Oklahoma Excavation Safety Expo Workers Compensation Presentation
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Transcript of Oklahoma Excavation Safety Expo Workers Compensation Presentation
Email: [email protected] | [email protected]
Phone: 918-504-6723 | 918-582-8206
JOSH DEBOERFred Daniel & Sons, Inc. and
Founder Oil Patch Insurance
OPENING REMARKS02
CLASS OVERVIEW03
Overview of New
WC Law
Excavation Contractor
Exposure Assessment
“Best In Class”
Excavation Contractor
Exposure Controls
“Best In Class”
Workers’ Compensation
Premium Credit Application
Risk Control
Services
Questions &
Answers
AVERAGE COST PER WORKER05
OKLAHOMA $830
TEXAS $297
ARKANSAS $292
(NCCI Annual Statistical Bulletin [ASB] Exhibit XI)
OVERVIEW OF NEW LAW06
Administrative Workers' Compensation Act
Oklahoma Employee Injury Benefit Act-Oklahoma Option
Workers' Compensation Arbitration
S.B. 1062 was signed into law into law in 2013 and became effective Feb 1.
2014. Law created Title 85A, a new set of workers' compensation statutes
which has fundamentally changed the workers' compensation system in
Oklahoma.
SB 1062 - WORK COMP REFORMADMINISTRATIVE WORKERS' COMPENSATION ACT
Establishes the Workers' Compensation
Administrative System
- Became effective February 1, 2014
- Injuries before this time will be
determined by the current Workers'
Compensation Court - Which will be
renamed The Court of Existing
Claims
07
NEW WC COMMISSION
The WC Commission has jurisdiction over workers'
compensation claims filed under the new act
The WC Commission replaced the WC Court for all
claims filed after 2/1/14
The WC Commission oversees claim reporting data
collection and dispute resolution
08
The minimum benefit levels for the
Oklahoma Workers' Compensation
Administrative System and the Oklahoma
Option are the same
BENEFITLEVELS
BENEFIT LIMITATIONS-COMMON SENSE REGULATIONS
No benefits for TTD (Temporary Total Disability) if the
employee receives unemployment benefit unless TTD is
greater than the unemployment benefit in a disputed
claim
Non-surgical TTD cannot exceed 8 weeks
10
BENEFIT LIMITATIONS-COMMON SENSE REGULATIONS
Age is not considered in determining change of
condition
11
No compensation for "ordinary disease of life"
Employees given 30 days for injury notification-
previously had 2 years to file a claim.
- Oral or Written
BENEFIT LIMITATIONS-COMMON SENSE REGULATIONS
Claim barred unless filed with the Commission
within one year
Claim barred if no treatment or compensation is
received within one year of filing with Commission
12
BENEFIT LIMITATIONS-COMMON SENSE REGULATIONS
Occupational disease claim barred after two
years from last exposure
Silicosis/asbestosis claims have one year after
disablement, which must occur within three
years from last exposure
13
BENEFIT LIMITATIONS-COMMON SENSE REGULATIONS
Death claims must be filed within two years
If death doesn't occur within one year from accident or
within three years of receiving compensation benefits
then a rebuttable presumption arises that the death did
not occur from the injury
14
FRAUD AND PENALTIES
Employees making false statements to receive worker's
compensation are guilty of a felony
The Attorney General's Worker's Compensation Fraud
Investigation Unit IS funded through the Commission
If an "injured" employee is charged with fraud then all
compensation will be halted
15
EXCLUSIVE REMEDY
Exclusive remedy remains under the Administrative
System and the Oklahoma Option
Exclusive remedy does not apply in cases of intentional
torts or if the employer fails to pay compensation
In an intentional tort case employees can choose to
pursue their action with either the Commission or the
district court but not both
16
EMPLOYER'S CHOICE
Employers must choose either:
- Workers' Compensation Administrative System, or
- Oklahoma Option
Employers may choose:
- Purchase Insurance
- Self-Insure
- Employer may use a blend of insurance/self-insurance
- Employer may also fund programs through a Captive Insurer
17
CHOOSING THE OPTION
An employer interested in leaving the administrative
system will need to follow a 5-step process:
- Submit request to become a Qualified Employer with
the Oklahoma Insurance Department
- Notify all employees of the changes
- Establish a written benefit plan-ERISA
- Pay an annual filing fee of $1,500
- Receive confirmation from the Oklahoma Insurance
Department
18
Employer Industry % Claim Cost Savings
ATrucking &
Distribution81%
B Health Care 76%
C Manufacturing 75%
D Retail 73%
E Retail 58%
F Miscellaneous 63%
G Retail 97%
H Retail 38%
I Miscellaneous 66%
J Health Care 82%
• 63 Oklahoma Companies have Opted-Out of purchasing
workers’ compensation and have purchased the OK Option
• Data for each employer ranges from 4 to 18 months with 5 at a
year or more.
