JL Risk Management Consultants

Groundbreaking Opioid Addiction Study – Vitamin D3 Deficiency?

Testing Vitamin D Deficiency – Groundbreaking Opioid Addiction Study A groundbreaking opioid addiction study points to a strong relationship between vitamin D deficiency and the markers of addiction.  The other more obvious conclusion was that the vitamin D deficiency showed a strong sunbathing addiction. A recent article in a leading

Non-opioid Treatment For Chronic Pain – Groundbreaking Study

A Non-opioid Treatment For Chronic Pain – Cutting Edge Development Researchers at the Medical College of Wisconsin have discovered a non-opioid treatment for chronic pain that may revolutionize severe pain treatment.   A recent article in the Medical Xpress newsletter covered what may be the new way to treat chronic pain including

Workers Comp Wage Statements Should Be Reviewed For Accuracy

Workers Comp Wage Statements – Adjuster Reviews Saves Later Headaches  One of the most reviled forms in the claims process is the workers comp wage statement.   Many states require very complex forms to be filed by the claims departments.  Employers usually like them even less.   The term “necessary evil” comes

Workers Comp Reserve Redundancy – The Good, Bad, and Ugly

Workers Comp Reserve Redundancy – Industry Health Measure + Bane of Claims Staff What is a Workers Comp Reserve Redundancy?  Why does it keep Claims VPs up at night?   Workers Comp Reserve Redundancy Definition  Reserve Redundancy can be thought of as two-sided.   On a micro-level, an aggressive reserve by an

US Supreme Court 831(b) Micro-captives – Surprising Unanimous Decision

US Supreme Court 831(b) – Captive Advisor Win Expands Beyond Workers Comp  A recent US Supreme Court 831(b) micro-captive decision (unanimous) set a precedent that may go well beyond just Workers Compensation or insurance.  The case was CIC v. IRS.  The link will provide a 23-page PDF file of the

NCCI Pandemic Analysis Verifies Insurance Crisis That Never Occurred

2021 State of The Line – NCCI Pandemic Analysis – Incredibly Fast Recovery  The NCCI pandemic analysis was quite a change of pace from the dire 2020 predictions for the Worker’s Comp markets.  I decided to attend the 2021 NCCI Virtual State of The Line – both days.    The

Workers Comp Delayed Medical Treatment Increases Opioid Prescriptions

If you are looking for the Supreme Court Case Article – Click here. Increased Opioids From Workers Comp Delayed Medical Treatment – WCRI  A recent WCRI (Workers Comp Research Institute) webinar showed that workers comp delayed medical treatment results in a higher level and longer treatment with opioids.   The chart

Field Case Managers – Workers Comp Claims Closed Faster and Happier

Field Case Managers – Injured Employees Happier and Claims Closed Faster This is National Nurses Day.  In celebration of the day, I wanted to bring up a subject that I have seen overlooked in quite a few Workers Comp files – Field Case Managers.  If you want to see nurses

Jeff Bezos’s Workers Comp Shocker In Final Shareholder Letter

Jeff Bezos’s Workers Comp Worries Covered In Final Shareholder Letter  Yes, Jeff Bezos’s Workers Comp concerns covered a specific type of injury.  The concerns were so important to him that he actually included a large passage in his final letter to shareholders.  Wow! One of the more astounding articles I

WCIRB Over-reserving Correction- California Update

WCIRB Over-reserving Correction – Rating Bureau Helps Out Employers – Wow! The Webinar Info Is at the bottom of this article California’s Workers’ Comp Insurance Rating Bureau provides a great assist to employers. The WCIRB over-reserving correction algorithm helps employers greatly.  Kudos to them – read on to see how

IRS Opens Promoter Investigations Office for 831(b) Micro Captives

IRS Opens Promoter Investigations Office For 831(b) Micro Captives The 831(b) micro captives industry received more news this week from the US Treasury Department.  The IRS opens promoter investigations office to: coordinate efforts across multiple business divisions to address abusive syndicated conservation easements and ‘abusive micro captive insurance arrangements as

