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New York Workers’ Compensation Cost Hike Approved

 

New York regulators have approved an average 9.1 percent hike in loss costs used by insurers, which is less than the 10.4 percent increase sought by the industry.

The New York State Insurance Department approved the increase to be effective on Oct. 1, 2011.

The increase follows a 7.7 percent increase approved last year.

The department held a public hearing on the industry’s loss cost filing on June 23. The filing was made for insurers by the New York Compensation Insurance Rating Board (NYCIRB) using data from policy years 2008 and 2009.

At that hearing, NYCIRB actuaries told officials that loss experience in the state is deteriorating, producing a pure loss ratio at 95.8 percent. The industry said claim frequency continues to decline but at a lower rate than in previous years.

The state is implementing changes in the maximum weekly benefits starting this year, as well as modifications to several  medical fee schedules. The increases in the maximum weekly benefits are expected to result in a 1.4 percent increase in the total workers’ compensation claim costs, according to NYCIRB.

Last year, the state approved an average increase of 7.7 percent in loss costs effective Oct. 1, 2010, which is what the industry requested.

Workers’ comp committee to start by nominating arbitrators

A newly appointed panel will begin work today on recommending new arbitrators for workers’ compensation cases.

It is the next phase of sweeping reforms approved by the General Assembly and Gov. Pat Quinn that are supposed to save Illinois businesses hundreds of millions of dollars.

Quinn last week named 12 people to the revamped Workers’ Compensation Advisory Board. Included are two from Springfield.

The board will hit the ground running, with its first meeting scheduled today to begin reviewing applicants to be workers’ compensation arbitrators.  Arbitrators act as judges in workers’ comp cases and are paid $115,840 a year.

The reform bill requires that new arbitrators be appointed, although those serving as arbitrators when the reform bill passed can reapply for the jobs.  That didn’t stop five arbitrators from filing a federal lawsuit against the state, charging that they were unfairly fired.

The five said they did nothing wrong, but that they probably be replaced because of the reform law.  They also said Quinn damaged their reputations by saying that replacing arbitrators was a needed workers’ compensation reform.

The reforms cut arbitrator terms from six years to three, impose a gift ban and require ongoing training in fraud, ethics and medical best practices. New arbitrators have to be licensed attorneys, although former arbitrators who reapply are exempt from that requirement.

 

‘Cozy relationship’

The arbitrator reforms stemmed in part from a situation that emerged at the Menard Correctional Center, where nearly 400 employees were awarded nearly $10 million in workers’ compensation claims over a three-year period.

“One arbitrator heard every case,” said Mark Denzler, a newly appointed member of the Workers’ Compensation Advisory Board. Denzler, of Springfield, is vice president and chief operating officer of the Illinois Manufacturers’ Association.

“It was the same attorney, the same doctor.  It was a pretty cozy relationship,” Denzler said.

Now, at least three arbitrators will be assigned to a hearing site, and cases will be randomly assigned.  There are 29 active arbitrators.

“The arbitrators we select will play a key role in the success or failure of the workers’ compensation act,” Denzler said. “The most important thing with every arbitrator is to look at references, background and determine if they will be fair and impartial.”

Another Springfield-based board member, Sean Stott, director of governmental affairs for the Laborers’ International Union of North America, said members have been advised the meetings on arbitrators could continue through mid-week.

“I would hope the board would take into account the history of the arbitrators’ professionalism and work ethic as opposed to how their decisions came down, whether they were viewed as pro-worker or pro-business,” Stott said.

Watchdog group

The advisory board makes its recommendations for arbitrators to Quinn. Ultimately, the Senate must confirm the appointments.

The advisory board is evenly split between representatives of employers and employees.  They are not paid, but can be reimbursed for expenses.

“Each of these appointees brings the knowledge and experience to support us in reforming Illinois’ workers’ compensation system,” Quinn said in a statement when appointing the advisory board.  “Our efforts to overhaul and modernize workers’ compensation are critical to improving our state’s business climate.”

Rep. John Bradley, D-Marion, said he is pleased with Quinn’s appointments to the advisory board.

“I think the three goals (for the new advisory board) are qualifications, geographic balance and new faces,” said Bradley, who was instrumental in passing the workers’ compensation reform bill.  “I think he accomplished those goals.”

After making recommendations for arbitrators, the advisory board will work on formulating policies and generally monitoring the reforms.

“I think they are supposed to be an oversight or watchdog group for workers’ comp,” Bradley said.  “They will make sure progress is being made and not only the letter of the law, but the spirit of the law, is obeyed.”

In addition to naming new arbitrators, the reform law stipulates a 30 percent reduction in payments made to doctors and hospitals for workers’ compensation cases.  That is estimated to save businesses $500 million to $700 million.

