Large Deductible Program – Initial Year Results Surprise

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Large Deductible Program Question From Newsletter Reader

We appreciate hearing from our employer newsletter readers.  The question concerned its large deductible program.  Large deductibles seem like an easy way to save on Workers Comp premiums.

Question – What The *** Happened?

pic man looking over workers comp large deductible program
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Our company switched from a first-dollar voluntary market policy to a $250,000 large deductible program two years ago.  We had thought our claims under $250,000 were not going to be reported to the NCCI – the rating bureau. We had hoped this would save us premiums by reducing our Modification Factor.  The claims showed up on our Experience Mod Sheets with the full reported values.  What the *** happened?

Answer – Common Misconception With Large Deductible Programs

At some point, this should have been explained in detail to you and your company.  Sometimes this area stays in the background until NCCI or another rating bureau publishes your Experience Modification Factor.  We have often seen where a notice is placed in your lengthy policy that all claim values will be reported to the Rating Bureau.

Sometimes the issue is never discussed with the large deductible insured.  We have been writing on this subject and other deductible articles for 20 years. Click here to see a list of all the articles, including one on this very subject and other large deductible articles.

Each state has its own definition of a large deductible, with some states allowing large deductibles as low as $25,000 and some where “large” is in excess of $1 million.  No two states are exactly alike with large deductible programs.

A few states have rare exceptions on how insurance carriers report large deductible losses to the rating bureaus.  

Bottom Line

Large deductible programs for workers comp can save your company $$$.  The main idea remains, as I have written more than often in this website, to read your policy and the critical Endorsements.  Rely on yourself to make sure that all parts of switching to a large deductible policy have been covered with your agent/broker.

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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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