• Administration of your own workers' comp program;
• The potential for claims cost savings.

• Authorization from the Ohio Secretary of State to do business in this state
• Two years experience with the Ohio State Insurance Fund
• Demonstrate strong financial stability
• Possess the ability to administer a self-insured program
• Maintain an account with a financial institution in Ohio, or draw compensation checks from the same account as the payroll checks
• Have a BWC-certified Qualified Health Plan (QHP) or medical-management plan

• Five years of certified financial statements in accordance with Generally Accepted Accounting Principles (GAAP). This includes a balance sheet, a profit and loss statement, auditor’s opinion and all footnotes;
• A current organizational table showing all entities associated with the self-insurance applicant;
• The name, contact information and qualifications for the individual that will act as the Ohio workers’ compensation administrator;
• Organizational plan for the administration of the workers' comp law;
• Proposed plan to inform employees of the change from a state-fund insurer and procedures employees must follow when filing for compensation and benefits;
• Secretary of State papers providing proof of registration to do business in Ohio;
• Information on your company’s risk- and claims-management procedures to establish a safe and more cost-effective workplace, including:



1. Active senior management leadership;
2. Employee involvement;
3. Return-to-work practices;
4. Communications affecting employee safety and health;
5. Claims reporting practices;
6. Coordination of safety and health practices;
7. Training;
8. Written and communicated safe work practices;
9. Written safety and health policy;
10. Record keeping.

Pursuant to Ohio Revised Code 4123.35 (B) (2), the BWC must also verify that a public employer satisfies the following financial requirements. In addition to the above documentation, a public employer must respond to the following questions as part of the application process:

1. What was the public employer’s bond rating as of the most recent fiscal year end?
2. Has the public employer complied with all U.S. Securities and Exchange Commission (SEC) disclosures for the last five years?
3. Has the public employer had any local government fund distributions withheld in the last five years?
4. Has the public employer been placed on fiscal watch or emergency in the last five years?
5. What were the unvoted debt capacities for the public employer for the two most recent fiscal years?

If approved for self-insurance, BWC will schedule the employer for a self-insurance orientation session. This session will further explain the self-insurance process, procedures and administrative requirements.