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Agency Schedule Detail

Authorization Number :  855-1178
Agency Series No. :  C-34
Status :  Active
Agency Web Link : 
Agency :  BWC
Confidential Description :  Records may include medical records, the claimant’s name, the residential address, the name of the employer, the address of the employer, the social security number and the residential telephone number.
Division :  BWCCLMS
Vital Description : 
Section : 
Record Title :  Lump Sum Settlement (LSS) Dashboard
Revision :  0
Record Description :  The Lump Sum Settlement (LSS) Dashboard contains information pertaining to a settlement of a claimant’s claim for workers’ compensation benefits such as, but not limited to: settlement agreement, medical records, requests for treatment, requests for payment of compensation, compensation payment records, orders issued by Bureau of Workers’ Compensation (BWC) or the Industrial Commission, and communication between the BWC LSS Injury Management Supervisor (IMS), LSS Claims Service Specialist (CSS), and BWC Settlement Attorneys. The Lump Sum Settlement Dashboard can include claim information regarding settlements that have reached a final settlement agreement, and claims that did not reach a final settlement agreement (denied/disallowed/dismissed/withdrawn). Settlement brings the workers’ compensation claim to an end.
Retention Period Retention Justification Media Code Method of Disposal
If the settlement agreement was reached and approved, retain the Lump Sum Settlement Dashboard for the claim for 6 years after the settlement date of the claim, and then destroy as confidential. OR If settlement agreement was denied or never reached, retain the Lump Sum Settlement Dashboard for 6 years after being; denied, disallowed, dismissed or withdrawn, and then destroy as confidential. 6 (six) years retention required following Settled Claims File record retention schedule and O. R.C. 4123.65 Application for approval of final settlement. Electronic Delete

Approvals

Status Name Title Date
Approved Jeff Hitch Records Coordinator 1/17/2018 10:18:00 AM
Approved Melissa Roach Records Officer 1/17/2018 12:51:00 PM
Approved Bunnie Jones Record Administrator 1/17/2018 12:57:00 PM
Approved Martin Meeks State Auditor 1/17/2018 1:55:00 PM
Approved Fred Previts State Archivist 1/17/2018 2:37:00 PM

Notes

Date Reason User

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