|
| Application for Premium Discount Program + (UA-5)
|
Introduction to Premium Discount Program + (PDP+)
|
|
PDP+ was designed as an incentive program to assist experience-rated employers
(those not in a group rating, retrospective rating or one claim program),
having a .90 or greater experience modifier, establish a safer, more cost-effective workplace. Eligible employers receive discounts
on their workers' compensation premiums for implementing the program in their businesses.
Employers can save up to 10 percent the first and second year they are in the program
and up to 5 percent the third year off their workers' compensation premiums. In addition,
PDP Plus participants can earn bonuses of 10 percent for a 15 percent, or greater, claims severity reduction;
5 percent for a 15 percent, or greater, claims frequency reduction; and a 5-percent bonus for meeting both criteria.
As an added bonus to employers who have completed PDP+, we've implemented a two-year extension
of the program. To re-enter the program, employers must have:
- Completed PDP or PDP+;
- Not participated in PDP or PDP+ for two years;
- A .90 or greater experience modifier;
- Met all other eligibility and reporting requirements of PDP+.
For the first year, you can earn a 10-percent premium reduction. If you are eligible
to participate in the second year, a 5-percent premium reduction will apply.
Initial assistance in implementing a PDP+ program is available by reviewing the
requirements and suggested approaches in the Premium Discount Program +
Self-Implementation Workbook (see link below). All employers participating
in PDP+ receive this workbook.
|
|
Additional information
|
Program info
10-Step Business Plan
Premium Discount Program + Guide
Premium Discount Program +
Self-Implementation Workbook
|
|
| Required information |
- Safety Plan Coordinator
- Number of Full-Time Employees in Ohio
- Number of Part-Time Employees in Ohio
- Multiple Locations (If Applicable)
|
|
| Complete the forms |
The free Adobe Reader
software is required to display and print the application.
Do you have all the required information at hand? If so, you are ready to begin
completing the form. When completing the online form, please use the previous and next
buttons located at the bottom of the page to navigate
through the form.
Begin online form now.
Are you missing some of the required information? If so, you may return here
at a later time when you have all the information you need, and complete
this online form. Or, you may print a blank copy of the form to complete by
hand and either mail or fax it to BWC.
|
| Print a blank form. |
|
