• Home
    • Workers Comp Audit Stress Reducer – Use It For Your Next Premium Audit
  • About Us
    • Cutting Workers Comp Costs – About Our Company
    • President – Expert James J Moore AIC MBA ChFC ARM
    • OSHA Risk Manager – Glen DuLac – Added To Fulfill Customer Service
  • Work Comp Consultants
  • Free Info
    • Definitions
    • Free Speech
  • Testimonials
  • FAQ
  • Free Manuals
  • Six Secrets
  • Blog
  • Contact Us

J&L Risk Management Consultants

Work Comp expert witness reserve reviews premium audits for employers

icons
Call us today! 1-800-813-1386
WORKERS' COMPENSATION PREMIUM REFUNDS POSSIBLE.
Home » agency

Affordable Care Act Mentions Workers Comp How Many Times?

May 30, 2013 By JL Risk Management Consultants

Affordable Care Act Mentions Workers Comp __ Times?

I am one of the people that actually read the Affordable Care Act (Obamacare) just after it was passed by the House.  The main reason was to see if Workers Comp was affected or mentioned directly in the Act.

Graphic of Affordable Care Act Obamacare

Wikimedia commons – Careilly5801

The searchable PDF of the act is on the Affordable Care Act page.   I had thought there would be more reference to Workers Comp.   The term was covered only one time.   The following is the excerpt from the Act:

COMPLIANCE WITH CERTAIN LAWS.—A State shall ensure that, regardless of whether the State uses an agency provider model or other models to provide home and community-based attendant services and supports under a State plan  amendment under this subsection, such services and supports are provided in accordance with the requirements of the Fair Labor Standards Act of 1938 and applicable Federal and State laws regarding—
‘‘(A) withholding and payment of Federal and State income and payroll taxes;
‘‘(B) the provision of unemployment and workers compensation insurance;
‘‘(C) maintenance of general liability insurance; and
‘‘(D) occupational health and safety.

Doctor And Patient Affordable Care Act Looking At X Ray

StockUnlimited

I had written many times before on the Federalization of Workers Compensation and the Death of Workers Compensation specifically mentioning 24 hour healthcare as a replacement for WC.

The above section may allay some of the fears that Workers Comp personnel may have on the Affordable Care Act.  However, I would read the articles that I had written in the past before feeling too comfortable.

I read the passage a few times to try to comprehend how this all fits together.  If anyone would like to leave a comment on their interpretation, please feel free to post a comment.  Any input would be appreciated.

2018 Update – part of the Act has been repealed.   The effect on Workers Comp will not be known for at least two years. 

©J&L Risk Management Inc Copyright Notice

Filed Under: Obamacare Tagged With: agency, compliance, state plan

Workers Comp Reserve Reduction Plan – Is Yours In Place?

March 25, 2011 By JL Risk Management Consultants

Reserve Reduction Plan And The Unistat Date

I wrote last week on the timing and deadline for having your Workers Compensation reserve reduction plan in place. If your company has not begun with the plan, you are throwing away Workers Compensation Dollars.

Graphic of Calendar Reserve Reduction Plan Unistat Date

(c) 123rf.com

If your renewal date is January 1, you should by now have obtained your company’s or agency’s Workers Compensation loss runs. If you do not have them, you are already running behind.

Remember, you have until 6/30/11 at 11:59 PM, to reduce your Workers Comp reserves which in turn will reduce your E-Mod. That is your goal – to reduce NEXT YEAR’S E-MOD.

Business Reserve Reduction Plan Infography

StockUnlimited

You should have a list of claims that you wish to discuss with your adjuster on the reserve levels. A caveat – KNOWING WHICH CLAIMS to discuss is critical. Discussing the wrong claims may cost your company more $. Please do not ask an adjuster to reduce all your reserves by 15%. That will never happen and ruin the working relationship you have with your adjuster.

If you do not know who your Workers Comp adjuster is, then you are falling way behind. Your loss run should indicate the person that is handling each claim.

As I have said many times in this blog, if you have online access you are way ahead of the game. Having FULL online access to your claims will save you hours and hours of work on your reserve reduction plan as you can see the status and the reserve levels any time you wish to access them.

The last time I posted on this subject, I received a few questions concerning renewal dates other than 1/1 and the corresponding reserve reduction plan timing. Check out my next post.

If you ever feel you are in over your head or that your carrier is not responding to your request, please contact us. Reserve reductions are part of what we do as a company.

©J&L Risk Management Inc Copyright Notice

Filed Under: Reserve Reduction Program, unit stat date Tagged With: agency, deadline, Reserve levels

PEOs for Workers Comp – Are They Worth It? Answer – Most of The Time

February 2, 2011 By JL Risk Management Consultants

PEOs Are Great For Workers Comp But Not Every Time

Workers Comp PEOs (Professional Employment Organizations) have gained a great amount of attention lately. Are they a viable source of Workers Comp coverage for your business?

Picture Of PEOs Professional Employment Organization Standing In A Row

123rf

The unregulated PEO’s of the past caused all state insurance departments to initiate more laws, rules, and regs over the last few years.

 
I am sure you have seen the news headlines where certain ones were shut down and their owners were sometimes prosecuted for fraud and other crimes. I have seen very few of those articles in the last two years. 
 
Any time you sign a contract for workers comp insurance, make sure you read the document fully.  Reading the agreements always makes sense.  I have seen many results where the employers sign the documents without reading them. 
 
My last article mentioned the possibility of using a PEO as a possible viable way to avoid going into the risk pool and paying premiums of up to 800% more than the usual Workers Compensation marketplace for coverage.
 

