arkansas - ncci.com · kids’ chance of arkansas was incorporated in 2001 with the mission of...
TRANSCRIPT
© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved.
ArkansasJune 24, 2020
© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved. 2
Agenda
Arkansas Residual Market
Legislative Updates
Arkansas Workers Compensation System01
03
02
04
Kids’ Chance of Arkansas05
Countrywide and Arkansas Labor Markets
© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved.
Arkansas Workers Compensation System
© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved.
Direct written premium decreased in the latest year
The combined ratio continues to show favorable results
Lost-time claim frequency declined in the latest year
4
Arkansas Workers Compensation System—An Overview
© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved. 5
p PreliminarySource: NAIC’s Annual Statement data
Arkansas Premium VolumeDirect Written Premium in $ Millions
249238
0
100
200
300
2010 2011 2012 2013 2014 2015 2016 2017 2018 2019p
Calendar Year
© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved. 6
p Preliminary Based on data through 12/31/2018
Impact of Discounting on Workers Compensation Premium in Arkansas
10.6
-10
0
10
20
04 05 06 07 08 09 10 11 12 13 14 15 16 17 18p
Policy Year
© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved. 7
Sources: NCCI’s financial data through 12/31/2018 and NAIC’s Annual Statement data
Arkansas Combined Ratios
86 83
100
2014 2015 2016 2017 2018
Accident Year
© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved.
50 46
36 36
0 0
2014 2015 2016 2017 2018
Accident Year
Dividends
8
Sources: NCCI’s financial data through 12/31/2018 and NAIC’s Annual Statement data
Arkansas Combined Ratios by Component
Loss Ratio
Underwriting Expense Ratio
© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved. 9
Based on NCCI’s financial data through 12/31/2018, on-leveled and developed to ultimate, with premium adjusted to common wage level
Arkansas Change in Claim FrequencyPercent Change in Lost-Time Claims, per $ Million of On-Leveled Premium
6.6
-10.2
-15
-10
-5
0
5
10
15
2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
Cumulative Change of –48.7%(2003–2017)
Policy Year
© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved.
16.9 17.1
+1.8% +1.2%
0
10
20
30
40
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
Policy Year
10
Based on NCCI’s financial data through 12/31/2018, on-leveled and developed to ultimate
Arkansas Average Indemnity Claim SeverityLost-Time Claim Severity in $ Thousands
Cumulative Change of +31.3%(2003–2017)
© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved.
29.6 28.2
+17.6%-4.9%
0
10
20
30
40
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
Policy Year
11
Based on NCCI’s financial data through 12/31/2018, on-leveled and developed to ultimate
Arkansas Average Medical Claim SeverityLost-Time Claim Severity in $ Thousands
Cumulative Change of +35.0%(2003–2017)
© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved.
-4.3%
-8.4%
-15.4%
-3.4%
-9.4%
-1.6%
-10.6%
-14.9%
-4.2%
-10.8%
7/1/2016 7/1/2017 7/1/2018 7/1/2019 7/1/2020
12
Arkansas Filing ActivityVoluntary Loss Cost and Assigned Risk Rate Changes
© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved. 13
Arkansas July 1, 2020 Loss Cost Filing
Change in Trend:
Change in Experience:
Change in Benefits:
Change in Loss-based Expenses:
Overall Loss Cost Level Change:
–9.3%
–0.6%
+0.1%
+0.4%
–9.4%
© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved.
-8.5%
-10.7%-9.9% -9.4% -9.0% -9.4%
Manufacturing Contracting Office & Clerical Goods & Services Miscellaneous Overall
14
Arkansas July 1, 2020 Loss Cost FilingAverage Changes by Industry Group
© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved. 15
Reflects the most recent experience filing in each jurisdiction as of 5/15/2020 Due to the timing of the individual loss cost/rate filings, the figures shown may include changes from prior filing seasons
Current NCCI Voluntary Market Loss Cost/Rate Level ChangesExcludes Law-Only Filings
-13.7
-9.4
0.0
AK RI UT VT AZ VA SC NC MS DC SD NH AR KY NM CO OR LA MT FL TN NE MD TX IN ID GA IL OK KS AL NV IA CT MOWV HI ME
Approved Pending
(Approved)
© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved. 16
Reflects the most recent experience filing in each jurisdiction as of 5/15/2020 Due to the timing of the individual loss cost/rate filings, the figures shown may include changes from prior filing seasons
Current Voluntary Market Loss Cost/Rate ChangesNearby States
-10.1%
-9.4%
-9.0%
-8.4%
-7.1%
-6.7%
-5.1%
-3.4%
-1.6%
Mississippi
Arkansas
Kentucky
Louisiana
Tennessee
Texas
Oklahoma
Alabama
Missouri
3/1/2020
7/1/2020
10/1/2019
5/1/2020
3/1/2020
7/1/2020
1/1/2020
3/1/2020
1/1/2020
© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved.