Workers Comp Claim Development – Long Six+ Month Wait

Workers Comp Claim Development – Why The Six Month Delay?  The Workers Comp claim development process has frustrated more than a few insureds or agents. Every time that I publish an article on how claims are reported and tabulated by the rating bureaus (NCCI, WCIRB, and others), the same question

California AB 1465 CAMPN State Sponsored Medical Networks Debate

CAMPN – California AB 1465 Alters Workers’ Comp Medical Treatment Networks The term CAMPN – California AB 1465 is an Assembly Bill that proposes to increase the injured workers’ access to medical treatment.   The California Workers’ Compensation Institute (CWCI) published a study this month that possibly surprised quite a few

How Workers Comp Claims Pandemic Data Is Only 25% Correct

Workers Comp Claims Pandemic Data – Running With 1/4 In The Tank I recently brought this up in a Zoom(r) meeting.  A potential client wanted me to assist in building a Workers Comp claims pandemic model.  They were aghast when I said that only approximately 1/4 of the data is

AIC Designation Changes – One Major Modification To Study Guides

AIC Designation Changes – ARM Also Affected – Important One of the most detrimental AIC designation changes was pointed out to me over the last two weeks.  I received numerous calls and emails that the Jack Keir for Success program had dropped any insurance designations. The AIC (Associate in Claims)

Coronavirus Vaccine Journey – Second Act – Over in 30 Minutes

Act II of my Coronavirus Vaccine Journey – Quick and No Problems  My coronavirus vaccine journey started on St. Patrick’s Day.  Check out that article here.  The booster shot occurred yesterday.  Obtaining the second vaccine was much easier.   The first vaccine took two hours to complete. This one took 25

How Microcaptive 831(b) Arrangements Were Disrupted This Month

One of the long-awaited captive decisions by the US Tax Court was issued this month.  The microcaptive 831(b) arrangements industry may need to look in the mirror very soon.  This makes four major US Tax Cases that could not have been worse for captives, specifically microcaptives. Ever since I attended

My COVID-19 Vaccination – Among The Everyday Heroes

My COVID-19 Vaccination And The Heroes That I Met Check out my COVID-19 Vaccination Photos Below – Click on the pics to see a larger version  Why I Decided to Write On My COVID-19 Vaccination   I had promised numerous friends, colleagues, and blog readers that I would post on my

WCRI 2021 State of the States Presentation – The Past Rules

WCRI 2021 State of the States: Selective Findings The WCRI 2021 State of the States was extremely informative as it has been every year that I have attended the conference. Speakers: Bogdan Savych, Ph.D., Rebecca Yang, Ph.D. Dr. Savych compared much of what happened in the current pandemic with the

WCRI COVID-19 Impact and Effect on Claims and Medical Treatment

WCRI COVID-19 Session – Assessing the Impact Impact of COVID-19 and the Shutdown on Claims and the Delivery of Medical Care WCRI COVID-19 Session – Speakers: John Ruser, Ph.D., Olesya Fomenko, Ph.D. Dr. Fomenko covered much ground very quickly in her presentation.  She is probably one of the best presenters

WCRI Session That I Attended – Shocking Topicals Numbers

WCRI Session – Off-Label Prescribing and the Effects of Opioid-Related Policies WCRI Session Speakers: Vennela Thumula, PhD, Bogdan Savych, PhD The data from this WCRI (Workers Comp Research Institute) session yesterday provided indications of shocking increases in topicals.  The session also pointed out that the effects of state opioid-related policies

WCRI 2021 Virtual Conference Next Week – For Data, Reports And More

WCRI 2021 Virtual Conference -Definitely Worth It The WCRI 2021 Virtual Conference will be broadcasting on March 23rd and 24th.  This is a great way to spend two afternoons if you have the time.  I always learn something from their PhDs.  Three of my favorite researchers will be presenting their

Workers Comp Algorithms – Who Is Pushing the Model Buttons?

