Workers' compensation is system that provides cash benefits to employees who are
injured on the job or who become disabled due to an on-the-job injury or illness.
In the worker's compensation system, employees give up their right to sue an employer
for injuries from work-related accidents in exchange for receiving benefits for
all work related accidents or injuries, regardless of fault.
All states have worker's compensation laws, and, while the procedures and benefits
of applying payments may vary, workers compensation is considered to be part of
the expense of doing business.
Managing this expense continues to be one of the most challenging issues facing
businesses today.
There are primarily three ways a business can insure itself against worker's compensation
exposure.
1. Primary Workers' Compensation Insurance
2. Self-Insurance Trust
3. Individual Self-Insurance
Primary Workers' Compensation Insurance
This type of insurance imposes a set amount of premium based on an employer's exposure
to risk due to the amount of payroll by class code and their experience factor or
Mod.
While additional factors may play a part in the underwriting process these are the
primary factors in determining the amount of premium an employer will pay.
The advantage to this type of coverage is, that regardless of the amount of losses
the insured may have during the policy period he will only pay the prescribed amount
of premium, unless there is an increase in reported payroll during that same period.
However if the insured's losses are considerable or if carriers determine their
class codes undesirable they could be faced with non-renewal or a considerable increase
in premium as we have experienced in many cases over the past 18 months.
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Self-Insurance Trust
A self-insurance trust is a method by which small to medium sized employers can
pool their worker's compensation liability with other employers.
The trust is the collective assumption of risk by a group of employers usually within
the same industry or members of the same association. Employers spread out their
worker's compensation risk among all the members of the trust. Each member pays
a premium to the trust. All losses and expenses for the trust are paid from the
collected premiums.
The success and proper functioning of a self-insurance trust comes from its member's
commitment to reducing work place accidents and the efficient administration of
its claims and general operations.
Advantages of a Self-Insurance Trust
A self-insurance trust can offer a small to medium sized employer potential cost
savings. If premiums exceed the losses and expenses of the trust, with approval
from the State Division of Workers' Compensation, the trust can refund the surplus
to its members in the form of dividends. This surplus would otherwise be profit
for an insurance carrier in a primary cost program.
A member of a self-insurance trust also has greater control over its worker's compensation
cost. A board of trustees comprised of members of the trust is responsible for all
the operations of the trust. Members of a trust have a sense of ownership and a
shared motivation for cost reduction.
A trust may offer its members active loss prevention programs and services. These
programs provide employers with better work environments and help improve the trust's
profits through reduced losses.
Trust members can actively participate in case management, which may help reduce
the overall cost of a claim.
A trust helps its members stabilize insurance cost. For the most part the fixed
cost associated with self-insurance trust do not follow the premium ups and downs
that can be experienced with traditional insurance.
Disadvantages of a Trust
In the event the trust fails to properly assess its members to meet the trust's
losses and expenses, the trust may collect additional assets from the members to
correct the deficit. With an insurance policy, the employer is not responsible for
payment of losses that exceed its premium.
Each member is jointly and severally liable to all other members of the trust for
all liability under the states worker's compensation law.
To help insure the solvency of the trust, the states worker's compensation division
has strict requirements that must be met by the trust and its members.
Exposures outside the state where the trust is located must be insured through a
traditional worker's compensation policy or an acceptable alternative.
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BISYS Workers' Compensation Services is the Administrator
for M.R.I.T., Missouri Retailers Insurance Trust
Learn more about M.R.I.T.
Individual Self Insurance
Managing worker's compensation exposure continues to be one of the most challenging
issues facing businesses today. Many organizations turn to self-insurance as a means
of exercising greater control over their programs and controlling associated worker's
compensation expenses.
Self-insurance is a carefully designed risk management mechanism in which companies
elect to pay for their own losses up to a predetermined level. Most companies purchase
excess insurance to cover losses, which exceed this amount. Typically, the level
of losses a company assumes is based on the amount the company could afford to pay
without affecting its financial stability. Because of the predictable nature of
losses, worker's compensation readily lends itself to self-insurance.
In most states, companies must undergo an extensive qualifying process to become
a self-insured. If the company can demonstrate the financial wherewithal to pay
future losses, meet the states qualification requirements, and display an adequate
service plan, self-insured status is typically granted. Because of the increased
administrative responsibilities associated with establishing and maintaining a self-insurance
program, companies typically apply for self-insurance in those states where they
have significant payroll exposure.
Self-insurance requires the company's management team to take on a more active roll
than most insurance plans. In addition to meeting state qualification requirements,
companies, which elect to self-insure their losses must provide the services necessary
to support the plan and control expenses. This includes loss control, claims management,
and program administration. There are a number of potential advantages associated
with self-insurance plans.
Self-Insurance Advantages
- Maximum program control
- Immediate savings from favorable loss experience
- Cash flow benefits
- Investment income opportunities
- Elimination of certain insurance expenses
- Customized services program
- Strong incentive to control losses
- Long-term strategy
Self-Insurance Disadvantages
- Significant cost associated with adverse losses
- Budgeting difficulties due to loss fluctuations
- Increased administration
- No certificate of insurance
- Dependence on excess insurance and bond market
- Potential increase in commercial coverage cost
- Financial information may become public
- Long-term commitment
Learn more about self-insurance
As the workers compensation market continues to harden and as insurance companies
raise prices (NCCI stated a 15% increase in premium from 1999 to 2000, a sharp contrast
to the 3% annual drop in premium over the previous two years) and tighten underwriting
criteria. Self-Insured Trust and Individual Self-Insured Programs become very viable
options in controlling worker's compensation cost.
In addition A.M. Best forecast that one third of insurance companies writing worker's
compensation will fail or be consolidated by the end of 2003, this to will put further
pressure on the market.
For information on how BISYS Workers Compensation Services can help you and your
clients select the right program for their needs contact BISYS Workers Compensation
Services, 1·800·965·7457 or email workerscomp@bisys.com
Contact BISYS Workers' Compensation Program
877.BISYS.PC (877.247.9772)
Email: BSPmarketing@bisys.com
BISYS Workers' Compensation Program
906 South Kirkwood
St. Louis, MO63122
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