Changes to California Workers’ Compensation in 2012: New Experience Modification Formula

Several things have happened in California that will effect the cost of Workers’ Compensation in 2012. The first major item is the increase in the pure premium rate by California Insurance Commissioner Dave Jones. The new rate, in combination with the removal of previous reforms, adds up to approximately a 37% increase in premiums. The second major change is how California determines its experience rating formula.

The experience modification factor is one of the biggest influences on your workers’ compensation insurance premiums. It is a complex formula that is based on your loss history and payroll data to determine your rates.

Until 2012, the formula looked like this:

X-Mod = {Ap + (W x Ae) + [(1 - W) x Ee + B} / (E + B)

Ap = Actual primary losses; Ae = Actual excess losses; E = Expected losses; Ee = Expected excess losses; B = Ballast and W = Weight

In 2012, according to the WCIRB, the "change does away with ballast and weighting values in favor of credibility primary and credibility excess factors:

Credibility primary factors (Cp) are used to weigh a risk’s actual primary losses, which are a measure of loss frequency. The larger a risk is (as measured by expected losses), the greater weight that is given to primary losses.
Credibility excess factors (Ce) are used to weigh a risk’s actual excess losses, which are a measure of loss severity. Again, the larger a risk, the greater the weight. Notably, very small risks have such little predictive value in this area that Ce will actually be zero."

So the new formula now looks like this:
Modification =[(Ap x Cp) + (Ep x (1 – Cp))] + [(Ae x Ce) + (Ee x (1 –Ce))] / E

Ap = Actual Primary Losses
Cp = Credibility Primary Value
Ep = Expected Primary Losses
Ae = Actual Excess Losses
Ce = Credibility Excess Value
Ee = Expected Excess Losses
E = Expected Losses

If this formula doesn’t make sense to you, don’t worry. What is important is that a Workers’ Compensation insurance agent can help explain it to you and how your rate is determined.

Basically, the fewer losses you have, the less your premium will be. However, factors such as your industry, the types of workers you have, and how long you have been in business will affect this rate.

To learn more about Experience Modifications and how they affect your Workers’ Compensation Insurance premium, click here.

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California Workers’ Compensation Insurance

If you need workers’ compensation insurance for your business, call Invensure at (800) 331-4700 to speak to an expert who can help you get your claims under control and lower your costs for the long term.

In California, workers’ compensation insurance is required by law for any business that has even one employee. There are a couple exceptions to this rule:

1. If you are a sole owner, coverage is optional. However, all roofers are required to have workers’ compensation insurance in California, regardless if they are sole owners or not. You should consult a licensed agent or broker to determine whether to opt out or not. California workers’ compensation insurance generally covers all officers and directors as they are considered employees.

2. You do not have to have workers’ compensation if you choose to self insure. The requirements for self insurance are that your business has a net worth of at least $5 million, a security deposit, and a net income of $500,000 per year. The State of California must approve your request to self insure.

If you do not have workers’ compensation insurance and do not fall into one of the exceptions, you could be fined or even receive jail time. Not having workers’ compensation insurance is a misdemeanor and you can receive fines ranging from $10,000 to $100,000 or 60 days to one year in county jail.

You will receive a certificate of insurance once you have workers’ compensation insurance. You are required by law to put the posting notice in a visible place so employees can see where to get information for work injuries. Failure to comply can result in fines up to $7,000 per violation. Ask your insurance broker what specifically you need to do to be in compliance.

Invensure Insurance Brokers has been helping businesses with their workers’ compensation insurance for over 35 years. If you have any questions, please call (800) 331-4700.

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Umbrella Insurance: How Much Umbrella Insurance Should I Get?

DECIDING ON UMBRELLA COVERAGE AMOUNTS

One million dollars is the minimum amount of coverage for an Umbrella policy. However, insurance companies usually offer these types of insurance policies in million dollar increments and often go up to $5 million or $10 million.

Some companies that target high net worth individuals might offer up to $50 million or more in coverage. Most people who purchase an Umbrella policy choose the $1 million dollar amount, but many choose $2 million dollars or more. A rough estimate of what it costs for the first million is about $200 to $250 a year, but can be higher if you have more than two cars, young drivers, or points on your record.

Although each incremental amount above the first million is slightly less, increments exceeding $10 million can be higher. The more coverage you have, the more bullet proof you will be if you become liable for a catastrophic incident.

One of the best aspects of this coverage is that it’s very inexpensive. It’s important for those considering this type of insurance to avoid cutting corners. Shortcuts cannot be afforded when all accumulated assets from an entire lifetime are in question. Some believe that all they need is coverage for whatever their net worth is, but settlements and judgments can go beyond someone’s assets because damages are never limited to someone’s net worth.

