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October 21, 2014 
2:00 p.m. - 2:30 p.m. 
Heartland Payment Systems is the 
Lead Sponsor of all RES events. 
The ORA Restaurant Education Series (RES) provides 
members free access to educational events that help them 
sustain and grow their businesses and are developed based on 
member feedback. RES events support a key ORA initiative: 
the education of our members.
 Open and close your Panel 
 View, Select, and Test your audio 
 Submit text questions 
 Q&A addressed at the end of 
today’s session 
 Everyone will receive an email 
with a link to view a recorded 
version of today’s session 
 Your feedback is important! You 
will receive a prompt to complete 
a survey at the end of the session
What You’ll Learn Today 
New BWC billing system structure 
NEW group enrollment time frame and dates 
 About the BWCs transition to a NEW 
system: Why the Change?
Your Speakers 
Todd Spence 
 Ohio BWC, Business Consultant 
Theresa Passwater 
 CareWorks Consultants Inc., Program 
Manager
Overview of 
Prospective Billing 
Todd Spence, MBA, ARM 
BWC Business Consultant 
614-644-1196 
todd.s.1@bwc.state.oh.us 
7
Why the Transition to 
Prospective Billing? 
 Industry standard 
 More flexible payment options 
 Decrease in base rates by 2% for private 
employers and 4% for public employers 
 Increased ability for BWC to detect non-compliance 
and fraud 
8
9 
WHY D OES 
THIS MATTER 
TO ME?
Three Key Areas of Change 
1. BWC Program Enrollment Date Changes 
2. Premium Calculation and Payment Changes 
3. New Process Added: Annual True-Up 
10
Program Enrollment Changes Effective 
for 7/1/2015 Policy Year! 
 Group rating program – Monday prior to 
Thanksgiving (November 24, 2014) 
 Group Retro, One Claim Program, Deductible, 
Individual Retro – Last business day of January 
(January 30, 2015) 
 Destination: Excellence programs – Last 
business day of May (May 29, 2015) 
11
Implementing Prospective 
Payment 
 Prospective billing effective July 1, 2015. 
 Moving from reporting and paying premium six months in 
arrears to BWC estimating premium and employer paying 
annual premium in advance. 
 Employers will pay premium in February 2015 (for 
7/1/2014 - 12/31/2014) as normal. 
 In August 2015, employers will have premium due for 
1/1/2015 - 6/30/2015 and estimated premium due for 
7/1/2015 - 6/30/2016. 
12
Implementing Prospective 
Payment 
 NO DOUBLE BILLING! 
 BWC will apply a transition credit to cover the 
January 1, 2015 – June 30, 2015 premium 
($0 Due). 
 Employers will receive: 
 Final Payroll Report for 1/1/2015 - 6/30/2015 ($0 due) 
 An invoice for the 2015 policy year estimated premium 
in June 2015. 
13
Installment Plan Options 
 In the first year, every employer will be on a bi-monthly 
plan, with the option of selecting a 
different installment plan prior to their first 
premium payment (paid by August 31, 2015). 
 The first installment (covering July and August 2015) 
will be paid with transition credit ($0 Due). 
14
Installment Plan Options 
 Employers will receive an invoice for the second 
installment in late July or early August. 
 This invoice will be due by August 31, 2015. 
 Depending on the selected installment plan, 
BWC will mail invoices 30 days prior to the due 
date. 
15
Installment Plan Options 
 Under prospective billing, employers can choose 
from the following equal payment installment 
options: 
 Annual (1 payment) 
 Semi-annual (2 payments) 
 Quarterly (4 payments) 
 Bi-monthly (6 payments) 
 Monthly (12 payments) 
16
True-up Payroll Reporting 
 Prospective billing requires annual true-ups. 
 BWC will send the True-Up notice in July of each 
year. 
 The employer must report actual payroll for the 
previous policy year. 
 Online or over the phone only 
 First True-Up due August 15, 2016 (for 7/1/15 - 6/30/16) 
 Result could be credit or debit 
17
True-Up Payroll Reporting 
 This information is critical for rate setting. 
 For that reason, any outstanding true-ups will result in 
immediate disqualification from rating plans and 
programs for that current policy year. 
 Employers must complete all true-ups to be 
eligible for programs going forward.
Lapsing Coverage 
 BWC will lapse any employer who does not pay 
their installment on time. 
 BWC will not lapse an employer who does not 
true-up. 
 BWC will estimate the true-up by adding an additional 
10% to the premium due and bill the employer. 
 If the employer still does not report their true-up, then 
BWC will certify it to the Ohio Attorney General’s office 
for collections. 
