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Monthly Archives

September 2014

Payroll: how to control workers’ compensation costs.

By Workplace Safety

Workers’ compensation premium calculations begin with payroll, either estimated or audited. But for the purpose of this discussion, let’s assume perfect knowledge of the annual payroll amount and sources.

Regular payroll is divided into classification codes. Less risky jobs, like clerical operations, enjoy a lower premium rate than higher risk jobs like bridge painting.

Consult with your professional agent for help in auditing your class codes for accuracy. Time and technology can change your code. Recheck them every three years at a minimum. You can go back three years to adjust audits and receive return premiums.

Premium for overtime payroll can be reduced if overtime pay is kept separately. Auditors will discount the overtime payroll substantially, keeping your premium lower.

Consider subcontracting more hazardous operations. For example, many manufacturers keep a fleet of delivery vehicles. Review the cost and benefits of in-house shipping versus common carrier service. Bad claims experience with one driver can adversely affect the experience modification of one hundred factory workers. Loss control for the manufacturing staff is much more straightforward than the randomness of events on the road.

Isolate potential operations which are more likely to create loss issues. Loss control the operations thoroughly or transfer the risk by subcontracting.

Insist subcontractors provide their own insurance by keeping a certificate of insurance on each subcontractor. Auditors pick up uninsured subcontractors and charge premium accordingly.

Consider all subcontractors: HVAC repairs, caterer, installers, contract electrician, temporary help agencies, any independent contractor or hauler.

Prepare for audits constantly. Compile a list of certificates of insurance and have them handy for the auditor.

Volunteer Labor and Workers’ Compensation: interns and injuries

By Workplace Safety

If workers’ compensation charges premium based on payroll, are volunteers covered? And how is premium charged?

Each jurisdiction, that is each state, has its own rules. This post will give general rules and background.

Municipal volunteers, for example: firemen, emergency medical technicians, some police or crosswalk guards, and board members, generally receive coverage under state workers’ compensation laws.

Some states require workers’ compensation for emergency responders such as the Red Cross or Salvation Army volunteers.

The definition of remuneration differs from state to state. Cash payroll is the sole determinant sometimes, and room, board, meals, or free services count in other cases.

Of course, any claim made is subject to court interpretation of the state statutes.

Businesses should be mindful of their workers’ compensation laws when considering offering an internship or other volunteer labor position. Is experience remuneration? Do you provide a gift, travel, per diem, uniforms, or anything of value to your interns? If so, your state may confer employee status on interns.

Do you want interns covered under workers’ compensation? You have a moral obligation to pay for the cost of injuries on your site. Would you prefer to be sued under your general liability, have a no-fault coverage like workers’ compensation or premises medical payments handle the claim, or offer an accident policy to volunteers?

No matter your standard operating procedure, it pays to have a protocol in place to handle interns and volunteers potential injuries before the claim occurs. Check your state regulations to assure proper definition of volunteer labor.

Six Injury Categories: what do they mean?

By Workplace Safety

Workers’ compensation injuries fall into one of six categories, given in their order of severity:

Medical Only – Simple first aid or minor medical services required to tend to this injury type. Most workers’ compensation claims fall into this category – splinter removal, disinfectant and bandage, negative x-ray, or tetanus shot typify these claims. The frequency of these claims, however, most directly affect your experience modification and premium. Frequency is a greater factor than severity of claim.

Temporary Partial Disability – These claims include an element of lost time from work. Typical claims are sprained ankles, broken bones, or perhaps an eye injury. The “partial” disability suggests a change in work duties rather than laying off the job for a period of time. Perhaps a driver works as a dispatcher due to a foot injury.

Temporary Total Disability – Implies time off the job completely. Injuries which do not allow light duty alternatives, such as concussions. The injury prevents working, but only temporarily.

Permanent Partial Disability – Suggests an injury with lasting consequences, but allows the injured to work. Finger amputations, loss of eyesight or hearing, joint problems caused by injuries or occupational disease fall into this category. Usually, the injured is compensated with a prescribed number of weeks pay, and they can return to work.

