Policy Year 2027 Group-Experience-Rating

Your annual participation fee includes enrollment into the upcoming group-experience-rating program, a dedicated claims manager to assist with your workers' compensation claims, professional representation at administrative/Industrial Commission hearings and access to our service/underwriting team to answer all your BWC questions. 

To enroll or renew in the Group-Experience-Rating Program using our paperless option, please complete the fields below:

General Information

2027 Group Rating Program - Group Profile

By submitting this online enrollment, we agree, to the best of our knowledge, that the following statements are true.  

• Our Company is NOT a professional employer organization (PEO) or an employee leasing company.
  
• In the past 5 years, our company has NOT purchased, merged or acquired the assets of another Ohio company.
  
• In the past 5 years, our company has NOT done business in Ohio under a policy number other than the one listed above.
  

Failure to provide accurate information may result in removal from the group rating program.  Additionally, any misrepresentation of the information listed above may result in the employer reimbursing the other Group Participants for the financial hardship on those employers due to the misrepresentation.  In the event Employer is contemplating a change or not fully disclosed its current status, Employer shall give immediate written notice to the Group Administrator of the proposed or implemented change, so that the effect on the Program may be determined.  In the event such change has a negative effect on the Program, Employer agrees to submit a letter of withdrawal from the Program(s) affected to the BWC and to indemnify and save harmless the Program from all losses, costs, expenses incurred by the Program resulting from any change in which Employer may be involved. 

*Entering your name below constitutes an electronic signature.

Payment Information