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Explore the effects of major reforms on workers' compensation rates in California from 1995 to 2005. Discover the impact on claims costs, insurance rates, market competition, and more in this insightful study.
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THE EFFECTS OF MAJOR REFORMSONWORKERS’ COMPENSATION RATESIN CALIFORNIA DWC Educational Conference March 2 and March 7th, 2006 Gregory Trout, MPA Bickmore Risk Services Los Angeles & Oakland, California
Conditions Leading to Reforms • Open Rating: 1995 • Claims Cost Increases • Premium Increases • Insolvencies
California Workers' Compensation - Indicated Average Rates 7.00 6.00 5.00 4.00 Average Rate 3.00 2.00 1.00 0.00 Jan-95 May-95 Jan-96 May-96 Jan-97 May-97 Jan-98 May-98 Jan-99 May-99 Jan-00 May-00 Jan-01 May-01 Jan-02 May-02 Jan-03 Sep-95 Sep-96 Sep-97 Sep-98 Sep-99 Sep-00 Sep-01 Sep-02 WCIRB Estimated Pure Premium Charged Premium Rate Conditions Leading to Reforms
BRS Study of Reforms • Authorized by SB 899 • Initiated by DWC • No Cost to Taxpayers (insurance industry assessment) • Scope: Impact of Reforms on Claims Costs • Charged Premiums • Insurance Company Surplus • Marketplace/Competition • WCIRB/CDI Estimates
Scope of Study Reforms Focused on: • AB 749 (2002) • AB227/SB228 (2003) • SB 899 (2004)
BRS Study of Reforms • Background Leading to Workers’ Compensation Reforms • Scope and Approach • Claims Savings Generated by Reforms • Effect of Reforms on Insurance Rates • Effects of the Reforms on Insurance Industry Surplus and Solvency • Insurance Markets and Competition • Adequacy and Accuracy of Workers’ Compensation Insurance Bureau and California Department of Insurance Rates • Evaluation of Reforms in Other States • Evaluation of Regulatory Structure • Areas of Further Research
Limitations of Study • Fairness of Benefit Levels and Medical Fees • Quality of and Access to Medical Care • Effects on Self-Insurers • Long Term Effects of Reforms
Retrospective Impact of Reforms • Overall Savings
Exhibit V.3. Estimated Ultimate Losses Less Reported Losses at Successive December 31 Evaluations • (After Reflecting the Estimated Impact of AB 227, SB 228, & SB 899 on Unpaid Losses) As of 9/30/2005 $14 $12.9 $12 $11.4 $11.2 $9.8 $10 $7.8 $8 In Billions $6.3 $5.9 $6 $4.4 $4 $3.6 $2.3 $2 $1.6 $0.5 $- 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 Evaluation Year Source: WCIRB Quarterly Report at September 30, 2005 Retrospective Impact of Reforms • Historical Evaluations
Prospective Impact of Reforms • Claims Costs
Prospective Impact of Reforms • Claims Costs: Dollars
Prospective Impact of Reforms • Claims Costs: Percent
Prospective Impact of Reforms • Claims Costs by Major Component
Prospective Impact of Reforms • Insurance Company Rates
Prospective Impact of Reforms • Insurance Industry Return to Profit
Exhibit VI.6. SCIF Market Share, 1998 – 2004 (Percent of Written Premium) 70% 58% 53% 60% 53% 51% 50% 51% 47% 50% 43% 41% 36% 40% Market Share 33% 28% 30% 22% 22% 20% 10% 0% 1998 1999 2000 2001 2002 2003 2004 2005 Year Adjusted Unadjusted Note: Unadjusted percentages are as reported to CDI. Adjusted reflect adjustments by BRS to amount reported by SCIF due to difference in recognition of written premium. Prospective Impact of Reforms • Insurance Company Market Share
California vs. Other States • Loss Rate Comparison
Uncertainties Remain ? • Future and Retroactive Cost Savings will be impacted by: • Changes due to Legal Decisions • Legislative Changes • Regulatory Changes • Changes to System through Voter Initiatives ? ?
Areas of Further Research • SCIF’s Role • CIGA Funding • Review of Regulatory Oversight • Cost Savings of Reforms to Public and Private Self-Insurers • Need for claims data from Self-Insurers • MPN’s • Annual Monitoring of the Effects of Reforms and Subsequent Changes
Next Year’s DWC Session Will it be: • “The Effects of Proposition 142, 143, and 144 on the Workers’ Compensation System in California” • “The Effects of the Revised P.D. Schedule Adopted July 1, 2006 & other changes to Previous Reforms”, or • “The Savings Continues From the Reforms of 2002-2004” ???
Study Availability • The Study can be downloaded on the internet from: • BRSrisk.com • dir.ca.gov/DWC • Or by requesting a CD from BRS or DWC