Permanent Total Disability – An injury so bad the injured will not be able to work again. Double amputations, occupational diseases that affect breathing or sight, catastrophic car accidents typify this group of injuries. These injuries are compensated with a statutory number of weeks remuneration.

Death – Needs no further explanation. Death claims usually pay the statutory maximum number of weeks remuneration.

Study the list. How much is a great safety program worth in this context?

Injured Employees: what are your duties under workers’ compensation?

By Workplace Safety

An employee is injured on the job while carelessly texting their buddy. What are your duties under the workers’ compensation law?

First, you must provide for immediate medical care, including first aid, and/or emergency services. Stop the bleeding, get them breathing. If necessary, call 911 or transport the employee to your pre-arranged medical facility, or directly to the hospital emergency room, whichever is appropriate.

Second, begin an initial investigation by gathering the injured party contact information along with witness contact information, and a brief description of the accident. Forward this information to your insurance carrier.

Upon any receipt of legal papers, lawsuits, or information regarding the loss, forward originals immediately to the insurance company. Keep copies for your records.

Cooperate with your insurance company investigation, settlement, court proceedings, or payments. This coverage is no-fault, don’t create procedural issues which can remove that status.

Do not interfere with the insurance company right to recover from third parties. The insurance company will seek subrogation from at-fault drivers, products manufacturers, or others. Allow them to do their jobs. They deal with these situations everyday.

Do not make payments or assume liability unless doing so at your own cost. Remember: this coverage is no fault. Demonstrating obligation creates confusion over statutory benefits.

Okay, so essentially your obligation is:

  1. Get medical help quickly and to triage the level of medical services needed for the injury.
  2. Report to the company information necessary to initiate a claim and forward legal correspondence.
  3. Get out of the way.

Getting back to the texting issue. Not relevant to the claims procedure for this injury, but think about your rules involving employee cell phone use and texting. Employees need to focus on their tasks to stay safe.

Excess Versus Umbrella Liability: layering risk transfers

By Business Protection Bulletin

Excess liability policies layer over underlying coverage like commercial automobile or general liability. These policies can be written as follow form, self-contained, or specific and aggregate.

Follow form excess policies do not broaden underlying coverage; they simply follow the form used by the primary carrier. These policies create a higher limit of liability than the primary carrier is willing to risk.

Self-contained excess liability forms independently define limits and conditions of coverage. The primary coverage dictates no terms of coverage to this form of excess, so the excess liability policy may be broader or more narrow than the primary.

Specific and aggregate excess policies resemble reinsurance more than excess coverage. These policies usually cover above self-insured retention, very common in workers’ compensation self-insured or captive programs.

The specific excess policy addresses individual claim retention amounts. The excess pays over a prescribed individual loss.

The aggregate excess policy covers over a total claims retention amount, whether it occurs in one claim or one hundred.

The umbrella liability policy broadens underlying coverage to provide first dollar, less retention, coverage above underlying primary policies. For example, umbrella policies broaden general liability and automobile liability to worldwide coverage rather than the territorial restrictions of business automobile policies.

How do these distinctions help protect your business?

Choose the correct form of excess to fit your budget. If standard primary automobile and general liability represent the biggest exposures to loss for your company, a few million in excess liability might be cost effective.

If the sources of loss just cannot be predicted in your business, or if your business is international in scope, umbrella liability will be a better buy.

It’s possible to combine two or more of these policies. Perhaps you want four million of excess and one million of umbrella.

Adequately high liability limits require some planning. Talk to your insurance professional and iron out the details.

Budgeting: right size your insurance expenses

By Business Protection Bulletin

Have you ever compared premium quotes only to discover the policies had different deductibles, limits, or even a different audit basis? Confusing, isn’t it?

