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Leveraging Your Broker/Agent & Insurance Carrier to Reduce Insurance Costs. Presented by Mary Kay Depperman, CSP. Objectives. Answer Your Specific Questions Choosing an Insurance Broker/Agent Getting the Best from Insurance Carriers Components of a World Class Safety Culture
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Leveraging Your Broker/Agent & Insurance Carrier to Reduce Insurance Costs Presented by Mary Kay Depperman, CSP
Objectives • Answer Your Specific Questions • Choosing an Insurance Broker/Agent • Getting the Best from Insurance Carriers • Components of a World Class Safety Culture • Benefits of being “Best in Class” • WC 101-The Best Opportunity for Cost Containment Through Timely Reporting and Alternative Duty Within 3 Days of Loss
Considerations When Choosing Insurance Broker • Location-Local, National, International • Experience in your Business • Referrals • Specialties-P & C, Surety, Benefits, Aviation, International, Financial Services, Executive Protection • Program Choice-Risk vs. Guarantee Cost • Loss Control Staff-OSHA to Best Practices • Claims Advocates-Reserves to proper treatment • Legal Staff-Contract Advice • Input to your CFO or Risk Management
Working With Your Insurance Carrier • Be Prepared for the Loss Control Service Visit-Cattle call vs. Single Carrier • Claims Service • Loss Control Services • Use their On Line Services • Communication • Ask for Targeted Assistance for Both Claims and Loss Control • Have Plan to Reduce Losses
15 Specific Safety Practices For Best Safety Culture • Training-Safety meetings & 5 minute Safety Talks • Safety Rules and Enforcement • Employee Safety Observations • Injury and Incident Investigation • Workplace Audits/Inspections to Identify & Correct Unsafe Acts & Conditions • Modified Duty and Return to Work Program • Continual Ergonomic Improvements • Recognition & Communication
15 Specific Safety PracticesContinued • Wellness Program & Stretching Program • Measuring and Benchmarking Safety performance • Hiring for Safety Attitude & Drug Testing • Coaching and Motivating-Feedback • Timeliness Response • Management Lead Safety Organization • Safety Department as a Resource
Progressive Traditional SWAMP Rate Your Organizations’ Safety Culture Be Honest! Quiet Transparent Integrated Equal WORLD CLASS 5% 21% Line/Staff Conflict Behaviors Evidence Committees Quick Fix 46% 28% High Insurance Costs Excessive Frequency Severity Poor Employee Relations Much Litigation Statutory Ignorance Are you somewhere in between? 0% Safety Without Any Management Process
Benefits of Best Safety Culture Achievement • Reduced Insurance Costs • Healthy & Productive Employees • Good Management & Employee Relationship • Higher Worker Morale • Less Worries From OSHA Visits • Higher Quality & Production
Leveraging To Reduce Costs Part 1 • Choose a Good Insurance Broker/Agent • Work Toward Best Safety Culture • Use Loss Control & Claims Consultants • Insurance Broker • Insurance Carrier & On Line Services • Outside Safety Consultants • OSHA www.osha.gov • College Interns
Leveraging To Reduce CostsPart 2-WC 101 • Know Your State’s Workers Compensation Plan • Report Claims Promptly to your Insurance Carrier-Hours vs. Days • Identify Alternative Job Duties in Advance • Implement Alternative Duty within 3 Days of Injury • Work with an Occupational Clinic that Knows Your Operations • Use Correct Job Classification Codes
What is Workers Compensation? • No Fault • Pays benefits for accidental injuries and illnesses related to work • Benefits include medical treatment, rehabilitation and income replacement • Income replacement is 2/3 of weekly wage • Three day waiting period
Cost Of WC Insurance • Premium is based on loss history • Rate is customized to each employer • Experience modifier compares each employer to their peers • “Mod” calculated from a three year rolling loss average
Three Year Rolling Average • 2009 Mod = 2007, 2006, 2005 • 2010 Mod = 2008, 2007, 2006 • 2011 Mod = 2009, 2008, 2007 • A good year stays with you for three years and a bad year stays with you for three years.
Cost Of WC Insurance • Class 8810 Clerical = $0.28 • Class 8742 Sales = $0.74 • Class 3227 AL Ware Mfg. = $4.56 • Class 4452 Plastic-Fab. Products = $3.71 • Class 7380 Drivers = $5.34 • Class 9501 Painting = $4.58 • Rates are per $100 of payroll
Base Rate $4.56 Mod average 1.0 Final Rate $4.56 Base Rate $4.56 Mod Min 0.51 Final Rate $2.33 Base Rate $4.56 Mod Current 1.32 Final Rate $6.02 Base Rate $4.56 Mod Control 0.82 Final Rate $3.74 Cost of WC InsuranceHow Ex. Mod Affects Costs
The Costs RATE “ X” PAYROLL“X”MOD. = $100TOTAL PREMIUM
Financial Impact Anatomy of the WC Mod
Financial Impact Anatomy of the WC Mod
Sales Required • $405,000 of your premium is under your control. • At a 5% margin, additional sales required = $8,100,000 • How much additional product to you have to produce and sell to generate the revenue to pay for premium above the minimum mod?
Prompt Reporting • Report within 24 hours • Insurer will contact within 24 hrs. Employee Employer Doctor • Cost containment controls kick in Medical cost containment Return to work efforts
Accident Investigation • Express care to injured person • Gather information • Unsafe acts / Unsafe conditions • Who, What, Why, When, Where, How come • Get to root cause(s) of loss
Medical Provider Form • Communicates with physician alternative work is available • Give contacts at Employer and Carrier • Asks physician to list any physical limitations • Sets tone for how claim will be handled
What is “Alternative Duty”? • Light duty work • Rotated job duties • Temporary in nature • What jobs are available in your operation?
What Changed July 1, 1998? • 70% of the dollars paid by the WC carrier on medical only claims is not counted towards experience mod. • Med only means that no wage loss benefits are paid to employee • That means no wage loss more than three days or no wage loss of any kind 7 days after injury
Financial Impact - Sample CaseValue of Return to Work • Employee injures their back. Can’t lift more than 10 lbs for 1 week. Earns $500 per week • Alternative Work available Wage benefits paid $ 0 Medicals paid $1,500 Total paid by Ins. Co $1,500 Amount on Exp Mod $ 450 Premium Impact $ 1,203
Financial Impact - Sample CaseValue of Return to Work • Employee injures their back. Can’t lift more than 10 lbs for 1 week. Earns $500 per week • No Alternative Work available Wage benefits paid $133.40 ($100 day 4 and 5 x .667) Medicals paid $1,500 TOTAL PAID $1,633.40 Amount on Exp Mod $ 1,633.40 Premium Impact $4,206
What does this mean? • Lost time injuries have more impact on mod. • Lost time injuries, as illustrated in the previous example, cost 3 to 4 times more in premium than medical only injuries.
Wrap up • Med only means “No Wage Loss” • Pay full wage during light duty work • Find alternative work • Communicate - Be in control • Reduce Insurance Costs