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TPA Shopping and Ohio BWC Program Enrollment For the Savvy Buyer

 


Even though the 2021 BWC policy year won’t start until next month (7/1/21), we’re already getting out quotes for 2022 Group Rating and Group Retro programs. It can be hard to feel like a savvy buyer when it comes to workers’ comp in Ohio, but Spooner would like to share some pointers for how to understand the timeline and choose the best partner.  


If you’re thinking of changing your partner for Group Rating or Group Retro, be sure not to complete the renewal that your current TPA sends this summer. Most employers don’t realize that signing a form and cutting a check in June 2021 will obligate them to stay with their current TPA through June of 2023. Make sure your accounting team is aware of this, too. We’ve seen too many unhappy customers of other TPAs get trapped this way. 


Are you under the impression that because you’re a member of XYZ Chamber of Commerce, you have to utilize their partner for workers’ comp programs? Not the case. The sponsoring organization frames it that way because there’s money on the table.  For example, if you are an XYZ Chamber member (who is partnered with Sedgwick) and you want to leave Sedgwick, XYZ Chamber makes less money. Naturally, they want you to stay with Sedgwick and may even advise you can’t get that discount outside of their partnership. This is patently false. Most TPAs have access to all of the same Group Rating and Group Retro programs for all industries, and the sponsoring organization (like a chamber or trade association) is irrelevant. 


Shop around!  Just be careful not to boil it all down to dollars to make your decision. If it’s not broken, don’t fix it – right?  When was the last time you checked to make sure it’s not broken? Are you sure you’re getting the most for your money if you don’t know what else is out there? Discount rates and fees are important, but they’re not a measure of a true partner. In Ohio, TPAs holding the key to most discount programs can lead employers to believe that savings via program enrollment is a TPA’s main objective. Program enrollment should be a fraction of their duties. Their focus should be on proactive claims and litigation management, followed closely by keeping clients educated.  The Ohio businesses managing their own claims while paying a TPA to do so are some TPAs' favorite kind of clients.  You do the work, they file some forms on your behalf, and they keep cashing your checks. 


Isn’t Group Rating always the best option if your policy qualifies for it? Not necessarily, especially with the way certain calculations have changed over the last two years. If you’re auto-enrolled in Group Rating every year by your TPA, ask questions about what other programs might be more cost effective .  Program selection is a year-to-year decision that shouldn’t be taken lightly, and your TPA should not be making that decision for you by simply not discussing other programs.  If you’re unimpressed by Group Rating or Group Retro, maybe it’s time to look at alternatives like a PEO


Is Spooner a TPA?  On paper, sure. Do we consider other TPAs our competition? No. We work hard to be able to consider ourselves more than just a TPA, and more of a consulting firm. Our goal is not to file paperwork for a savings program and leave you to manage your claims.  Spooner’s family of companies wants to put your business in the best possible position to succeed by being a true partner in your workers’ comp program. We’d love to provide an in-depth analysis of your workers’ comp policy and claims at no cost, along with quotes for all 2022 policy year programs. You can start that process by filling out a temporary authorization on our website, and one of our consultants will reach out to you right away. 

Posted By Brandy King in General

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DOL Issues Final Rule on Independent Contractors

Posted By Brandy King
January 17, 2024 Category: DOL, Independent Contractors, Ohio Bwc, Workers' Comp

Who’s Really an Independent Contractor? DOL Finalizes New Rule Clarifying Classification Earlier this month, the U.S. Department of Labor (DOL) finalized its rules regarding classification of independent contractors. The organization hadn’t previously defined this by regulations, only by guidelines (which are as clear as OSHA “best practices”).  The updated rule creates a six-factor “economic realities” test to determine whether or not a worker is truly an independent contractor under the Fair Labor Standards Act (FLSA). Among others, the test includes factors such as degree of permanence, amount of control the employer holds, and the worker’s skills.   Since Ohio employers aren’t required to cover 1099 employees under their BWC policy, we have a lot of discussions with clients about whether or not a worker actually meets the qualifications of being an independent contractor. Understanding these qualifications is not only important for insurance purposes, but also for recordkeeping, and the application of minimum wage and overtime rules.  Our friends at Roetzel & Andress have done a great job of explaining this new classification rule in a way that’s easy to digest and understand, so we’re deferring to their recent update for the details.  For more info on how independent contractors can impact your Ohio BWC policy, check out this blog.  This goes into effect March 11

A Guide to Submitting 2023 OSHA Logs

Posted By Brandy King
January 17, 2024 Category: OSHA, Electronic Recordkeeping, Form 301, Form 300, OSHA 300A, Safety, Incident Reporting, Compliance

It’s time to post and electronically submit your OSHA logs - and this year, submission requirements will impact far more U.S. employers. We discussed this in detail when the rule was finalized in July 2023. Effective January 1, 2024, OSHA will require employers with over 100 employees in certain high hazard industries to complete electronic records submissions of Forms 300 and 301, in addition to Form 300A. These are records that covered employers should already be keeping, but previously have not been required to submit. The impacted industries include (but aren’t limited to) retail, wholesale, performing arts, manufacturing, farming, and grocers. Our safety team agrees that the fastest, easiest way to find out your company’s submission requirements is to use this ITA Coverage Application. Enter your company’s NAICS code and employee count, and it will confirm which logs should be submitted. As a general guide: 20-249 employees and on this list must submit 300A 100 or more employees and on this list must submit the 300A, 301 and 300 log.  Employee count is “per establishment,” not entire corporation size. So, what is OSHA’s definition of an “establishment?” An establishment is a single physical location where business is conducted, or where services or industrial operations are performed. For activities where employees do not work at a single physical location - such as construction, transportation, communication

Grading Payroll Providers on Enrollment and W-2 Performance

Posted By Brandy King
January 17, 2024 Category: Payroll, Overcharging, Additional Fees, Surety HR, SI PEO, Payroll Processing Fees, ADP Fees, Paychex Fees

With 2023 group health enrollments behind us, and W-2 season wrapping up – most employers have a strong opinion about the role their payroll provider played in both of those, good or bad.  Let’s consider open enrollment first. If your payroll provider utilizes an electronic benefits module, and made an implementation plan with your broker – things should have gone smoothly. Benefits enrollment is always subject to hitting snags throughout the process. Here are some things to consider:  •    Was there communication between all parties if a timeline changed? •    Was everyone pulling in the same direction, without making you (the employer) an unnecessary go-between?  •    Was every party involved invested in making sure things were done right the first time? •    Have you considered an API connection or Data Bridge with your Carrier?  (Fees may apply)  It’s important not to over- or under-rely on technology. Let the electronic benefits modules do their job, but make sure you and your payroll provider have your eyes peeled for potential issues.  W-2 season brings similar headaches. If the employer has done their best to ensure that all employee info is up-to-date and accurate, the prevention and resolution of those headaches’ rests heavily on your payroll provider. If employees have questions about W-2s, or there’s a potentia

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