PPD Rating Study by NCCI – Worth A Look – 34 States Covered

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Comprehensive PPD Rating Study – 34 State Comparison

I came across a great PPD Rating study by NCCI that was worth a read. The National Council on Compensation Insurance (NCCI) compared the ratings for 34 different states.   The summary article can be found here.  The complete study is at this link. 

My favorite way to compare states comes from the Exhibit 1 – 7 sliders.  The main article is interactive.

Adjusters, underwriters, and risk managers should be able to use the article to compare the PPD rating study results.

According to NCCI’s PPD Rating Study authors:

The authors of the PPD Rating Study and report were David Colon and Casan Scott.

Permanent partial disability injuries account for approximately 50% of all workers compensation costs, with impairment ratings playing a key role in most states. Consequently, changes in impairment ratings can have a significant impact on workers compensation costs.

The study and report includes data from the following jurisdictions: AK, AL, AR, AZ, CO, CT, DC, FL, GA, HI, IA, ID, IL, IN, KS, KY, MD, MO, MS, MT, NC, NE, NH, NM, NV, OK, OR, SC, SD, TN, UT, VA, VT, and WV.

Some of the conclusions from the authors (

  • The average impairment rating varies by state, ranging from about 4% to approximately 11%
  • Claims involving surgery have, on average, impairment ratings that are 2 points higher than those without surgery (7.2% vs. 5%)
  • Claims with time-to-MMI under 90 days average a 4.4% impairment rating, while those taking over two years average 9.1%
  • Average impairment ratings for the most common medical conditions vary from about 3% for hand/wrist synovitis to approximately 10% for lumbar spine degeneration
PPD Study Infographic - NCCI
(c) NCCI – Boca Raton, FL – used with permission

Interactive Rating Comparisons – An Interactive Example

The interactive comparison shows the difference in each of the PPD rating study states.

According to the PPD Rating Study authors – 

In Exhibit 2, the distribution of time taken from injury to reach MMI across all claims underscores the variability in recovery periods. This time frame spans from a few days to well beyond a year, with an average duration of 363 days. Notably, 90% of cases achieve MMI within two years post-injury, highlighting the general timeline within which most claims stabilize medically. Across study states, the median time-to-MMI ranges between 189 and 644 days.

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I used the Alaska interactive comparison with Exhibit 2.

NCCI Chart on PPD Rating Study
(c) NCCI – used with permission

From the chart, Alaska on the right, has a longer healing period to Maximum Medical Improvement than the 34 state average on the left.

Bottom Line on PPD Rating Study

If you deal with any Workers Comp aspect of the 34 study states, the interactive article should be on your list to read and reference when comparing states.

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James J Moore - Workers Comp Expert

Raleigh, NC, United States

About The Author...

James founded a Workers’ Compensation consulting firm, J&L Risk Management Consultants, Inc. in 1996. J&L’s mission is to reduce our clients’ Workers Compensation premiums by using time-tested techniques. J&L’s claims, premium, reserve and Experience Mod reviews have saved employers over $9.8 million in earned premiums over the last three years. J&L has saved numerous companies from bankruptcy proceedings as a result of insurance overpayments.

James has over 27 years of experience in insurance claims, audit, and underwriting, specializing in Workers’ Compensation. He has supervised, and managed the administration of Workers’ Compensation claims, and underwriting in over 45 states. His professional experience includes being the Director of Risk Management for the North Carolina School Boards Association. He created a very successful Workers’ Compensation Injury Rehabilitation Unit for school personnel.

James’s educational background, which centered on computer technology, culminated in earning a Masters of Business Administration (MBA); an Associate in Claims designation (AIC); and an Associate in Risk Management designation (ARM). He is a Chartered Financial Consultant (ChFC) and a licensed financial advisor. The NC Department of Insurance has certified him as an insurance instructor. He also possesses a Bachelors’ Degree in Actuarial Science.

LexisNexis has twice recognized his blog as one of the Top 25 Blogs on Workers’ Compensation. J&L has been listed in AM Best’s Preferred Providers Directory for Insurance Experts – Workers Compensation for over eight years. He recently won the prestigious Baucom Shine Lifetime Achievement Award for his volunteer contributions to the area of risk management and safety. James was recently named as an instructor for the prestigious Insurance Academy.

James is on the Board of Directors and Treasurer of the North Carolina Mid-State Safety Council. He has published two manuals on Workers’ Compensation and three different claims processing manuals. He has also written and has been quoted in numerous articles on reducing Workers’ Compensation costs for public and private employers. James publishes a weekly newsletter with 7,000 readers.

He currently possess press credentials and am invited to various national Workers Compensation conferences as a reporter.

James’s articles or interviews on Workers’ Compensation have appeared in the following publications or websites:

  • Risk and Insurance Management Society (RIMS)
  • Entrepreneur Magazine
  • Bloomberg Business News
  • WorkCompCentral.com
  • Claims Magazine
  • Risk & Insurance Magazine
  • Insurance Journal
  • Workers Compensation.com
  • LinkedIn, Twitter, Facebook and other social media sites
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