Idaho. State Advisory Forum December 4,

Size: px
Start display at page:

Download "Idaho. State Advisory Forum 2014. December 4, 2014. Mike_Taylor@ncci.com 503-892-1858 Sean_Cooper@ncci.com 561-893-3072"

Transcription

1 Idaho State Advisory Forum 2014 December 4, Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved.

2 Idaho Workers Compensation State Advisory Forum Workers Compensation System Overview Idaho 2015 Rate Filing Legislative Issues: Nationwide and in Idaho The State of the Economy Claim Frequency Indemnity Severity Medical Severity Telemedicine Idaho Residual Market Q & A Closing Remarks Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 2

3 Workers Compensation System Overview Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved.

4 Workers Compensation System Overview Idaho Countrywide Written premium is increasing Combined ratios have been improving in recent years Lost-time claim frequency is flat Written premium is increasing Combined ratios are improving Lost-time claim frequency is declining at a slower rate Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 4

5 $ Millions 350 Idaho Workers Compensation Premium Volume Direct Written Premium Calendar Year Source: NAIC Annual Statement data Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 5

6 Cumulative Rate Level Change (%) Idaho Cumulative Rate Level Change 0% -2% -4% -6% -8% -5.7% -5.8% -6.6% -10% -9.2% -9.3% -12% -14% -12.7% -11.9% -16% -18% -15.0% 1/1/2007 1/1/2008 1/1/2009 1/1/2010 1/1/2011 1/1/2012 1/1/2013 1/1/2014 Effective Date Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 6

7 Percentage Change Idaho Impact of Discounting on Workers Compensation Premium Policy Year Rate/Loss Cost Departure Schedule Rating Dividends Based on data through 12/31/2013 Dividend ratios are based on calendar year statistics Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 7

8 $Billions Countrywide Workers Compensation Premium Growth Continued State Funds ($ B) Private Carriers ($ B) Net Written Premium Calendar Year Includes state insurance fund data for the following states: AZ, CA, CO, HI, ID, KY, LA, MD, MO, MT, NM, OK, OR, RI, TX, and UT Each calendar year total for state funds includes all funds operating as a state fund in that year Sources: , Annual Statement data Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 8

9 Workers Compensation Written Premium Change Written Premium Change From 2012 to 2013 Net Written Premium Countrywide + 5.4% Direct Written Premium (DWP) Countrywide + 7.8% Direct Written Premium (DWP) NCCI States + 7.3% Components of DWP Change for NCCI States: Change in Carrier Estimated Payroll + 4.7% Change in Bureau Loss Costs and Mix 0.3% Change in Carrier Discounting + 2.3% Impact of State Fund Conversion to Private Carrier + 1.0% Change in Other Factors 0.5% Combined Effect: + 7.3% Sources: Countrywide: Annual Statement data, Private Carriers NCCI states: Annual Statement Statutory Page 14; Private Carriers, NCCI s ratemaking states Components: NCCI s policy data Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 9

10 Percent 10 5 Countrywide Workers Compensation Impact of Discounting on Premium Rate/Loss Cost Departure Schedule Rating Dividends NCCI States Private Carriers p Policy Year p Preliminary Dividend ratios are based on calendar year statistics NCCI benchmark level does not include an underwriting contingency provision Based on data through 12/31/2013 for the states where NCCI provides ratemaking services, excluding TX Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 10

11 Percent Change Countrywide Workers Compensation Approved Changes in Bureau Rates/Loss Costs All States NCCI States All States vs. NCCI States Cumulative % All States 15.1% NCCI States * Calendar Year *Preliminary Countrywide approved changes in advisory rates, loss costs, and assigned risk rates as filed by the applicable rating organization, relative to the previously filed rates Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 11

12 NCCI Voluntary Market Filing Activity Number of State Loss Cost/Rate Filings by Filing Season /2012 Season 2012/2013 Season 2013/2014 Season 2014/2015 Season Less than 0% No Filing 0% and greater Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 12

13 Percent Current NCCI Voluntary Market Loss Cost/Rate Level Changes, Excludes Law-Only Filings TX KSWVSD TN OK ME SC NE KY AZ NH VT IL OR FL IN IA MOMT NC GA MSMD AL LA AR UT AK CT NV ID CO VA HI NM RI DC Approved Pending Reflects the most recent experience filing in each jurisdiction Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 13

14 Percent Countrywide Workers Compensation Calendar Year Net Combined Ratios Private Carriers State Funds Calendar Year Includes state insurance fund data for the following states: AZ, CA, CO, HI, ID, KY, LA, MD, MO, MT, NM, OK, OR, RI, TX, and UT Each calendar year total for state funds includes all funds operating as a state fund in that year Sources: , Annual Statement data Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 14

15 Results Vary From State to State Accident Year 2012 Combined Ratios AR WV SD TX KS IN AL AK DC IL TN HI NE OK SC IA MS NH MO MT VT FL KY NC LA GA ME VA CT ID UT MD NV RI AZ NM CO OR Data is evaluated as of 12/31/2012 Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 15

16 Combined Ratio 140% Idaho Accident Year Combined Ratios Loss Ratio Dividend and Expense Ratio 120% 115% 118% 112% 111% 109% 100% 38% 36% 35% 36% 34% 80% 60% 40% 77% 82% 77% 75% 75% 20% 0% Accident Year Sources: NCCI financial data and NAIC Annual Statement data Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 16

17 Loss ($ Millions) Idaho Accident Year Losses Indemnity Medical Source: NCCI s financial data Based on data through 12/31/2013 Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 17

18 Idaho Rate Filing Effective January 1, 2015 Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved.

19 Idaho Major Drivers Experience improves Rate decrease Development improves Lost-time frequency decreases Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 19

20 Idaho January 1, 2015 Rate Filing Overall Rate Level Change -0.2% Changes due to: Experience Trend Benefits Expenses -3.8% 0.0% +0.5% +3.3% Experience Period -3.6% Indemnity (SAWW) +0.8% LBE 0.0% Loss Development -0.2% Medical (Schedule) +0.3% Production and General +0.4% Profit and Contingency Provision +2.9% Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 20

21 Idaho Loss Ratios in Experience Period Indemnity 1/1/14 Filing 1/1/15 Filing Medical 1/1/14 Filing 1/1/15 Filing -4.0% -2.2% +0.5% -0.5% 0% 0% Latest Policy Year 2nd to Latest Policy Year 3rd to Latest Policy Year Latest Policy Year 2nd to Latest Policy Year 3rd to Latest Policy Year Based on NCCI s financial data at current benefit level and developed to ultimate Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 21

22 Idaho Improvement in Loss Development Indemnity 1/1/14 Filing 1/1/15 Filing Medical 1/1/14 Filing 1/1/15 Filing -0.1% -0.3% 1.2% -0.1% -0.7% -0.6% Latest Policy Year 2nd to Latest Policy Year 3rd to Latest Policy Year Latest Policy Year 2nd to Latest Policy Year 3rd to Latest Policy Year Source: NCCI s financial data Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 22

23 Loss Ratio Idaho Indemnity and Medical Loss Ratios Policy Year Indemnity Medical Based on NCCI s financial data at current benefit level and developed to ultimate Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 23

24 Percent Idaho s Filing Activity Voluntary Rate Changes /1/2010 1/1/2011 1/1/2012 1/1/2013 1/1/2014 1/1/2015 Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 24

25 Percent Change Idaho vs. Countrywide Average Rate Change Countrywide Idaho Year Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 25

26 Average Voluntary Pure Loss Cost Quartiles Using Idaho s Payroll Distribution WA CA OR NV ID AZ UT MT WY CO NM ND SD NE KS OK MN WI IA IL MO AR MS MI OH IN KY TN GA AL OK WV NC SC PA VA NY NH VT DE MD DC ME RI CT NJ MA $0.75 $ $1.27 $1.28 $ $1.49 $1.50 $ $1.63 TX LA $1.64 $ $2.46 AK FL Not included Included HI Countrywide = $1.41 Idaho = $1.51 Based on the latest NCCI approved rates and loss costs in the various states Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 26

27 Workers Compensation Premium Rate Ranking Premium Rate Index per $100 of Payroll ID Ranking 38th (out of 51) ND IN AR MA VA NV UT DC WV OR CO KY KS MS AZ TX MD MI OH GA WY NE AL FL HI NC SD IA WI TN MONM RI MNWA SC PA ID ME NH MT LA DE VT IL OK AK NY NJ CT CA Source: 2014 Oregon Workers Compensation Premium Rate Ranking Summary Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 27

28 Legislative Issues: Nationwide and in Idaho Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved.

29 2014 Legislative Update Video Peter Burton, CPCU, AU NCCI Sr. Division Executive State Relations Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved.