Workers Comp Algorithms – How Far Have They Progressed? The panel discussion yesterday with Frank Pennachio covered one hot topic – Workers Comp Algorithms. I do agree that almost everything in existence today has an algorithm attached to it. All one has to do is pick up their smartphone.  You

Panel Discussion With Frank Pennachio – Academy of Insurance 50% Off

A Conversation with Frank Pennachio – See below. I usually try to stay away from advertising any company’s services – that what this blog has been known for is no advertising.  During the aftershow after my Kawasakian presentation last month, George and Patrick asked me a few additional questions when

Workers Comp Subrogation Claim – Very Old Reserves Still Open

Very Old Workers Comp Subrogation Claim – Loss Run Says Open – Why? A new blog and newsletter reader asked this question last week after reviewing their Loss Runs – we have a very old workers comp subrogation claim open after seven years – will that affect our Experience Mod

COVID-19 Vaccination Reaction Claims- Compensable In Texas?

Texas Says Report COVID-19 Vaccination Reaction Claims (Work-Related)  In reading various Workers Comp publications – yes, I do that in the evenings, I came across an article in Business Insurance Work Comp News that caught my eye.   The Texas Department of Insurance released a memo on March 2, 2021, that

Home Ergonomics Advice Reduces Workers Comp Costs

Home Ergonomics Advice Learned From Recent Webinar  Recently, I viewed (or should it be attended?) a webinar on home ergonomics advice from TeamErgo that is owned by Mindy Smith.  I have seen her present at least five or six times over the last 15 years.  If you contact her, she

Workers Comp Predictive Analytics Changed Loss Run Reviews Forever

Workers Comp Predictive Analytics – Do Not Ignore Old Open Claims  One of the big changes with loss run reviews started with the carriers and now the whole insurance industry not ignoring the old open claims. Workers Comp predictive analytics has changed how old open claims are evaluated in underwriting. 

Workers Comp COVID-19 Vaccinations – Part of Return To Work

Employers Require Return to Work Workers Comp COVID-19 Vaccinations? I started pondering how the Workers Comp COVID-19 vaccination process would work if an employee were returning to work with or without vaccination. This morning, I was reading a blog post from a Law Professor from Wyoming University.  I found it

Workers Comp Test Audits – Pain or Preventative Measure

Workers Comp Test Audits – What Are They – Necessary Evil?  Not too long ago, I had thought that Workers Comp test audits were not necessary and could be viewed as an intrusion on employer insureds’ busy schedules.   Over time, I have come to realize that workers comp test audits

WCIRB 8871 Webinar – What California Insureds Need To Know

California’s Rating Bureau WCIRB 8871 Webinar Today – Some New Insights  I just finished watching the WCIRB 8871 webinar.   The webinar was only 30 minutes.  Then again, how long can a group talk about the new classification code? Very few changes were introduced from the previous WCIRB 8871 webinar that

Workers Comp Website – 10 Things To Know When Switching Providers

Workers Comp Website – 10 Lessons Learned Since Last Week’s Switch J&L moved its workers comp website provider last week.  Many problems came up that need to be shared so that our article and newsletter readers will not have or be prepared for the same type of problems.  Our last

Workers Comp Zoom Presentation – Top Four Hard Lessons Learned

Workers Comp Zoom Presentation From Last Week – Lessons Learned  My Workers Comp Zoom presentation for the Academy of Insurance last week taught me a few lessons that came from doing a remote presentation.  I had used Microsoft Meetings and Zoom for meetings which had always gone well, or at

Experience Mod Increases While Loss Runs Show No Changes – WTR?

Upset Reader Says Experience Mod Increases – Loss Run Had No Changes   One noticeable complaint tread from our article and newsletter readers recently comes from Experience Mod increases while their company’s loss runs show no changes.   Many of them have become clients to have J&L examine their loss runs compared

Workers Comp Allocated Expenses – Who Pays For Which Bills?

