Transcript Document

WORKERS’ COMPENSATION, UPDATE
Presented By: Mark Langdorf
Presented To: Leadership Team
Date of Presentation: October 16, 2013
Workers’ Compensation

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
Requires the employer to pay all work injury related
medical care costs and a majority of lost wages
following a work related accident regardless of who
is at fault for the accident.
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Medical costs include: Doctor visits, prescription drugs, x-rays,
transportation to and from doctor visits, etc.

Lost wages include: 67% of the employee’s average weekly wage.

These costs are paid as long as the claim remains open.
Law requires employers to provide this benefit for all
employees and governmental volunteers at no cost to
the employee/volunteer.
Can be costly to the District if not managed properly.
Workers’ Compensation How We Manage Costs
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Make sure all accidents involving employees and volunteers are
reported and recorded properly (new claim reporting process began
7/1/2012 appears to be working well).
Evaluate each accident and injury and make sure, only life-threatening
conditions get care from a hospital emergency room.
Make sure all employees that report they were injured doing work for
the District; get a drug screen upon report.
Following each doctor’s appointment make sure the injured employee
brings in a doctor note and completes a leave form if the employee is
taken off work by the doctor or in the limited chance you cannot
accommodate light duty.
If the workers’ compensation physician allows the employee to return to
work light duty, provide this type of work or call us for assistance.
(started in 2002 now fully implemented)
Revenues / Expenditures / Shortfall
Operational
Revenue
Shortfall
Workers’ Compensation
Operational Revenue/Expenses
Operational
Revenue
2008-09
$ 4,176,806.77
$ 5,907,509.06
$
(1,730,702.29)
2009-10
$ 3,761,131.91
$ 4,776,247.29
$
(1,015,115.38)
2010-11
$ 3,614,100.23
$ 5,699,881.13
$
(2,085,780.90)
2011-12
$ 3,495,471.64
$ 4,608,243.18
$
(1,112,771.54)
2012-13
$ 3,365,525.42
$ 4,295,566.87
$
(930,041.45)
$
(6,874,441.56)
Total Revenue shortfall from 2008 to 2013
Operational
Expense
WC Claims Count and Open Claims
WC Indemnity and Medical Payments
POLICY
YEAR
1995-96
1996-97
1997-98
1998-99
1999-00
2000-01
2001-02
2002-03
2003-04
2004-05
2005-06
2006-07
2007-08
2008-09
2009-10
2010-11
2011-12
2012-13
WORKERS’ COMP.
INDEMNITY
WORKERS’ COMP.
MEDICAL
WORKERS’ COMP.
SUB-TOTAL
$ 1,312,024.70
$ 1,687,660.18
$ 1,289,372.66
$ 1,206,109.59
$ 1,635,020.10
$ 1,631,884.23
$ 1,384,202.20
$ 1,253,832.12
$ 571,168.81
$ 427,263.96
$ 585,344.37
$ 360,777.07
$ 445,031.74
$ 476,069.97
$ 475,338.85
$ 279,149.17
$ 213,729.85
$
53,395.33
$ 774,248.43
$ 1,303,573.89
$ 1,561,753.90
$ 1,391,062.48
$ 1,806,735.66
$ 2,200,787.77
$ 2,255,583.20
$ 3,163,222.34
$ 1,435,831.66
$ 1,424,029.11
$ 1,299,574.66
$ 1,406,478.15
$ 1,553,995.42
$ 1,638,144.14
$ 1,676,401.60
$ 1,276,826.55
$ 1,188,776.65
$ 585,871.93
$ 2,086,273.13
$ 2,991,234.07
$ 2,851,126.56
$ 2,597,172.07
$ 3,441,755.76
$ 3,832,672.00
$ 3,639,785.40
$ 4,417,054.46
$ 2,007,000.47
$ 1,851,293.07
$ 1,884,919.03
$ 1,767,255.22
$ 1,999,027.16
$ 2,114,214.11
$ 2,151,740.45
$ 1,555,975.72
$ 1,402,506.50
$ 639,267.26
TOTAL CLAIMS TOTAL CLAIMS
REPORTED
OPEN
527
459
641
612
464
442
480
428
441
439
396
463
457
427
396
382
425
403
0
0
2
2
1
2
1
4
0
1
3
1
0
3
10
11
35
117
IBNR Return and Additional Budget Allocation
Workers Compensation
Incurred but not Reported (IBNR) Change in IBNR from
Previous Period
for Period
2008-09
$
10,813,639.00
$
(1,090,981.00)
2009-10
$
10,603,433.00
$
(210,206.00)
2010-11
$
9,462,758.00
$
(1,140,675.00)
2011-12
$
9,106,553.00
$
(356,205.00)
2012-13
$
7,719,427.00
$
(1,387,126.00)
$
(4,313,794.00)
Total Reduction of IBNR from 2008 to 2013
2008-13 Revenue Shortfall
$
(6,874, 441.56)
2008-13 IBNR Reduction & Return to Budget
$
4,313,794.00
2012-13
$
(2,560,647.56)
What Can We Do Now To Get Further Cost Control
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Hold the employee accountable/responsible for their claim i.e. set
doctor/physical therapy appointments, providing notes, completing
leave forms, employee discipline, etc.
Investigate and document how and why the accident happened.
