Florida Workers Compensation Rate Filing Overview August 29





















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Florida Workers Compensation Rate Filing Overview August 29, 2006 Tony Di. Donato 561 -893 -3116 Lori Lovgren 561 -893 -3337 1 © Copyright 2006 National Council on Compensation Insurance, Inc. All Rights Reserved.
Florida Workers Compensation Rates 1/1/07 10/1/03 to 1/1/07* Manufacturing Contracting Office & Clerical Goods & Services Miscellaneous -13. 0% -13. 6% -13. 8% -12. 9% -13. 3% -34. 8% -40. 0% -35. 7% -38. 6% -43. 0% Overall Average -13. 3% -38. 9% *Assuming approved as filed 2 © Copyright 2006 National Council on Compensation Insurance, Inc. All Rights Reserved.
Declines in Claim Frequency Have Contributed to Florida’s Improving Results SB 50 A Effective 10/1/03 Based on NCCI’s financial data. Frequency of lost-time claims. 3 © Copyright 2006 National Council on Compensation Insurance, Inc. All Rights Reserved.
Rolling 12 Mos Avg Lost-Time Claims Per 1, 000 Employees SB 50 A Effective 10/1/03 Data from Current Employment Statistics, Office of Labor Market Statistics, Florida Agency for Workforce Innovation 4 © Copyright 2006 National Council on Compensation Insurance, Inc. All Rights Reserved.
Florida’s Average Indemnity Severity in Excess of Wage Growth Excluding On-Levels SB 50 A Effective 10/1/03 Based on NCCI’s financial data for lost-time claims developed to ultimate, but NOT at current benefit level. 5 © Copyright 2006 National Council on Compensation Insurance, Inc. All Rights Reserved.
Florida’s Average Medical Severity in Excess of Wage Growth Excluding On-Levels SB 50 A Effective 10/1/03 Based on NCCI’s financial data for lost-time claims developed to ultimate, but NOT at current benefit level. 6 © Copyright 2006 National Council on Compensation Insurance, Inc. All Rights Reserved.
State Voluntary Market Filings Southeastern NAIC Zone South Carolina* 11/1/05 +32. 9% North Carolina 4/1/06 +9. 4% Alabama 3/1/06 +5. 0% Tennessee 3/1/06 +1. 6% Arkansas 7/1/06 -0. 5% Louisiana 5/1/06 -0. 6% Georgia 7/1/05 -1. 3% Mississippi 3/1/06 -1. 9% Virginia* 4/1/07 -7. 9% 10/1/06 -9. 3% 1/1/07 -13. 3% Kentucky* Florida* * Pending 7 © Copyright 2006 National Council on Compensation Insurance, Inc. All Rights Reserved.
Current Average Voluntary Pure Loss Costs Using Florida’s Payroll Distribution 8 © Copyright 2006 National Council on Compensation Insurance, Inc. All Rights Reserved.
SB 50 A Impact 9 © Copyright 2006 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI Survey Findings (June 2006) • NCCI interviewed 11 of the top Florida writers (69% market share total; primarily claims personnel) on key components of the reform: • Permanent Total (PT) – 7 of 11 have experienced fewer PT’s. – 4 of 11 seeing no change in number of PT’s. – Some mention they expect more activity on PT’s as more cases reach the 104 week mark. – 3 of 11 mention medical down to extent there are fewer PT’s or cases are closing faster. – Most agree “sedentary employment qualification” not a significant factor at this point. – 3 of 11 mention that PT’s are less litigious. 10 © Copyright 2006 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI Survey Findings (June 2006) • Attorney Fees – 4 of 11 see number of litigated cases down. – 5 of 11 see no change in number of cases with claimant attorney involvement. – 8 of 11 see cases settling quicker. – Some mention that claimant attorneys are still trying creative ways to generate fees outside the fee schedule. – Some see claimant attorneys holding onto to new law cases hoping a judicial decision will permit hourly fees again. – 5 of 11 mention that claimant attorneys are holding onto old law cases. • Compensability Standards – Most are having success with one or more of the standards. – “Major contributing cause”, “clear and convincing evidence”, apportionment making the most difference. 11 © Copyright 2006 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI Survey Findings (June 2006) • Psychiatric Impairment – 9 of 11 seeing less requests for psych. – 5 of 11 mention that add-on is now significantly reduced (3 to 15% before 50 A and now limited to 1%). – 4 of 11 mention that requests for pain management are up. • Independent Medical Exams (IME’s) – 9 of 11 said # of IME’s down for variety of reasons—less litigation, less attorney involvement, carrier may not be willing to pay for more than one. – 5 of 11 said that if injured workers chooses doc on managed care list, carrier will pay for more than one. – Little to no use of consensus IME’s. 12 © Copyright 2006 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI Survey Findings (June 2006) • Dispute Resolution – Some see more efficient resolution in some parts of state (north/central, not in south). – Some see fewer and more specific petitions. – Some having success with judges dismissing for lack of specificity. – Little to no use of binding arbitration. • Training and Education Benefits 1. 5 of 11 said that the value of this benefit used to be included in settlement negotiations. 2. 6 of 11 said no change. 13 © Copyright 2006 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI Survey Findings (June 2006) • Hospital, Physician and Drug Costs – Hospital: 5 of 11 said no impact; 4 mention seeing hospitals shift costs to surgeries and hardware. – Physician: 9 of 11 say provider participation not improved. – Drug: 10 of 11 say drug costs not improved. • Practice Parameters and Standards of Care—Most found no change. • Other concerns – Medicare set-asides—delays are costly; extends benefits six to nine months – Civil suits—Aguilera, Jones vs. Martin Electronics—claimants bar threatening civil suits in effort to extort higher workers comp settlements – Increasing fines and penalties from the FL DWC 14 © Copyright 2006 National Council on Compensation Insurance, Inc. All Rights Reserved.
Recent DOAH WC Activity in Florida SB 50 A Effective 10/1/03 Data from FL Division of Administrative Hearings 15 © Copyright 2006 National Council on Compensation Insurance, Inc. All Rights Reserved.
Number of Petitions Filed/New Cases FY 2003 FY 2004 FY 2005 FY 2006 Petitions Filed 154, 931 131, 198 108, 743 90, 803 New Cases Filed* 126, 759 64, 470 38, 827 36, 873 *First petition filed in case Data from FL Division of Administrative Hearings 16 © Copyright 2006 National Council on Compensation Insurance, Inc. All Rights Reserved.
State of Florida WC Market 17 © Copyright 2006 National Council on Compensation Insurance, Inc. All Rights Reserved.
Florida Written Premium 2005 p: Preliminary based on NAIC Annual Statement data. 18
Largest Writers in Florida Labels Reflect Market Share Based on NAIC Annual Statement data. 19 © Copyright 2006 National Council on Compensation Insurance, Inc. All Rights Reserved.
Residual Market Percentage Calendar Year 2005 Percent Data is evaluated as of 12/31/2005. 20 © Copyright 2006 National Council on Compensation Insurance, Inc. All Rights Reserved.
Residual Market Policy Count Policy Year 2005 in Thousands Data is evaluated as of 12/31/2005. 21 © Copyright 2006 National Council on Compensation Insurance, Inc. All Rights Reserved.