аЯрЁБс>ўџ œ­ўџџџš›џџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџьЅС€ №П$Žbjbjірір 4’”Š”ŠЬџџџџџџЗюю11111џџџџEEEE,qœE]0     ИИИФЦЦЦЦЦЦЂ/ МЦQ1px@ИppЦ11  k   p 1 1 Ф pФ  r T| џџџџ*FP ЮEz`А-0]nы ы |ы 1|4ИZ@ R4†ъИИИЦЦ– ИИИ]ppppџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџы ИИИИИИИИИю ї: PTD Rate Calculation Worksheet Instructions Completing Section #1 Using Section 1, the “weekly worker’s compensation amount” (WWCA) is calculated according to the Ohio Revised Code 4123.58, paragraph A.  The WWCA is calculated by comparing four variables: 1.      The IW’s Average Weekly Wage (AWW); 2.      50% of the Statewide Average Weekly Wage (SAWW), also known as the minimum PTD rate for the date of injury; 3.      2/3 of the IW’s AWW (calculated by the worksheet); 4.      2/3 of the SAWW, also known as the PTD offset rate. From the BWC rate chart find: DatesTT MaxTT MinPT MaxPT Min11-03-89 to 12-31-89400.00 266.67400.00 266.67 133.33555.56 600.00 200.00 None400.00 266.67 200.00Offset Rate These variables are entered into the shaded areas of the worksheet. Claim #:    IW Name:    Instructions: Obtain wage information to complete variables for calculations required under paragraph 1. Determine appropriate formula under subparagraphs 1(a) through (d)–only one formula will apply. Complete calculation required by the formula to obtain “weekly workers compensation amount” (WWCA). Obtain wage and weekly SSD amounts to complete variables for calculations under paragraph 2. Use WWCA determined under paragraph 1. Select the appropriate formula to determine PTD rate.1. Calculating the weekly workers’ compensation amount pursuant to Ohio Revised Code 4123.58 (A). 4 Variables required: AWW 50% SAWW (minimum PTD from Rate Chart for DOI)0.002/3 AWW 2/3 SAWW (“PTD offset” amount from Rate Chart for DOI) Comparing these four variables, only one of the four conditions outlined in Section 1 of the worksheet will be true. The worksheet will display “yes” or “no” for each of the following four comparisons.  The true statement determines the WWCA for the IW’s claim which is entered by the user in the indicated field.  a)If 2/3 of AWW 0.00e" 2/3 SAWW0.00then WWAC =2/3 of SAWW0.00 b)If AWW0.00< 50% SAWW0.00then WWAC =AWW0.00 c)If AWW0.00e" 50%SAWW0.00,but 2/3 AWW0.00< 50% SAWW0.00then WWAC =50% SAWW0.00 d)If 2/3 of AWW0.00>50% of SAWW0.00,but 2/3 AWW0.00< 2/3 SAWW0.00then WWAC =2/3 of AWW0.00Weekly workers’ compensation amount equals:    Section #2 Section 2 of the worksheet allows you to calculate the IW’s PTD rate according to Ohio Revised Code 4123.58, paragraph B.  Begin by adding the IW’s weekly Social Security Disability (SSD) rate to the IW’s WWCA and then compare the sum of these two amounts to three other variables: 1.      The full SAWW, also known as the maximum PTD rate for the date of injury; 2.      2/3 of the IW’s AWW; 3.      2/3 of the SAWW, also known as the PTD offset rate for the date of injury.   The WWCA, 2/3 AWW and 2/3 SAWW are copied from Section #1. The CSS must enter the IW’s Monthly SSD amount and worksheet will calculate the weekly amount. The CSS must also enter the SAWW from the rate chart. 2. Determining PTD Rate: Calculations pursuant to Ohio Revised Code 4123.58(B). Variables required:0.00WWCA0.00Weekly SSD ( Monthly SSD x 12 / 52) SAWW (maximum PTD from rate chart for date of injury )0.002/3 AWW0.002/3 SAWWComparing these variables, only one of the four conditions outlined in Section 2 will be true.  The worksheet will display “yes” or “no” for each of the following four comparisons.  a)If WWCA + SSD0.00e" SAWW 0.00then PTD rate =WWCA0.00 b)If WWCA + SSD0.00< SAWW0.00,and 2/3 AWW0.00d" 2/3 SAWW0.00then PTD rate =WWCA0.00 c)If WWCA + SSD0.00< SAWW0.00,and 2/3 AWW0.00> 2/3 SAWW0.00 but< SAWW0.00then PTD rate =2/3 AWW0.00 d)If WWCA + SSD0.00< SAWW0.00, but2/3 AWW0.00> SAWW0.00then PTD rate =SAWW0.00PTD Rate equals (If PTD paid 100% in this claim)For Split PTD:Total PTD rate0.00x % in this claim equals PTD rate for this claim as part of split PTD0.00Completed by:Date: The true statement determines the PTD rate for the IW’s claim. There is an one exception and that is when 2/3 of the AWW is exactly equal the SAWW. 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