30 Countrywide Overview Themes Last year s legislative season produced some major workers compensation reforms; 2014 legislative season is producing mostly tweaks 2014 legislative initiatives related to workers compensation focus mostly on medical cost containment 2013/2014 rate filing season produced 19 increases and 19 decreases Courts are active on workers compensation issues Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 30

31 Number of 1st Quarter Requests to NCCI for Pricing of Law/Regulation Changes in the Last Five Years Year 1st Qtr. Requests Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 31

32 Top Five Reasons 2014 State Legislatures Are Not Producing Significant Reform US midterm elections in November of 100 seats were up in the Senate and all 435 seats were up in the House 36 of 50 states elected their governors and DC elected its mayor in November of 50 states elected state legislators in November state legislatures do not convene in 2014 Several states have short or limited-scope sessions in 2014 Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 32

33 Top Five Categories of 2014 Workers Compensation Proposals Fee schedules Other types of medical cost containment (choice of physician, return to work, etc.) Compensability standards (presumptions) Benefit changes (mental injuries, level and duration, cost-of-living adjustments) Administration of claims (prompt payment, attorney fees, etc.) Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 33

34 Top Five Recent Workers Compensation Decisions South Carolina Mendenall v. Anderson Hardwood Floors, LLC (SC Supreme Court), February 13, 2013 Exclusive Remedy Oklahoma (OK Supreme Court) Coates v. Fallin, December 16, 2013 SB 1062 did not violate the OK constitutional single subject rule Tulsa Stockyards, Inc. v. Clark, March 11, 2014 The CompSource Mutual Insurance Act is not unconstitutional Carlock v. Workers Compensation Commission, State of OK, April 17, 2014 Workers Compensation Commission is precluded from hearing appeals from orders of the Court of Existing Claims on injuries prior to February 1, 2014 Nebraska Moyera v. Quality Pork International (NE Supreme Court), January 4, 2013 Compensability for illegal aliens Kansas Hoesli v. Triplett, Inc. (KS Court of Appeals), March 7, 2014 Social Security benefits do not offset workers compensation award Missouri Templemire v. W&M Welding (MO Supreme Court), April 15, 2014 Employee can prevail on wrongful discharge if the fact that he was fired for a workers compensation claim was a contributing factor to termination Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 34

35 Workers Compensation Federal Issues Terrorism Risk Insurance Program Reauthorization Act of 2007 (TRIPRA) Background Expires on December 31, 2014, absent congressional action Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 35

36 Terrorism Risk Insurance Program Reauthorization Act Status of Reauthorization Current Legislation Senate passed S (Sen. Schumer, D-NY) in July with strong bipartisan support US House Financial Services Committee approved H.R (Rep. Neugebauer, R-TX) in June on a party line vote Further consideration is not likely until after midterm elections, during the lame-duck session Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 36

37 TRIPRA Reauthorization Senate (S. 2244) Extends for seven years Decreases federal government exposure Increase co-pay to 20 percent Increase mandatory recoupment to $37.5 billion Includes certification provision House (H.R. 4871) Extends for five years Bifurcates program by type of attack Non-NBCR NBCR Small insurer opt-out Includes certification provision Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 37

38 TRIPRA Reauthorization Scenarios Short-Term Extension (Lame Duck) No programmatic changes Not greater than one year Attach to a continuing resolution Compromise Legislation Negotiate differences between Senate and House reauthorization bills Regular order Expiration of TRIPRA Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 38

39 Terrorism Risk Insurance Program Reauthorization Act NCCI Activity: Engaged in educational efforts with members of Congress and stakeholder groups Reviewing current rules and forms for possible changes Filed Item P-1410 Pending Law Change Notification Endorsement Updated information and FAQs on ncci.com Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 39

40 TRIPRA Stakeholder Activity National Association of Insurance Commissioners Working Group monitoring activity for regulators National Conference of Insurance Legislators Resolution in support of extending TRIPRA Other Stakeholders Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 40

41 Workers Compensation Other Federal Issues Patient Protection Affordable Care Act (PPACA) NCCI guidance on ncci.com (Industry Information/Underwriting Information tab) Federal Insurance Office (FIO) Report Medicare Secondary Payer Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 41

42 Thoughts to Take Away 2014 legislative season is producing similar volume of proposals, but little in regard to multi-element reform packages; not much of significance passed Likely related to the fact that 2014 is an election year After two seasons of rate/loss cost increases outnumbering decreases, numbers have leveled off Decisions coming from courts bear watching Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 42

43 The State of the Economy: Weak but Gaining Strength Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved.

44 The Recovery in the United States Is Broadly Based; Most States Are in Expansion Mode Comparison to Prior Month Latest: September 2014 The chart shows the number of states for which the one-month change in the coincidence index of economic activity indicates an expansion; this index summarizes the state of the economy in a single statistic, using nonfarm payroll employment, average hours worked in manufacturing, the unemployment rate, and wage and salary disbursements deflated by the consumer price index (US city average); frequency of observation: monthly; latest observation: September 2014; does not include DC Source: FRB of Philadelphia, Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 44

45 There Are Signs of Modest Regional Growth September 2014 Compared to June 2014 The map shows state coincidence indexes, which combine four state-level economic measures to summarize current economic conditions in a single statistic; the four data items are nonfarm payroll employment, average hours worked in manufacturing, the unemployment rate, and wage and salary disbursements deflated by the consumer price index (US city average) Frequency of observation: monthly; latest observation: September 2014; DC is not shown on the map Source: FRB of Philadelphia, Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 45

46 Unemployment Spells Are Unusually Long Protracted Unemployment Leads to a Deterioration of Occupation-Specific Skills The median unemployment duration is based on seasonally adjusted data Frequency of observation: monthly; latest available data point: September 2014 Source: US Bureau of Labor Statistics (BLS), Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 46

47 Index 2007 = Employment Is Still Below Its Prerecession Level Index of Employment by Industry Nonfarm Employment Manufacturing Employment 76 Construction Employment Source: Bureau of Labor Statistics (BLS), Bureau of Economic Analysis (BEA) Source: US Bureau of Labor Statistics (BLS), Current Employment Statistics (CES) Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 47

48 Index 2007 = On the Other Hand Payrolls Are Above Prerecession Levels Index of Payroll by Industry Nonfarm Payroll Manufacturing Payroll Construction Payroll Source: US Bureau of Economic Analysis (BEA), Wages and salaries by industry Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 48

49 Headlines on the Recovery Beyond the Bold Type and Political Hype Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved.

50 The Industrial Structure Is Changing Healthcare Employment Keeps Expanding Unabated Nonfarm Employment, seasonally adjusted Monthly employment shown for the period November 2001 through September 2014 Sources: FRED, research.stlouisfed.org/fred2; US Bureau of Labor Statistics (BLS), Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 50

51 Percent Change Growth in Health Consumption Expenditures Is Slowing p Accident Year Medical Cost per Lost-Time Claim Health Consumption Expenditures Medical cost per lost-time claim, 2013p: Preliminary based on data valued as of 12/31/ : Based on data through 12/31/2012, developed to ultimate; excludes high deductible policies Average severity for the states where NCCI provides ratemaking services, including state funds; excluding WV Health Consumption Expenditures: Center for Medicare & Medicaid Services, and projected value for 2013 Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 51

52 Idaho The Economic Environment Is Improving Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved.

53 Idaho Job Losses in the Past Recession Fared Worse Than the National Average Range of US States United States Idaho Percentage change from the onset of the recession (peak of economic activity, as defined by the NBER) to the onset of the recovery (trough of economic activity); Current Employment Statistics Survey, seasonally adjusted Frequency of observation: monthly; range of US states includes DC Source: US Bureau of Labor Statistics (BLS), Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 53

54 Idaho The Unemployment Rate Is Well Below the National Average Idaho Gap to United States Range of US States Unemployment rate, seasonally adjusted; range of US states includes DC Frequency of observation: monthly; latest available data point: September 2014 Source: US Bureau of Labor Statistics (BLS), Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 54

55 Idaho Employment Is Below the Prerecession Level Idaho Gap to United States Range of US States Nonfarm Employment, seasonally adjusted Frequency of observation: monthly; latest available data point: September 2014 Range of US states includes DC; tick marks indicate beginning of year Source: US Bureau of Labor Statistics (BLS), Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 55

56 Idaho Employment Has Recovered From the Recession in Several Industries Percentage change since the onset of the recession (peak of economic activity, December 2007); Current Employment Statistics Survey, seasonally adjusted; frequency of observation: monthly; latest observed data point: September 2014 Source: US Bureau of Labor Statistics (BLS), Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 56

57 Idaho Most Sectors Have Added Jobs Since the Onset of the Recovery Percentage change since the onset of the recovery (trough of economic activity, June 2009); Current Employment Statistics Survey, seasonally adjusted; frequency of observation: monthly; latest observed data point: September 2014 Source: US Bureau of Labor Statistics (BLS), Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 57

58 Idaho The Industrial Structure Is Changing Nonfarm Employment, seasonally adjusted Monthly employment shown for the period November 2001 through September 2014 Sources: US Bureau of Labor Statistics (BLS), Moody s Economy.com Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 58

59 The State of the Economy: Weak but Gaining Strength The US economy is growing, but the recovery is likely to remain modest for the next couple of years The economy in Idaho is likely to follow a path similar to the United States as a whole Despite the positive headlines, housing and construction remain relatively weak and uncertain Health services is an area of job creation nationally and in Idaho The recovery in the workers compensation system will continue as employment and payrolls continue to grow Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 59

60 Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. Claim Frequency

61 Idaho Average Claim Frequency Frequency per 100,000 Workers All Claims CW 866 2,625 Total 3,491 Reg 935 3,606 Total 4,541 UT 702 3,337 Total 4,039 SD 877 4,131 Total 5,008 NV 1,075 4,178 Total 5,253 MT 1,259 4,254 Total 5,513 CO 975 3,373 Total 4,348 ID 1,117 4,081 Total 5,198 Based on NCCI s Statistical Plan data Lost Time Medical Only Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 61