Before exploring the PEO marketplace, you would need to pause and think about how your company came to be possibly insured by an Assigned Risk Pool insurance carrier. The same considerations that may have landed your company in the risk pool may prevent you from being considered by any of the PEO’s.

Hand Picking Up PEOs In Shark

StockUnlimited

 
The PEO’s underwriters are going to examine the same information that the carriers have covered in the decision to not underwrite your business. Having your Workers Comp claims loss runs will speed up the process greatly.   Find your E-Mod Sheets.  They request those every time for the underwriting process. 
 
The best way we have seen to explore the PEO marketplace is with a PEO broker. There are many of them online. Googling the term PEO or PEO broker will bring up hundreds of them.  Use this contact form if you have questions. 
 
We have come across a few PEO’s and specialized brokers that have been great to work with over the last few years. As J&L is not an agency nor do we sell any type of coverage. We have no bias as to one company or the other.
 
One of the questions we receive is how can PEO’s write my business for a lower premium than the Assigned Risk Pool or regular marketplace? I will cover that next time along with a few advantages of using a PEO.
 
Email or call if you have questions
 
©J&L Risk Management Inc Copyright Notice

Filed Under: PEO Tagged With: agency, Assigned Risk Pool, Brokers, fraud

Email Subscription

Search this website:

Work Comp Premium Audit Work Comp Mod Expert work comp expert witnessWork Comp Expert ReservesWork Comp Claim File Audit ExpertWork Comp Expert Witness

About Me

My Photo

James J Moore
Raleigh, NC, United States

James founded a Workers’ Compensation consulting firm, J&L Risk Mgmt 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

 

Archives

  • February 2021
  • January 2021
  • December 2020
  • November 2020
  • October 2020
  • September 2020
  • August 2020
  • July 2020
  • June 2020
  • May 2020
  • April 2020
  • March 2020
  • February 2020
  • January 2020
  • December 2019
  • November 2019
  • October 2019
  • September 2019
  • August 2019
  • July 2019
  • June 2019
  • May 2019
  • April 2019
  • March 2019
  • February 2019
  • January 2019
  • December 2018
  • November 2018
  • October 2018
  • September 2018
  • August 2018
  • July 2018
  • June 2018
  • May 2018
  • April 2018
  • March 2018
  • February 2018
  • January 2018
  • December 2017
  • November 2017
  • October 2017
  • September 2017
  • August 2017
  • July 2017
  • June 2017
  • May 2017
  • April 2017
  • March 2017
  • February 2017
  • January 2017
  • December 2016
  • November 2016
  • October 2016
  • September 2016
  • August 2016
  • July 2016
  • June 2016
  • May 2016
  • April 2016
  • March 2016
  • February 2016
  • January 2016
  • December 2015
  • November 2015
  • October 2015
  • September 2015
  • August 2015
  • July 2015
  • June 2015
  • May 2015
  • April 2015
  • March 2015
  • February 2015
  • January 2015
  • December 2014
  • November 2014
  • October 2014
  • September 2014
  • August 2014
  • July 2014
  • June 2014
  • May 2014
  • April 2014
  • March 2014
  • February 2014
  • January 2014
  • December 2013
  • November 2013
  • October 2013
  • September 2013
  • August 2013
  • July 2013
  • June 2013
  • May 2013
  • April 2013
  • March 2013
  • February 2013
  • January 2013
  • December 2012
  • November 2012
  • October 2012
  • September 2012
  • August 2012
  • July 2012
  • June 2012
  • May 2012
  • April 2012
  • March 2012
  • February 2012
  • January 2012
  • December 2011
  • November 2011
  • October 2011
  • September 2011
  • August 2011
  • July 2011
  • June 2011
  • May 2011
  • April 2011
  • March 2011
  • February 2011
  • January 2011
  • December 2010
  • November 2010
  • October 2010
  • September 2010
  • August 2010
  • July 2010
  • June 2010
  • May 2010
  • April 2010
  • March 2010
  • February 2010
  • January 2010
  • December 2009
  • November 2009
  • October 2009
  • September 2009
  • August 2009
  • July 2009
  • June 2009
  • May 2009
  • April 2009
  • March 2009
  • February 2009
  • January 2009
  • December 2008
  • November 2008
  • October 2008
  • September 2008
  • August 2008
  • July 2008
  • June 2008
  • May 2008
  • April 2008
  • March 2008
  • February 2008
  • January 2008
  • December 2007
  • November 2007
  • October 2007
  • September 2007
  • August 2007
  • March 2007
  • February 2007

Recent Posts

  • Workers Comp COVID-19 Vaccinations – Part of Return To Work
  • Workers Comp Test Audits – Pain or Preventative Measure
  • WCIRB 8871 Webinar – What California Insureds Need To Know
  • Workers Comp Website – 10 Things To Know When Switching Providers
  • Workers Comp Zoom Presentation – Top Four Hard Lessons Learned
  • Experience Mod Increases While Loss Runs Show No Changes – WTR?
  • Workers Comp Allocated Expenses – Who Pays For Which Bills?
  • Workers Compensation Presentations Kawasaki Technique
  • 8871 Standard Exception Classification Code Question
  • J&L Founder James J Moore to Teach Insurance Academy Course Feb 4th
J&L Risk Management Consultants Inc
14460 Falls of Neuse Road,
Suite 149305
Raleigh, NC 27614
(800) 813-1386
▲Return to top of page
Copyright © 2021 J&L Risk Management Consultants, Inc.

Website Design by Redwood [ Design - Print - Web ]