19
20
Summary 
First Changed Program Application Date is 
November 24, 2014 (2015 Group Rating) 
First Prospective Premium Payment is due 
August 31, 2015 
First Annual True-Up is due August 15, 2016 
As a result of Prospective Transition Credits, 
NO premium will be charged for 1/1/2015 - 
6/30/2015 and 7/1/2015 - 8/31/2015 
21
Questions? 
Todd Spence, MBA, ARM 
BWC Business Consultant 
614-644-1196 
todd.s.1@bwc.state.oh.us 
22
Questions on Your 
Group Rating Status? 
Theresa Passwater 
Manager of Program Sales 
1-800-837-3200, ext. 7248 
(614) 526-7248 
Fax (614) 210-5841 
theresa.passwater@ccitpa.com
So, What Now? 
Check out the ORA website, Workers’ 
Compensation section for information on options 
www.ohiorestaurant.org/grouprating 
Included on the site is a “Calendar of Events” to 
help you navigate through all the dates
Health and Safety 
When a 1,000 things pile up, it’s easy to overlook the importance of 
health & safety issues - that’s dangerous! 
The Health & Safety section of the ORA’s website helps you stay on 
top of concerns, offering solutions to today’s restaurant, food, and 
alcohol safety issues. 
www.ohiorestaurant.org/healthandsafety
Thank you! 
November 18 @ 2:00 p.m. - Serving Alcohol 
Safely 
 February 15 & 16 - Educational sessions at 
North America Pizza & Ice Cream Show 
(NAPICS); Columbus Convention Center 
Go to www.ohiorestaurant.org/res 
to register or to check out past RES events!

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What You Need to Know: BWC Prospective Billing and Group Enrollment Changes

  • 1. October 21, 2014 2:00 p.m. - 2:30 p.m. Heartland Payment Systems is the Lead Sponsor of all RES events. The ORA Restaurant Education Series (RES) provides members free access to educational events that help them sustain and grow their businesses and are developed based on member feedback. RES events support a key ORA initiative: the education of our members.
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  • 3.  Open and close your Panel  View, Select, and Test your audio  Submit text questions  Q&A addressed at the end of today’s session  Everyone will receive an email with a link to view a recorded version of today’s session  Your feedback is important! You will receive a prompt to complete a survey at the end of the session
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  • 5. What You’ll Learn Today New BWC billing system structure NEW group enrollment time frame and dates  About the BWCs transition to a NEW system: Why the Change?
  • 6. Your Speakers Todd Spence  Ohio BWC, Business Consultant Theresa Passwater  CareWorks Consultants Inc., Program Manager
  • 7. Overview of Prospective Billing Todd Spence, MBA, ARM BWC Business Consultant 614-644-1196 todd.s.1@bwc.state.oh.us 7
  • 8. Why the Transition to Prospective Billing?  Industry standard  More flexible payment options  Decrease in base rates by 2% for private employers and 4% for public employers  Increased ability for BWC to detect non-compliance and fraud 8
  • 9. 9 WHY D OES THIS MATTER TO ME?
  • 10. Three Key Areas of Change 1. BWC Program Enrollment Date Changes 2. Premium Calculation and Payment Changes 3. New Process Added: Annual True-Up 10
  • 11. Program Enrollment Changes Effective for 7/1/2015 Policy Year!  Group rating program – Monday prior to Thanksgiving (November 24, 2014)  Group Retro, One Claim Program, Deductible, Individual Retro – Last business day of January (January 30, 2015)  Destination: Excellence programs – Last business day of May (May 29, 2015) 11
  • 12. Implementing Prospective Payment  Prospective billing effective July 1, 2015.  Moving from reporting and paying premium six months in arrears to BWC estimating premium and employer paying annual premium in advance.  Employers will pay premium in February 2015 (for 7/1/2014 - 12/31/2014) as normal.  In August 2015, employers will have premium due for 1/1/2015 - 6/30/2015 and estimated premium due for 7/1/2015 - 6/30/2016. 12
  • 13. Implementing Prospective Payment  NO DOUBLE BILLING!  BWC will apply a transition credit to cover the January 1, 2015 – June 30, 2015 premium ($0 Due).  Employers will receive:  Final Payroll Report for 1/1/2015 - 6/30/2015 ($0 due)  An invoice for the 2015 policy year estimated premium in June 2015. 13
  • 14. Installment Plan Options  In the first year, every employer will be on a bi-monthly plan, with the option of selecting a different installment plan prior to their first premium payment (paid by August 31, 2015).  The first installment (covering July and August 2015) will be paid with transition credit ($0 Due). 14
  • 15. Installment Plan Options  Employers will receive an invoice for the second installment in late July or early August.  This invoice will be due by August 31, 2015.  Depending on the selected installment plan, BWC will mail invoices 30 days prior to the due date. 15
  • 16. Installment Plan Options  Under prospective billing, employers can choose from the following equal payment installment options:  Annual (1 payment)  Semi-annual (2 payments)  Quarterly (4 payments)  Bi-monthly (6 payments)  Monthly (12 payments) 16
  • 17. True-up Payroll Reporting  Prospective billing requires annual true-ups.  BWC will send the True-Up notice in July of each year.  The employer must report actual payroll for the previous policy year.  Online or over the phone only  First True-Up due August 15, 2016 (for 7/1/15 - 6/30/16)  Result could be credit or debit 17
  • 18. True-Up Payroll Reporting  This information is critical for rate setting.  For that reason, any outstanding true-ups will result in immediate disqualification from rating plans and programs for that current policy year.  Employers must complete all true-ups to be eligible for programs going forward.
