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Services
> One Claim Program
If one
significant claim enters your experience and leads to your
group sponsor no longer qualifying you for group rating
the BWC One Claim Program may be able to help.
Basics
The
One Claim Program (OCP) is a voluntary rate program for
private, state fund employers participating in a group rating
plan. It is designed to help employers with minimal claims
lessen the impact of one uncharacteristic claim. Eligible
employers will receive a 40% discount off their base rate
for up to 4 years while the claim remains in their experience.
Benefits
- In
addition to a 40% discount, the OCP provides an opportunity
for employers to work with their Managed Care Organization
(MCO) and Hunter Consulting to gain a better understanding
of claims management and work to prevent future claims
- Employers
may also participate in the Drug Free Workplace Program
and stack that discount on top of the OCP base rate discount.
Employers participating in OCP cannot participate in the
Premium Discount Program.
Eligibility
To be
eligible for the OCP, a participant must:
- Be
a private, state fund employer
- Be
enrolled in a group rating program
- Have
a single significant claim entering their experience that
prevents them from being renewed in their group rating
program
- Not
have more than 3 medical only claims in addition to the
one significant claim during the past five years
- Be
current on any premiums, assessments or other monies due
to the BWC
- Cannot
have days of lapsed coverage in excess of 59 days within
the last 18 months preceding the March 31 deadline.
To remain
eligible, employers must:
- Not
allow the total cost of the three medical only claims
to exceed their expected losses calculated for that policy
year
- Attend
a minimum number of hours at BWC’s annual Workers’ Compensation
University and at least one other BWC approved training
course each policy year.
- Remain
current on any premiums, assessments or monies due to
BWC
- Not
have any lapses in workers’ compensation coverage
Employers
wishing to participate in the program must apply by March
31.
Contact
us for more information.
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