0.51
0.73
0.98
0.50
1.00
1.50
2.00
AR LA MO MS OK TN TX Region CW
17
Based on approved rates and loss costs in various jurisdictions from filings using data valued as of 12/31/2018
Average Voluntary Pure Loss Costs Using Arkansas Payroll Distribution
© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved.
Arkansas Residual Market
© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved. 19
Plan DataIncludes 22 NCCI Plan Administration States
AlabamaAlaskaArizonaArkansasConnecticutDCGeorgiaIdahoIllinoisIowaKansas
MississippiNevadaNew HampshireNew MexicoOregonSouth CarolinaSouth DakotaTennesseeVermontVirginiaWest Virginia
20© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved.
Assigned Risk Plan Market Share Percentage by StateAs of 12/31/2019*
*PreliminaryMarket share percentages are from NCCI’s 2019 Residual Market Management Summary
8.9
AK AR VT GA TN NV NH KS VA SC CT AZ WV OR IA NM IL MS AL DC SD ID
5.4%
21© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved.
10.1 9.8 9.610.6
8.9
6.3 6.1 6.0 5.7 5.4
2015 2016 2017 2018 2019*
Calendar Year*PreliminaryMarket share percentages are from NCCI’s 2019 Residual Market Management Summary
Arkansas Residual Market Share Compared to All Plan States Market SharePlan Premium as a Percentage of Direct Written Premium
22© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved.
Arkansas Residual Market Plan PremiumAs of 12/31/2019
24.021.6
23.1 22.720.6
2015 2016 2017 2018 2019Policy Year
5-Year Average = $22.4 M
$ Millions
Premium data is on a policy year basis as reported to NCCI, for policies effective from January 1, 2019, to December 31, 2019, including prorated cancellations, with all policies’ premium associated with the dominant state
23© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved.
Arkansas Residual Market Policy CountsAs of 12/31/2019
6,754
7,076
6,803 6,797
6,699
2015 2016 2017 2018 2019Policy Year
5-Year Average = 6,826 policies
Policy data is on a policy year basis as reported to NCCI, for policies effective from January 1, 2019, to December 31, 2019, including prorated cancellations, with all policies’ premium associated with the dominant state
24© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved.
Arkansas Residual Market Policy Information
$ 3,078
72.9%% of RM Policies Under
$2,500
Average RM Policy Size
23.8%% of RM Premium Generated
by Policies Under $2,500
Premium and policy data is on a policy year basis as reported to NCCI, for policies effective from January 1, 2019, to December 31, 2019, including prorated cancellations, with all policies’ premium associated with the dominant state
25© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved.
Hazard Groups F and G Account for 54% of the Residual Market Premium
31.0
4.8
41.7
11.9
0
10
20
30
40
50
A B C D E F G
% of Premium
Hazard Groups
2019 AR Total Market 2019 AR Residual Market
Premium data is on a policy year basis as reported to NCCI, for policies effective from January 1, 2019, to December 31, 2019, including prorated cancellations, with all policies’ premium associated with the dominant state
26© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved.
Arkansas Residual Market Reinsurance Pool Net Operating ResultsEstimated Net Operating Gains and Losses Projected to Ultimate as of 12/31/2019
-10.0
-7.5
-5.0
-2.5
0.0
2.5
5.0
7.5
10.0
2015 2016 2017 2018 2019
$ Millions
Policy Year
Operating Gain/(Loss) 5-Year Average Result = $1.34M
From NCCI’s Residual Market Quarterly Results—the financial statement presentation that reflects the excess of earned premium over incurred losses, less all operating expenses, plus all investment income in this state
27© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved.