Premiums do not compare easily, nor do they necessarily reflect costs of your risk profile. Lower premium is not always your best bet. If it were, going without any insurance would be every company’s default position. But, uncovered risk puts companies out of business every day. So, how do you know the right amount to budget for insurance? You don’t, so budget for risk, and from that, buy insurance.

As a business owner and entrepreneur, identify and assess your risks. Uncovered liability risks, like driving vehicles or manufacturing a product, can destroy your company. Running out of postage will probably not slow things down. You prioritize and decide what liabilities you want to assume and what liabilities you want to transfer.

For example: automobile physical damage. How large is your fleet, how predictable is this loss? If you have one executive new vehicle with financing, you’re going to buy insurance to cover it; just think deductible versus premium. If you have twenty similar vehicles, say panel trucks, and the fleet is paid for, you may consider not insuring the physical damage for collision or other perils. Why? Because you’re just paying a fee to bank the money while you do the claims legwork anyway. Your drivers can reduce your risk through defensive driving techniques and not drinking, texting or using cell phones. Keep the premium, accept the risk.

How about your products in transit? Is the value in one load big enough to ruin your company financially? Or do you ship relatively small amounts by common carriers. The former requires insurance, the latter, self-retain the loss.

Okay, you’ve thought through your process. Now, in plain English, tell the agents what you want covered. Employee safety and health, if my products cause harm, if my car hits someone, this type of list. Then, how much per incident are you willing to pay? First $1000 of any loss, that type of decision. Now, choose a number or some percentage of your annual gross and limit all claims to that amount; the most you’re willing to pay for all claims, including insurance premiums. Let the agents design around these parameters and compare these programs.

Hindcasting Losses: using history to measure risk today

By Business Protection Bulletin

The best predictor of future behavior is the past. Maybe, but it’s at least helpful to review the past with an eye towards improvement.

Reviewing losses can be tricky. Insurance company analysis utilizes an “exposure unit”. Sometimes an exposure unit is one thousand dollars in sales, one hundred dollars in payroll, square feet of a building, one hundred dollars of value, or per person. The important idea is to compare relative risk and loss rather than absolute quantities.

Chart your losses, particularly insurable losses or claims made or paid. Now chart payroll, number of employees, sales, goods manufactured, units manufactured, or any other reasonable business data points.

Compare the trajectory of the charts. Does the pattern of losses mirror one of the other statistics? For example, does your workers compensation losses trend with payroll, sales, number of employees, or even square footage of your business?

Some claims history is explained by firing one employee, maybe a bad driver. Don’t ignore the fact that a bad driver got through your screening system. Make sure that leak has been plugged before thinking the problem is resolved.

Other claims may be reduced by a larger work area. Perhaps employees were just too crowded to work safely. That would indicate resolution, but think in terms of square foot per worker as a crowding issue in the future.

When you find your unexplained losses and the closest statistical trend, let’s assume claim dollars and gross sales, than forecast the business statistical trend and the claims amount.

This chart will also predict your insurance costs.

Use the same format to hindcast claims. Start now and project into the past. How much error is in this prediction? If it’s close year-to-year, it should be a good indicator of the future.

Start thinking about why these two data sets mirror. Do claims rise as you push to meet demand? Do you over-staff to meet demand and some employees lose focus? Are your claims about products not being quality checked at a certain volume? Once diagnosed, any loss control issue can be resolved, and pay you dividends. Ask your loss control service for help on these issues.

Net Income Loss Exposures

By Business Protection Bulletin

Your property has adequate and appropriate coverage against fires, windstorms, collapses, even airplane strikes. What happens to the income loss during renovation?

Some companies spread this risk by maintaining two or more manufacturing plants, or the business can be handled through remote offices temporarily. How about your business?

Let’s assume you lose your main building for six months. Will the income loss be devastating? Will additional costs and expenses continue and drive you to the brink of bankruptcy?

Indirect losses can include production costs, extra expenses to operate, even extra expenses to deal with an unfamiliar supplier because your main source just burned down.

