Workers Comp

COVID-19 and the Reshaping of the Workers Comp Industry

Workers’ compensation insurance, more commonly known as “workers comp”, is a primary benefit for many American workers. In the wake of the COVID-19 pandemic, this financial relief insurance has been called upon time and again for workers affected by the virus. The business sector has seen profound changes in recent months; COVID-19 and workers comp and the relationship between the two is poised for dramatic reshaping. Much of the initial response was due to fear of the unknown, but even this is driving change within the workers’ comp space.

Survey Reveals COVID-19 and Workers’ Comp Shifts

In late June, 2020, Health Strategy Associates completed its second survey on the relationship between COVID-19 and workers’ comp insurance. The survey, entitled “The Impact of COVID-19 and Employment Changes on Workers’ Compensation: A Follow-Up Survey of Payers and Service Providers”, illustrated sweeping changes within the sector. Among the results were:

  • COVID-19 related claims were relatively inexpensive; about 96% of all reported workers’ comp claims were estimated to cost $3500 or less.
  • New injury claims dropped by a range of 25-50% between the months of March and May, 2020.
  • Total claims are expected to decrease by about 20% for 2020.
  • Survey respondents indicated that less than 4% of COVID-19 claims accounted for most of the coronavirus-related costs.

In simple terms, much of the early concern regarding claims based on COVID-19 infections turned out to be not as impactful as feared. Rather, the changes in the workers’ comp landscape come from economic downturns, mass unemployment, and restrictive quarantine/stay-at-home orders. Payers are anticipating reductions in premium payments, driven in part by severe declines in payroll and outright closure of businesses.

Presumptive Benefits: A Minimal Effect

Another early concern for insurance firms and payers was the looming specter of presumption, or state laws that presume an illness or injury was work-related, making the affected employee eligible for workers’ comp benefits. Numerous states passed legislation pertaining to coverage of COVID-19 related workers’ comp claims, fearing that employees would become exposed to the virus on the job and be unable to receive financial compensation for medical expenses and lost wages. Not all employees were covered under presumption laws; typically, only first responders and front-line healthcare workers were protected by the new legislation.

Workers’ comp industry analysts note that presumption laws are not likely to have a major effect on insurance costs going forward. In the Health Strategy Associates survey, many of the reported claims examined were filed after a worker tested positive for the coronavirus, but remained asymptomatic. Only a small percentage of infected workers’ claims resulted in high expenses; the average cost per claim was close to $8000.

Looking to the Future of COVID-19 and Workers’ Comp

Owing to the above factors like high unemployment rates and business shuttering, insurers and insurance industry analysts suggest premiums will continue to drop well into 2021. Payers are alarmed, seeing fewer dollars now and expecting slower economic recoveries than originally predicted. Ultimately, the workers’ comp industry may have to tighten; among the possible effects of reduced premiums are:

  • Reductions in insurance workforces, including adjusters and claims processing professionals.
  • Closure of insurance firms or dramatic cuts in services.
  • Industry-wide scrambling to find alternative revenue-generating options.

COVID-19’s effects have touched every part of the U.S. economy. As the pandemic continues its stranglehold, businesses across sectors have had to innovate. The workers’ compensation industry is no exception. Changes in the way claims are handled are only part of the picture; insurers may have to seek new ways of making ends meet and to adapt to changing conditions in order to continue business operations.

About U.S. Risk

U.S. Risk, LLC. is a wholesale broker and specialty lines underwriting manager providing a wide range of specialty insurance products and services. Headquartered in Dallas, Texas and operating 16 domestic and international branches, U.S. Risk and its affiliates would like to help you access a world of new markets and products. For more information, contact us today at (800) 232-5830.

COVID-19 Workers Comp Considerations

What Employers Should Consider Regarding COVID-19 and Workers Comp

The coronavirus pandemic gripping the globe has had profound effects on businesses of every size and type. Millions of people have been laid off in the wake of economic turmoil. Still, many employees of companies have been forced to balance work with safety considerations, potentially leading to serious risks regarding their personal health. Workers in establishments deemed “essential,” including retail, healthcare, and foodservice operations, are at higher risk of contracting COVID-19 in the workplace; in these cases, workers’ compensation insurance may be called upon to provide financial relief for affected workers. In this guide, insurance agents can learn what their clients should consider following the economic devastation of COVID-19 and the effects it has had on workers’ comp claims.