Arkansas Reinsurance Pool’s Combined Ratios Over the Past Five YearsEstimated Policy Year Combined Ratios as of 12/31/2019
0.72 0.73
0.91
1.30
1.12
2015 2016 2017 2018 2019
Policy Year
PY Combined Ratio 5-Year Aggregate Combined Ratio = 0.96
From NCCI’s Residual Market Quarterly Results—equals [1.0 — Residual Market Operating Gain (Loss)] / Pool Written Premium
© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved.
Overall decreasing premium and policy count
Relatively high residual market share
Residual market has been self-funded over the past five years
Arkansas
Consistent Results
QualityService Alignment
Residual Market
28
© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved.
Countrywide and Arkansas Labor Markets
© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved. 30
Annual percentage change; employment is for Total Private IndustryFrequency of observation: annual; 2017–2019Source: US Bureau of Labor Statistics (BLS)
Change in Private EmploymentPrivate Employment Growth Was Below Average
+1.6%
+1.8%
+1.4%
+1.0% +1.0%
+0.8%
2017 2018 2019
United States Arkansas
© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved. 31
Annual percentage change; wages are for Total Private IndustryFrequency of observation: annual; 2017–2019Source: US Bureau of Labor Statistics (BLS)
Change in Average Weekly WagesWage Growth Was Comparable to the National Average
+3.4% +3.4%+3.5%
+3.4%
+2.4%
+3.6%
2017 2018 2019
United States Arkansas
© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved. 32
AWW = Average Weekly Wage2019 annual percentage changeSource: US Bureau of Labor Statistics (BLS)
Private Industry Payroll Growth Decomposition2019 Payroll Growth Was Below the National Average
+1.4%+0.8%
+3.5%
+3.6%
+5.0%
+4.4%
Employment
AWW
Payroll
United States Arkansas
© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved. 33
Employment numbers are rounded to the nearest hundred2019 annual percentage change; frequency of observation: annualSource: US Bureau of Labor Statistics (BLS)
Change in Employment by SectorEmployment Increased in Most Sectors in the Past Year
AR +1.8 121,000 12 +2,200US +1.5AR +3.3 53,000 5 +1,700US +3.1AR +1.0 162,000 16 +1,600US +1.0AR +0.8 188,000 18 +1,500US +2.1AR +2.5 52,000 5 +1,300US +1.6AR +1.2 25,000 2 +300US +1.1AR +0.3 16,000 2 +100US +0.1AR +0.4 11,000 1 +0US +1.2AR +0.0 249,000 24 +0US +0.4AR –0.6 146,000 14 –900US +1.7Professional and business services
Natural resources and mining
Information
Trade, transportation, and utilities
Financial activities
Other services
Economic Sector
Leisure and hospitality
Construction
Manufacturing
Education and health services
1-Year ChangeAnnual Percent Change, 2019
Sector Size
Share%
© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved.
–5% 0 +5% +10%
Payroll Growth
–5% 0 +5% +10%
AWW Growth
34
AWW = Average Weekly Wage2019 annual percentage change; sectors are in descending order by the volume of state payroll amountsSource: US Bureau of Labor Statistics (BLS)
Payroll Growth Decomposition by Sector
–5% 0 +5% +10%
Trade, transportation, and utilities
Education and health services
Manufacturing
Professional and business services
Leisure and hospitality
Construction
Financial activities
Other services
Natural resources and mining
Information
Employment Growth ≈+
© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved.
Employment growth was below the US rate Employment growth in the Leisure and Hospitality, Construction,
and Financial Activities sectors outpaced the national average
Employment was flat in Trade, Transportation, and Utilities and declined in Professional and Business Services
Payroll increased in Arkansas from increases in employment The Trade, Transportation, and Utilities sector has the largest
payroll
Payrolls expanded across all economic sectors
35
Arkansas Labor Market
© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved. 36
Headline Unemployment Rate, seasonally adjusted Frequency of observation: monthly; latest available data point: April 2020Source: US Bureau of Labor Statistics (BLS)
Headline Unemployment RateIncreases in 2020 Reflect the Impact of the Coronavirus Pandemic
United States: 14.7%
Arkansas: 10.2%
Apr May Jun Jul Aug Sep Oct Nov Dec2019
Jan2020
Feb Mar Apr
© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved.
