1. BWC Grants and Incentive Programs Erin Rosiello BWC Southwest Regional Business Development Manager Tim McDermott BWC Regional Business Consultant Tom Bloom BWC Industrial Safety Consultant

2. 2013:A Billion Back o $1 billion in premium rebates to Ohio employers o Increased safety grant funding from $5 to $15 million 2014: Another Billion Back o $1 billion in premium rebates to Ohio employers o Increased commitment to safety to $35 million o Created new safety initiatives to improve the safety, health and wellness of Ohio’s workforce expanded Safety Council Program to include health & wellness $2 million for advanced research projects in workplace safety & health $1 million for development of safety curricula and skilled labor training $1 million for volunteer firefighter safety training

3. BWC Grants o Safety Intervention Grant o Workplace Wellness Grant o Transitional Work Grant o Drug-Free Safety Program o Go-green Discount o Lapse-free Discount o Safety Council o Industry-Specific Safety o Drug-Free Safety Program o Transitional Work Bonus BWC Incentive Programs

4. Safety Intervention Grant (SIG) o Purpose: To assist employers in managing the financial costs associated with implementing safety measures to prevent accidents and injuries in the workplace o Funds go toward the purchase or improvement of equipment to significantly reduce or eliminate the risk of injury o 3-to-1 matching funds, up to a maximum of $40,000 per employer eligibility cycle

5. SIG Eligibility Cycle Total payroll reported for last full policy year Eligibility cycle

6. o $6,256,894 direct cost of Phase 2 grants o $6,315,301 saved from Phase 2 grants o 1.98 years payback period (return on investment) o 81% reduction in cost for injuries per 100 FTE SIG Initial Results o Return on investment (ROI): range 6 to 31 months o 77.6% of companies report improvement in productivity o 27.9% of companies report improvement in quality o 28.6% of companies report decrease in absenteeism o 66% reduction in claims following safety intervention SIG Recent Results

7. SIG: Awarded Grants o Lift tables o Fall protection systems o Transfer tables o Conveyors o Cranes/hoists o Lift devices o Robots o Vacuum lifts Manufacturing o Tarping systems o Lift gates o Mobile conveyor o Lift assists o Powered hand trucks o Ratchet binders o Height adjustable dollies o Portable (safety) step ladders o Pallet positioners Transportation

8. SIG: Awarded Grants o Patient ambulation devices o Total lifts o Sit/Stand lifts o Ceiling lifts o Electric adjustable beds o Bathing systems o Patient bathing & toilet chairs o Lateral transfer devices o Bladder scanners o Motorized carts Health - Social Services o Powered dollies o Stair climbing carts o Manhole cover lifters o Cranes/hoists o Powered wheelbarrows o Cable pullers o Hydraulic breakers o Lifting devices Construction

9. SIG: Awarded Grants o Powered cot/cot loading systems o Hydraulic powered breakers o Electric adjustable beds o Chest compression systems o Lift devices Public Employers o Vest carriers o Stair chairs o Lift gates o Carts/dollies o Post drivers

10. Grant Eligibility o Must be state-fund or public employer taxing district. o Must maintain active coverage. o Must be current on all monies owed to BWC. o Demonstrate the need for a safety intervention. o Provide two-year baseline data as requested in application. o Have active BWC coverage with past payroll reports for the purpose of defining employer eligibility cycle (four for private; two for public).

11. Grant Requirements o Complete application o Implement intervention o Submit documentation of purchase o Complete quarterly reports for two years o Submit one-year case study report o Allow BWC staff access to worksite to evaluate and document intervention o Allow BWC to share case study info

12. In the last two years: o 1054 employers were awarded safety grants o $28,898,687 total amount safety grants o $27,418 average grant amount From 7-1-15 through 11-30-15 o 406 safety grant applications received o $11,254,146 total grant amounts approved o Approvals projected to continue into February 2016 Safety Grant Awards

13. Workplace Wellness Grant o Purpose: To assist employers with the development and implementation of workplace wellness program o Goal: To control escalating costs of claims by addressing health-risk factors o Collateral goals: Reduces health-care costs and improves health and well-being of workforce o Employers may receive $300 per participating employee over four-year period, up to $15,000 per employer.

14. Wellness Grant Basics o A workplace wellness program consists of: A health-risk appraisal (HRA) and a biometric assessment, both of which measure health-risk factors; Programs designed to address those health-risk factors. o Funds to compensate wellness program vendor for: HRA and a biometric analysis. o The employer must submit: Completed application online. Complete the Safety Management Self-Assessment (SH-26) An annual case study to: Assess the impact of wellness on workplace safety, and frequency and severity of workers’ comp claims; Establish best practices for the implementation of a workplace wellness program.