It’s also important to protect future wages from garnishment. The future income of an individual who doesn’t have ample coverage can also be jeopardized. If the person who is injured earns a considerable amount of money, that individual is more likely to be a target of the best liability attorneys.

Although $1 million might appear to be more than enough coverage, the total cost of liability claims can multiply quickly. In today’s world, $1 million isn’t much. It’s not unusual to read in the news of settlements of well over $5 million.

Losing the ability to earn an income and facing a lifetime of injuries or medical care can easily total several million dollars over a lifetime, not to mention situations where multiple people are injured, which would multiply the total damages. It’s important to consider what amount would be acceptable for various conditions. For example, ask yourself how much you would settle for if you were paralyzed and unable to work the rest of your life.

Anyone who has something to lose should have at the very minimum a $2 million Umbrella, but if you really have a lot to lose and don’t want to gamble with your life’s wealth, your options are at least a $5 million policy, if not more. Discuss this valuable coverage with one of our agents.

Invensure offers umbrella insurance. Contact us to speak to an expert who can help you determine how much coverage to get. Call (800) 331-4700.

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February 14, 2012: OCAHU Informational Event: Health Care Reform Legislation & Insurance Exchanges in California

The Orange County Association of Health Underwriters (OCAHU)
is having a special event: “University Day: Getting to the Heart of the Matter”

February 14, 2012 from 7am to 4pm
at Hilton Costa Mesa, 3050 Bristol Street, Costa Mesa
Featuring key note speakers:

David L. Fear SR., RHU (Past President of National Association of Health Underwriters)
“A California Perspective on Health Insurance Exchanges” 8:15-9:15

Michael Belote, Esq. (Legislative Advocate for California Association of Health Underwriters)

“A Legislative Update on California Health Care Reform” 10:25 – 11:15

The cost to attend is $90 for members and $100 for non-members at the door.

For questions regarding the event, please call (866) 921-6440

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California Workers’ Compensation Posting Notice Requirements

In the state of California, all employers must post a notice of their Workers’ Compensation carrier alongside their labor poster and other required postings.

This notice is usually supplied with the Workers’ Compensation policy, is titled “Posting Notice,” and has the following information:

Workers’ Compensation Insurance Carrier
Policy Number
Contact Phone Number
Claims Reporting Number

Failure to display this notice in a prominent place can result in a misdemeanor offense and a penalty assessment order with fines of $1,500 per employee.

If you receive a penalty assessment, you have 15 days to contest the violation in writing. The instructions are on the back of the citation.

California Workplace Posting Requirements:

The following information is from: http://www.dir.ca.gov/wpnodb.html

All employers must post the following:

“Notice to employees — injuries caused by work
Advises employees of workers’ compensation benefits. Claims administrators and employers need to revise the notice they are currently using and send it to the DWC administrative director for review and approval or they may download and use this version. NOTE: Employers may obtain professionally printed copies of the poster and workers’ comp claim form from their claims administrator.”

Title 8, California Code of Regulations, Division of Workers’ Compensation section 9881

All employers must post the following:

“Notice of workers’ compensation carrier and coverage States the name of the employer’s current compensation insurance carrier, or the fact that the employer is self-insured. Obtained from the employer’s workers’ compensation insurance carrier.”

Labor Code section 3550

For complete information:
California Department of Industrial Relations
http://www.dir.ca.gov/

For a complete list of labor law posting requirements:
http://www.dir.ca.gov/wpnodb.html

Call (800) 331-4700
to speak to a local expert if you have any questions about California Workers’ Compensation Insurance.

Form more information about Workers’ Compensation, click here.

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What Does a Homeowners Insurance Policy Cover?

There are many differences in homeowner’s insurance policies, but at the most basic level, many cover the same things. Some coverage seems pretty obvious and other items are less obvious. Here is a general overview.

Disclaimer: Since every policy is different, you should speak to a qualified agent about what your policy specifically covers. If you are in California, call (800) 331-4700 if you have questions about homeowner’s insurance policies.

Types of Homeowner’s Policies

The most common type of homeowners insurance is HO-3, which covers the items described for single-family residences that are owned.
HO-1 Basic homeowner policy that covers 11 listed perils and listed contents. Coverage for: fire or lightning, windstorm or hail, vandalism or malicious mischief, theft, damage from vehicles and aircraft, explosion riot or civil commotion, glass breakage, smoke, volcanic eruption, and personal liability. Exceptions include floods and earthquakes.

H0-2 Broad form Homeowner Policy. This type of policy includes the 11 perils listed above, plus 6 additional perils listed in the policy.