62 Frequency per Million of On-Leveled Premium Idaho Lost-Time Claim Frequency Policy Year Based on NCCI s financial data Frequency of lost-time claims adjusted to a common wage level Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 62

63 Idaho Lost-Time Claim Frequency Lost-Time Claims Percent Change 5.0% Cumulative Change of -32.2% ( ) 0.0% -0.3% -0.5% 1.0% 1.5% 0.2% -0.5% -2.4% -1.9% -5.0% -6.2% -4.9% -5.9% -7.1% -5.4% -5.5% -10.0% Policy Year Based on data through 12/31/2013 developed to ultimate Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 63

64 Percent Change 6 Countrywide Lost-Time Claim Frequency Downtrend Continues * 2011* p Accident Year *Adjusted figure (primarily due to significant changes in audit activity); unadjusted values are 10.5 (AY 2010) and -4.0 (AY 2011) 2013p: Preliminary based on data valued as of 12/31/ : Based on data through 12/31/2012, developed to ultimate; excludes high deductible policies Average frequency for the states where NCCI provides ratemaking services, excluding WV; including state funds Frequency is the number of lost-time claims per $1M pure premium at current wage and voluntary loss cost level Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 64

65 Key Takeaways Claim Frequency Higher frequency than region Frequency has been stable in the latest four years Changes in claim frequency is a key cost driver Higher lost-time claim frequency than region Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 65

66 Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. Indemnity Severity

67 Indemnity Severity ($ '000s) Regional Comparison Average Indemnity Claim Severity ID CO MT NV SD UT Based on NCCI s financial data for lost-time claims Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 67

68 Indemnity Average Claim Severity ($ '000s) Idaho Average Indemnity Claim Severity Policy Year Adjusted to Current Wage Level Actual Based on NCCI s financial data for lost-time claims at current benefit level and developed to ultimate Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 68

69 Idaho Average Indemnity Claim Severity Indemnity Severity ($ '000s) % 2.2% 8.8% -6.7% 3.4% 1.7% -2.3% 1.7% 6.1% 0.4% -1.5% -0.8% -2.5% -1.3% 10 5 $12.4 $13.7 $14.0 $15.2 $14.2 $14.7 $14.9 $14.6 $14.8 $15.7 $15.8 $15.6 $15.4 $15.0 $ Policy Year Based on data through 12/31/2013, on-leveled and developed to ultimate Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 69

70 Indemnity Claim Severity ($ '000s) Countrywide Average Indemnity Claim Severity Increased Slightly Annual Change : +4.8% +9.0% +7.7% +1.7% +5.9% $9.8 $10.4 $11.2 $ % $ % $ % +4.6% +1.0% +9.2% +3.1% $16.1 $16.6 $17.4 $17.5 $ % $ % $ % +1.0% +1.1% +2% +0.5% 2.7% $22.3 $22.5 $21.9 $22.1 $22.2 $ p Accident Year 2013p: Preliminary based on data valued as of 12/31/ : Based on data through 12/31/2012, developed to ultimate; excludes high deductible policies Average severity for the states where NCCI provides ratemaking services, including state funds; excluding WV Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 70

71 Percent Change 12 Countrywide Average Indemnity Claim Severity Comparison to Change in Average Weekly Wage Change in Lost-Time Indemnity Claim Severity Change in US Average Weekly Wage p Year Change in lost-time indemnity claim severity; 2013p: Preliminary based on data valued as of 12/31/ : Based on data through 12/31/2012, developed to ultimate; excludes high deductible policies Average severity for the states where NCCI provides ratemaking services, including state funds; excluding WV Sources: US Average Weekly Wage : Quarterly Census of Employment and Wages; p, NCCI; Moody s Economy.com Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 71

72 Cost per Case ($ '000s) Idaho vs. Countrywide Average Indemnity Claim Severity Accident Year Idaho Countrywide Source: NCCI s financial data Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 72

73 $600 Actual Average Indemnity Benefits per Employee per Year (Cost Spread Over All Employees Whether or Not Injured) $500 $489 $400 $300 ID Ranking 18th (out of 46) $200 $165 $100 $82 $0 IN UT AZ AR TX SD DC FL VA AL MN NH KY WI MS MO NE ID MI TN KS ME GA CO NM MA OR HI MD AK SC IA NC NV LA VT NJ MT DE PA RI CA IL CT NY OK Source: NCCI s Statistical Plan data at 1st report for policies effective in 2009 and 2010 Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 73

74 Idaho Idaho Distribution of Claims by Injury Type Region Countrywide % 20% 40% 60% 80% 100% Medical Only Temporary Total Permanent Partial Fatal and Permanent Total Regional states are CO, MT, NV, SD, and UT Based on NCCI s Statistical Plan data Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 74

75 Idaho Indemnity Loss Distribution by Injury Type Idaho 61% 35% 4% Region 22% 65% 13% Countrywide 28% 64% 8% 0% 20% 40% 60% 80% 100% Temporary Total Permanent Partial Fatal and Permanent Total Regional states are CO, MT, NV, SD, and UT Based on NCCI s Statistical Plan data Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 75

76 Permanent Partial Claim Costs Idaho Relative to the Countrywide Average Five Years Before Latest Year 106% 81% 73% 75% 78% 92% 83% 54% 64% 59% Medical Cost per Claim Indemnity Cost per Claim Total Cost per Claim Frequency per 100K Workers Total Costs per 100K Workers Source: NCCI s Statistical Plan data Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 76

77 Key Takeaways Indemnity Benefit Costs Average indemnity cost per case is fairly flat in Idaho The average indemnity cost is lower than the region and countrywide Over the past five years, average permanent partial disability claim costs were lower in Idaho relative to countrywide PPD averages Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 77

78 Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. Medical Severity

79 Medical Benefits Constitute the Majority of Total Benefit Costs in Idaho Idaho Indemnity 32% Medical 68% Region Indemnity 34% Medical 66% Countrywide Indemnity 41% Medical 59% 0% 20% 40% 60% 80% 100% Regional states are CO, MT, NV, SD, and UT Based on NCCI s financial data Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 79

80 Idaho Medical Loss Distribution by Injury Type Idaho 1% 56% 28% 15% Region 23% 56% 7% 14% Countrywide 27% 54% 7% 12% 0% 20% 40% 60% 80% 100% Temporary Total Permanent Partial Fatal and Permanent Total Medical Only Regional states are CO, MT, NV, SD, and UT Based on NCCI s Statistical Plan data Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 80

81 Indemnity Severity ($ '000s) Regional Comparison Average Medical Claim Severity ID CO MT NV SD UT Based on NCCI s financial data for lost-time claims Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 81

82 Medical Average Claim Severity ($ '000s) Idaho Average Medical Claim Severity Average Medical Cost per Lost-Time Claim Policy Year Adjusted to Current Wage Level Actual Based on NCCI s financial data for lost-time claims at current benefit level and developed to ultimate Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 82

83 Medical Severity ($ '000s) Idaho Average Medical Claim Severity Lost-Time Claims $ % $ % $ % $ % $ % $ % $ % $ % $ % $ % $ % 1.5% 0.4% $29.5 $29.4 $ % $ Policy Year Based on data through 12/31/2013, on-leveled and developed to ultimate Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 83

84 Medical Claim Severity ($ '000s) Countrywide Average Medical Claim Severity Increased Moderately Average Medical Cost per Lost-Time Claim $9.1 Annual Change : +6.7% +5.1% +7.4% +10.1% $9.8 $ % $ % +10.6% $12.9 $ % $ % $ % +7.7% $18.4 $ % +7.8% $21.0 $ % $ % +3% +2.6% +4.0% +1.2% +6.8% p Accident Year $25.1 $26.1 $26.4 $27.1 $27.9 $ p: Preliminary based on data valued as of 12/31/ : Based on data through 12/31/2012, developed to ultimate; excludes high deductible policies Average severity for the states where NCCI provides ratemaking services, including state funds; excluding WV Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 84

85 Percent Change 16 Countrywide Average Medical Claim Severity Comparison to Change in Medical Consumer Price Index (CPI) Change in Lost-Time Medical Claim Severity Change in US Medical CPI p Year Change in lost-time medical claim severity,: 2013p: Preliminary based on data valued as of 12/31/ : Based on data through 12/31/2012, developed to ultimate; excludes high deductible policies Average severity for the states where NCCI provides ratemaking services, including state funds; excluding WV Source: US Medical CPI: US Bureau of Labor Statistics (BLS) Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 85

86 Actual Average Medical Benefits per Employee per Year (Cost Spread Over All Employees Whether or Not Injured) $700 $657 $600 $500 ID Ranking 35th (out of 46) $400 $333 $300 $200 $100 $72 $0 DC MA TX MI AR UT HI VA AZ GA IN NCMDME SC RI MOCO KS NY SD MN FL MS NE KY OR PA TN WI VT NV LA NJ ID IA NM IL CT OK AL NH AK MT DE CA Source: NCCI s Statistical Plan data at first report for policies effective in 2009 and 2010 Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 86

87 Cost per Case ($ '000s) Idaho vs. Countrywide Average Medical Claim Severity Lost-Time Claim Severity in $ Thousands Accident Year Idaho Countrywide Source: NCCI s financial data valued as of 12/31/2013 Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 87