It also establishes a medical network for workers’ compensation claims, reduces the amount of time a person can collect for carpal tunnel syndrome and changes the burden of proof in proving whether alcohol or drugs played a role in an injury.

 

Doug Finke can be reached at 788-1527.

 

Workers’ Compensation Advisory Board

* Mark Denzler, vice president and chief operating officer of the Illinois Manufacturers’ Association

* Sean Stott, director of governmental affairs for the Laborers’ International Union of North America

*  Mitchell Abbett, human resources and safety manager at Holten Meat Inc.

* Richard Aleksy, partner with Corti, Aleksy and Castaneda

* Aaron Anderson, director and representative for the Painters District Council 30 in Aurora

* Michael Carrigan, president of the Illinois AFL-CIO

* John Carpenter, senior vice president of policy for the Chicagoland Chamber of Commerce

* David Halffield, vice president of Sears Holdings Management Corp.

* Phillip Gruber, general vice president of the International Association of Machinists and Aerospace Workers

* William Lowry, a workers’ compensation lawyer with Nyhan, Bambrick, Kinzie and Lowry

* Mark Prince, an injured workers lawyer with Prince Law Firm

* David Vite, president and CEO of the Illinois Retail Merchants Association

AIG says workers compensation deal gets preliminary approval

NEW YORK (Reuters) – A court has given preliminary approval to a deal settling claims that American International Group Inc under-reported its workers’ compensation market share to get out of tax obligations.

AIG said in January that it would pay $450 million to settle a lawsuit by rival insurance companies, who alleged that AIG falsely reported its market share, which let it pay a smaller share of various state insurance pools.
AIG announced the court’s preliminary approval of the settlement on Monday. “AIG is optimistic that the proposed settlement will soon receive final approval as a fair and appropriate resolution of this litigation,” it said.

 
A copy of the judge’s order in the case could not immediately be located.

In April, insurer Liberty Mutual said it would oppose the settlement, arguing the deal concealed the true nature of AIG’s under-reporting and the damages it caused.

A Liberty Mutual spokesman was not immediately available to comment on Monday.

(Reporting by Ben Berkowitz; editing by John Wallace)

http://www.baltimoresun.com/business/sns-rt-us-aig-workerscomptre76o4wr-20110725,0,5579872.story

Workers’ compensation claims from Stanley Cup riot mount

FRANCES BULA

VANCOUVER— From Tuesday’s Globe and Mail
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Looters make their way out of Sears in Vancouver June 15, 2011. - Looters make their way out of Sears in Vancouver June 15, 2011. | John Lehmann/The Globe and Mail

Workers’ compensation claims from Stanley Cup riot mount

FRANCES BULA

VANCOUVER— From Tuesday’s Globe and Mail


One more bill can be added to the growing total for the Stanley Cup riot, as workers’ compensation claims mount for physical and psychological injuries caused by the June 15 mayhem.

Two dozen people who were working in downtown Vancouver that night have filed claims with WorkSafeBC for injuries ranging from cuts and bruises to post-traumatic stress disorder in the past month, said spokeswoman Donna Freeman.

Ohio Workers Comp Joins Social Media

July 19, 2011 7:17 a.m.
COLUMBUS, Ohio — The Ohio Bureau of Workers’ Compensation has launched accounts on Twitter and Facebook. Each account was started with a distinctive purpose.

A century ago, “Ohioans adopted an innovative new system for protecting our employers and workforce,” said Stephen Buehrer, BWC administrator/CEO. “Today, we are using innovations like social media to invite our customers to engage us as we think forward to advancing workers’ compensation in Ohio for the next 100 years.”

The Twitter account will highlight agency activities, news and information, and distribute updates important to employers, injured workers, medical providers, safety professionals and Ohio’s entire workers’ comp community. As a nod to the 100th anniversary of workers compensation in Ohio, the first tweet was a link to a commemorative video titled Looking Back, Thinking Forward. June 15 marked the 100-year anniversary of the 1911 signing of the Ohio Workmen’s Compensation Act, which made Ohio one of the first states in the nation to offer workers’ compensation insurance.

The Facebook page will focus on the bureau’s fraud investigation efforts, Buehrer said. The BWC Special Investigations Department will use the page in their efforts to deter, detect, investigate, and prosecute workers’ compensation fraud. It includes news on recent investigatory action, a most-wanted section and a link to report fraud.

The Ohio Bureau of Workers Compensation is a non general-revenue fund state agency that provides workers’ compensation insurance for 230,000 Ohio employers and covers approximately two-thirds of Ohio’s work force. With approximately $2.1 billion in annual premium and assessment income, it is the largest state-fund system in the United States and one of the top 10 underwriters of workers’ compensation insurance in the nation.

Published by The Business Journal, Youngstown, Ohio.

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