Self Insurance Pandemic Effect – Workers Comp Ouch!

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Workers Comp Self Insurance Pandemic Effect – The Quiet Part

Pandemic articles seem to have faded since the start of 2024.  One could not read any workers comp publication without reading some type of effect such as the 8871 Class Code Telecommuters meteoric risk due to in-home workers.  The Workers Comp self insurance pandemic effect was even more profound.  Let us look at why.

Size = Disadvantage

The self insurance pandemic effect reversed what was thought to be an advantage of self insurance. Namely, if a company was large enough, being self-insured was a bargain due to economies of scale.

Two things turned this thinking on its head:

  1. Self Insurance pandemic effect was negative to Loss Development Factors or LDFs. Smaller companies received a break from treating COVID claims that were caused by being at work.  The Rating Bureaus (NCCI, WCIRB, PCRB, etc.) decided not to count COVID claims in Experience Mods.  I think this idea solved what could have been a crisis for Workers Comp insurers and insureds alike.  Each Rating Bureau included COVID claims under a catastrophe code.  The workers comp self insurance pandemic LDFs included some or all of the COVID claims.  Some actuaries left them out, but not many.
  2. Smaller self-insureds payroll fell below what would have been considered more advantageous to not be self-insured. For example, one quick read of the restaurant and service industry companies that went out of business or declined to much smaller numbers would wreck an LDF.  Just as with Experience Mods, LDFs need to have steady payroll figures. The self insurance pandemic effect quietly reduced payrolls to a point of having to cover more with less.
pic night binoculars self insured pandemic Effect
Wikimedia Commons – 2.0 Maersk Line

Self Insurance Pandemic Effect – Additional Thoughts

One area that J&L noticed over the last few months involves Workers Comp loss runs for self-insureds and Mod sheets for smaller companies – accident rates.

Even though less payroll and workers may exist in companies, the accident rate may not have decreased even though payrolls shrank almost universally.  Accident rates spike when new workers begin their employment or when experienced workers that have not attempted a task in a few weeks or months until they were brought back to work out of unemployment.  The accident curve affected all companies in this area.

I brought up this point because of so many unexpected accident rates for shrinking and recovering employees.  Our loss run and Experience Mod analysis show this to be a trend.  This part of the self insurance pandemic effect caused all employers to have higher than expected accident rates.

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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
  • Various trade publications

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