Workers Comp Allocated Expenses – The Hidden Premium Charges You May Not Owe  A long-running debate still exists today on how workers comp allocated expenses are charged to employers’ accounts.  Let us cover the:  Definition of the expenses Process of charging the allocated expenses to the employer’s Experience Mod Sources

Workers Compensation Presentations Kawasaki Technique

Workers Compensation Presentations And The Kawasaki Technique  The basis for my current Workers Compensation presentations currently comes from a great book that I read when starting J&L Risk Management Consultants.  The Kawaski presentation technique comes from the great book by Guy Kawasaki – The Art of The Start 2.0.   If

8871 Standard Exception Classification Code Question

Reader Question on 8871 Standard Exception Classification Code Article Last week, I wrote an article on the   2021 USRP Manual Update by the California Rating Bureau (WCIRB).   The webinar was great.   One area that was covered well was the 8871 Standard Exception Code. A devour reader reminded me that 8871

J&L Founder James J Moore to Teach Insurance Academy Course Feb 4th

J&L Founder James J Moore Instructor For Academy of Insurance Course 02/04/21 J&L founder James J Moore will teach a one-hour course on February 4th.  The one-hour course will cover occupational disease rules in the age of COVID-19. According to James -” COVID-19 remains a terrible disease that affects many

Workers Comp Claims Adjusting ASAP – It’s Over in 48 Hours

Workers Comp Claims Adjusting – Do It Now on New Claims The Workers Comp claims adjusting for new claims is over in 48 hours.  I know – sounds like a bold statement.  The old paradigm used to be 24 hours.   I am giving the adjusters a break.    Many of

WCIRB USRP Manual Update Webinar – Yes, It Matters To You

California’s WCIRB USRP Manual Update – From The Webinar The workers’ compensation rating bureau for California hosted a very thorough webinar on the WCIRB USRP Manual update yesterday.   Wow, sounds boring?  Then your company must have extra money to spend even if you are not located in California.  Last year,

Workers Comp COVID-19 Vaccination Claims – Adjusters Confused

Workers Comp COVID-19 Vaccination Claims – Who’s on First? Today, I decided to check on how Workers Comp COVID-19 vaccination claims are being handled by claims adjusters. Most of the adjusters had some sort of handle on how to investigate and adjust claims that involved COIVI-19. The states have now

Workers Comp Premium Auditor’s Job Now More Difficult

Workers Comp Premium Auditor’s Job Now Much More Complex  One of the results of the COVID-19 pandemic is the effect on the workers comp premium auditor’s job.  The complexities of auditing workers comp policies become more pronounced with multi-state employers.     I first realized the results with an article published

2021 Self Insured Workers Comp Resolutions – The COVID Effect

2021 Self Insured Workers Comp Resolutions COVID Caused A Few Changes Most New Year’s Resolutions come from altering the resolutions from last year.   The 2021 Self Insured Workers Comp resolutions will be no different.   Keeping the resolutions from last year and adding a few changes for COVID should suffice for

2021 Workers Comp Resolutions – Few COVID-19 Changes

2021 Workers Comp Resolutions – Huge Change From 2020? The 2021 Workers Comp resolutions began with waiting until all the election cycles had been completed from 2020.  I usually crank out the resolutions in December of the prior year.  With so much occurring in forgettable 2020, these resolutions were the

NCCI State Advisory Meetings Worth Your Time? – Most Definitely

NCCI State Advisory Meetings – Golden Nuggets of Info Treasure Chest  The NCCI State Advisory Meetings also called Forums still provide a huge amount of information for agents, employers, underwriters, adjusters, and other data wonks.   I have recommended this area of NCCI for at least 15 years.   NCCI is the

Workers Comp Medical Treatment – Faster is Better

Quick Workers Comp Medical Treatment Key To Cutting Costs  The main Key To Cutting Your Insurance budget remains providing quick workers comp medical treatment for your injured employees.    Having a medical network is a critical cost saver even if you are a small employer.  A Goldmine of Workers Comp

Workers Comp Premium Calculation Video – Great Explanations

Workers Comp Premium Calculation Video – Good Quick Explanation  This 4-minute video is well worth your time.   The video is from C3 Insurance Academy.   You can reduce your viewing time to three minutes if you do not wish to see the alternate shortcut way to figure your premiums.  This is

An Apology To Our Article and Newsletter Readers

Crashes and Late Newsletter Last week, we had a web consultant company tie up a few loose ends.  One of the consultants accidentally clicked a button that sent the website reeling.   A very quick explanation – the website is set up as    cutcompcosts.com/year/month/article name     The consultant changed all

AIC Associate in Claims Designation Article Most Popular of 2020

Associate In Claims (AIC) Designation Popularity Positive Sign  The Associate in Claims (AIC) articles that I wrote over the year were the most popular article search on the J&L website for 2020.  Usually, I check later in late December to see which articles were the most read for each year.  