  • 19. Lapsing Coverage  BWC will lapse any employer who does not pay their installment on time.  BWC will not lapse an employer who does not true-up.  BWC will estimate the true-up by adding an additional 10% to the premium due and bill the employer.  If the employer still does not report their true-up, then BWC will certify it to the Ohio Attorney General’s office for collections. 19
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  • 21. Summary First Changed Program Application Date is November 24, 2014 (2015 Group Rating) First Prospective Premium Payment is due August 31, 2015 First Annual True-Up is due August 15, 2016 As a result of Prospective Transition Credits, NO premium will be charged for 1/1/2015 - 6/30/2015 and 7/1/2015 - 8/31/2015 21
  • 22. Questions? Todd Spence, MBA, ARM BWC Business Consultant 614-644-1196 todd.s.1@bwc.state.oh.us 22
  • 23. Questions on Your Group Rating Status? Theresa Passwater Manager of Program Sales 1-800-837-3200, ext. 7248 (614) 526-7248 Fax (614) 210-5841 theresa.passwater@ccitpa.com
  • 24. So, What Now? Check out the ORA website, Workers’ Compensation section for information on options www.ohiorestaurant.org/grouprating Included on the site is a “Calendar of Events” to help you navigate through all the dates
  • 25. Health and Safety When a 1,000 things pile up, it’s easy to overlook the importance of health & safety issues - that’s dangerous! The Health & Safety section of the ORA’s website helps you stay on top of concerns, offering solutions to today’s restaurant, food, and alcohol safety issues. www.ohiorestaurant.org/healthandsafety
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  • 27. Thank you! November 18 @ 2:00 p.m. - Serving Alcohol Safely  February 15 & 16 - Educational sessions at North America Pizza & Ice Cream Show (NAPICS); Columbus Convention Center Go to www.ohiorestaurant.org/res to register or to check out past RES events!

Notas do Editor

  1. It’s my pleasure to welcome you to this free Ohio Restaurant Association webinar: “What You Need to Know: BWC Prospective Billing and Group Enrollment Changes”   This ORA Restaurant Education Series event is offered to you through a partnership between the Ohio Restaurant Association, the Ohio Bureau of Workers’ Compensation and CareWorks Consultants Inc. event.
  2. Before we get started, I want to review a few housekeeping items and let you know how you can participate in today’s webinar. A few housekeeping items: You will need to be present throughout this session to receive credit with the BWC for meeting their 2-hour training requirement. To keep the webinar interactive, during the session speakers will poll the audience. Please respond to these questions. After the session we will have a chance for questions. Please type questions into the chat session and send them to the moderator. We will do our best to answer all questions. After the session you will be sent a survey. Please respond to this survey in order for us to improve our offerings. If we don’t have time to answer all questions we will send answers to the entire group via email. Currently, we’re looking at an example of the GoToWebinar Attendee Interface which is made up of two parts. The Viewer Window on the left, which allows you to see everything the Presenter will share on his/her screen, and the Control Panel at the right. Within that Control Panel is how you can participate in today’s event, so let’s look at that.
  3. Clicks 1, 2, and 3 By clicking the orange arrow, you can open and close your control Panel Click 4 From the View Menu you can also set the Control Panel not to auto-hide when inactive if you prefer to keep it always open. Click 5 The Audio pane provides audio information. By default you have joined the Webinar via Mic & Speakers. Click 6 Click Audio Setup to select your computer speaker or headset devices. Clicks 7, 8 and 9 If you prefer, you can join the audio via telephone by selecting Use Telephone, and the dial-in information will be displayed, including an Audio PIN. Click 10, 11, 12 At the end of the presentation, you will have the ability to send questions to our Webinar staff through the Question. Simply type in your question and click send. At the end of the presentation we will answer as many questions as we have time for.
  4. I’m Laura Morrison, Director, Member Services & IT with the ORA. My primary role is managing the ORA Workers’ Compensation Group Rating Plans and safety efforts so that they are best in class.