15. Eligibility Requirements o Must be a state-fund employer to apply. o Each policy number is eligible for the grant. o Must be current on monies owed to BWC – not more than 45 days past due. o Must maintain active coverage – not more that 40 days lapsed in the prior 12 months. o Cannot have comprehensive workplace wellness program already in place. A comprehensive workplace wellness program is a program that consists of a tool that measures heath-risk factors AND programs designed to address those health-risk factors.

16. Wellness Grant Funding o Maximum per policy number is $15,000. o Employers will receive a total of $300 per participating employee, up to 50 employees per employer. o Employers will receive $100 for first year, $75 for second and third years, and $50 for fourth year. o To receive funding for every year, an employer to receive must participate in the grant program for all four years consecutively. In the last two years: o 285 wellness grants awarded o $816,489 total amount of wellness grants o $2,865 average wellness grant

17. What Is Transitional Work? o Claims-management tool and strategy that allows injured workers to remain at work or return to work by accommodating physicians’ restrictions o Helps both the injured worker by offering structure and stability, and the employer with costs and productivity o Helps keep the employee vested in work both physically and mentally, and allows them to continue with normal pay and benefits

18. Transitional Work Example o The injured worker can’t use their left arm. o The physician provides restrictions to the employer via the Physician’s Report of Work Ability (MEDCO-14) o The employer looks at job analysis to determine the portion of the worker’s current job that they are able to perform. o The employer looks at job bank list (a list of job tasks and descriptions) and creates a job to accommodate the worker.

19. Transitional Work Example o As the worker progresses in recovery and strength, they perform more of the job functions until they are capable of performing their job without restrictions. o Before the worker returns to work, the employer presents them with a written agreement outlining the terms of transitional work (e.g., restrictions, work tasks offered, date to begin and length of time in the program. The employer and worker sign and date this agreement.

20. Transitional Work Grants o 3-to-1 matching grants help employers contract with a BWC-accredited transitional work developer to help establish a program o Provides funds to hire a BWC-accredited transitional work developer to design customized (program) plan o For companies ranging from 11 to 200+ employees; the maximum grant amounts are: 11-49 employees – up to $2,900; 50-199 employees – up to $5,200; 200+ employees – up to $6,300.

21. BWC-Accredited Transitional Work Developers: o Design a specialized training plan for employees; o Perform job analyses on job classifications you select. This is an invaluable tool used to identify the appropriate job tasks an injured worker can perform while participating in transitional work; o Compile customized policies and procedures; o Work with your company’s union(s) if applicable; o Create a community resource directory and establish a relationship with health-care providers to help them understand your business operations; o Are listed on www.bwc.ohio.gov.

22. Eligibility Requirements o An employer must have: 11 or more employees; At least one lost-time claim in its claims experience; Been in existence for at least two years. o An employer who has more than one but less than two full years of recorded premium is eligible to receive a transitional work grant even if such employer does not have a lost-time claim in its claim history.

23. Eligibility Requirements Transitional Work Grants are NOT available for: o Employers who pay the minimum administrative charge or only payroll for elective coverage; o Sole proprietors; o Employers who have previously received a Transitional Work Grant (2001 to 2006); o Self-insuring employers, state agencies, state colleges and universities; o Companies that offer transitional work development as a service.

24. Grant Reimbursement o BWC will reimburse an employer 75 percent of the total cost paid to the transitional work developer for covered services. BWC places the remaining funds in an implementation fund. o Note: The maximum rate per service is: $200 per hour for transitional work developer labor; $200 per job analysis.

25. Grant Reimbursement o There is no maximum number of transitional work developer hours or number of job analyses per employer. Reimbursement cannot exceed maximum amount of employer’s grant. o The employer submits a completed transitional work plan to BWC’s transitional work unit. BWC reviews the plan is to determine if it meets guidelines for approval and grant reimbursement. o If approved, BWC sends an email notifying the employer. BWC distributes funds after review/approval of the plan.

26. Implementation Fund o Monetary assistance in implementing or updating plans o Available during the grant program’s existence o Must be for the following approved services : Consultation by case manager for assistance with the first claim; Training; Job analysis; Program evaluation. o Subject to 3-to-1 match until the balance is $200. At $200, the remainder is paid in full.