Reopened Workers Comp Claims – Watch The Reserves

Reopened Workers Comp Claims – Big Problem When does a reopened Workers Comp claim cost more budget for insured and self-insured employers? I reviewed a file this morning that had one of the classics that cause agents, risk managers. underwriters, rating bureaus, and most importantly insureds to become very irritated

Workers Comp Liability Subrogation – Vehicle Accident Steps

Workers Comp Liability Subrogation – Seven Steps For Vehicles What Is Workers Comp Liability Subrogation for auto accidents?  Let us take an example I have on my screen in front of me. The insured employers and adjusters working on this together allow for quicker recoveries from any third party in

ARM Designation – Claims Staff Make Your CV Resume’ Shine

Venerable ARM Designation – Beyond the AIC For Claims Staff  The ARM Designation may be a good fit and advance your claims career at light speed. One of the questions I often receive from  Workers Comp claim staff is – What can I or we do to advance our claims

Workers Comp Medical Treatment Networks – What Studies Are Missing

Workers Comp Medical Treatment Networks – Claims Adjuster’s Different Paradigms After reading a few studies on workers comp medical treatment networks, one glaring aspect becomes apparent very quickly.  As I often have commented on claims studies – “Did they interview any adjusters for input?”  The answer remains “no” on most

Workers Comp Adjuster Goals Conflict With Management Expectations?

Advocacy Model vs. Workers Comp Adjuster Goals – A Point Missed?  Did I miss The Point  – Maybe?  I recently attended a webinar provided by the National Workers Comp and Disability Conference where some of the Workers Adjuster goals were compared to the expectations of claims management.   Two of my

Workers Comp Premium Audit Dispute Delay Can Be Very Costly

Premium Audit Dispute Delay Costs Company $500,000 – Ouch!  Over the last 13 years that I have been writing articles for the J&L website, I have warned very heavily against any type of premium audit dispute delay.   Delaying a dispute of or ignoring a bill from your current or prior

California Prop 22 – Nationwide Effect on Workers Comp Debate

California Prop 22 – Not Just A One State Issue California Prop 22 was overwhelmingly given a thumbs up by the Golden State’s Voters. If you are saying, yes, but I do not live in California, check out the last heading in this article  – worth your time.  For many

WCIRB Delayed Medical Treatment Study Backs Up Six Keys Study

WCIRB Delayed Medical Treatment Study Proves What We Knew All Along  The WCIRB Delayed Medical Treatment Study can be found here.  The WCIRB (California Workers Comp Rating Bureau) recently published a study on delayed medical treatment due to the recent COVID-19 pandemic.    I was hoping the study replicated or

Workers Comp Risk Management Is Like Bag of Apples

A Bag of Apples Shows How Workers Comp Risk Management Works  Yesterday,  I included a short article with a video from Washington L&I.  The response was very positive on keeping Workers Comp Risk Management toned down to more simplistic terms.   The customer is always right.  Workers Comp Cost Questions One

Workers Comp Rate Setting Calculation – Short Informative Video

A Good Five Minute Workers Comp Rate Setting Calculation Video  This workers comp  rate setting calculation video caught my eye last week.  The State of Washington’s L&I produced the video.    Washington is a Monopolistic State.  All employers operating in the state must buy insurance through a state agency.  I

LCMs – The Hidden Part of the Workers Comp Insurance Process

LCMs – Loss Cost Multipliers – An Important Example  LCMs (Loss Cost Multipliers) have many definitions.  The main one that I refer to when asked for a definition is: LCMs are basically the insurance carrier’s deviation from the advisory loss costs that are published by NCCI or your state’s rating bureau. 

