Policy
Name:
|
Employer
of Record Change
|
Policy #:
|
EP-05-04
|
Code/Rule
Reference
|
Ohio
Administrative Code (OAC) 4123-17-02, 4123-17-15 and 4123-17-15.1.
|
Effective
Date:
|
January
23, 2023
|
Approved:
|
Rex
Blateri, Chief of Employer Services
|
Origin:
|
Employer
Policy
|
Supersedes:
|
Employer
of Record Change policy effective February 14, 2014.
|
History:
|
Revised January
23, 2023. New policy issued February 14, 2014.
|
Review
Date:
|
January
23, 2028
|
I. Policy Purpose
This
policy describes the role of Employer Services in ensuring the Ohio Bureau of
Workers' Compensation (BWC) has assigned a claim to the correct employer policy
number.
II. Applicability
This
policy applies to BWC Employer Services, employers, state fund Alternate
Employer Organizations (AEOs), and state fund Professional Employer
Organizations (PEOs).
III. Definition
Employer of Record (EOR): Entity legally responsible for purposes
of workers’ compensation as the employer for a claim filed by an injured worker.
IV. Policy
A.
Employer Services
staff may assist other BWC departments and units to ensure a claim has been
assigned to the correct employer policy number. Employer Services staff may
also refer to Claims Policy & Support’s Changing the Employer and/or Policy
Number after Initial Determination
policy and procedure.
B.
Primarily, Employer
Services staff assist in determining a state fund policy number, AEO and client
employer status, or PEO and client employer status, on the date of injury or
occupational disease. In making this determination, Employer Services staff may:
1.
Review BWC records;
2.
Review provided records;
3.
Make a
recommendation as to the correct policy number; and
4.
Ensure the proper
computer systems are updated.
C.
Employer Services changes
to the EOR on a claim.
1.
Employer Services
staff will change the EOR on a claim when a state fund AEO enters into an AEO
agreement, or terminates an AEO agreement, with a state fund client employer.
2.
Employer Services
staff will change the EOR on a claim when a state fund PEO enters into a PEO
agreement, changes a PEO agreement, or terminates a PEO agreement, with a state
fund client employer.
3.
See the Alternate Employer Organizations (AEOs)
and Professional Employer Organizations (PEOs) policy for additional information.
4.
Employer Services
staff will change the EOR on a claim when an employer succeeds another
employer, in whole or in part, in the operation of a business. See the Successorship policy for additional information.
D.
Employer Services
staff may, as part of an employer audit or compliance issue, identify claims
assigned to the wrong policy number. If such a claim is identified, Employer
Services staff will communicate the information to Claims Services staff as
follows.
1.
If the claim is
incorrectly assigned to a policy number and the correct policy number is identified,
Employer Services staff will do all of the following.
a.
Provide an
explanation as to why the policy number should be changed.
b.
Provide a copy of the
evidence relied upon for the policy number change. BWC considers the following
items proof of employment:
i.
An injured worker’s paystub
for the date of injury that includes the employer's federal employer
identification number (FEIN) as part of the printed form;
ii.
A W-2 for the date
of injury year with box A containing the injured worker’s Social Security
number and box B containing the employer’s FEIN;
iii. A 1099 for the date of injury year with
box RECIPIENT’S TIN containing the injured worker’s Social Security number and
box PAYER’S TIN containing the employer’s FEIN; or
iv.
State Unemployment
Employer’s Report of Wages – Supplemental for the quarter in which the date of
injury occurred. The report will show the injured worker’s name, Social Security
number, gross wages, and number of weeks worked.
c.
If the employer is
the policyholder for both the correct policy number and the incorrect policy
number, request the employer sign the State Fund Employer’s Agreement to Accept
Claim Assignment (C-263) or notify Claims Services staff if the employer refuses
to sign the C-263; or
d.
If two unrelated
employers are involved, request the incorrect employer sign the Request to
Correct Employer and/or Policy Number Assignment (C-264), or an equivalent written statement that the policy number
assignment is incorrect, and request the correct employer sign the C-263 or
notify Claims Services staff if the correct employer refuses to sign the C-263.
2.
If the claim is
incorrectly assigned to the employer, and the correct policy is not identified,
Employer Services staff will:
a.
Provide verification
the injured worker is not reported on any tax records and does not appear on
any internal payroll records or expense categories for casual or spot labor;
and
b.
Request the employer
sign the C-264 or an
equivalent written statement that the policy number assignment is incorrect.
E.
Employer Services
staff may use the following resources in situations involving a self-insuring
employer.
1.
For additional
information regarding self-insuring PEOs and EOR changes, see the Self-Insured Professional Employer
Organization Client Relationship Notification (UA-3SI) policy.
2.
Questions regarding
an EOR change involving a self-insuring employer may be referred to BWC
Self-Insured Inquiries.
F.
If a situation arises
that is not covered in this policy, Employer Services staff may contact BWC
Legal or the local BWC attorney for assistance.