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The MCO selection is solely the employer s choice. Ohio Bureau of Workers Compensation Attn Open Enrollment 30 W. Spring St. 22nd Floor Columbus OH 43215-2256 Fax 614-719-5313. Fax number Use the two-digit number from the County codes on page 4 of this guide. County of operation Mailing address City State ZIP code Name of MCO selected Use the five-digit number from the Alphabetical MCO list MCO number Employer s signature Employer name print Employer title Date M D Employer s right to select...
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