When is a Workers’ Compensation Claim Compensable? Carefully evaluating workers’ compensation claims is crucial in helping your company save money and prevent fraud. Workers’ compensation is simply a form of insurance that offers employees medical coverage in the event they are injured during a work-related function. Depending on the state of residence, it may also […]

Direct and Indirect Workers’ Compensation Costs Explained Workers’ compensation claims have a variety of different costs associated with them. Some of these costs are expected costs, while others are unexpected. Here’s the difference between these terms: Expected costs are those that are covered by workers’ compensation insurance. Such expenses are commonly referred to as direct […]

The Impact of Comorbidities on Workers’ Compensation Programs There are numerous factors that can contribute to higher workers’ compensation expenses for an organization. Specifically, one emerging cost driver is the concern of comorbidities. A comorbidity occurs when an individual experiences multiple health conditions at the same time. The presence of comorbidities within your workforce can […]

Can Health Insurance Rebates Affect Workers’ Comp Premiums? Since 2012, the Affordable Care Act (ACA) has required insurers with a certain medical loss ratio (MLR) to issue a rebate to employers. Depending on the way the rebates are distributed, you may end up paying more for your workers’ compensation insurance. Medical Loss Ratio The MLR […]

Is Paying Small Work Comp Claims Out of Pocket Ever a Good Idea? Medical-only claims are an important factor in the experience modification rating process. In many states, these claims, also known as injury or IJ code type 6 losses, are reduced by 70% for the mod calculation. This reduction is known as the experience […]

Study Finds Extreme Temperatures Increase Workers’ Compensation Claims The National Council of Compensation Insurance (NCCI) recently published a new study showing the relationship between injury frequency and weather conditions as they relate to workers’ compensation claims. In the study, the NCCI found that employees file 10% more workers’ compensation claims on hot and cold days […]