The Ohio Bureau of Workers’ Compensation (BWC) provides employers relief on their workers’ compensation premium if an injured worker has a pre-existing condition that delays their recovery following a work-related injury. The key is having an experienced company like Spooner managing the process to ensure that handicap reimbursements are identified and secured within the BWC required time frames.
The list above are the 25 pre-existing physical conditions the BWC will recognize. The top four, epilepsy, diabetes, cardiac disease, and arthritis are generally the most common ones.
In regards to handicaps and how an employer would go out and get this reimbursement, this really falls into the hands of the third-party administrator (TPA) who should evaluate every lost time claim for a handicap reimbursement.
The TPA should collect the medical evidence such as a list of pre-existing physical conditions and then get a file review from a doctor or a medical expert. After this, there is an informal hearing with the BWC’s legal operations and they'll file for that and have that hearing and then present the information with the BWC.
The third-party administrator is going to be handling this and making sure all the documentation and everything is there because you do need a lot of documentation to make sure you get that reimbursement. From our experience, we have seen that most TPA's are not structured like Spooner to identify and ensure the highest possible handicap reimbursement. In fact, we've taken over for several other TPAs and identified missed handicap reimbursements as well as reimbursements that were never secured and are not outside of the window of opportunity for relief. Those TPAs left money on the table that could have been yours if they only did the work. We’ve got a handicap reimbursement team dedicated to identify and securing handicaps so this doesn’t happen for our clients.
This reimbursement is a huge benefit to the employer and something they could be missing out and if they don't know it's available.
Contact Spooner today for a no-cost, no-obligation review to help identify any potential handicap reimbursements as well as a full review to identify ALL available avenues for saving on your workers’ comp related costs.
Posted By Brandy King
December 16, 2024
Category: Non Compete, Employment Law, Non Solicitation Agreement, Ohio
FTC’s Non-Compete Ban Blocked, But Gray Area Remains In early 2023, the Federal Trade Commission (FTC) introduced and finalized a rule banning the use of non-competes. Employers, Chambers of Commerce and trade organizations rallied against the new rule claiming it was anti-employer, some going as far as calling it “blatantly awful.” As expected, the change was met with litigation and in August of 2024, the ban was struck down by a federal judge in Texas who claimed the FTC overstepped its authority by issuing the rule. A non-compete (or non-competition agreement) is an agreement in which the employee agrees not to engage in conduct or activities that could increase competition for their employer. These types of arrangements are prevalent in finance, healthcare, design, tech and all types of sales or business development roles. They’re meant to protect things like trade secrets, privileged info and client retention. Non-competes aren’t the same as non-solicitation clauses. These agreements err more toward not calling on your former clients in your new role. Here’s an example of differentiating between the two. Non-Compete: “Upon leaving ABC Company, you may not engage in a similar role for another insurance company within a 50-mile radius.” Non-Solicitation: “Upon leaving ABC Company, you may not solicit (contact/call on) clients of ABC Company in your new role with another insurance company.” For now, bo
Posted By Brandy King
December 16, 2024
Category: Contribution Limits, Employee Benefits, Retirement Plans, HSA, FSA, ACA
ACA Updates & Reminders It’s almost time for ACA reporting! There aren’t any major changes this year, but here are some items to be aware of for the 2024 tax year. The employee distribution deadline for the 1095-C forms is March 3, 2025. Since the 2023 tax year, the IRS requires all employers with more than ten (10) forms to report electronically. Employers can complete this either directly through the IRS website or through a third-party provider. Corrected forms are also required to be submitted electronically. If you’re submitting 10 or fewer forms, you can still file on paper. The deadline for this is February 28, 2025. The deadline for e-filing 1095-C and 1094-C forms to the IRS is March 31, 2025. Keep in mind that there could be additional ACA state reporting requirements for your organization with differing deadlines. The states to pay special attention to are California, New Jersey, Massachusetts, Rhode Island, and the District of Columbia. Updated penalties and affordability percentages. The ACA penalizes Applicable Large Employers (ALEs) that don’t offer what’s considered affordable coverage to full-time employees (FTEs). The affordability percentage is the maximum amount of an employee’s pay that “Employee Only” coverage can cost the employee in order to be considered affordable by ACA. For 2024, that percentage is 8.39%. The affordability percentage will jump to 9.02% for 2025, and the associated fines will
Posted By Brandy King
December 16, 2024
Category: Dfsp, Drug Testing, Drug Screens, Ohio Bwc, Sur Program, Substance Abuse Recovery
Ohio’s recreational marijuana sales have started! Spooner clients who haven't had a recent review of their drug-free policy can take advantage of a no-cost, no-obligation policy review by First Connect Corporate Services. Our clients who need an update or new policy development will have access to discounted pricing when they mention Spooner. To take advantage of this offer, email your drug free policy to lisawade@firstconnectplus.com and identify your company as a Spooner client. Don’t forget, there is a reimbursement available to Ohio employers current on their workers’ compensation premium that will cover the costs of policy development or update, employee or supervisor training or Train the Trainer programs. Some drug testing is even included. For most employers, the reimbursement means zero out of pocket when using First Connect as the provider. Since 2004, First Connect has been a leading provider of drug free program development and training services in the state of Ohio. For more information, please visit their website at www.firstconnectplus.com or call 855.990.5500 and speak to Lisa
28605 Ranney Parkway
Westlake, Ohio 44145
Phone: 440-249-5260 ext. 153
Hours: 8AM to 5PM