Wednesday, August 20, 2008, 09:38 PM - Political developmentsThe public's attention is not exactly on workers' comp as the summer winds down. The Olympics, the impending vice-presidential picks and McCain's apparent pull ahead, the financial teeter-totter of Fannie Mae and Freddie Mac, the spectre of a restless Russia... is it John Edward's baby? .There's a lot on the public mind.
You, dear reader, perhaps live in a quiet corner of the state with gated communities and manicured lawns. But here in Oakland the public's mind is on a spate of brazen restaurant robberies. Young hooded thugs in baggy pants barging into restaurants-even in upscale, trendy areas-and holding up diners and staff at gunpoint (there's a comp case for ya!)
Restaurants installing countersecurity measures. Some owners locking doors and considering doing racial profiling before inviting customers into the premises. A lethargic mayor who blames thuggery on lack of hope for young men without economic opportunities.
Sometimes its not hard to image society devolving into shocking lawlessness.
Workers' comp is a backwater.
Last week's announcement that the WCIRB may recommend as much as a 20% increase in comp premiums received some press coverage. But the story dropped out of sight quickly, causing few ripples.
At the WCAB district offices today, a collective sigh of relief. The Governor's plan to reduce state employees to minimum wage pay has been put off til a September hearing. Board employees I've talked to this summer have been dispirited.....concerned over the pay issue and
unenthused over what they've seen of EAMS so far.
Meanwhile, the California legislature grinds towards the finish of this term. Carole Migden's anti-discrimination in apportionment bill cleared its last legislative hurdle yesterday and heads to the Governor.
Here's a link to the roll call vote tally in the California Assembly:
http://info.sen.ca.gov/pub/07-08/bill/s ... floor.html
You'll notice the vote is along party lines. The California Republican party is reliably in the service of California business interests.
Never mind that Migden's bill, SB 1115 codifies basic tenets of fairness that are a consensus in our society. Discrimination is not in vogue.
In coming posts I'll be looking at SB 1115 in more depth.
Monday, August 18, 2008, 10:48 PM - Political developmentsNot UR'd.
The Governor, that is.
The Governor found time to go have a quick knee arthroscopy while the legislature was in full food fight mode over the budget over the budget.
Since the torn ligament was non-industrial, there was no need to wade through ACOEM review under UR.
Turns out the Governor has had quite a bit of surgery. 1997 heart surgery. 2003 rotator cuff surgery. 2006 femur surgery.
If he has a work injury while in office, looks like there may be grounds for apportionment.
One would hope this gives him perspective on the travails of injured workers. Of course, if the Governor wants surgery it's a just do it mentality. Workers, on the other hand, sometimes must run a gauntlet before getting the requisite approvals.
This week I'll be providing analysis on the recent rate increase recommendation filed by the California WCIRB. The proposal-known as a rate filing-was unveiled last Friday.
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Wednesday, August 13, 2008, 02:08 PM - Political developmentsThe WCIRB has just announced that it plans to recommend to Insurance Commissioner Poizner a 16% increase in workers' comp rates effective 1/1/09. The actual "filing"
(a recommendation with the Department of Insurance) will be coming in the next few days.
The Insurance Commissioner can accept or reject the WCIRB
recommendation. The WCIRB recommendation applies to "pure
premium rates"; these essentially set the tone for California workers' comp pricing but are not binding on California comp insurers.
California employers won't be welcoming this news.
The WCIRB recommendation apparently reflects concerns about rising costs, particularly medical treatment costs.
A WCIRB news release claims that the increase breaks down as follows:
10.8% for increasing medical treatment costs
2.8% for increasing loss adjustment expenses
1.8% "due to the annual adjustment to the experience
rating of balance correction factor"
The small PD rating schedule revision currently under consideration would add another 3.7%.
The WCIRB release notes that even with the increase, premiums would be down 60% from the pre-2004 reform level.
Even without seeing the actual filing, its clear that medical costs continue to be THE big driver in workers' comp costs. Despite somewhat Draconian treatment guidelines and utilization review, medical and pharmacy costs continue to spiral. New medical technologies and more expensive medications may be a component of the problem. It's a scenario not unlike that seen in the healthcare system in general.
Insurers have been feasting on large profits in California workers' comp since 2004. Loss ratios have been at historically low levels for most of the last 4 years. But most observers have expected margins to tighten somewhat tighten somewhat.
The scenario that may be emerging is one where benefit levels for disabled workers are low but costs for employers are rising. If that's the scenario, they system is not "fixed", but rather in need of another overhaul.
