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Last updated: 1/29/2025
Lump Sum Settlement (LSS) {BWC-7651}
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Description
BWC-7651 / U-145 - LUMP SUM SETTLEMENT (LSS) DIRECT REIMBURSEMENT RATING AND PAYMENT PROGRAM FOR PUBLIC EMPLOYER STATE AGENCIES. This form is used by public employer state agencies in Ohio to apply for participation in the Lump Sum Settlement (LSS) Direct Reimbursement Rating and Payment Program under the Bureau of Workers' Compensation (BWC). The program allows eligible agencies to make lump sum payments for workers' compensation settlements instead of participating in a traditional settlement payment program. Agencies must commit to the program for three years, with automatic renewal unless they opt out. The form collects agency details, policy information, and an authorized signature to affirm commitment to the program. www.FormsWorkflow.com
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