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Workers' Comp 2020

Important Workers’ Compensation Coverage Considerations for 2020

Workers’ compensation insurance and other forms of occupational insurance are part of the business landscape for thousands of employers. Typically required by state regulations, these valuable insurance options provide protection for both employees and the companies they work for. At their best, occupational insurance plans like workers’ comp provide financial support in case of workplace-related injury or illness, helping to cover the medical expenses and lost wages of employees injured on the job. As with any government regulations, changes for 2020 may affect workers’ comp and related workplace safety programs. Here is a look at the trends and changes business owners need to know as we enter into the new year.

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Sleep Deprivation

How Sleep Impacts Workers’ Compensation Claims

It should come as no surprise to learn that America’s workforce is fatigued. Long hours on the job and the demands of family life have created a situation where workers have become overtired. Tired workers are more likely to make mistakes on the job, and these mistakes can result in injury. Chronic lack of sleep has also been pinpointed as a cause for numerous health concerns. In all, the lack of sleep among America’s workers has led to a rise in workers’ compensation claims. Occupational insurance plans like workers’ comp provide benefits for those employees injured at work, but it is imperative for business owners and managers to understand the relationship between poor sleep habits and an increase in injury claims.

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Workers Compensation

Workers’ Compensation and Long-Term Occupational Illnesses and Injuries

Workers’ compensation and other forms of occupational insurance provide financial support for employees injured in the course and scope of their duties. Nearly every state requires employers to carry some form of this valuable insurance, which is designed to cover the costs associated with lost wages, medical expenses, and in some cases, long-term disability. Each occupational insurance policy is different, however, and both employers and employees must better understand the potential limitations of coverage for injuries and illnesses resulting in the need for long-term care.

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Occupational Accidents, Injuries, and Illnesses That Are Not Covered by Workers’ Compensation Insurance

Occupational Accidents, Injuries, and Illnesses That Are Not Covered by Workers’ Compensation Insurance

Businesses around the world have a duty to their employees to provide safe workplaces free of the hazards that can result in injury. Workplace injuries are some of the most costly incidents that employers face; even in low-risk professions, work-related injuries account for billions of dollars in lost productivity each year. Workers’ compensation and occupational insurance plans help to defray some of the costs associated with workplace injuries, providing coverage for medical expenses and lost wages. Unfortunately, not all injuries are covered by workers’ compensation, and it is imperative that employers understand what is and what is not covered.

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The Warning Signs of Fraudulent Workers’ Compensation Claims

The Warning Signs of Fraudulent Workers’ Compensation Claims

If an employee is injured in the workplace, workers’ compensation insurance is often the means by which the injured worker can cover the costs associated with lost wages and medical expenses. Workers’ compensation is required by most states, and employers of any size may offer this valuable occupational insurance coverage as an employee benefit. Unfortunately, there has been a rise in abuse of workers’ comp systems, with fraudulent claims causing an upheaval in coverage and costs. In this guide, we’ll explore some of the warning signs that may come from fraudulent workers’ comp claims, giving you the tools you need to identify fraud before it negatively impacts your overhead expenses. 

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Breaking Down the Difference Between Occupational Accident Insurance and Workers’ Compensation

Breaking Down the Differences Between Occupational Accident Insurance and Workers’ Compensation

Companies around the world strive to create safe, productive workplaces for their employees. Despite these initiatives, workplace injuries result in billions of dollars in lost wages and reduced productivity each year. To protect employees and employers from a financial perspective, there are several types of insurance. Among these are two primary types: workers’ compensation insurance and occupational accident insurance. On their surface, these two insurance plans may seem very similar, yet there are important distinctions between the two. It can be useful to understand the differences and to learn about the pros and cons of each type of insurance plan in order to better advise your clients, as they may not know the difference. Read more

Frequently Asked Questions in the Workers’ Compensation Claims Process

Frequently Asked Questions in the Workers’ Compensation Claims Process

Workers’ compensation insurance is designed to provide financial benefits to workers who may become injured on the job. These benefits include payment for lost income, such as when an employee cannot do his or her work and/or when the employee is unable to work during recovery from the injury. Coverage of medical and prescription costs are also commonly provided in these plans. The idea behind workers’ compensation is simple, but the system itself is filled with challenges and confusion. This idea balances risk and insurance. Businesses often have many questions for their insurance carriers when it comes to establishing workers’ comp plans for their employees, and it’s important to have the answers they need. Read more