In certain circumstances, a self-insuring (SI) employer may be eligible for reimbursement from the self-insured portion of the surplus fund under the Sysco case. To obtain reimbursement, a participating self-insuring employer must document a final administrative or judicial determination that compensation and benefit payments should not have been made.
The self-insuring employer can email the Self-Insured Claims Reimbursement Application (SI-52) and requested documents to BWC's self-insured department or fax it to 614-621-1246.
The self-insured department will review the request and issue a letter to the self-insuring employer approving or denying the request. You may appeal a denial to the Self-Insured Review Panel (SIRP). Refer to Handling SI employer disputes for more information about the appeal process.
BWC's self-insured department processes these requests. Do not refer these requests to the Ohio Industrial Commission (IC) as the IC only handles claim disputes, and this is considered a risk matter.