88 Medical Cost Containment: Prices Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 88

89 Medical Cost Containment: Prices Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 89

90 Key Takeaways Medical Benefit Costs Medical costs comprise 68% of total benefit costs Average medical costs, while higher than countrywide, decreased in the latest policy year Average costs are lower than the regional averages Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 90

91 Actual Average Total Benefits per Employee per Year (Cost Spread Over All Employees Whether or Not Injured) $1,200 $1,000 $989 $800 $600 ID Ranking 27th (out of 46) $498 $400 $200 $184 $0 DC TX AR UT AZ IN VA MI MA SD FL MO GA MN HI ME KS MS KY CO NE MD WI TN SC NC ID OR AL NM RI NH VT NV IA LA PA NJ NY IL CT AK OK MT DE CA Source: NCCI s Statistical Plan data at 1st report for policies effective in 2009 and 2010 Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 91

92 Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. Telemedicine

93 Telemedicine Definition of Telemedicine Types of Services Offered Benefits of Telemedicine 2014 Legislative Activity Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 93

94 Telemedicine Use of Medical Information: Exchanged from one site to another via electronic communications For the health and education of the patient or healthcare provider For the purpose of improving patient care Includes consultative, diagnostic, and treatment services Uses two-way video, , smart phones, wireless tools, and other forms of telecommunication technology Source: March 2014 Telemedicine Definition Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 94

95 Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 95

96 Telemedicine Services Telemedicine services could include: Primary Care and Specialist Referral Services Remote Patient Monitoring Consumer Medical and Health Information Medical Education Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 96

97 Telemedicine Services Primary Care and Specialist Referral Primary care professional provides a consultation with a patient Specialist assists the primary care physician in rendering a diagnosis Uses live interactive video or the transmission of diagnostic images, vital signs, and/or video clips Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 97

98 Telemedicine Services Remote Patient Monitoring Home Telehealth Uses devices to remotely collect and send data to a home health agency or a remote diagnostic testing facility (RDTF) for interpretation Services can be used to supplement the use of visiting nurses Blood glucose Heart ECG Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 98

99 Telemedicine Services Consumer Medical and Health Information Uses the Internet and wireless devices for consumers to obtain specialized health information and online discussion groups to provide peer-to-peer support Medical Education Provides continuing medical education credits for health professionals and special medical education seminars for targeted groups in remote locations Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 99

100 Telemedicine Benefits Some Benefits of Telemedicine: Improved Access Cost Efficiencies Improved Quality Patient Demand Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 100

101 Telemedicine Benefits Improved Access Brings healthcare services to patients in distant locations Allows physicians and healthcare facilities to expand their reach beyond their own offices Cost Efficiencies Reduces the cost of healthcare and increases efficiency through better management of chronic diseases, shared health professional staffing, reduced travel times, and fewer or shorter hospital stays Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 101

102 Telemedicine Benefits Improved Quality Studies show that the quality of healthcare services are as good as those given in traditional, in-person consultations Telemedicine delivers a superior product, with greater outcomes and patient satisfaction, particularly in: ICU Mental Health Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 102

103 Telemedicine Benefits Patient Demand Consumers Want It Reduces travel time and related stresses for the patient Allows access to providers that might not be available otherwise Alleviates the need to travel long distances Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 103

104 Telemedicine HIPAA Health Insurance Portability and Accountability Act (HIPAA) Applies to all modes of electronic information exchange such as video-conferencing Requires the use of a fully encrypted, secure video platform with HIPAA-compliant procedures Entities that provide video-conferencing services must sign a Business Associate Agreement stating that their employees are HIPAA-trained Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 104

105 Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 105

106 Medical Marijuana Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved.

107 Facts Federal Law Illegal to possess marijuana for any reason Marijuana is classified as a Schedule 1 drug by the 1970 Controlled Substances Act, meaning it is considered to have: High potential for abuse No currently accepted medical use A lack of accepted safety State Law Legal in 23 jurisdictions and the District of Columbia for medicinal use Legal in 4 states for recreational use Alaska, Colorado, Oregon, and Washington Source: medicalmarijuanaprocon.org Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 107

108 Evolution of Medical Marijuana 2900 BC First mentioned in China 1911 MA first state to ban 1970 Controlled Substances Act Schedule I drug 2014 Marijuana is legal in 23 states (plus the District of Columbia) for medicinal use 1611 Jamestown settlers brought it to North America 1937 Marijuana Tax Act Federal law passed banning the use of medical marijuana outside of prescription situations 1996 CA first state to legalize medical marijuana Source: medicalmarijuanaprocon.org Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 108

109 AK Medical Marijuana Laws WA OR NV ID UT MT WY ND SD NE MN IA WI IL IN MI OH PA NY MD VT NH NJ MA CT DE ME RI CA CO KS MO KY WV VA DC AZ NM TX OK AR MS TN AL GA SC NC Legal Medical Use Legal Recreational and Medical Use No Laws HI LA FL Legislation/Ballot measures to legalize medical marijuana (as of 11/14/2014) Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 109

110 Regulatory Arena AK WA OR NV ID UT MT WY ND SD NE MN IA WI IL IN MI OH PA NY MD VT NJ NH MA CT DE ME RI CA CO KS MO KY WV VA DC AZ NM TX OK AR LA MS TN AL GA SC NC Allows dispensaries ID Cards & Specifies conditions Dispensaries & ID Cards ID cards & Specifies conditions HI FL Specifies conditions Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 110

111 How Is Marijuana Used to Treat Injured Workers? Scientists have confirmed that the cannabis plant contains active ingredients with therapeutic potential for relieving pain, controlling nausea, stimulating appetite, and decreasing ocular pressure. Could be used for injured worker pain relief, but it is not typically recommended as the first choice of drugs to address pain; some say at best, it would be third or fourth choice. However, others argue it s cheaper and less addictive than drugs like OxyContin. Recent study concluded that there were 25% fewer opioid-related deaths in states with medical marijuana. Some point out that the side effects and behavioral effects make it counterproductive to the treatment of pain for injured workers. According to the National Institute on Drug Abuse, marijuana has the potential to cause or exacerbate problems in daily life, including increased absences, tardiness, accidents, workers compensation claims, and job turnover. Sources: medicalmarijuanaprocon.org; Perelman School of Medicine at the University of Pennsylvania; JAMA Internal Medicine Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 111

112 What Challenges Are Presented in the Workplace? No states allow employees to use in the workplace or require employers to allow its use on the job Employees who can legally use medical marijuana while off duty may still face consequences (i.e., possible termination) for arriving at work with detectable amounts of marijuana in his/her system (marijuana ingredient THC could be in the system of a user as long as three months) Many patients experience lingering side effects that may impact performance of regular work duties Some states are introducing legislation that declares that employee termination for off-duty medical marijuana use is discrimination Some states have laws that an employee cannot be terminated for off-duty legal activities Source: medicalmarijuanaprocon.org Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 112

113 What Challenges Does This Present in Insurance? Increasingly, insurers are receiving requests to pay for medical marijuana Absence of national drug code creates reimbursement issues Potentially, employers and insurance companies who pay for medical marijuana could become liable for additional injuries caused by drug intoxication Given federal issues, state courts are reluctant to approve medical marijuana treatment for work-related injuries Some states are proposing legislation/regulation that medical marijuana treatment is not covered in the workers compensation system Source: medicalmarijuanaprocon.org Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 113

114 Court Cases Vialpando v. Ben s Automotive Services and Redwood Fire & Casualty New Mexico Court of Appeals ruled that an insurer must reimburse a workers compensation claimant for the cost of medical marijuana to treat his low back pain, even though the substance is illegal under federal law. Coats v. DISH Appeal to the Colorado Supreme Court. Claimant argues that off-duty use of medical marijuana is protected by Colorado s lawful activities statute, which is designed to protect employees from being fired for their behavior outside of work, as long as they aren t violating the law or their job performance isn t impacted negatively. Source: medicalmarijuanaprocon.org Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 114

115 Other Drug Issues Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved.

116 Zohydro The New OxyContin? Powerful new painkiller (opioid) approved last fall by the US Food and Drug Administration against the recommendation of an FDA advisory committee Hit the market in March 2014 Contains hydrocodone, which is second only to OxyContin in abuse; Zohydro has five times the hydrocodone previously available in pill form Up to 10 times the strength of Vicodin Easy to abuse by crushing the pill; snorting/ injecting could be lethal Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 116

117 Idaho Residual Market Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved.

118 Total Residual Market New Applications and Premium Assigned in All Plan States Premium ($ Millions) 500 # Applications ('000s) $ $ $136 $ Calendar Year 0 Total New Applications Total New Premium Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 118

119 Total Residual Market New Applications and Premium Assigned in Idaho Premium ($ Millions) # Applications $1.8M $.8M $.7M $.4M Calendar Year Total New Applications Total New Premium Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 119

120 Idaho Residual Market Plan Policy Size Comparison Percentage of Policies by Policy Size 84.2% 84.2% 6.2% 4.0% 4.2% 5.0% 3.2% 3.9% 2.0% 1.8% 0.2% 1.0% $0 $2,499 $2,500 $4,999 $5,000 $9,999 $10,000 $19,999 $20,000 $49,999 $50,000 and Greater PY 2012 PY 2013 Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 120

121 Idaho Residual Market Plan Total Policy Size Comparison by Premium Percentage of Premium by Policy Size 26% 30% 22% 22% 17% 11% 14% 12% 19% 18% 5% 5% $0 $2,499 $2,500 $4,999 $5,000 $9,999 $10,000 $19,999 $20,000 $49,999 $50,000 and Greater PY 2012 PY 2013 Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. 121

Montana Workers Compensation

Montana Workers Compensation Montana Workers Compensation Part 1 - Ratemaking Overview Copyright 2013 National Council on Compensation Insurance, Inc. All Rights Reserved. Mike_Taylor@ncci.com 503-892-1858 WC Ratemaking Basics Where

More information

State of the Workers Compensation Market

State of the Workers Compensation Market State of the Workers Compensation Market Natasha Moore, FCAS, MAAA Practice Leader and Senior Actuary August 25, 2015 WCEC Orlando, Florida Copyright 2015 National Council on Compensation Insurance, Inc.

