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Partial disability compensation shall be paid as follows.
Except as provided in this section, not earlier than forty weeks after the date of
termination of the latest period of payments under section 4123.56 of the Revised
Code, or not earlier than forty weeks after the date of the injury or contraction
of an occupational disease in the absence of payments under section 4123.56 of the
Revised Code, the employee may file an application with the bureau of workers'
compensation for the determination of the percentage of his permanent partial
disability resulting from the injury or occupational disease.
Whenever the application is filed, the bureau shall send a copy of the application
to the employee's employer or the employer's representative and shall schedule the
employee for a medical examination by the bureau medical section. The bureau shall
send a copy of the report of the medical examination to the employee, the employer,
and their representatives. Thereafter, the administrator of workers' compensation
shall review the employee's claim file and make a tentative order as the evidence
before him at the time of the making of the order warrants. If the administrator
determines that there is a conflict of evidence, he shall send the application,
along with the claimant's file, to the district hearing officer who shall set the
application for a hearing.
The administrator shall notify the employee, the employer, and their
representatives, in writing, of the tentative order and of the parties' right to
request a hearing. Unless the employee, the employer, or their representative
notifies the administrator, in writing, of an objection to the tentative order
within twenty days after receipt of the notice thereof, the tentative order shall
go into effect and the employee shall receive the compensation provided in the
order. In no event shall there be a reconsideration of a tentative order issued under this division.
If the employee, the employer, or their representatives timely notify the
administrator of an objection to the tentative order, the matter shall be referred
to a district hearing officer who shall set the application for hearing with
written notices to all interested persons. Upon referral to a district hearing
officer, the employer may obtain a medical examination of the employee, pursuant to
rules of the industrial commission.
(A) The district hearing officer, upon the application, shall determine the
percentage of the employee's permanent disability, except as is subject to division
(B) of this section, based upon that condition of the employee resulting from the
injury or occupational disease and causing permanent impairment evidenced by
medical or clinical findings reasonably demonstrable. The employee shall receive
sixty-six and two-thirds per cent of his average weekly wage, but not more than a
maximum of thirty-three and one-third per cent of the statewide average weekly wage
as defined in division (C) of section 4123.62 of the Revised Code, per week
regardless of the average weekly wage, for the number of weeks which equals the
percentage of two hundred weeks. Except on application for reconsideration, review,
or modification, which is filed within ten days after the date of receipt of the
decision of the district hearing officer, in no instance shall the former award be
modified unless it is found from medical or clinical findings that the condition of
the claimant resulting from the injury has so progressed as to have increased the
percentage of permanent partial disability. A staff hearing officer shall hear an
application for reconsideration filed and his decision is final. An employee may
file an application for a subsequent determination of the percentage of his
permanent disability. If such an application is filed, the bureau shall send a copy
of the application to the employer or the employer's representative. No sooner
than sixty days from the date of the mailing of the application to the employer or
the employer's representative, the administrator shall review the application. The
administrator may require a medical examination or medical review of the employee.
The administrator shall issue a tentative order based upon the evidence before him,
provided that if he requires a medical examination or medical review, the
administrator shall not issue the tentative order until the completion of the
examination or review.
The employer may obtain a medical examination of the employee and may submit
medical evidence at any stage of the process up to a hearing before the district
hearing officer, pursuant to rules of the commission. The administrator shall
notify the employee, the employer, and their representatives, in writing, of the
nature and amount of any tentative order issued on an application requesting a
subsequent determination of the percentage of an employee's permanent disability.
An employee, employer, or their representatives may object to the tentative order
within twenty days after the receipt of the notice thereof. If no timely objection
is made, the tentative order shall go into effect. In no event shall there be a
reconsideration of a tentative order issued under this division. If an objection is
timely made, the application for a subsequent determination shall be referred to a
district hearing officer who shall set the application for a hearing with written
notice to all interested persons. No application for subsequent percentage
determinations on the same claim for injury or occupational disease shall be
accepted for review by the district hearing officer unless supported by substantial
evidence of new and changed circumstances developing since the time of the hearing
on the original or last determination.
No award shall be made under this division based upon a percentage of disability
which, when taken with all other percentages of permanent disability, exceeds one
hundred per cent. If the percentage of the permanent disability of the employee
equals or exceeds ninety per cent, compensation for permanent partial disability
shall be paid for two hundred weeks, except that the bureau may require either a
medical examination or a medical review of the employee.
Compensation payable under this division accrues and is payable to the employee
from the date of last payment of compensation, or, in cases where no previous
compensation has been paid, from the date of the injury or the date of the
diagnosis of the occupational disease.