Legislative Updates—Federal and State
38© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved.
Legislative Updates
NCCI identifies and monitors relevant workers compensation-related bills in all jurisdictions and the federal government. Arkansas held a “Fiscal-Only” session in 2020.
Legislative activity for all states is available here.
Federal legislative activity is available here.
Information specifically related to COVID-19 and workers compensation is available in the NCCI COVID-19 Resource Center here.
© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved.
Kids’ Chance of Arkansas
© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI is a proud partner of Kids’ Chance. NCCI continues to educate and bring awareness about Kids’ Chance through our events.
Kids’ Chance makes a difference in the lives of children affected by a parent’s workplace injury or death.
Kids’ Chance of Arkansas was incorporated in 2001 with the mission of providing scholarships to the dependents of deceased and permanently totally disabled workers with compensable Arkansas workers’ compensation claims.
Kids’ Chance brings together employers, insurers, employee groups and others involved in workers’ compensation matters to provide assistance for education to those qualifying dependent children.
Kids’ Chance of Arkansas
© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved.
Chuck McCauley, President
MailPO Box 250249
Little Rock, AR 72225-0249
Phone866-880-8444
Websitewww.kidschancear.org
41
© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved.
ArkansasJune 24, 2020
© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved.
Supplemental Information
© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved. 44
Regional states are LA, MO, MS, OK, TN, and TXBased on NCCI’s financial data
Total Benefit Costs in Arkansas Indemnity vs. Medical
35%
43%
42%
65%
57%
58%
© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved. 45
Based on NCCI’s financial data through 12/31/2018 at current benefit level and developed to ultimate
Arkansas Loss RatiosIndemnity vs. Medical
0.36
0.60
0.30
0.50
0.70
0.90
1.10
2010 2011 2012 2013 2014 2015 2016 2017
Policy Year
© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved. 46
Based on NCCI’s financial data through 12/31/2018, on-leveled and developed to ultimate, with premium adjusted to common wage level
Arkansas Claim FrequencyLost-Time Claims, per $ Million of On-Leveled Premium
21.3
0
10
20
30
40
50
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
Policy Year
© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved. 47
Based on NCCI’s financial data through 12/31/2018 for lost-time claims at current benefit level and developed to ultimate
Arkansas Average Indemnity Claim SeverityAdjusted to Common Wage Level vs. Actual, in $ Thousands
17.1
10
20
30
40
50
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
Policy Year
© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved. 48
Based on NCCI’s financial data through 12/31/2018 for lost-time claims at current benefit level and developed to ultimate
Arkansas Average Medical Claim SeverityAdjusted to Common Wage Level vs. Actual, in $ Thousands
28.2
10
20
30
40
50
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
Policy Year
© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved. 49
Based on approved rates and loss costs in various jurisdictions from filings using data valued as of 12/31/2018
Average Voluntary Pure Loss Costs Using Arkansas Payroll Distribution
0.51
0.98
0.50
1.00
1.50
2.00
TX AR WV IN UT
TN NC KS AZ SD DC OR
MS
NV KY VA CO AL NH
NM NE
MD OK FL RI SC AK MT IA
MO ID LA HI ME
GA IL VT CT CW
© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved. 50
Based on NCCI’s Statistical Plan data
Arkansas Average Claim FrequencyLost-Time vs. Medical Only, per 100,000 Workers
2,415
1,969
2,793
2,624
2,664
3,198
2,027
2,366
2,869
466 1,949AR
LA
MO
MS
OK
TN
TX
Region
CW
© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved.
17.1
AR LA MO MS OK TN TX*
51
*UnlimitedBased on NCCI’s financial data for lost-time claims at current benefit level and developed to ultimate, with premium adjusted to common wage level
Average Indemnity Claim Severity in the Regionin $ Thousands
© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved.