More information

Emerging Issues in Workers Compensation: Medical Marijuana

Emerging Issues in Workers Compensation: Medical Marijuana Emerging Issues in Workers Compensation: Medical Marijuana Lori Lovgren Division Executive State Relations Federal Law on Marijuana On a federal level, it s illegal to possess marijuana for any reason;

More information

State of the Workers Compensation Market

State of the Workers Compensation Market State of the Workers Compensation Market and Recent Experience Rating Changes Presented by: Tony DiDonato, FCAS, MAAA Director & Senior Actuary, NCCI CASE Spring Meeting March 27, 2013 Nashville, TN Workers

More information

Florida Workers Comp Market

Florida Workers Comp Market Florida Workers Comp Market 10/5/10 Lori Lovgren 561-893-3337 Lori_Lovgren@ncci.com Florida Workers Compensation Rates 10-1-03 1-1-11 to 1-1-11* Manufacturing + 9.9% 57.8% Contracting + 7.3% 64.4 % Office

More information

Florida 1/1/2015 Workers Compensation Rate Filing

Florida 1/1/2015 Workers Compensation Rate Filing Florida 1/1/2015 Workers Compensation Rate Filing Kirt Dooley, FCAS, MAAA October 14, 2014 1 $ Billions 3.5 3.0 2.5 2.0 1.5 1.0 0.5 0.873 0.106 Florida s Workers Compensation Premium Volume 2.681 2.368

More information

NCCI Filing Memorandum Item B-1420

NCCI Filing Memorandum Item B-1420 NCCI Filing Memorandum Item B-1420 NATIONAL COUNCIL ON COMPENSATION INSURANCE, INC. (Applies in: AK, AL, AR, AZ, CO, CT, DC, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MD, ME, MO, MS, MT, NC, NE, NH, NM,

More information

Professional Employer Organizations (PEO) and Workers Compensation. Implications for Ratemaking

Professional Employer Organizations (PEO) and Workers Compensation. Implications for Ratemaking Professional Employer Organizations (PEO) and Workers Compensation Implications for Ratemaking Harry Shuford Practice Leader & Chief Economist, NCCI Use of Workers Compensation Data for Workplace Safety

More information

July 12, 2012. Circular Letter No. 12-1616

July 12, 2012. Circular Letter No. 12-1616 Minnesota Workers Compensation Insurers Association, Inc. 7701 France Avenue South Suite 450 Minneapolis, MN 55435-3200 July 12, 2012 ALL ASSOCIATION MEMBERS Circular Letter No. 12-1616 RE: NCCI Item B-1425

More information

ehealth Price Index Trends and Costs in the Short-Term Health Insurance Market, 2013 and 2014

ehealth Price Index Trends and Costs in the Short-Term Health Insurance Market, 2013 and 2014 ehealth Price Index Trends and Costs in the Short-Term Health Insurance Market, 2013 and 2014 June 2015 1 INTRODUCTION In this report, ehealth provides an analysis of consumer shopping trends and premium

More information

Workers Compensation Experience Mod In Your Control or Out of Your Control?

Workers Compensation Experience Mod In Your Control or Out of Your Control? Workers Compensation Experience Mod In Your Control or Out of Your Control? Bill Daly Risk Manager National Accounts Federated Mutual Insurance Company WC Managed Care: More than Managing Care A Simple

More information

Table 12: Availability Of Workers Compensation Insurance Through Homeowner s Insurance By Jurisdiction

Table 12: Availability Of Workers Compensation Insurance Through Homeowner s Insurance By Jurisdiction AL No 2 Yes No See footnote 2. AK No Yes No N/A AZ Yes Yes Yes No specific coverage or rate information available. AR No Yes No N/A CA Yes No No Section 11590 of the CA State Insurance Code mandates the

More information

Regional Electricity Forecasting

Regional Electricity Forecasting Regional Electricity Forecasting presented to Michigan Forum on Economic Regulatory Policy January 29, 2010 presented by Doug Gotham State Utility Forecasting Group State Utility Forecasting Group Began

More information

Overview of Workers Compensation Benefits

Overview of Workers Compensation Benefits Overview of Workers Compensation Benefits Presented to the EAIC 3/30/2010 Ann Clayton Ann Clayton and Associates 1 Source: CompScope : Benchmarks 8 th Edition, The Databook, Workers Compensation Research

More information

The Politics of Workers Compensation

The Politics of Workers Compensation The Politics of Workers Compensation A National Perspective Brian Allen Vice President, Government Affairs 1 What Are the Influencers? Politics Litigation Economic Factors National Trends in Workers Compensation

More information

2016 Individual Exchange Premiums updated November 4, 2015

2016 Individual Exchange Premiums updated November 4, 2015 2016 Individual Exchange Premiums updated November 4, 2015 Within the document, you'll find insights across 50 states and DC with available findings (i.e., carrier participation, price leadership, gross

More information

Other State Policy. CA Policy. Increase Requested

Other State Policy. CA Policy. Increase Requested Rate History Contact: 1 (800) 331-1538 Form * ** Date Date Name 1 NH94 I D 9/14/1998 N/A N/A N/A 35.00% 20.00% 1/25/2006 3/27/2006 8/20/2006 2 LTC94P I F 9/14/1998 N/A N/A N/A 35.00% 20.00% 1/25/2006 3/27/2006

More information

Overview of Workers Compensation Benefits

Overview of Workers Compensation Benefits Overview of Workers Compensation Benefits Presented to Montana State Fund Board 3/26/2010 Ann Clayton Ann Clayton and Associates 1 Source: CompScope : Benchmarks 8 th Edition, The Databook, Workers Compensation

More information

NCCI s Update on PEO Performance

NCCI s Update on PEO Performance NCCI s Update on PEO Performance Presented by; Mona Carter Senior Division Executive and Harry Shuford Practice Leader and Chief Economist August 20, 2013 Copyright 2012 National Council on Compensation

More information

U.S. Department of Housing and Urban Development: Weekly Progress Report on Recovery Act Spending

U.S. Department of Housing and Urban Development: Weekly Progress Report on Recovery Act Spending U.S. Department of Housing and Urban Development: Weekly Progress Report on Recovery Act Spending by State and Program Report as of 3/7/2011 5:40:51 PM HUD's Weekly Recovery Act Progress Report: AK Grants

More information

STATUS OF ITEM FILINGS

STATUS OF ITEM FILINGS National Council on Compensation Insurance Regulatory Services JUNE 3, 2016 STATUS OF ITEM FILINGS IF-2016-06-01 ACTION NEEDED BACKGROUND IMPACT NCCI ACTION PERSON TO CONTACT Review changes in the Status

More information

AmGUARD Insurance Company EastGUARD Insurance Company NorGUARD Insurance Company WestGUARD Insurance Company GUARD

AmGUARD Insurance Company EastGUARD Insurance Company NorGUARD Insurance Company WestGUARD Insurance Company GUARD About Us For over 30 years, we have protected the interests of the small- to mid-sized businesses that insure with us. At Berkshire Hathaway Insurance Companies, we dedicate our efforts in the areas that

More information

INTRODUCTION. Figure 1. Contributions by Source and Year: 2012 2014 (Billions of dollars)

INTRODUCTION. Figure 1. Contributions by Source and Year: 2012 2014 (Billions of dollars) Annual Survey of Public Pensions: State- and Locally- Administered Defined Benefit Data Summary Report: Economy-Wide Statistics Division Briefs: Public Sector By Phillip Vidal Released July 2015 G14-ASPP-SL

More information

Table 11: Residual Workers Compensation Insurance Market By Jurisdiction

Table 11: Residual Workers Compensation Insurance Market By Jurisdiction Table 11: Residual Workers Market By AL Yes/NCCI 3 Two declination AK Yes/NCCI Two declination AZ Yes/NCCI Three declination, including one from the State Fund Agent/ ()/ Access? 4 Recommend NWCRP Recommend

More information

Standardized Pharmacy Technician Education and Training

Standardized Pharmacy Technician Education and Training Standardized Pharmacy Technician Education and Training Kevin N. Nicholson, RPh, JD Vice President, Pharmacy Regulatory Affairs National Association of Chain Drug Stores May 19, 2009 Overview of how technicians

More information

Notices of Cancellation / Nonrenewal and / or Other Related Forms

Notices of Cancellation / Nonrenewal and / or Other Related Forms Forms are listed alphabetically by form title. INDEX POLICY CODES 1. Auto 2. Fire and Multiple Peril 3. Liability 4. Property, other than Fire and Multiple Peril (e.g. Crime & Inland Marine) 5. Workers

More information

Download at www.iii.org/presentations

Download at www.iii.org/presentations Residual Markets, Uninsured Motorists and Competition in Maryland Auto Insurance Maryland Auto Insurance Plan Senate Hearing on Uninsured Motorists Annapolis, MD December 16, 2015 Download at www.iii.org/presentations

More information

May 17, 2012. Circular Letter No. 12-1614

May 17, 2012. Circular Letter No. 12-1614 Minnesota Workers Compensation Insurers Association, Inc. 7701 France Avenue South Suite 450 Minneapolis, MN 55435-3200 May 17, 2012 ALL ASSOCIATION MEMBERS Circular Letter No. 12-1614 RE: NCCI Item E-1402

More information

Health Insurance Exchanges and the Medicaid Expansion After the Supreme Court Decision: State Actions and Key Implementation Issues

Health Insurance Exchanges and the Medicaid Expansion After the Supreme Court Decision: State Actions and Key Implementation Issues Health Insurance Exchanges and the Medicaid Expansion After the Supreme Court Decision: State Actions and Key Implementation Issues Sara R. Collins, Ph.D. Vice President, Affordable Health Insurance The

More information

Federation of State Boards of Physical Therapy Jurisdiction Licensure Reference Guide Topic: License Renewal Who approves courses?