Review your sources, suppliers, infrastructure and determine the value of these items to your income stream. Do you absolutely need your physical plant, or would it be relatively easy to rebuild elsewhere? What net income would you lose while rebuilding? What expenses would continue regardless?

What are the critically important resources? Do you have a supplier who would be impossible, difficult, or costly to replace? How about your power supply. Do you have alternatives, or is this a one-source problem?

Each of these issues are a source of extra expense, loss of income or loss of net income exposures. Normally, this coverage is added to a fire coverage or even included in a business owner’s policy. Check with your agent and find out what options you have.

Take some time to prepare an emergency plan for your business. Your loss control service provided by your insurance company can help.

In the plan, begin with onsite issues like critical need machinery, buildings, equipment, or personnel. Move off campus and consider suppliers, power sources, customers, transporters, raw materials dealers, or retail outlets.

Anyone indirectly serving your company or buying from your company is a potential indirect loss. Suppose you’re the supplier and your biggest client burns to the ground, cutting off six months worth of sales. Do you have a contingency plan?

Emergency planning followed by insuring these potential losses can save your business.

How to Choose a Safe Roommate

By Personal Perspective

Maybe you’re a college student who needs a roommate. Or, you might have an empty room or two in your home that you want to fill. You certainly don’t want a roommate who trashes your home, steals your stuff or threatens your safety. How do you know if potential roommate candidates are safe?

Decide What Type of Roommate You Want

Whether you’re a party animal or love peace and quiet, your roommate should share your core values. You don’t have to agree on everything, but your life will be much easier, more peaceful and safer if you room with someone who’s similar to you.

Research Potential Roommates

You increase your chances of staying safe when you thoroughly research all your potential roommates. To do that:

*Do a Google search and check out their social media pages. This research gives you great insight into a potential roommate’s character.

*Run a credit check. It will show you whether the person is reliable or unreliable with bill payment.

*Ask about current employment. A stable roommate who holds a steady job and brings home an honest income is more likely to be responsible than someone who can’t keep a job.

*Talk to references: The people your potential roommate lived with in the past can be an excellent source of information about his or her character. Talk to a few of these references before you make a final decision on who will share your home.

Spend Time Together

Once you’ve created a short list of potential roommates, chat online and meet them individually at a neutral location like a coffee shop or mall. This time together helps you decide if you’re compatible.

Once you select a roommate, update your homeowners or renters insurance. It won’t ensure your roommate is safe, but it will give you peace of mind and financial compensation if your home is damaged or your belongings are stolen.

Do You Need Flood Insurance?

By Personal Perspective

Whether you live near a body of water or not, flood insurance might be a good investment. It’s usually not included in your regular homeowners or renters insurance policy, though. Consider five factors as you decide if you need this type of insurance coverage.

  1. Do you live in an area with a high flood risk? If so, you definitely want flood insurance coverage. That’s because your home, located near a river, stream, lake or flash-flood zone, faces a high threat of flooding. Protect your home and its contents when you buy a flood insurance policy.
  2. Do you live in a low flood risk zone? Consider that the local sewer system or nearby storm drain could overflow and cause extensive damage. Because a flood insurance policy typically costs less for customers who live in low-risk areas, purchasing a policy makes sense even if you don’t live near a major body of water or in a flood zone.
  3. Do you rent your home? Most landlord insurance policies cover the buildings only. They do not insure your home’s contents. Consider flood insurance that replaces any possessions that are damaged by flooding.
  4. Do you have a mortgage? Check with your lender about flood insurance requirements. If you live in a flood zone, you will probably need to carry this coverage and prove that you’ve purchased a policy before you can sign the loan documents.
  5. Do you own any possessions? In just a few inches of water, your appliances, furniture and other belongings can be damaged beyond repair. So, if you own any possessions, consider flood insurance that provides financial reimbursement and allows you to replace items that are damaged by excessive water.

Before discounting flood insurance, talk to your insurance agent. He or she will answer your questions and help you decide if coverage is a wise investment for you. In many cases, the coverage is invaluable.