When an award under this division has been made prior to the death of an employee,
all unpaid installments accrued or to accrue under the provisions of the award are
payable to the surviving spouse, or if there is no surviving spouse, to the
dependent children of the employee, and if there are no children surviving, then to
other dependents as the administrator determines.
(B) In cases included in the following schedule the compensation payable per week
to the employee is the statewide average weekly wage as defined in division (C) of
section 4123.62 of the Revised Code per week and shall continue during the periods
provided in the following schedule:
For the loss of a thumb, sixty weeks.
For the loss of a first finger, commonly called index finger, thirty-five weeks.
For the loss of a second finger, thirty weeks.
For the loss of a third finger, twenty weeks.
For the loss of a fourth finger, commonly known as the little finger, fifteen weeks.
The loss of a second, or distal, phalange of the thumb is considered equal to the
loss of one half of such thumb; the loss of more than one half of such thumb is
considered equal to the loss of the whole thumb.
The loss of the third, or distal, phalange of any finger is considered equal to the
loss of one-third of the finger.
The loss of the middle, or second, phalange of any finger is considered equal to
the loss of two-thirds of the finger.
The loss of more than the middle and distal phalanges of any finger is considered
equal to the loss of the whole finger. In no case shall the amount received for
more than one finger exceed the amount provided in this schedule for the loss of a
hand.
For the loss of the metacarpal bone (bones of the palm) for the corresponding
thumb, or fingers, add ten weeks to the number of weeks under this division.
For ankylosis (total stiffness of) or contractures (due to scars or injuries) which
makes any of the fingers, thumbs, or parts of either useless, the same number of
weeks apply to the members or parts thereof as given for the loss thereof.
If the claimant has suffered the loss of two or more fingers by amputation or
ankylosis and the nature of his employment in the course of which the claimant was
working at the time of the injury or occupational disease is such that the handicap
or disability resulting from the loss of fingers, or loss of use of fingers,
exceeds the normal handicap or disability resulting from the loss of fingers, or
loss of use of fingers, the administrator may take that fact into consideration and
increase the award of compensation accordingly, but the award made shall not exceed
the amount of compensation for loss of a hand.
For the loss of a hand, one hundred seventy-five weeks.
For the loss of an arm, two hundred twenty-five weeks.
For the loss of a great toe, thirty weeks.
For the loss of one of the toes other than the great toe, ten weeks.
The loss of more than two-thirds of any toe is considered equal to the loss of the
whole toe.
The loss of less than two-thirds of any toe is considered no loss, except as to the
great toe; the loss of the great toe up to the interphalangeal joint is co-equal to
the loss of one-half of the great toe; the loss of the great toe beyond the
interphalangeal joint is considered equal to the loss of the whole great toe.
For the loss of a foot, one hundred fifty weeks.
For the loss of a leg, two hundred weeks.
For the loss of the sight of an eye, one hundred twenty-five weeks.
For the permanent partial loss of sight of an eye, the portion of one hundred
twenty-five weeks as the administrator in each case determines, based upon the
percentage of vision actually lost as a result of the injury or occupational
disease, but, in no case shall an award of compensation be made for less than
twenty-five per cent loss of uncorrected vision. "Loss of uncorrected vision" means
the percentage of vision actually lost as the result of the injury or occupational
disease.
For the permanent and total loss of hearing of one ear, twenty-five weeks; but in
no case shall an award of compensation be made for less than permanent and total
loss of hearing of one ear.
For the permanent and total loss of hearing, one hundred twenty-five weeks; but,
except pursuant to the next preceding paragraph, in no case shall an award of
compensation be made for less than permanent and total loss of hearing.
In case an injury or occupational disease results in serious facial or head
disfigurement which either impairs or may in the future impair the opportunities to
secure or retain employment, the administrator shall make an award of compensation
as it deems proper and equitable, in view of the nature of the disfigurement, and
not to exceed the sum of five thousand dollars. For the purpose of making the
award, it is not material whether the employee is gainfully employed in any
occupation or trade at the time of the administrator's determination.
When an award under this division has been made prior to the death of an employee
all unpaid installments accrued or to accrue under the provisions of the award
shall be payable to the surviving spouse, or if there is no surviving spouse, to
the dependent children of the employee and if there are no such children, then to
such dependents as the administrator determines.
When an employee has sustained the loss of a member by severance, but no award has
been made on account thereof prior to his death, the administrator shall make an
award in accordance with this division for the loss which shall be payable to the
surviving spouse, or if there is no surviving spouse, to the dependent children of
the employee and if there are no such children, then to such dependents as the
administrator determines.
(C) Compensation for partial disability under divisions (A) and (B) of this section
is in addition to the compensation paid the employee pursuant to section 4123.56 of
the Revised Code. A claimant may receive compensation under divisions (A) and (B)
of this section.