  5. Today’s webinar will provide you with information on: The NEW BWC billing system structure NEW group enrollment time frame and dates And About the BWCs transition to the NEW system – Why the Change? .
  6. Your expert speakers today are: Todd Spence, Ohio BWC, Business Consultant and Theresa Passwater, Program Manager with CareWorks Consultants, Inc. With that, I’d like to introduce you to Todd Spence, Business Consultant with the Ohio BWC.
  7. BWC is moving in this direction because it is good business.  Prospective Billing is an industry best practice and a change we’ve wanted to make for over 20 years.  Normally to make this kind of switch, a double payment would need to be made but as BWC has been fiscally responsible and good stewards of our fund, we are able to cover the cost of a transition credit so no employer will be double billed because of this change.”
  8. Rate decrease is due to the time value of money – discount rate is currently 4%
  9. BWC is moving in this direction because it is good business.  Prospective Billing is an industry best practice and a change we’ve wanted to make for over 20 years.  Normally to make this kind of switch, a double payment would need to be made but as BWC has been fiscally responsible and good stewards of our fund, we are able to cover the cost of a transition credit so no employer will be double billed because of this change.”
  10. No installment fees
  11. If the last business day falls on a weekend, the next business day will apply
  12. Annual to give more stable rates to employers and to link it up with other types of insurance
  13. If the employer does not agree with the BWC estimate, there will be a process for the employer to contact BWC for a change. Employer will not be able to make this change on-line initially. There is no penalty if their estimate is low as long as when they true-up, they pay. Annual Certificate will state that it does not guarantee coverage, coverage is based upon premium payment
  14. If the employer does not agree with the BWC estimate, there will be a process for the employer to contact BWC for a change Annual Certificate will state that it does not guarantee coverage, coverage is based upon premium payment
  15. For 2015- 7/1/13-6/30/14
  16. No installment fees
  17. **Online is the preferred option- if the employer chooses not to utilize the online application, they will not be eligible for the go green discount (even if all other premium was paid online. Because their premium is based on an estimate, it is necessary for our customers to give us actual figures, so BWC can reconcile the difference. Employer will be encouraged to report large changes to lessen true-up amount at end of policy year (manual code changes, large shifts in payroll)
  18. Not the year they fail to true up for but the one they are in this year. Rebates from a previous year will not be release, they will be held if employer doesn’t true-up
  19. BWC will not lapse them due to lack of true-up because they will have already begun paying for the current policy year based on what BWC estimated, the actual payroll is still crucial. As a reminder: lack of true-up will result in the employer being removed from their programs
  20. Workers’ Compensation in Ohio can be both challenging to navigate and extremely costly if companies fail to follow the rules established by the Ohio Bureau of Workers’ Compensation. ORA and CCI partner to develop plans that are right for your organization. The Workers’ Compensation section of the ORA website provides you with information to help you navigate the system and enroll in the specific group or program that fits your company, enabling you to save time, money and safeguard your business. Check out the website listed above for more information and a great new calendar of events to help you navigate through all the upcoming dates and changes!
  21. When a 1,000 things pile up, it’s easy to overlook the importance of health & safety issues – that’s dangerous! ORAs Health & Safety section of our website, ohiorestaurant.org, helps you stay on top of concerns, offering solutions to today’s restaurant, food, and alcohol safety issues by providing policies, manuals, webinars and resource links. Check these out today by heading over to www.ohiorestaurant.org/healthandsafety! Brad to ask for poll launch between this slide and next ; Poll Question: Do you have a written safety plan?
  22. In addition to these valuable resources, annually we publish a special theme issue of our “a’ la Carte” quarterly magazine focusing on safety and workers' compensation. Covering such topics as: Cultivating a safety culture promotes business success Understanding the Ohio Bureau of Workers’ Compensation rating system. Find out what factors your rates are based on A claim happened; what are the next steps? The BWC explains the safety intervention grant program Leveling the playing field: understanding how to manage questionable claims   Distributed last week, the electronic version is available on the ORA website under the news section. As you can see through these resources, our experts are available to support you. Because of this support, over 70% of ORA members participate in the ORA workers’ compensation group rating plan. This results in offering the best Workers’ Compensation Group Rating Plan for the Ohio restaurant industry. The ORA group has a high rate of member satisfaction with a consistent 95% retention rate. Unfortunately, you won’t know until you’ve had a claim how important service is to the future of your business.
  23. I’d like to take this opportunity to thank Todd and Theresa for providing their expert advice.   Please take a moment to fill out the survey link that will pop up after we end this webinar. We appreciate your time in completing this as we continue to plan future RES events Thank you for your participation today and for your continued investment in the Ohio Restaurant Association through membership.