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Under-Reserving by Self-Insureds Goes Up

California’s private self-insured employers failed to account for more than $135 million in estimated future liabilities (EFL) last year, which amounts to nearly 2.5% of their future workers’ comp exposure, according to the latest audit report from the Department of Industrial Relations, Office of Self-Insured Plans (OSIP). Worse, it is unknown if OSIP is enforcing the … Read More »

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Claims Settlement Rates Continue to Decline

Payors are seeing a disturbing drop in the closure rate for claims involving permanent disability. This is according to the latest data from the Workers’ Compensation Insurance Rating Bureau of California (WCIRB), which says depending on the age of the claim, settlement rates are down by as much as 4% since 2005, not an insignificant … Read More »

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Grocery Chain Restocks Workers’ Comp Program

Officials for Raley’s grocery chain have brought to a close an investigation into allegations that store managers routinely attempted to dissuade injured workers from filing valid workers’ comp claims. The supermarket chain reached a settlement agreement with several district attorneys that, in exchange for dropping the case, the large self-insured employer agreed to revamp its … Read More »

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Self-Insured Losses Hit Post-Reform Highs

Self-insured employers are feeling the pinch from increasing workers’ comp costs, according to the latest data from the Office of Self-Insured Plans. A review of the data, as of December 31, 2008, done by the California Workers’ Compensation Institute, shows a sizeable increase in total paid losses and incurred losses for private self-insureds, spiking as … Read More »

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Self-Insured Employers Suffer Loss Ratio Deterioration

In his pure premium rate decision, Commissioner Steve Poizner points to the success of some private self-insureds in applying innovative techniques to control their workers’ comp costs, especially use of medical provider networks, tools for utilization review and loss control. But financial data from the Office of Self-Insured Plans (OSIP) show that private self-insureds overall … Read More »

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Prescription for Change?

In his recent decision to deny an increase in the state workers’ comp pure premium rate” benchmark,” Insurance Commissioner Steve Poizner took carriers to task. He says they need to focus more on creating efficiencies in their administration of the California workers’ comp system. In particular he noted that carriers have not implemented many of the cost-control … Read More »

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New Year, New Form

A working group of Southern California self-insureds is eyeing a January 1, 2010 launch for an innovative new program to increase transparency in workers’ comp for injured workers. It is designed to root out billing errors — intentional or otherwise — in the process. The centerpiece of the program is a new explanation of benefits (EOB) … Read More »

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EOB Form for Workers’ Comp Gains Ground

Not content to just wait on a legislative process that may or may not deliver the goods, a group of California self-insured employers led by Disney and the bill review firm StrataCare will begin meeting later this month to start developing a new tool for fighting workers’ comp fraud. The focus group will explore development … Read More »

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