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MASI 16 th Annual Fall Conference September 25-27, 2013. 2012 Statistical Highlights There were 11,246 claims filed in 2012 that caused employees to miss work 5 or more days. There were 2,629 claims controverted in 2012.
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MASI 16th Annual Fall Conference September 25-27, 2013
2012 Statistical Highlights • There were 11,246 claims filed in 2012 that caused employees to miss work 5 or more days. • There were 2,629 claims controverted in 2012. • Hinds County was the county with the most occurrence of injuries with a total of 1,247 claims followed by Harrison county with 756 claims.
2012 Statistical Highlights (continued) • Females were reported less frequently with 4,502 claims (40.0%). • Major injuries or illnesses occurred on Monday , with a total of 2,112 claims. • March was reported most frequently as the month of occurrence with 1,053 claims or 9.4% followed by May with 1,034 claims or 9.2%. • Strain was the leading nature of injury with 4,061 claims or 36.1%.
2012 Statistical Highlights (continued) • Lower Back -Lumbar was the part of body affected most with a total of 1,588 claims or 14.1% followed by Multiple Body Parts with a total of 1,493 claims or 13.3%. • Lifting was the leading cause of injury with a total of 1,452 claims or 12.9%, followed by Strain/Injury with 927 claims. • There were 67 fatalities reported in 2012. • There were 7,606 claims received from Insurance carriers, 3,580 from Self-Insured employers.
Some Historical Data On SIG • 10 active groups as of 1/1/2013 • Excluding state agencies • MMA – Rest – Comp Choice – Loggers Runoff only • Earned Premiums • Forever to date $1.9B • Cumulative surplus all groups $153.3m • This is net of $152m dividends distributed
Some Historical Data On SIG (cont’d) • G and A expenses • > 30% - 2 funds • 20-30% - 3 funds • < 20% - 4 funds • Not including State Agencies
NCCI Data • Written premiums up 10% 2012 • Following decrease 2006-2010 • Economic recession • Loss of Mfg & Const jobs • -Soft market • Claims frequency down 1% 2011 • After increasing in 2010 for first time in 13 years • Project 2-3% decline 2012
NCCI Data (cont’d) • Claim cost moderated • Indemnity cost • Decline slightly 2010 • Increase 2% 2011 • Medical cost per claim + 4% 2011 • Medical currently 60% of total losses
Interesting Changes Taking Place • Oklahoma reforms • Authorized binding arbitration • Causation standard changed – must be “solely” result of injury • TTD reduced to 104 weeks – additional 52 weeks possible • Mental injuries 26 weeks • TTD rate reduced to 70% AWW (down from 100%) • PPD reduced to 350 weeks from 520 weeks • Fee schedule reduced 5%
Interesting Changes Taking Place (cont’d) • Tennessee 2013 Reform • Administrator appointed by Gov. • Judges hired by administrator • Appeals 3 member review Board appointed by Gov., then to Supreme Court • PPD modified and capped at 3 times rating