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As Costs Rise, Take Charge of Your Workers' Comp Expenses
http://www.insworld.com/articles/december/cdec00.html
As Costs Rise, Take Charge of Your Workers' Comp Expenses
For years, employers have been enjoying a workers'
compensation environment characterized by declining premiums
and a marketplace flooded with insurance companies anxious to attract
additional workers' comp premium
dollars.
That may be changing. No one is anticipating a severe or
immediate turnaround in the workers' comp market, but
there are indications that the pendulum is starting to swing back toward
higher prices. The workers' comp market,
many insurance professionals predict, will be characterized by either a
leveling off or steadily increasing
premiums. They also predict the withdrawal of some specialty writers who
entered the market in the
first place only because they were convinced profits would be high.
Donald T. DeCarlo, a practicing attorney and the chairman,
president and CEO of the American Society of Workers'
Comp Professionals, says three factors contributed to the soft workers'
comp marketplace characterized
by low premium prices. They are: reform laws passed around the United
States, a greater emphasis
on combating fraud, and the introduction of managed care to the medical
component of workers' comp
insurance.
While reforms were effective, DeCarlo says, they did not
stem the tide in losses or litigation to the extent some
had envisioned. He also points out that while managed care has reduced
medical claims severity, these savings
are being partly offset by an increase in claims frequency. And, he
concludes, the "predatory and overzealous"
pricing strategies that were adopted by many workers' comp insurers have
proved to be flawed as
investment income is declining and losses are mounting. Data
released by the National Council on Compensation Insurance (NCCI) affirms
the changing direction of the
workers' compensation marketplace. The NCCI reported a combined ratio of
117 percent for workers' comp
insurers from September 1998 to September 1999. This means that for every
$1.00 of workers' comp premium
generated, the industry paid out $1.17 in losses and expenses. The NCCI
also reports that the year-to-date workers' comp combined ratio continues
to climb.
"We have been warning for some time of deteriorating
market conditions, and these latest numbers only give further
weight to our fears," said NCCI president and CEO Bill Schrempf. He
adds that "adjustments will be required
to restore workers' compensation to a healthy environment."
These "adjustments" are likely to take the form
of higher premium rates. But experts say that employers can take
other steps to help control workers' comp costs, regardless of the market
conditions that may prevail. As an
employer, you should carefully consider these questions:
Is
your business being placed in the most favorable and least costly workers
comp classification?
Is
your experience rating being closely monitored to reflect positive changes
that may have occurred in your
operation's claims history?
Are
the reserves reasonable or excessive that your workers comp insurer sets
in open cases? This question is particularly
critical because reserves play an important role in determining an
employer's individual rates.
Is
your insurer aggressive in seeking reimbursement from third parties whose
actions may have resulted in an
on-the-job injury and a subsequent workers comp claim? Likewise, does your
insurer aggressively pursue second
injury fund benefits to reduce the cost of a compensation claim?
What
investigative services will your insurer bring to the table to challenge a
workers comp claim that is suspected
of being fraudulent?
What
types of services or resources will your insurer make available in the
areas of loss control and risk management?
Does
your workers comp insurer willingly provide periodic claim reports to help
you to understand your company's
loss trends and to pinpoint safety areas that may raise a red flag?
Are
your employees being well served by your insurer through quick claims
resolution and prompt payment
of benefits to those who qualify?
While you can't control changing workers comp market
conditions, you can take proactive steps to exert greater
control over the services you get for you premium dollars. Insurance
agents and brokers stand ready to help
their commercial clients analyze the many issues that affect workers comp
coverage, while also helping to
identify the insurance that represents the best "fit" for each
client's individual needs.
Copyright 2001 The Council of Insurance Agents and
Brokers, All rights reserved
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