Monday, August 11, 2008, 10:46 PM - Understanding the CA WC systemThink back a few years.
Many in the press and public believed that California workers' comp was rife with worker fraud. The vision was fed by the occasional arrest shown on the 10 o'clock news. Or the story that doctor and attorney mills were feeding on each other, treating workers up the yin yang, ordering every expensive test possible. Billboards plastered over some major metropolitan areas didn't help the perception.
But the perception has changed.
Now there's still focus on employee fraud, but increasing concern about employer fraud.
Marc Lifsher's recent piece in the Los Angeles Times is a good summary of recent efforts to focus on employer fraud. Lifsher's piece is viewable here:
http://www.latimes.com/business/la-fi-c ... 3850.story
My earlier blog piece on the issue was "Its the Employer Fraud, Stupid".
That post is viewable here:
http://workerscompzone.com/index.php?en ... 818-110358
Employer comp fraud is costing honest California employers and insurers huge amounts of money.
There's a good chance your local car wash, dry cleaner and your favorite ethnic restaurant aren't covering their employees. It's that bad.
Until the legislature increases penalties for failing to maintain insurance,
enforcement raids seem to be key. But given the how endemic this problem appears to be (along with widespread other labor law violations), the state has a monumental task in educating employers, many of whom are ethnic minorities.
Thursday, August 7, 2008, 09:18 PM - Political developmentsStrange brew-what's inside of you may kill ya. Strange brew. Strange brew.
I'm sitting here pondering the fate of AB 515, a bill currently under consideration in the California legislature that would regulate worker chemical exposures.
I can hear the guitar riffs now. Strange brew, strange brew, strange brew-
Eric Clapton, Jack Bruce, Ginger Baker. Cream, one of the British pop super groups. Lotsa wailing guitars.
OK. Alright. You caught me. I'm taking artistic license. Perhaps Cream wasn't singing about toxic sludge, carcinogenic emissions, or workplace exposures. For them, it was strange brew-kill what's inside of you.
But it got me thinking about strange toxic brews that thousands of California workers are exposed to at work. Who sets standards for acceptable exposures? Is the seven -member California Occupational Safety and Health Standards Board adopting standards tough enough to protect California workers?
AB 515 would require the Board to set long term exposure limits in addition to standards limiting short term exposures.
As many as 44 chemicals on the Prop 65 list as cancer-causers are not subject to any standards for worker exposure.
The result? The public receives general Prop 65 warnings of the presence of cancer causing substances, but workers dealing with the substances day in and day out have little or no protection from the effects of long term exposure. Many of these workers will find themselves on workers' compensation years later, their health in shambles.
The availability of a Material Data Safety Sheet doesn't protect workers from long term exposures.
I know. One of my favorite clients died recently of a form of brain cancer, a cancer quite likely linked to his years of service at a Bay Area oil refinery. I visited him at the Walnut Creek skilled nursing facility where-barely able to sit straight in a chair-he gave a two hour deposition detailing his exposures to a long list of chemicals for over 20 years. At the end, he slumped over, barely able to speak. About a month later he was gone.
It's a debate which is playing out under slightly different circumstances on the Potomac. For background on the Bush administration's attempt to change the standard for measuring worklife exposures, check out the post I did earlier this week. Bush appointees are clearly intent on pushing through the agenda of oil and chemical industry lobbyists.
Here in California, AB 515 sits in a precarious political balance. A similar bill was withdrawn last year. Forces opposing AB 515 include the California Chamber of Commerce and California Manufacturers and Technology Association, groups behind the SB 899 workers' comp reform. These are groups who have a virtual hotline to the Governor's office.
Assemblywoman Sally Lieber (D-Mountain View) has lined up a labor and environmental coalition behind the bill. But it will be yeoman's work to keep the coalition from fracturing since some labor groups have concerns about the effect on jobs in the industries they serve.
It's common for groups to sign on or sign off of major bills like this depending on how they see their interests being affected.
Environmental groups have a big stake in this bill and are are likely to continue the push each year until this bill gets done.
Seeking a legacy of environmental progress, Schwarzenegger might sign the bill? It's not clear.
Want to see an example of why the bill is needed? Look at the investigative series by Susan Sward in the San Francisco Chronicle.
Sward detailed the effects of cancer causing chemicals on workers at a Mojave Desert chemical plant, Searles Valley Minerals:
http://www.sfgate.com/cgi-bin/article.c ... amp;hw=sus
Strange and ugly brew.
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