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Agency Schedule Detail

Authorization Number :  855-1077
Agency Series No. :  SELF01
Status :  Active
Agency Web Link : 
Agency :  BWC
Confidential Description :  The Self Insured Risk Files contain the financial information and past claim history of an employer. This information can include social security numbers, and other information relating to claims litigation that is often exempted from mandatory disclosure as a public record pursuant to O.R.C 149.33(A).
Division :  BWCRKAD
Vital Description : 
Section :  BWCRKADSELF
Record Title :  Self Insured Risk Files
Revision :  1
Record Description :  The Self Insured (SI) Risk Files contain all employer related information pertaining to the policy. Once the SI Risk File has been received it is then scanned into the (UDS) Universal Document Service. The Universal Document Service (UDS) is an imaging concept that stores any type of electronic file, such as Microsoft Office documents, Adobe Acrobat, audio/video, Computer Aided Design (CAD), etc. as well as scanned images. The information included in the SI risk files is the employers initial application for self insurance, assessment information, all risk related correspondence, renewal applications and other related documents.
Retention Period Retention Justification Media Code Method of Disposal
Scan the original document into UDS, verify the scanned image is readable, and then destroy. Paper Shred
Retain in UDS for 18 years after employer cancels coverage, and then destroy. Retaining the Self Insured Risk Files for 18 years after the employer cancels coverage confirms the Self-Insured Unit continues to be responsible for active claims and assessments after cancelation pursuant to Ohio Revised Code Section 4123.35 Payment of premiums by employers. Electronic Delete

Approvals

Status Name Title Date
Approved Kevin Gartrell Records Coordinator 9/15/2014 12:09:00 PM
Approved Melissa Roach Records Officer 9/25/2014 11:13:00 AM
Approved Bunnie Jones Record Administrator 10/8/2014 2:47:00 PM
Approved Martin Meeks State Auditor 10/9/2014 9:22:00 AM
Approved Fred Previts State Archivist 10/16/2014 2:07:00 PM

Notes

Date Reason User

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