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Providing the Southern California construction industry the information they need now.
 

Understanding workers' comp rates

After several years of decreasing workers’ compensation rates resulting from workers’ comp reform, many companies are bracing for anticipated increases in 2010 workers’ comp premiums. Most companies agree premium increases couldn’t come at a more difficult time with the current state of the economy, especially for the construction industry. At the same time, since 2005, the average cost of a single lost-time claim in California has risen by more than 47 percent to $57,164.

Your workers’ compensation net rates are calculated using:
Pure Premium Rates
Carrier PPR Modifiers, Premium Discounts and Scheduled Credits
Experience Modification Factors
State Surcharges and CIGA Assessment.

Pure premium rates
The pure premium rate (PPR) is that portion of your final rate (net rate) that the Workers’ Compensation Insurance Rating Bureau of California (WCIRB) has determined is required to pay expected losses. WCIRB recommends the rate, which must be approved by the State Insurance Commissioner. PPRs do not take into account money for insurance company expenses and profitability. Every insurance company starts with the same PPR as a starting point for determining net rates.

Carrier PPR modifiers
Each insurance company then uses its own pure premium rate modifier (or multiplier) that they then apply to the PPR to set a base rate. (Last year, most carriers increased their modifiers considerably.) Then they apply credits and premium discounts. Your company’s characteristics, experiences and reputation will be used by the insurance companies to determine what discounts and credits apply. Your loss history and safety culture are also factors.

Experience modification factors

The greatest source of confusion in workers’ compensation rates comes from the recent changes to California’s Experience Rating Plan (ERP). Companies with premiums in excess of $16,299 can qualify for a premium multiplier called an Experience Modification Factor or “X-Mod” that can be used to adjust your premium up or down. The X-Mod takes into account company payroll and loss history (generally for three years) and compares it to companies with similar classification codes.

Historically, if your X-Mod was 100 percent, your performance was considered average compared to your peers. That meant your company’s losses were what WCIRB expected based on your payroll and classification codes. However, recent revisions to the ERP formula change that. Although WCIRB says the revisions will “improve the X-mod's predictive value and make it easier to understand,” risk managers are finding the cumulative effect of these changes negatively impacts the X-Mod calculation for most industries.

First, expected loss rates are a critical component of the ERP Formula. We’ve seen a dramatic reduction in these rates during the past few years. The “D” ratios also play a significant role in the calculation and determine expected primary losses. D ratios have been decreased. This drives up your X-Mod.

The formula for splitting actual losses into primary and excess has been changed to a "single split" model, with the first $7,000 of every loss considered primary. The change to the split point means any claim up to $7,000 goes into your X-Mod calculation dollar for dollar as a “primary loss.” (The split point was $2,000 before the split.) This will clearly penalize a company that has a large percentage of smaller claims, and losses from $2,000 to $24,500 will have greater impact than they did under the old formula.

Changes to the credibility values (“W” values) in the X-Mod formula seem to impact every industry differently. Although WCIRB’s Jack Hannan said approximately 60 percent of companies are seeing either lower X-Mods or little to no change in their X-Mods due to formula changes, this is not the case for a majority of the calculations we’ve reviewed. Many contractors are seeing X-Mod increases of 10 percent to 12 percent as a result of the change in the formula, and some have been hit with rate increases of more than 20 percent.

Under the revisions, the X-Mod for many construction companies will significantly change even if payrolls, classifications and losses remain the same. The new formula only rewards relatively claim-free results. Some companies with losses below WCIRB’s “expected loss values” have 2010 X-Mods of more than 100 percent.

State surcharges, CIGA assessments
In 2000, California workers’ comp policies applied surcharges of 0.26 percent to premiums. The tax, which is set by the state, increasing on 2001 policies to 1.36 percent and has risen steadily to more than 4.7 percent for the 2010 policy year.

What you can do
The best strategy for dealing with these changes is to be sure your company has an effective risk management and safety program, including the assistance of a claims specialist to help manage your claims. Every claim counts and the frequency of claims is critical. Next, study the changes in the ERP formula so you understand them and can work within the new parameters.

Also, the new X-Mod formula requires employee buy-in. It’s paramount your employees know if your company’s X-Mod exceeds 124 percent, you are disqualified from bidding some types of work. No longer is workers’ comp insurance simply a cost of doing business; your X-Mod may be a primary factor in your company’s survival and your ability to secure future work.

By Steven C. Mosier, ARM, CSP, (ret.) and Griff Griffith, CPA, CIC, Garrett/Mosier Insurance Services, dba GMGS Insurance Services
 
 
 
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