In all cases arising under division (B) of this section, if it is determined by any
one of the following: (1) the amputee clinic at University hospital, Ohio state
university; (2) the rehabilitation services commission; (3) an amputee clinic or
prescribing physician approved by the administrator or his designee, that an injured
or disabled employee is in need of an artificial appliance, or in need of a repair
thereof, regardless of whether the appliance or its repair will be serviceable in
the vocational rehabilitation of the injured employee, and regardless of whether
the employee has returned to or can ever again return to any gainful employment,
the bureau shall pay the cost of the artificial appliance or its repair out of the
surplus created by division (B) of section 4123.34 of the Revised Code.
In those cases where a rehabilitation services commission recommendation that an
injured or disabled employee is in need of an artificial appliance would conflict
with their state plan, adopted pursuant to the "Rehabilitation Act of 1973," 87
Stat. 355, 29 U.S.C.A. 701, the administrator or his designee or the bureau may
obtain a recommendation from an amputee clinic or prescribing physician that they
determine appropriate.
(D)If an employee of a state fund employer makes application for a finding and the
administrator finds that he has contracted silicosis as defined in division (X), or
coal miners' pneumoconiosis as defined in division (Y), or asbestosis as defined in
division (AA) of section 4123.68 of the Revised Code, and that a change of such
employee's occupation is medically advisable in order to decrease substantially
further exposure to silica dust, asbestos, or coal dust and if the employee, after
the finding, has changed or shall change his occupation to an occupation in which
the exposure to silica dust, asbestos, or coal dust is substantially decreased, the
administrator shall allow to the employee an amount equal to fifty per cent of the
statewide average weekly wage per week for a period of thirty weeks, commencing as
of the date of the discontinuance or change, and for a period of one hundred weeks
immediately following the expiration of the period of thirty weeks the administrator
shall allow the employee sixty-six and two-thirds per cent of the loss of wages
resulting directly and solely from the change of occupation but not to exceed a
maximum of an amount equal to fifty per cent of the statewide average weekly wage
per week. No such employee is entitled to receive more than one allowance on
account of discontinuance of employment or change of occupation and benefits shall
cease for any period during which the employee is employed in an occupation in
which the exposure to silica dust, asbestos, or coal dust is not substantially
less than the exposure in the occupation in which he was formerly employed or for
any period during which the employee may be entitled to receive compensation or
benefits under section 4123.68 of the Revised Code on account of disability from
silicosis, asbestosis, or coal miners' pneumoconiosis. An award for change of
occupation for a coal miner who has contracted coal miners' pneumoconiosis may be
granted under this division even though he continues his employment with the same
employer, so long as his employment subsequent to the change is such that his
exposure to coal dust is substantially decreased and a change of occupation is
certified by the claimant as permanent. The administrator may accord to the
employee medical and other benefits in accordance with section 4123.66 of the
Revised Code.
(E)If a fire fighter or police officer makes application for a finding and the
administrator finds that he has contracted a cardiovascular and pulmonary disease
as defined in division (W) of section 4123.68 of the Revised Code, and that a
change of the fire fighter's or police officer's occupation is medically advisable
in order to decrease substantially further exposure to smoke, toxic gases, chemical
fumes, and other toxic vapors, and if the fire fighter, or police officer, after
the finding, has changed or changes his occupation to an occupation in which the
exposure to smoke, toxic gases, chemical fumes, and other toxic vapors is
substantially decreased, the administrator shall allow to the fire fighter or
police officer an amount equal to fifty per cent of the statewide average weekly
wage per week for a period of thirty weeks, commencing as of the date of the
discontinuance or change, and for a period of seventy-five weeks immediately
following the expiration of the period of thirty weeks the administrator shall
allow the fire fighter or police officer sixty-six and two-thirds per cent of the
loss of wages resulting directly and solely from the change of occupation but not
to exceed a maximum of an amount equal to fifty per cent of the statewide average
weekly wage per week. No such fire fighter or police officer is entitled to receive
more than one allowance on account of discontinuance of employment or change of
occupation and benefits shall cease for any period during which the fire fighter
or police officer is employed in an occupation in which the exposure to smoke,
toxic gases, chemical fumes, and other toxic vapors is not substantially less than
the exposure in the occupation in which he was formerly employed or for any period
during which the fire fighter or police officer may be entitled to receive
compensation or benefits under section 4123.68 of the Revised Code on account of
disability from a cardiovascular and pulmonary disease. The administrator may
accord to the fire fighter or police officer medical and other benefits in
accordance with section 4123.66 of the Revised Code.
(F)An order issued under this section is appealable pursuant to section 4123.511 of
the Revised Code but is not appealable to court under section 4123.512 of the
Revised Code.
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