Workers Comp Markets Affected By Upcoming Election Cycle

Workers Comp Markets – Hard or Soft May Not Matter  My brother asked me this question.   Will the upcoming election affect the Workers Comp markets?  He is a day trader of sorts.  Writing articles for over 15 years means that I have covered this topic in the past.   My opinion

Contingent Experience Mods – When The Number Is Not the Number

What Are Contingent Experience Mods?  Last week, I wrote a somewhat controversial article questioning whether insurance carriers should be fined for reporting Mods late. I received a few emails and comments with one from the WCIRB directing me to an NCCI video on Contingent Experience Mods. I agree there exist

Self Insured Claims Data – Your TPA Has Many Helpful Options Online

Self Insured Claims Data – Going Beyond A Loss Run  J&L examines loads of self insured claims data every month.  Some TPAs offer loads of information that go beyond just reviewing a loss run.   Much of the self insured claims data can be reviewed using notifications as bells and whistles. 

Workers Comp Carriers Fined For Late Reporting To Rate Bureaus?

Surprising Number of Workers Comp Carriers Fined For Late Reporting  The number of Workers Comp carriers fined for late reporting in 2018 and 2019 may surprise you.   The late reporting referred to in this article stems from insurance carriers habitually reporting the claims data (Total Incurred) late to the rate

What is Earned But Not Reported (EBNR) – Employers Need to Know

Earned But Not Reported Now A Factor With Premium Audits – Employers Be Wary NCCI’s Barry Lipton, Senior Actuary published a post this morning that I read over three times to absorb the theory of the Earned But Not Reported (EBNR) hangover effect.   You can check out the post here

Workers Comp Reserve Reduction Strategy – Critical Last Step

Workers Comp Reserve Reduction Strategy – Do This Last Critical Step  Many articles in this blog center around formulating and enacting your workers comp reserve reduction strategy.   We have heard from many article/blog readers -where the anticipated reserve reductions did not tabulate properly.    We heard from an agent today

How J&L Reduced Workers Comp Reserves $300,000 In One Month

Animal Rescue Loss Run Analysis Reduced Workers Comp Reserves – Short Deadline We reduced Workers Comp reserves for an Animal Rescue and Veterinary in 30 days by 300,000 was one of our most recent successes.   How do we do it?   Follow along – maybe you can do it for your

Physical Premium Audits – COVID 19 Removed The Physical Part

Will Today’s Hybrid Audits Ever Return to Physical Premium Audits? First – let us define the three types of audits in this article –  Short Definitions Hybrid -the records are usually reviewed offsite -technology has allowed much easier access to employer records without having a “physical presence” at the employers’

Hard Workers Comp Markets – The Silent Reasons Why

Hard Workers Comp Markets – Two of the Reasons Not Discussed That Often The hard workers comp markets usually occur when the suppliers (carriers) cut the supply of insurance to (demand) employers.   I have heard investment returns often discussed in many of the reinsurance webinars and articles – not so

Loss Cost Decrease Does Not Directly Result in Premium Decrease

Loss Cost Decrease Question From Newsletter Reader A newsletter reader recently asked this question after reading that their state recommended a Workers Comp Loss Cost decrease recently.    If our state has a Loss Cost decrease does that mean we will pay less premium?   My answer to their email inquiry

Premium Audit Payroll Figures More Critical Due To COVID-19

Premium Audit Payroll Numbers Now More Important Than Ever Why is the Workers Comp Premium Audit payroll accuracy more important in 2020?  Yes, the COVID-19 pandemic may reach into your premiums more than you or your company may have anticipated.  Let us look at the basic components of your Experience

Physical Therapy Study – Great Workers Comp Loss Control

Physical Therapy Study – Early Use Means Lower Costs – WCRI  A recent physical therapy study proves what we have been saying for over 30+ years. Two of the most-read read articles on this website consist of articles on therapy in general.   I did not think about why they were

The Workers Comp Self Insurance Risk No One Talks About

Workers Comp Self Insurance Risk – The $250,000 Repetitive Mega Claims I sometimes forget to mention the self insurance side of Workers Comp Risk Management.   A certain Workers Comp self insurance risk conversation seldom occurs in voluntary insurance vs. self insurance decisions.  Voluntary insurance may seem like an unused commodity

Workers Comp Android Apps – Journey Down The Rabbit Hole Again

Workers Comp Android Apps – Giving It One Last Try  Three years ago, a gentleman contacted me by phone.  He was very patient in explaining Workers Comp Android Apps were going to fade away as most smartphones can handle accessing the website directly.  An App was likely not going to

Workers Comp Recorded Statements – Now A Lost Art?

