Enrollment rolls around in
Posted By Brandy King
June 05, 2025
Category: General
If your company participated in Group Rating or Group Retro during the 2024 policy year (July 1, 2024-June 30, 2025) and had a claim during the green year(s), you’re required to complete two hours of safety training by June 30, 2025. Please be sure to complete submit the training certificates to your team at Spooner (or your TPA, if you’re not a Spooner client). If you’re unsure if you need to complete this training, reach out to your client services manager. The training doesn’t have to be completed in person – so there’s still time to meet the requirement by participating in one of BWC’s online courses. Here are some details on fulfilling the two-hour training requirement, per the Ohio BWC website. Two-hour Training Options A variety of training sources are available for you to fulfill this requirement. They include the following offered through BWC’s Division of Safety & Hygiene: Education and Training Services Center courses Ohio Safety Congress & Exposition (OSC) safety education sessions Safety council seminars, workshops, or conferences featuring a safety topic that are at least two hours long (Safety council monthly meetings do not qualify.) Guidelines for courses offered through non-BWC training forums The group sponsor, third-party administrator, or an independent source can sponsor a course, provided it meets the two-hour criteria. The topic must be workplace safety rela
28605 Ranney Parkway
Westlake, Ohio 44145
Phone: 440-249-5260 ext. 153
Hours: 8AM to 5PM