BWCCertificate__1_.pdf

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Agency Administered OH|CTR034273
Contract number
CTR034273
Issued by
Ohio

About this file

This document is a Certificate of Ohio Workers' Compensation issued by the Ohio Bureau of Workers' Compensation (BWC) for Stockhands Horses for Healing, located at 3788 Olentangy River RD in Delaware, Ohio. The policy is set to be valid from 07/01/2025 to 07/01/2026, with policy number 80013600. The managed care organization (MCO) for this policy is Minute Men OhioComp, based in Cleveland, Ohio. The document includes a certificate confirming the employer's participation in the Ohio State Insurance Fund and details the required posting information regarding workplace injury and substance-related presumptions.

The policy covers Stockhands Horses for Healing under the employee class code 8279, which is designated for "Stable or Breeding Farm & Drivers". The policy lists Timothy S. Funk as the corporate officer for the specified period. No elective individuals are noted for coverage. The document emphasizes that the certificate is only valid if premiums and assessments are paid by the applicable due date, and recommends verifying coverage through the BWC website or by calling their customer service number. The policy provides workers' compensation insurance rights and benefits as required by Ohio law.

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Text version

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

#BWNFVSQ04/18/2025

Date Mailed .Invisible_TemplateName=DP29Delivery_Channel=emailInvisible_Document_Date=2025-04-18Invisible_ClaimNumber=undefinedInvisible_PolicyNumber =80013600Invisible_Recipient=STOCKHANDS HORSES FOR HEALINGInvisible_AddressLine1=3788 OLENTANGY RIVER RDInvisible_AddressLine2=undefinedInvisible_City=DELAWAREInvisible_State =OHInvisible_zip =43015-8814Invisible_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

STOCKHANDS HORSES FOR HEALING

3788 OLENTANGY RIVER RD

DELAWARE OH 43015-8814

IMPORTANT DOCUMENT: REMOVE AND POST

DP-29 BWC-1629 (Rev. Jan. 10, 2019)

30 W. Spring St.

Columbus, OH 43215

Certificate of Ohio Workers' Compensation This certifies that the employer listed below participates in the Ohio State Insurance Fund as required by law.

Therefore, the employer is entitled to the rights and benefits of the fund for the period specified. This certificate is only valid if premiums and assessments, including installments, are paid by the applicable due date. To verify coverage, visit www.bwc.ohio.gov, or call 1-800-644-6292.

This certificate must be conspicuously posted.

Policy number and employer 80013600

Period Specified Below 07/01/2025 to 07/01/2026

STOCKHANDS HORSES FOR HEALING

3788 OLENTANGY RIVER RD

DELAWARE OH 43015-8814

www.bwc.ohio.gov Issued by: BWC

Administrator/CEO You can reproduce this certificate as needed.

Ohio Bureau of Workers' Compensation

Required Posting

Section 4123.54 of the Ohio Revised Code requires notice of rebuttable presumption. Rebuttable presumption means an employee may dispute or prove untrue the presumption (or belief) that alcohol, marihuana or a controlled substance not prescribed by the employee's physician is the proximate cause (main reason) of the work-related injury.

The burden of proof is on the employee to prove the presence of alcohol, marihuana or a controlled substance was not the proximate cause of the work-related injury. An employee who tests positive or refuses to submit to chemical testing may be disqualified for compensation and benefits under the Workers' Compensation Act.

You must post this language with the Certificate of Ohio Workers' Compensation.

Policy Information

Policy Information for the policy period beginning from 12:01 AM on 07/01/2025 to 12:01 AM on 07/01/2026.

Policy Number and Employer MCO

80013600

STOCKHANDS HORSES FOR HEALING

3788 OLENTANGY RIVER RD

DELAWARE OH 43015-8814

Minute Men OhioComp 3740 Carnegie Ave.

CLEVELAND OH 44115

Additional Insured’s Name and Address Effective Date Expiration Date

Individuals Eligible for Elective Coverage Individuals Eligible for Elective Coverage Covered (Yes/No) Elective Coverage Type

No Elective Individuals.

**Please refer to our website for reporting guidelines/requirements.

Corporate Officer Effective Date Expiration Date

TIMOTHY S FUNK 07/01/2025 07/01/2026

**Please refer to our website for reporting guidelines/requirements.

Employee Class Codes and Descriptions Class Code Class Code Description

8279 STABLE OR BREEDING FARM & DRIVERS.

The information noted above is as of 04/18/2025. For the most current information on the policy or to update your account information, please log into your account at www.bwc.ohio.gov. You may also call 1-800-644-6292 to speak with a customer service representative.

File details come from the government source that posted it. Updated .