28.2
AR LA MO MS OK TN TX*
52
*UnlimitedBased on NCCI’s financial data for lost-time claims at current benefit level and developed to ultimate, with premium adjusted to common wage level
Average Medical Claim Severity in the Regionin $ Thousands
© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved. 53
Regional states are LA, MO, MS, OK, TN, and TXBased on NCCI’s Statistical Plan data for jurisdiction/claim type combinations for which three or more cases exist
Arkansas Distribution of Claims by Injury Type
81%
75%
76%
12%
15%
15%
7%
10%
9%
0%
0%
0%
Medical Only Temporary Total Permanent Partial Fatal & Permanent Total
© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved. 54
Regional states are LA, MO, MS, OK, TN, and TXBased on NCCI’s Statistical Plan data for jurisdiction/claim type combinations for which three or more cases exist
Arkansas Indemnity Loss Distribution by Injury Type
33%
30%
33%
56%
52%
57%
4%
4%
4%
7%
14%
6%
Temporary Total Permanent Partial Permanent Total Fatal
© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved. 55
Regional states are LA, MO, MS, OK, TN, and TXBased on NCCI’s Statistical Plan data for jurisdiction/claim type combinations for which three or more cases exist
Arkansas Medical Loss Distribution by Injury Type
15%
12%
13%
25%
28%
30%
52%
51%
48%
7%
8%
8%
1%
1%
1%
Medical Only Temporary Total Permanent Partial Permanent Total Fatal
© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved.
Glossary
© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved.
Active Claim—A workers compensation claim for which there is at least one medical service provided during that service year.
Ambulatory Surgical Center (ASC)—A state-licensed facility that is used mainly to perform outpatient surgery, has a staff of physicians, has continuous physician and nursing care, and does not provide for overnight stays. An ASC can bill for facility fees much like a hospital, but generally has a separate fee schedule.
Assigned Risk Adjustment Program (ARAP)—An assigned risk market program that surcharges residual market risks based on the magnitude of their experience rating modification.
Calendar-Accident Year (CAY)—The accumulation of loss data on all accidents with the date of occurrence falling within a given calendar year. The premium figure is the same as that used in calendar year experience.
57
Glossary
© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved.
Calendar Year (CY)—Experience of earned premium and loss transactions occurring within the calendar year beginning January 1, irrespective of the contractual dates of the policies to which the transactions relate and the dates of the accidents.
Claim Frequency—The number of claims per unit of exposure; for example, the number of claims per million dollars of premium or per 100 workers.
Claim Severity—The average cost of a claim. Severity is calculated by dividing total losses by the total number of claims.
Combined Ratio—The sum of the (1) loss ratio, (2) expense ratio, and (3) dividend ratio for a given time period.
Detailed Claim Information (DCI)—An NCCI Call that collects detailed information on an individual workers compensation lost-time claim basis, such as type of injury, whether or not an attorney was involved, and the timing of the claim’s report to the carrier.
58
Glossary
© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved.
Diagnosis Groups—Based on ICD-10 codes; groups based on similar injuries and parts of body.
Direct Written Premium (DWP)—The gross premium income adjusted for additional or return premiums but excluding any reinsurance premiums.
Drugs—Includes any data reported by a National Drug Code (NDC). Also included are data for revenue codes, the Healthcare Common Procedure Code System (HCPCS), and other state-specific codes that represent drugs.
Durable Medical Equipment—Equipment that is primarily and customarily used to serve a medical purpose, can withstand repeated use, could normally be rented and used by successive patients, is appropriate for use in the home, and is not generally useful to a person in the absence of an illness or injury.
59
Glossary
© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved.
Hospital Inpatient Service—Services for a patient who is admitted to a hospital for treatment that requires at least one overnight stay (more than 24 hours in a hospital). Payment for a hospital inpatient service is limited to the payment made for the facility cost.
Hospital Inpatient Stay—A hospital admission of a patient requiring hospitalization of at least one 24-hour period.
Hospital Outpatient Service—Any type of medical or surgical care performed at a hospital that is not expected to result in an overnight hospital stay (less than 24 hours in a hospital). Payment for a hospital outpatient service is limited to the payment made for the facility cost.
Indemnity Benefits—Payments by an insurance company to cover an injured worker’s time lost from work. These benefits are also referred to as “wage replacement” benefits.
Loss Ratio—The ratio of losses to premium for a given time period.
60
Glossary
© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved.
Lost-Time (LT) Claims—Claims resulting in indemnity benefits (and usually medical benefits) being paid to, or on behalf of, the injured worker for time lost from work.