Federation of State Boards of Physical Therapy Jurisdiction Licensure Reference Guide Topic: License Renewal Who approves courses? Federation of State s of Physical The table below provides information on approval of continuing education/competence courses and for each jurisdiction. Summary Number of jurisdictions requiring approval

More information

Don t Just Speculate, Investigate!

Don t Just Speculate, Investigate! 2013 Annual Issues Symposium Don t Just Speculate, Investigate! The Story Behind the PEO Study Harry Shuford Practice Leader and Chief Economist May 16, 2013 The Story Behind the PEO Study What Are They

More information

RATE FILING METHODS FOR PROPERTY/CASUALTY INSURANCE, WORKERS COMPENSATION, TITLE 11/05

RATE FILING METHODS FOR PROPERTY/CASUALTY INSURANCE, WORKERS COMPENSATION, TITLE 11/05 11/05 Explanation: In a state with, a filing may be deemed to have been approved after a certain number of days. If such a provision exists, the number of days is noted in parentheses. File and use states

More information

Ambulance Industry Receives Financial Relief Through the MMA

Ambulance Industry Receives Financial Relief Through the MMA Ambulance Industry Receives Financial Relief Through the MMA On June 25, 2004, the Centers for Medicare and Medicaid Services (CMS) issued Transmittal 220 to Medicare Contractors outlining changes to the

More information

ANTHONY P. CARNEVALE NICOLE SMITH JEFF STROHL

ANTHONY P. CARNEVALE NICOLE SMITH JEFF STROHL State-Level Analysis HELP WANTED PROJECTIONS of JOBS and EDUCATION REQUIREMENTS Through 2018 JUNE 2010 ANTHONY P. CARNEVALE NICOLE SMITH JEFF STROHL Contents 1 Introduction 3 U.S. Maps: Educational concentrations

More information

Work Comp Managed Care: More than Managing Care

Work Comp Managed Care: More than Managing Care Work Comp Managed Care: More than Managing Care WC Managed Care: More than Managing Care A Simple Objective: One or two ideas to deploy One or two ideas for later 1 WC Managed Care: More than Managing

More information

Federation of State Boards of Physical Therapy Jurisdiction Licensure Reference Guide Topic: Continuing Competence

Federation of State Boards of Physical Therapy Jurisdiction Licensure Reference Guide Topic: Continuing Competence This document reports CEU requirements for renewal. It describes: Number of required for renewal Who approves continuing education Required courses for renewal Which jurisdictions require active practice

More information

Workers Compensation: Practical Tips for Dealing With NCCI s Split Point Rating Change

Workers Compensation: Practical Tips for Dealing With NCCI s Split Point Rating Change Workers Compensation: Practical Tips for Dealing With NCCI s Split Point Rating Change November 2012 Lockton Companies A key factor in your workers compensation premium is your experience mod. The e-mod

More information

Payroll Tax Chart Results

Payroll Tax Chart Results Payroll Tax Chart Results Terminated Employee -- Involuntary Terminated Employee -- Vacation Pay Terminated Employee -- Voluntary Taxing Authority Federal Payment Date for Involuntary Termination No provision

More information

Benefits of Selling WorkLife 65

Benefits of Selling WorkLife 65 PruTerm WorkLife 65 SM LEARN ABOUT THE PRODUCT AND MARKET Benefits of Selling WorkLife 65 Pru s new and innovative term product will resonate with your clients. WorkLife 65 is a new and innovative term

More information

Final Expense Life Insurance

Final Expense Life Insurance Dignified Choice - Classic Series Final Expense Life Insurance Columbian Mutual Life Insurance Company Home Office: Binghamton, NY Administrative Service Office: Norcross, GA Columbian Life Insurance Company

More information

NHIS State Health insurance data

NHIS State Health insurance data State Estimates of Health Insurance Coverage Data from the National Health Interview Survey Eve Powell-Griner SHADAC State Survey Workshop Washington, DC, January 13, 2009 U.S. DEPARTMENT OF HEALTH AND

More information

New York Public School Spending In Perspec7ve

New York Public School Spending In Perspec7ve New York Public School Spending In Perspec7ve School District Fiscal Stress Conference Nelson A. Rockefeller Ins0tute of Government New York State Associa0on of School Business Officials October 4, 2013

More information

VCF Program Statistics (Represents activity through the end of the day on June 30, 2015)

VCF Program Statistics (Represents activity through the end of the day on June 30, 2015) VCF Program Statistics (Represents activity through the end of the day on June 30, 2015) As of June 30, 2015, the VCF has made 12,712 eligibility decisions, finding 11,770 claimants eligible for compensation.

More information

Aon Risk Solutions Experience Modification Rating An Accurate Measure of Safety?

Aon Risk Solutions Experience Modification Rating An Accurate Measure of Safety? Aon Risk Solutions Experience Modification Rating An Accurate Measure of Safety? Rick Church, CSP, ARM, Director, Risk Control Services Aon Risk Solutions Construction Services Group 1901 Main Street,

More information

State Corporate Income Tax-Calculation

State Corporate Income Tax-Calculation State Corporate Income Tax-Calculation 1 Because it takes all elements (a*b*c) to calculate the personal or corporate income tax, no one element of the corporate income tax can be analyzed separately from

More information

Federation of State Boards of Physical Therapy Jurisdiction Licensure Reference Guide Topic: Continuing Competence

Federation of State Boards of Physical Therapy Jurisdiction Licensure Reference Guide Topic: Continuing Competence This document reports CEU (continuing education units) and CCU (continuing competence units) requirements for renewal. It describes: Number of CEUs/CCUs required for renewal Who approves continuing education

More information

Pooling of Risk In applying rating factors, carriers will group policyholders into classes and blocks of business.

Pooling of Risk In applying rating factors, carriers will group policyholders into classes and blocks of business. Rate Regulation Introduction Concerns over the fairness and equity of insurer rating practices that attempt to charge higher premiums to those with higher actual and expected claims costs have increased

More information

Health Insurance Coverage of Children Under Age 19: 2008 and 2009

Health Insurance Coverage of Children Under Age 19: 2008 and 2009 Health Insurance Coverage of Children Under Age 19: 2008 and 2009 American Community Survey Briefs Issued September 2010 ACSBR/09-11 IntroductIon Health insurance, whether private or public, improves children

More information

B-1429 PAGE 1 FILING MEMORANDUM ITEM B-1429 ESTABLISHMENT OF AUDIT NONCOMPLIANCE CHARGE PURPOSE BACKGROUND

B-1429 PAGE 1 FILING MEMORANDUM ITEM B-1429 ESTABLISHMENT OF AUDIT NONCOMPLIANCE CHARGE PURPOSE BACKGROUND NATIONAL COUNCIL ON COMPENSATION INSURANCE, INC. (Applies in: AK, AL, AR, AZ, CO, CT, DC, DE, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MD, ME, MO, MS, MT, NC, NE, NH, NJ, NM, NV, OK, OR, RI, SC, SD, TN,

More information

Where Are States Today? Medicaid and CHIP Eligibility Levels for Children and Non-Disabled Adults as of January 1, 2014

Where Are States Today? Medicaid and CHIP Eligibility Levels for Children and Non-Disabled Adults as of January 1, 2014 January 2014 Fact Sheet Where Are States Today? Medicaid and CHIP Eligibility Levels for Children and Non-Disabled Adults as of January 1, 2014 As part of the Affordable Care Act s goal to reduce the number

More information

AAIS Mobile-Homeowners 2008 Series

AAIS Mobile-Homeowners 2008 Series Policy Forms and Endorsements IT IS WOLTERS KLUWER FINANCIAL SERVICES' POLICY TO LIMIT THE SALE OF BUREAU FORMS TO THE MEMBERS AND SUBSCRIBERS OF THOSE RESPECTIVE BUREAUS. PURCHASE AND USE OF BUREAU FORMS

More information

Trends in Medigap Coverage and Enrollment, 2011

Trends in Medigap Coverage and Enrollment, 2011 Trends in Medigap Coverage and Enrollment, 2011 May 2012 SUMMARY This report presents trends in enrollment in Medicare Supplement (Medigap) insurance coverage, using data on the number of policies in force

