BWC_Certificate_4-2025_to_4-2026.pdf
PDF 93 KB Posted
- Attached to
- Agency Administered OH|407-25-3402
- Contract number
- 407-25-3402
- Issued by
- Ohio
About this file
This document is a Certificate of Employer's Right to Pay Compensation Directly issued by the Ohio Bureau of Workers' Compensation (BWC) for the Roman Catholic Diocese of Toledo in America. The certificate authorizes the employer to self-insure workers' compensation claims for the period from April 1, 2025 to April 1, 2026. The document includes a Certificate of Coverage, a Finding of Facts, and a cover letter, all signed by Stephanie McCloud, Administrator/CEO of the BWC, and David E. Boyd, Director of the Self-Insured Department.
The self-insurance authorization allows the Roman Catholic Diocese of Toledo to directly pay compensation to injured employees or dependents of killed employees, in accordance with Section 4123.35 of the Ohio Revised Code. The policy number is 20004142, and the employer is located at 1933 Spielbusch Ave, Toledo, OH 43604-5360. The certificate grants the privilege of self-insurance from April 1, 2025 to April 1, 2026, or until further action by the Ohio Bureau of Workers' Compensation. The employer is required to provide a copy of the Certificate of Coverage to each of its Ohio locations and post it for all employees to view.
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Other files
| File | Type | Posted |
|---|---|---|
| DOC050625-05062025091911.pdf | ||
| 05022025150827-0001.pdf | ||
| 05062025091514-0001.pdf | ||
| DOC050225-05022025150737.pdf |
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Text version
BWC-7201
SI-1
Mike DeWine, Governor Jim Tressel, Lt. Governor Stephanie McCloud, Administrator/CEO
1-800-644-6292 BWC.Ohio.govBureau of Workers' Compensation
30 West Spring Street Columbus, Ohio 43215-2256
CERTIFICATE OF EMPLOYER'S
RIGHT TO PAY COMPENSATION DIRECTLY
To be posted in employer's place or places of employment in compliance with Section 4123.83 of the Ohio Revised Code. Any employer requiring more than one copy of this certificate, may reproduce as many copies (without any alterations or changes) as required.
This certifies that on date hereof the above named employer having met the requirements provided in Section 4123.35 of the Ohio Revised Code has been granted authority by the administrator to pay compensation directly to its injured or dependents of killed employees as provided in said Section for the period above set forth.
Sincerely, Stephanie McCloud Administrator/CEO
Policy Number and Employer Name 20004142
ROMAN CATHOLIC DIOCESE OF TOLEDO IN AMER
1933 SPIELBUSCH AVE
TOLEDO OH 43604-5360
Period Specified Below
April 1, 2025 to April 1, 2026
SI - 30
Mike DeWine, Governor Jim Tressel, Lt. Governor Stephanie McCloud, Administrator/CEO
1-800-644-6292 BWC.Ohio.govBureau of Workers' Compensation
30 West Spring Street Columbus, Ohio 43215-2256
FINDING OF FACTS
In matter of the renewal application of
20004142 (hereinafter referred to as employer) of
ROMAN CATHOLIC DIOCESE OF TOLEDO IN AMER
1933 SPIELBUSCH AVE
TOLEDO OH 43604-5360
The above employer, having filed its desire to continue the privilege of self-insurance pursuant to the Ohio Workers' Compensation Law and Section 35. Article II Constitution of Ohio, and such renewal application and its contents having been carefully examined by the Ohio Bureau of Workers' Compensation, the administrator hereby grants the privilige of self-insurance to above the employer from:
April 1, 2025 to April 1, 2026 or until further action of the Ohio Bureau of Workers' Compensation
Sincerely, Stephanie McCloud
Certificate cover letter
Mike DeWine, Governor Jim Tressel, Lt. Governor Stephanie McCloud, Administrator/CEO
1-800-644-6292 BWC.Ohio.govBureau of Workers' Compensation
30 West Spring Street Columbus, Ohio 43215-2256
#BWNFVSQ
#XX10118045#
03/13/2025 Date Mailed .Invisible_TemplateName=SID009Delivery_Channel=mailInvisible_Document_Date=2025-03-13Invisible_ClaimNumber=undefinedInvisible_PolicyNumber =20004142Invisible_Recipient=ROMAN CATHOLIC DIOCESE OF TOLEDO IN AMERICAInvisible_AddressLine1=1933 SPIELBUSCH AVEInvisible_AddressLine2=nullInvisible_City=TOLEDOInvisible_State =OHInvisible_zip =43604-5360Invisible_Country=United StatesInvisible_Document_Context =PolicyInvisible_Watermark_Name =\\mswg9\CoreSystem\PP\ALC\Images\blank.tifInvisible_Creator_Name =BATCH Invisible_Participation_Type =InsuredInvisible_QuoteNumber =undefinedInvisible_FEIN =undefined
ROMAN CATHOLIC DIOCESE OF TOLEDO IN AMER
1933 SPIELBUSCH AVE
TOLEDO OH 43604-5360
RE: Policy number: 20004142
Dear Self-Insuring Employer, Attached is the Certificate of Coverage and Finding of Facts authorizing your company to continue operations under sections of Ohio law covering self-insured risks.
Please provide a copy of the Certificate of Coverage to each of your Ohio locations, and post it for all employees to view.
Thank you for your cooperation.
Sincerely, David E. Boyd Director, Self-Insured Department
File details come from the government source that posted it. Updated .