Whatever Happened to Workers Comp Recorded Statements? Not too long ago, workers comp recorded statements appeared in every file where the injured worker received any type of weekly comp benefits – a mailed check.  Workers Comp Recorded Statement Requirements Some of the requirements were:  a recorded statement of the injured

Workers Comp Mega Claims – My Different Definition

Workers Comp Mega Claims From A Claims Standpoint  A meeting notice caused me to write this article on Workers Comp mega claims.  If you have not signed up for the webinar and you have anything to do with workers’ compensation, please go here and sign up.  Yes, I registered earlier

Workers Comp Ladder of Insurance Very Important Term in 2020

Workers Comp Ladder of Insurance – Subs of Subs Become Employees  Early in my career, my insurance company employer sent me to what was a whirlwind of legal terms and concepts known as subrogation.   I took notes until my arm cramped with pain as I know this was important information. 

Automated Workers Comp Medical Only Claims Not A Solution Yet

Automated Workers Comp Medical Only Claims vs. Human Intervention  Two different presenters this month spoke on automated workers comp medical only claims.  In fairness to the presenters, I will not mention their names or companies.   Their presentations were better than most that I have seen on this subject. The ideas

Workers Comp COVID-19 Numbers Are In – Think Again

Workers Comp COVID-19 Numbers – The System Does Not Work That Way  Many prognosticators and the press have all rushed to publish or make sense of any Workers Comp COVID-19 numbers including claim counts and rating information.  Unless I missed something over the last 30 years, the numbers are like

California Workers Comp Contractor Vote – Prop 22 on Ballot

Uber or Lyft Driver – California Workers Comp Contractor vs Employee – Prop 22  One of the most heated online and in-person (before COVID-19) debates that I had witnessed in California – Is an Uber or Lyft driver a California Workers Comp Contractor or an employee?  Some of the most

Telecommuting Employee Accidents – The New Work Comp Paradigm

Telecommuting Employee Accidents – Risk Management and Claims Nightmare?  The Coronavirus pandemic grew what was a “cottage industry” type job to one of the most popular jobs in existence today.   Most telecommuting employee accidents will involve in-home hazards. Let us look at the: Previous telecommuter articles – check out the

How Do I Find Exclusions In My Insurance Policy? Remember DICEE

Exclusions In My Insurance Policy – Look For The First E in DICEE.  The article comes from a reader question – where are the Exclusion in my insurance policy and are they the same as Declarations?  The answer to the question is no the Exclusions in an insurance policy are

Talented Workers Comp Adjuster – Do They Have IT?

The Talented Workers Comp Adjuster – What is IT?  IT Applies To Any Line of Adjusters – Not Just WC  Many discussions on a talented workers comp adjuster (or any insurance line) begin something similar to this.  Wow, we are searching everywhere for talented adjusters. I have attended many conferences

Workers Comp Adjuster Communications – Use 3-3-3 Rule For Efficiency

Workers Comp Adjuster Communications vs. Productivity – 3-3-3 Rule Wins   The 3-3-3 Rule(c) was invented by me in 1997 to help Workers Comp adjuster communications become more efficient and effective.   The rule still applies, even more, today in the age of Social Media.  This rule can apply to so many

Most Reclassified Class Code – Which One Topped NCCI List For 2019?