27. Grants by Industry Types

28. Grant Amounts 3-to-1 Match o 11-49 up to $2,900 o 50-199 up to $5,200 o 200+ up to $6,300 o If a number was not reported on the last payroll report or is no longer correct, it may be entered/updated on the web when completing the online application. Employees Grant Level Count 11-49$2,90066 50-199$5,200117 200+$6,30057

29. Transitional Work Grants In the last two years: o 430 transitional work grant applications received o 264 transitional work grant plans approved o 118 transitional work grant plans pending approval o 240 transitional work grants funded o $629,519 paid to fund transitional work grants o $530,880 pending transitional work grant plans approval

30. Drug Free Safety Program (DFSP) o Purpose: Help employers design a workplace free of alcohol and other drugs, using proven safety processes o Goal: Positively impact the lives employees, their families and the community by adopting a drug-free environment o Limited start-up grants to offset costs involved in implementing a compliant DFSP in the workplace o State-fund private or public employers participating in the DFSP may apply for start-up grant money from BWC within their first two years of DFSP participation.

31. DFSP Grant Guidelines o The DFSP grant is a reimbursement funding tool. o Recipients must provide documentation of expenses related to implementing a DFSP. o BWC is cannot reimburse bundled charges. All charges must be itemized. o Participating DFSP employers may use grant dollars to meet the following requirements: Up to two consecutive years of grant support in terms of employee education and supervisor training; One-time-only development of a written DFSP policy which also undergoes a review from appropriate external, non-corporate legal counsel.

32. Eligibility Requirements o A state-fund employer o Current on all monies owed BWC o Maintain active coverage o Participate in BWC’s DFSP even if the employer is not eligible for DFSP Basic- or Advanced-level rebates due to participating concurrently in another BWC program o Be in the initial DFSP participation year or the next consecutive program year following the initial program year

33. DFSP Grant Funding In the last two years: o 214 DFSP grants awarded o $235,681 total amount of DFSP grants o $1,101 average DFSP grant

34. BWC Grants o Safety Intervention Grants (up to) $40,000 $ 40,000 o Workplace Wellness Grant $15,000 $15,000 o Transitional Work Grant $2,900 $6,300 o DFSP Grant $2,600 $4,450 $60,500 $65,750 How much has your company received?

35. Destination Excellence o Go-green Discount Program o Lapse-free Discount Program o Safety Council Program o Industry-Specific Safety Program o Drug Free Safety Program o Transitional Work Bonus Program

36. DE Program Discounts ComponentInitialBack-endEarliest Deadline Go-green discount1%---Pay online Lapse-free discount1%---Automatic Safety councils2% July 30, 2015 Industry-specific safety3%---May 27,2015 DFSP4 to 7%---May 27,2015 Vocational rehabilitation---reimbursements Transitional work bonus---10%May 27,2015 Transitional work grantOngoing

37. Grow Ohio Incentive (2011) Allowed new employers to select one option: o Join a group-rating program and receive a premium discount up to 53 % effective on first day of coverage. o Receive a 25-percent premium discount Grow Ohio Incentive: o 192,628 new to Ohio employers o $166,441,550 new premium o $44,861,301 program savings

38. 38 Industry-Specific Safety Program o Increase workplace safety, implement industry best practices o 3% incentive to complete 1 to 3 safety activities (based on size) o 4,710 employers earned o $7,252,493 in premium discounts Destination: Excellence Transitional Work Bonus o RTW performance calculated six months after end of year o Based on % of feasible claims that successfully utilize program o Rebate up to 10% off pure-premium for established period o 3,672 employers earned o $6,973,960 in bonus rebates

39. Destination: Excellence Go-green o Incentive for employers to complete all transactions online o 1% up to $2,000 year o 85,306 employers earned o $7,491,239 in premium discounts Lapse-free o Incentive to pay online and have no lapses in last 60 months o 1% up to $2,000 year o 270,283 employers earned o $16,622,902 in premium discounts

40. Drug-Free Safety Program o Incentive to eliminate drugs and alcohol in workplace o 4% incentive (basic level) and 7% incentive (advanced level) o 14,219 employers earned o $26,244,767 in premium discounts Safety Councils (BWC funds 82 safety councils) Destination: Excellence o Increase workplace safety, learn to manage workers’ comp program o 2% incentive (participation) and 2% (performance) o 34,676 employers earned o $38,800,000 in premium discounts

41. Next Steps o Go to www.bwc.ohio.gov. o Safety Intervention Grant – Meet with your safety consultant. o DFSP Grant – Discuss with your employer service specialist or safety consultant. o Transitional Work Grant – Contact your employer service specialist or safety consultant. o Workplace Wellness Grant – Ergonomist

42. Questions