Medical Data Call—Captures transaction-level detail for medical billings that were processed on or after July 1, 2010. All medical transactions with the jurisdiction state in any applicable Medical Data Call state are reportable. This includes all workers compensation claims, including medical-only claims.
Medical-Only Claims—Claims resulting in only medical benefits being paid on behalf of an injured worker.
Net Written Premium (NWP)—The gross premium income adjusted for additional or return premiums; includes any additions for reinsurance assumed and any deductions for reinsurance ceded.
61
Glossary
© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved.
Permanent Partial (PP)—A disability that is permanent but does not involve a total inability to work. The specific definition and associated workers compensation benefits are defined by statute and vary by jurisdiction.
Policy Year (PY)—The year of the effective date of the policy. Policy year financial results summarize experience for all policies with effective dates in a given calendar year period.
Prescription Count—Number of drug prescriptions, where refills are counted separately.
Schedule Rating—A debit and credit plan that recognizes variations in the hazard-causing features of an individual risk.
Service Year—A loss accounting term for experience that is summarized by the calendar year in which a medical service was provided.
62
Glossary
© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved.
Surgery Visit—A visit in which at least one surgery procedure is performed based on the reported procedure code.
Take-Out Credit Program—An assigned risk program that encourages carriers to write current residual market risks in the competitive voluntary marketplace.
Temporary Total (TT)—A disability that totally disables a worker for a temporary period of time.
Units—The number of units of service performed or the quantity of drugs dispensed. For Paid Procedure Codes related to medications, the quantity/units depend on the type of drug:
For tablets, capsules, suppositories, and nonfilled syringes, units represent the actual number of the drug provided. For example, a bottle of 30 pills would have 30 units.
63
Glossary
© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved.
For liquids, suspensions, solutions, creams, ointments, and bulk powders that are dispensed in standard packages, the units are specified by the procedure code. For example, a cream is dispensed in a standard tube, which is defined as a single unit.
For liquids, suspensions, solutions, creams, ointments, and bulk powders that are not dispensed in standard packages, the number of units is the amount provided in its standard unit of measurement (e.g., milliliters, grams, ounces). For example, codeine cough syrup dispensed by a pharmacist into a four-ounce bottle would be reported as four units.
Visit—Any hospital outpatient or ASC service or set of services provided to a claimant on a specific date. At any visit, more than one procedure may be performed, and any claimant may have more than one visit.
64
Glossary
© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved.
Appendix
© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved.
Financial Aggregate Calls Used for aggregate ratemaking
Statistical Plan for Workers Compensation and Employers Liability Insurance (Statistical Plan) Used for class ratemaking
Detailed Claim Information In-depth sample of lost-time claims
Policy Data Policy declaration page information
NCCI’s Workers Compensation Resources
66
© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved.
Collected Annually Policy and calendar-accident year basis
Statewide and assigned risk data
Premiums, Losses, and Claim Counts Evaluated as of December 31
Purpose Basis for overall aggregate rate indication
Research
Financial Aggregate Calls
67
© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved.
Policy Year Financial Aggregate Data
1/1/2017 12/31/20171/1/2016 1/1/2020 12/31/2020
Policy Expiration Date
Policy Effective Date
Policy Year2016
Policy Year2017
Policy Year2020
68
© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved.
Calendar-Accident Year Financial Aggregate Data
1/1/2018 12/31/20181/1/2017 1/1/2021 12/31/2021
Policy Expiration Date
Policy Effective Date
Calendar-Accident
Year2017
Calendar-Accident
Year2018
Calendar-Accident
Year2021
69
© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved.
Experience by Policy Detail Exposure, premium, and experience rating modifications
Individual claims by injury type
Purposes Classification relativities
Experience Rating Plan
Research
Statistical Plan for Workers Compensation and Employers Liability Insurance (Statistical Plan) Data
70
© Copyright 2020 National Council on Compensation Insurance, Inc. All Rights Reserved.
Valuation of Statistical Plan Data
PolicyEffective
18 Months
1stReport
Valuation
2ndReport
Valuation
3rdReport
Valuation
4thReport
Valuation
5thReport
Valuation
30 Months42 Months
54 Months66 Months
71