Reclassified Class Code During 2019 Inspections – Which Code Changed The Most?  NCCI recently released a quick report on the most reclassified class code for 2019.  We have seen this class code very often in the last five years.  Which was one was it?  The most reclassified class code for

Workers Comp Premium Refunds Due To COVID Crisis

Carriers Providing Workers Comp Premium Refunds Due To Coronavirus Shutdowns? One of the most common questions we received since March from employers – Are carriers providing Workers Comp premium refunds due to the COVID crisis?  Is there a formula to know how much we are receiving?  Are states mandating carriers

IRS Workers Comp Rules – Two Payment Red Flags To Avoid

IRS Workers Comp Rules – Pay Attention To These Three Closely  Every year near the personal tax filing deadline, we receive questions on IRS Workers Comp rules.  This year was no different with the COVID-extended deadline of July 15th.  I decided to cover the one IRS Workers Comp Rule that

Workers Comp Email – Five Best Practices To Avoid Trouble Later

Workers Comp Email Still Best Way To Document Communications – Five Quick Rules  Workers Comp email still provides the best way to document files.  The sender and receiver can both have documentation of the communication in writing.  Some carriers and TPA’s do not add the email directly into the file. 

Workers Comp Webinar Technical Difficulties Can Be Avoided

Dry Runs Eliminate Workers Comp Webinar Technical Difficulties  Unfortunately, Workers Comp webinar technical difficulties do happen now.  The statistics will catch up with the webinar community.  With so many workers comp webinars being presented, an organization cannot avoid having random technical difficulties.  Bill Gates Says Pandemic Provided Opportunities  On a

Large Deductible Workers Comp Policies – Paying 50% Of Expenses?

Large Deductible Workers Comp Policies May Require 50% Allocated Expense Payment We often perform workers comp policy reviews as part of our premium reduction consultant services.  Large deductible workers comp policies usually have a deductible amount ranging from $100,000 (the minimum) to $5million.     The most popular retention level (think

Workers Comp COVID-19 Presumption Was Already In Place

Workers Comp COVID-19 Presumption – There’s An Occupational Disease Statute For That – J&L  State after state enacted their Workers Comp COVID-19 presumption orders to make sure the frontline workers in the Coronavirus pandemic were covered if they contracted the disease.   The states then began to expand which workers were

How To Ruin A Workers Comp Claim in Five Seconds, Claim Number?

Asking For Claim Numbers Can Wreck Any Workers Comp Relationship – J&L  Yesterday, I was trying to locate a claim for a long-term client.  I was following the subrogation status on a claim for them.   I was told that I had left out one number in a 22-character claim number. 

Are The Recent Class Code Changes Saving My Company Premium?

The Recent Class Code Changes – A Further Look – J&L  The recent class code changes buzzed in the workers’ comp news for well over a month.   Why am I writing another article on this subject?  The class code changes convert into amounts of premium dollars > your company’s budget. 

California Workers Comp Telecommuting Class Code 8871 Added

 Telecommuting Class Code 8871 Added To California WCIRB Class Codes California’s Workers Comp rating bureau (WCIRB) added in Telecommuting Class Code 8871 after a regulatory meeting this week.   If your company is domiciled in California or you have California-based employees,  you will need to separate these employees from furloughed employees

How Do We Account for Coronavirus Furloughed Employees – NCCI

Account for Coronavirus Furloughed Employees – NCCI Adds Basic Manual Rules  The Question – How do we account for Coronavirus Furloughed Employees has become the most popular question that we now receive from blog and newsletter readers.   This is not a replacement for Class Code 8871 – Telecommuting Clerical Employees. 

Workers Compensation Rating System – See You in 18 Months

The Workers Compensation Rating System And Insurance Press – Different Timetables The Workers Compensation Rating System was built as a delayed system.   Why was that statement the first sentence in the article?  The Workers Compensation rating system cannot provide immediate data analysis.   NCCI, WCIRB, and the other state rating bureaus

Work Comp Class Code 8871 Clerical Telecommuter Very Popular Now

Work Comp Class Code 8871 Popular During the Coronavirus Pandemic  The Workers Comp Class Code 8871 represents telecommuters.  Exactly who are telecommuters?  Let us first cover the general non-workers’ comp generic definition.    Definitions of Class Code 8871  General  Telecommuters are defined as:  Someone who works at home and communicates

Free Workers Comp Study – Best Report on Medical Costs WCRI

Free Workers Comp Study – WCRI Medical Price Index – A Great Reference Tool  WCRI (Workers Compensation Research Institute) released its annual free workers comp study and report on medical prices for the treatment of Workers Compensation injuries.   Please see the bottom of this article for the link to the

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