More information

Federation of State Boards of Physical Therapy Jurisdiction Licensure Reference Guide Topic: PTA Supervision Requirements

Federation of State Boards of Physical Therapy Jurisdiction Licensure Reference Guide Topic: PTA Supervision Requirements These tables provide information on what type of supervision is required for PTAs in various practice settings. Definitions Onsite Supervision General Supervision Indirect Supervision The supervisor is

More information

TITLE POLICY ENDORSEMENTS BY STATE

TITLE POLICY ENDORSEMENTS BY STATE TITLE POLICY ENDORSEMENTS BY STATE State Endorsement ID Endorsement Description AK ARM ALTA 6 Adjustable (Variable) Rate AK BALLOON FNMA Balloon Endorsement AK CONDO ALTA 4 Condominium AK COPY FEE Copies

More information

SERFF Tracking #: NCCI-127176855 State Tracking #: Company Tracking #: B-1423 (MJ)

SERFF Tracking #: NCCI-127176855 State Tracking #: Company Tracking #: B-1423 (MJ) SERFF Tracking #: NCCI-127176855 State Tracking #: Company Tracking #: B-1423 (MJ) State: Missouri Filing Company: NCCI TOI/Sub-TOI: 16.0 Workers Compensation/16.0004 Standard WC Product Name: B-1423 Elimination

More information

STATE INCOME TAX WITHHOLDING INFORMATION DOCUMENT

STATE INCOME TAX WITHHOLDING INFORMATION DOCUMENT STATE INCOME TAX WITHHOLDING INFORMATION DOCUMENT Zurich American Life Insurance Company (ZALICO) Administrative Offices: PO BOX 19097 Greenville, SC 29602-9097 800/449-0523 This document is intended to

More information

The 80/20 Rule: How Insurers Spend Your Health Insurance Premiums

The 80/20 Rule: How Insurers Spend Your Health Insurance Premiums SUMMARY The 80/20 Rule: How Insurers Spend Your Health Insurance Premiums The Affordable Care Act holds health insurers accountable to consumers and ensures that American families receive value for their

More information

Mapping State Proficiency Standards Onto the NAEP Scales:

Mapping State Proficiency Standards Onto the NAEP Scales: Mapping State Proficiency Standards Onto the NAEP Scales: Variation and Change in State Standards for Reading and Mathematics, 2005 2009 NCES 2011-458 U.S. DEPARTMENT OF EDUCATION Contents 1 Executive

More information

Youth Voter Turnout in the 2008 and 2006 Elections: A State-by-State Comparison

Youth Voter Turnout in the 2008 and 2006 Elections: A State-by-State Comparison Youth in the 2008 and 2006 Elections: A State-by-State Comparison By Surbhi Godsay, Amanda Nover, and Emily Hoban Kirby 1 September 2010 The 2008 presidential election saw a two percentage point increase

More information

Health Insurance Price Index Report for Open Enrollment and Q1 2014. May 2014

Health Insurance Price Index Report for Open Enrollment and Q1 2014. May 2014 Health Insurance Price Index Report for Open Enrollment and May 2014 ehealth 5.2014 Table of Contents Introduction... 3 Executive Summary and Highlights... 4 Nationwide Health Insurance Costs National

More information

HEALTH INSURANCE EXCHANGES UNDER THE AFFORDABLE CARE ACT: THE BUMPY ROAD TO IMPLEMENTATION

HEALTH INSURANCE EXCHANGES UNDER THE AFFORDABLE CARE ACT: THE BUMPY ROAD TO IMPLEMENTATION HEALTH INSURANCE EXCHANGES UNDER THE AFFORDABLE CARE ACT: THE BUMPY ROAD TO IMPLEMENTATION Russell S. Buhite Shareholder MARSHALL DENNEHEY WARNER COLEMAN & GOGGIN Tampa, Florida Theodore J. Tucci Partner

More information

Alaska (AK) Arizona (AZ) Arkansas (AR) California-RN (CA-RN) Colorado (CO)

Alaska (AK) Arizona (AZ) Arkansas (AR) California-RN (CA-RN) Colorado (CO) Beth Radtke 50 Included in the report: 7/22/2015 11:15:28 AM Alaska (AK) Arizona (AZ) Arkansas (AR) California-RN (CA-RN) Colorado (CO) Connecticut (CT) Delaware (DE) District Columbia (DC) Florida (FL)

More information

Marketplaces (Exchanges): Information for Employers and Individuals Lisa Klinger, J.D. www.leavitt.com/healthcarereform.com

Marketplaces (Exchanges): Information for Employers and Individuals Lisa Klinger, J.D. www.leavitt.com/healthcarereform.com 10-21- 2013 As of January 1, 2014, the Patient Protection and Affordable Care Act (PPACA) requires most U.S. citizens and lawful residents to either have minimum essential coverage or to pay a federal

More information

The Cost and Benefits of Individual & Family Health Insurance Plans. November 2011 2011 policies surveyed were active in February 2011

The Cost and Benefits of Individual & Family Health Insurance Plans. November 2011 2011 policies surveyed were active in February 2011 The Cost and Benefits of Individual & Family Health Insurance Plans November 2011 2011 policies surveyed were active in February 2011 Table of Contents Introduction and Background...3 Methodology Summary...3

More information

Understanding Payroll Recordkeeping Requirements

Understanding Payroll Recordkeeping Requirements Understanding Payroll Recordkeeping Requirements 1 Presented by Sally Thomson, CPP Directory of Payroll Training American Payroll Association sthomson@americanpayroll.org 2 Agenda Recordkeeping Requirements

More information

Marijuana and driving in the United States: prevalence, risks, and laws

Marijuana and driving in the United States: prevalence, risks, and laws Marijuana and driving in the United States: prevalence, risks, and laws Casualty Actuarial Society Spring Meeting Colorado Springs, Colorado May 19, 2015 Anne T. McCartt iihs.org IIHS is an independent,

More information

CIRCULAR LETTER NO. 2137

CIRCULAR LETTER NO. 2137 January 8, 2010 CIRCULAR LETTER NO. 2137 To All Members and Subscribers of the Bureau: Adoption of NCCI s 2009 Retrospective Rating Plan Manual, Corresponding Massachusetts State Exception Pages and Retrospective

More information

RATE FILING METHODS FOR PROPERTY/CASUALTY INSURANCE, WORKER S COMPENSATION, TITLE 5/06

RATE FILING METHODS FOR PROPERTY/CASUALTY INSURANCE, WORKER S COMPENSATION, TITLE 5/06 Explanation: In a state with prior approval, a filing may be deemed to have been approved after a certain number of days. If such a provision exists, the number of days is noted in parentheses. File and

More information

Who provides this training? Are there any requirements? The parents/guardians and the doctor go through the medication curriculum with the student.

Who provides this training? Are there any requirements? The parents/guardians and the doctor go through the medication curriculum with the student. AL AK AZ AR Student, if they have a chronic condition school nurse or school administrators The student, if their parent/guardian authorizes them to. Trained school personnel can also administer Students

More information

days. Reply to claimant Life: Affirm or deny coverage every 45 days If settlement period specified, If settlement period specified,

days. Reply to claimant Life: Affirm or deny coverage every 45 days If settlement period specified, If settlement period specified, The date following each state indicates the last time information for the state was reviewed/changed. AL 27-1-17 Health 45 days for paper claims; 30 days for electronic claims. 1 ½% per month. If claim

More information

FILING MEMORANDUM ITEM U-1399A REVISIONS TO STATISTICAL PLAN FOR WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE AMENDED PENSION TABLE VALUES

FILING MEMORANDUM ITEM U-1399A REVISIONS TO STATISTICAL PLAN FOR WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE AMENDED PENSION TABLE VALUES (Applies in: AK, AL, AR, AZ, CO, CT, DC, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MD, ME, MO, MS, MT, NE, NH, NM, NV, OK, OR, RI, SC, SD, TN, UT, VA, VT, WV) PAGE 1 FILING MEMORANDUM To become effective

More information

The Lincoln National Life Insurance Company Variable Life Portfolio

The Lincoln National Life Insurance Company Variable Life Portfolio The Lincoln National Life Insurance Company Variable Life Portfolio State Availability as of 12/14/2015 PRODUCTS AL AK AZ AR CA CO CT DE DC FL GA GU HI ID IL IN IA KS KY LA ME MP MD MA MI MN MS MO MT NE

More information

The Cost and Benefits of Individual & Family Health Insurance Plans. November 2012

The Cost and Benefits of Individual & Family Health Insurance Plans. November 2012 The Cost and Benefits of Individual & Family Health Insurance Plans November 2012 Table of Contents Introduction and Background... 3 Methodology Summary... 3 Report Highlights... 4 Major Medical Policies

More information

Annual Survey of Public Pensions: State- and Locally- Administered Defined Benefit Data Summary Brief: 2015

Annual Survey of Public Pensions: State- and Locally- Administered Defined Benefit Data Summary Brief: 2015 Annual Survey of Public Pensions: State- and Locally- Administered Defined Benefit Data Summary Brief: Economy-Wide Statistics Division Briefs: Public Sector Graphical Summary By Phillip Vidal Released

More information

Health Insurance Mandates in the States 2012

Health Insurance Mandates in the States 2012 Health Insurance Mandates in the States 2012 For more information on this topic and other reform issues, please visit. About the Council for Affordable Health Insurance Since 1992, the Council for Affordable

More information

Workers Compensation Research

Workers Compensation Research Workers Compensation Research About WCRI Independent, not-for-profit research organization Founded in Cambridge MA in 1983 Diverse membership support Studies are peer-reviewed Resource for public officials

More information

Jurisdiction. only be determined based on the results of a claim appeal decision.

