4-2024 SI-40.pdf
PDF 73 KB Posted
- Solicitation number
- RFP265X901143
- Issued by
- Hamilton County, Cleveland City, Ohio
About this file
This document is a Workers' Compensation Paid Compensation History report (SI-40 form) from the Ohio Bureau of Workers' Compensation (BWC) for the City of Cincinnati, covering the 2024 reporting period. The City of Cincinnati is seeking proposals to provide third-party administrative services for its self-insured workers' compensation program and nurse case management for its Return to Work Program. The report reflects claims data for an organization with 6,556 Ohio employees, documenting the volume and types of claims processed during the specified period without reference to specific response dates, site visits, or bidders' conferences.
The financial report shows 489 total claims reported in 2024, comprised of 74 lost time claims, 405 medical-only claims, and 10 occupational disease claims with zero death claims. Total benefits paid reached $2,528,749.23, including $1,220,396.86 in compensation payments and $1,308,352.37 in medical provider payments. Outstanding case reserves total $11,091,967.00, with 208 open medical-only claims and 214 open indemnity claims (post-1987), indicating significant ongoing liability exposure. The City operates under Ohio BWC Policy #20005306-0, demonstrating an established workers' compensation framework requiring specialized third-party administrative support to manage claims, case reserves, and return-to-work initiatives.
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Text version
Click on the drop-down arrow then click on the reporting period year for which you want to see the financial report, and then click submit.
Year: 2024
Number of Ohio employees: 6556
Number of claims reported (regardless of their current disposition)
Number of lost time claims: 74
Number of medical-only claims: 405
Number of occupational disease claims: 10
Number of death claims: 0
Total: 489
Compensation payments made
Temporary total: $154,603.49
Wages in lieu of compensation: $470,471.66
Sick & accident benefits: $0.00
Wage loss: $9,948.17
Temporary partial: $0.00
Percent of permanent partial: $230,650.42
Scheduled loss awards: $0.00
Permanent total: $176,045.40
Living maintenance: $0.00
Living maintenance wage loss: $0.00
Death: $200,082.63
Change of occupation:
Violation of specific safety requirement: $0.00
Less subrogation/Overturned claims/Reimbursements : ($21,404.91) Payments by BWC :
Total paid compensation : $1,220,396.86
Total dollars paid to medical providers : $1,308,352.37
Total benefits paid : $2,528,749.23
Total open claims and case-reserves data (not covered by excess insurance)
Pre-1987
Number of open medical-only claims: 0
Number of open indemnity claims: 0
Total outstanding case reserves for medical-only claims: $0.00
Total outstanding case reserves for indemnity claims:
$0.00
1987 and post 1987
Number of open medical-only claims: 208
Number of open indemnity claims: 214
Total outstanding case reserves for medical-only claims: $1,276,970.00
Total outstanding case reserves for indemnity claims: $9,814,997.00 previous
Enter policy number | Paid compensation history (SI-40)
Paid compensation report (SI-40) | Account Balance Management
Account transaction history | Policy maintenance
Employer: CITY OF CINCINNATI Policy #: 20005306-0
OhioBWC - Employer - Service: Paid compensation history - Details
2/28/25, 9:41 AM OhioBWC - Employer - Service: Paid compensation history - Details https://www.bwc.ohio.gov/employer/services/PaidCompensation/PaidCompHistory/secure/PaidCompHistory1.aspx 1/1 javascript:%20void%20goBackPage('/employer/services/PaidCompensation/PaidCompHistory/secure/PaidCompHistory0.aspx?txtCID=1497982245%27) javascript:%20void%20goBackPage(''/employer/services/PaidCompensation/PaidCompHistory/secure/PaidCompHistory1.aspx'?txtCID=1497982245%27) javascript:%20void%20goBackPage('/employer/services/PaidCompensation/PaidCompReporting/secure/PaidCompReporting0.aspx?txtCID=1497982245%27) javascript:%20void%20goBackPage('/employer/AccountBalance/secure/Summary.aspx?txtCID=1497982245%27) javascript:%20void%20goBackPage('/employer/AccountTransactionHistory/secure/Search.aspx?txtCID=1497982245%27) javascript:%20void%20goBackPage('/Bwc.Policy.UpdateNotification.UI?txtCID=1497982245%27)
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