Injured employee and witnesses to the accident should be present.
Goal: See if we can avoid future injury.
Start or enhance your school/department accident reduction or
avoidance activities through school/department safety program.
What We Will Do
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Select the top 15 locations with the highest frequency of workers’ compensation claims by
using a claims rate comparison.
First step meet with school principal or department director to explain how an enhanced risk
management approach can control cost and how the training program modules assist in this
mission and tailor the program to school/department’s need.
Conduct onsite job risk assessments on a variety of job tasks to determine the hazards and
risk exposures of the job. Also, conduct gap analysis and create training products for
supervisors.
For these locations, implement electronic online school of CD safety training modules
targeted for administrative occupations such as principal/teacher/clerical. Longest on line
session 14 minutes.
The online safety training can be delivered in monthly faculty staff meetings or online from
the school/department or Office of Risk Management website.
What We Will Do - Continued
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Employ the use of monthly educational risk bulletins. These “School Talks” bulletins can be
electronically delivered to the school/department for dissemination to administrative personnel.
Topics are normally selected from the claims history or loss drivers.
Enhance or begin the use of school/department safety committees as a management tool to
promote risk/safety issues. The mission of a school/department safety committee is
accident/injury and risk concerns. AJGRMS can train or improve the quality of the
school/department safety committees by providing training/education of the principal/director and
committee members.
Make use of the publication, “Compass – Compassion”. This is a lesson-learned publication that
was created from actual accident/injury events that occurred in various school systems. It is an
awareness tool that can deliver powerful risk/safety messages to create awareness of common
injuries in a school system.
Enhance accident investigation training. Determining the root and contributory causes during
accident investigations can be highly advantageous in implementing intervention strategies to
prevent future accidents. This program can be offered to school/department personnel who are
charged with investigating accidents.
What We Will Do - Continued
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Departments such as Plant Operations and Maintenance, Food Services and custodians are targeted
groups for this training program. The AJG Supervisor Risk/Safety Management Leadership Program
is specifically designed to assist in creating an effective organizational safety culture that encourages
team work and staff participation. The learning outcomes consist of:
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Give the audience a baseline for successful safety program management
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Provide supervisors methods to set the example for employees to follow in a risk/safety program
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Provide the do’s and do not’s when managing employees and a safety program
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Provide supervisor tools to engage employees in the safety program to heighten awareness
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Accident investigation techniques on how to identify both “root and contributory causes” of accidents
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Understanding risk assessment and risk management
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Provide the audience an understanding of the safety elements that should be considered when planning job
assignments
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Optional safety training – “investigating accidents to determine root and contributory causes is a program that
can be offered through non-instructional training. Foundation of accident prevention is using investigations to
determine causation so intervention strategies and risk treatment solutions can be developed/implemented to
prevent recurrence.