Jurisdiction. only be determined based on the results of a claim appeal decision. AL AK AZ AR CA Insurance carriers in the voluntary market may not always be willing to write policies for household employers. Medical costs have increased around 15 percent a year for the past 15 years.

More information

LexisNexis Law Firm Billable Hours Survey Top Line Report. June 11, 2012

LexisNexis Law Firm Billable Hours Survey Top Line Report. June 11, 2012 LexisNexis Law Firm Billable Hours Survey Top Line Report June 11, 2012 Executive Summary by Law Firm Size According to the survey, we found that attorneys were not billing all the time they worked. There

More information

Successes and Challenges in the Affordable Care Act: Beyond Access

Successes and Challenges in the Affordable Care Act: Beyond Access Successes and Challenges in the Affordable Care Act: Beyond Access Robert Greenwald Clinical Professor of Law, Harvard Law School Director, Center for Health Law and Policy Innovation/Treatment Access

More information

Hail-related claims under comprehensive coverage

Hail-related claims under comprehensive coverage Bulletin Vol. 29, No. 3 : April 2012 Hail-related claims under comprehensive coverage Claims for hail damage more than doubled in 2011 compared with the previous three years. Hail claims are primarily

More information

When Medicare-Medicaid enrollees lose their Medicaid coverage: Who loses it, for how long, and what are the consequences?

When Medicare-Medicaid enrollees lose their Medicaid coverage: Who loses it, for how long, and what are the consequences? When Medicare-Medicaid enrollees lose their Medicaid coverage: Who loses it, for how long, and what are the consequences? Gerald Riley Lirong Zhao Negussie Tilahun Medicare-Medicaid enrollees Vulnerable

More information

OFFICE OF INSPECTOR GENERAL SPECIAL FRAUD ALERT FRAUD AND ABUSE IN NURSING HOME ARRANGEMENTS WITH HOSPICES

OFFICE OF INSPECTOR GENERAL SPECIAL FRAUD ALERT FRAUD AND ABUSE IN NURSING HOME ARRANGEMENTS WITH HOSPICES OFFICE OF INSPECTOR GENERAL SPECIAL FRAUD ALERT FRAUD AND ABUSE IN NURSING HOME ARRANGEMENTS WITH HOSPICES March 1998 The Office of Inspector General was established at the Department of Health and Human

More information

HEALTH CARE IN RETIREMENT. GROWTH IN HEALTH CARE COSTS in the U.S. has significantly outpaced. Forces driving growth in health care spending

HEALTH CARE IN RETIREMENT. GROWTH IN HEALTH CARE COSTS in the U.S. has significantly outpaced. Forces driving growth in health care spending HEALTH CARE IN RETIREMENT GROWTH IN HEALTH CARE COSTS in the U.S. has significantly outpaced overall inflation. From 1982 to 2013, spending on health care increased at an average of 5.1%, faster than all

More information

The Cost And Benefits Of Individual Health Insurance Plans: 2007

The Cost And Benefits Of Individual Health Insurance Plans: 2007 The Cost And Benefits Of Individual Health Insurance Plans: 2007 Contents Introduction and overview 3 Methodology summary 4 Report summary 5 Major Medical Plan Premiums Profile of ehealthinsurance policy

More information

1. Full Name of Assured: 2. Address (MUST be a Physical Address): (City) (State) (Zip) Phone Number: ( ) Fax Number: ( ) Email Address:

1. Full Name of Assured: 2. Address (MUST be a Physical Address): (City) (State) (Zip) Phone Number: ( ) Fax Number: ( ) Email Address: ARBITRATORS, HEARING OFFICERS AND MEDIATORS PROFESSIONAL LIABILITY INSURANCE issued to the NATIONAL ASSOCIATION OF SALARIED PROFESSIONALS PURCHASING GROUP, INC. and specified members of the AMERICAN BAR

More information

LIMITED LIABILITY COMPANY ORGANIZATION CHART

LIMITED LIABILITY COMPANY ORGANIZATION CHART LIMITED LIABILITY COMPANY ORGANIZATION CHART The following Chart has been designed to allow you in a summary format, determine the minimum requirements to form a limited liability company in all 50 states

More information

Coalition to Protect Worker s Compensation

Coalition to Protect Worker s Compensation Coalition to Protect Worker s Compensation Statement Regarding Public Hearing on Worker s Compensation Legislation Madison (February 4, 2014) --- Health care providers testified at a Joint Labor Committee

More information

Kaiser Family Foundation/eHealthInsurance. August 2004

Kaiser Family Foundation/eHealthInsurance. August 2004 AUGUST 2004 Revised Update on Individual Health Insurance Kaiser Family Foundation/eHealthInsurance August 2004 Revised Update on Individual Health Insurance B a c k g r o u n d In recent years, President

More information

Health Insurance Mandates in the States 2011. Executive Summary

Health Insurance Mandates in the States 2011. Executive Summary Health Insurance Mandates in the States 2011 Executive Summary Health Insurance Mandates in the States 2011 Executive Summary By Victoria Craig Bunce Director of Research and Policy The Council for Affordable

More information

kaiser medicaid and the uninsured commission on The Cost and Coverage Implications of the ACA Medicaid Expansion: National and State-by-State Analysis

kaiser medicaid and the uninsured commission on The Cost and Coverage Implications of the ACA Medicaid Expansion: National and State-by-State Analysis kaiser commission on medicaid and the uninsured The Cost and Coverage Implications of the ACA Medicaid Expansion: National and State-by-State Analysis John Holahan, Matthew Buettgens, Caitlin Carroll,

More information

Annual Survey of Public Employment & Payroll Summary Report: 2013

Annual Survey of Public Employment & Payroll Summary Report: 2013 Annual Survey of Public Employment & Payroll Summary Report: 2013 Economy-Wide Statistics Briefs: Public Sector by Robert Jesse Willhide Released December 19, 2014 G13-ASPEP INTRODUCTION This report is

More information

Nurse Practitioners and Physician Assistants in the United States: Current Patterns of Distribution and Recent Trends. Preliminary Tables and Figures

Nurse Practitioners and Physician Assistants in the United States: Current Patterns of Distribution and Recent Trends. Preliminary Tables and Figures Nurse Practitioners and Physician Assistants in the United States: Current Patterns of Distribution and Recent Trends Preliminary Tables and Figures Kevin M. Stange, PhD Assistant Professor Gerald R. Ford

More information

Suitability Agent Continuing Education Requirements by State

Suitability Agent Continuing Education Requirements by State Suitability Agent Continuing Education Requirements by State STATE AL AK AZ AR CA CO CT DE DC FL GA HI ID Insurance producers holding a life line of insurance license must complete a one-time 4 hour annuity

More information

FOREIGN LIMITED LIABILITY COMPANY REGISTRATION CHART

FOREIGN LIMITED LIABILITY COMPANY REGISTRATION CHART FOREIGN LIMITED LIABILITY COMPANY REGISTRATION CHART When a Limited Liability Company desires to transact business in a jurisdiction other than its state of formation it must comply with the statutes of

More information

E N E R G Y C O M P A N I E S B U I L D P O W E R B A S E I N S T A T E H O U S E S

E N E R G Y C O M P A N I E S B U I L D P O W E R B A S E I N S T A T E H O U S E S E N E R G Y C O M P A N I E S B U I L D P O W E R B A S E I N S T A T E H O U S E S By E D W I N B E N D E R O C T. 6, 2004 833 NORTH LAST CHANCE GULCH, SECOND FLOOR HELENA, MT 59601 PHONE 406-449-2480

More information

Table 1: Workers Compensation Laws And Coverage Requirements For Domestic Service Employment By Jurisdiction

Table 1: Workers Compensation Laws And Coverage Requirements For Domestic Service Employment By Jurisdiction Table 1: Laws And Coverage Requirements For Domestic Service Employment By AL Code of Alabama 1975- Articles 1-13, Sections 25-5-1 25-5-340 AK Chapter 23.30- Alaska Labor and AZ Arizona Revised Statutes-

More information

Cancellation/Nonrenewal Surplus Lines Exemptions

Cancellation/Nonrenewal Surplus Lines Exemptions Cancellation/Nonrenewal Surplus Lines Exemptions * Indicates updates in laws or regulations for the state Contact: Tina Crum, tina.crum@pciaa.net, 847-553-3804 Disclaimer: This document was prepared by

More information

New Federal Rating Rules

New Federal Rating Rules New Federal Rating Rules The Patient Protection and Affordable Care Act ( PPACA ) includes new federal rules limiting the extent to which insurance companies can impose premium surcharges on individuals

More information

Dashboard. Campaign for Action. Welcome to the Future of Nursing:

Dashboard. Campaign for Action. Welcome to the Future of Nursing: Welcome to the Future of Nursing: Campaign for Action Dashboard About this Dashboard: These are graphic representations of measurable goals that the Campaign has selected to evaluate our efforts in support

More information