• Estimated savings for each employer range from $94,000 to
$890,000 and total claim cost savings are estimated at
$5,000,000.
• Estimated savings are after development to ultimate cost using
traditional actuarial development methodologies, including loss
development factors and 5% annual trending.
• These savings are after reducing historical Oklahoma workers’
compensation losses for changes associated with the new
Oklahoma administrative workers’ compensation program.
Oklahoma Option Preliminary Cost Savings AnalysisFebruary, 6th 2016
OKLAHOMA WC REFORM SUMMARY19
Employer’s workers’ compensation costs in OK have decreased on average 25%
Time compression of claims (from inception to resolution)
Reduction in TTD and PPD benefit duration
Reduction in Attorney’s fees
THE NEW LAW IS WORKING
LAND IMPROVEMENT CONTRACTORS WORKERS’ COMP20
The U.S. Bureau of Labor Statistics (BLS) data shows
271 workers died in trenching or excavation cave-ins
from 2000 through 2006. These fatalities could have
been prevented if the risks associated with
underground work were properly identified during
pre-planning meetings.
CONTRACTORS CLASSIFICATION PREMIUM CREDIT APPLICATION PROGRAM27
CCPAP
Premium Credit Highlights
- The CCPAP provides premium credits as a specified discount to employers who pay
higher than average wages to employees classified within contracting class codes.
- The CCPAP is designed to adjust an employer’s workers’ compensation premium by
way of a premium credit.
- Provides a premium credit for a policy that contains one or more contracting
classifications.
- Usually, the higher the wage, the higher the credit.
- State approved program in the following states: Alaska, Connecticut, Florida, Hawaii,
Illinois, Maryland, Missouri, Montana, Nebraska, New Mexico, Oklahoma, Oregon, &
Virginia.
RISK CONTROL ANALYSIS: CNA Industry Guide Series29
SEE HANDOUT
- Land Improvement Contractors Industry Defined
- Loss Exposures in Industry Analysis
RISK CONTROL-OSHA CHECKLIST: FROM LIBERTY MUTUAL30
Excavation Safety program OSHA 29 CFR 1926
Subpart P - See Handout
RISK CONTROL-TECHNICAL CAPABILITIES FROM LIBERTY MUTUAL-SEE HANDOUT31
Essential Services
- Corporate Safety Program Review
Managing Key Exposures
- Assistance Developing Controls & Solutions
Pre-operational Safety Planning
- Pre-construction planning
- Phase planning
- Task planning
Managing Key Exposures
Complimentary Safety Resources
- Construction Safety Webinars and Seminars
Webinars and seminars are designed to cover key topics relevant to the risk and exposures common to contractors.
32
Risk Control Consulting Center-Liberty Mutual
Risk Control Services Bulletin-Liberty Mutual
Improving Workplace Safety-Liberty Mutual Safety Net
Trench Safety-Quarterly Newsletter
Trenches/Excavation/Shoring-Construction Safety Talks
RISK CONTROL-ADDITIONAL HANDOUTS
Cell Phone: 918-504-6723 Office Number: 918-582-8206
Emails: [email protected] | [email protected]
QUESTION & ANSWERS34
THANK YOU