HO-3 Special Form Homeowners Insurance Policy. Most common type of policy that covers most perils, with the exception of earthquake and flood. Contents are included up to certain levels.

HO-4 Renter’s Insurance covers personal posessions and includes liability for personal injury and property damage to others.

HO-5 Premier Homeowner Policy. Similar to HO-3 but contents are covered on a non-peril specific basis, as long as there is no exclusion in the policy.

HO-6 Covers Condominium units. Typically for coverage of contents as well as floor covering, cabinets, appliances, and so forth.

There are additional homeowners policies not listed here, but these are the major types.

What do Homeowners Policies Typically Cover?
Structure
If your home is damaged by fire, hurricane or other named perils, insurance will pay to repair or replace what is damaged. Earthquake and flooding requires a separate policy and damages caused by these types of events are not covered under a standard policy.

Personal Possessions
Furniture, clothing, computers, sofas, tvs and similar items are also covered, even if the item is not in the home. You many need to schedule additional coverage, or purchase a rider, for valuables items like furs, jewelry, art, computer equipment, camera equipment, or other items if their value exceeds a specified limit.

Living Expenses
Your policy will likely pay for living expenses such as hotel stays and restaurant meals if your home is damaged and needs to be rebuilt.

Additional Things Homeowners Policies Cover

You may be surprised, but your policy probably covers:

Ordinance or Law Coverage
If your home is damaged and needs to be rebuilt, many policies cover items required because of changes in the law since your home was built. There will likely be a limit to the amount of coverage, but more coverage can always be purchased.
Spoiled Food
If you lose power and all the food in your refrigerator and freezer spoils, most homeowners insurance policies cover up to $500 to replace the food.

Liability
If someone in your immediate family hurts others or damages their property, your insurance may cover liability up to a certain amount, generally starting at $100,000.

Liability can also cover you in a slander or libel suit. If you write something that slanders or libels a person or organization and you are sued, you will probably have some basic coverage through your homeowners insurance policy.

Accidents
If your child rides his bike into a neighbor’s fence and breaks it, your homeowner’s policy will likely take care of the damages.
Your College Student’s Property
If one of your children is living on campus, their property is covered under your homeowner’s insurance policy. If they live off campus, they will probably need their own renter’s policy.
Other Structures
A homeowners insurance policy will usually cover buildings on your property that are not attached to your home. However, double check this with your agent.

Medical Payment Coverage
If someone is injured on your property, this will help cover the medical bills.

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California Workers’ Compensation Rates increase in 2012: What you can do to lower the cost of your Work Comp Insurance

Background
When the news broke this November that California Insurance Commissioner, Dave Jones, was effectively raising the pure premium rates in California by 37% for 2012, many were simply shocked. In the middle of economic doldrums, with many small businesses in California struggling to make ends meet, raising premiums simply didn’t make sense.

California Workers' Compensation Cost Reduction Program

Sign up for Invensure's Workers' Comp Cost Reduction Program and start saving. (800) 331-4700

Small businesses are likely suffering the most as rates increase. Workers’ Compensation insurance is required by law for any business with one or more employee. Going without can result in jail time and large fines.

Recent news stories highlight the problem. Inspections are on the rise (probably because of California’s budget crisis) so companies are getting hit with huge fines because they are not in compliance with the law.

What You Can Do About It
So where does a business owner turn? What can they do? Just sit there and take it? No way! There is a solution, and a fairly simple one at that.

It all comes down to the agent who is providing the Workers’ Compensation insurance. A good broker has a lot of tools at their disposal to remedy the problem of high insurance premiums. They will have relationships with all the major insurance carriers and also have the experience and expertise to know where to look and how to fix any problems.

A lazy or inexperienced broker will just take an application at face value. They will submit the information to one carrier and not put the extra effort in finding ways to lower the premium. Some even offer to do this work for an additional fee, or even suggest hiring an expensive 3rd party auditor.

However, if your broker is experienced in workers’ compensation and really cares about you as their client, there are several things they can do to help. There are some technical factors they will analyze carefully. Losses and other data are reported on the Unit Statistical filing, and this affects the experience modification factor, which in turn, determines your premium.

Studies have determined that over 70% of experience modifications have errors. These are errors that a diligent, experienced insurance agent would have found. Fixing these types of errors can result in an immediate savings of 30% or more on the premium.

The Solution to Save Money on Workers’ Compensation Insurance
Invensure Insurance Brokers, Inc. has over 35 years experience working with clients to lower the cost of their Workers’ Compensation insurance premiums and the associated costs.

Because of the rate hike this year, there is a special Workers’ Comp Cost Reduction Program to help those who sign up.

Click here to sign up.
Or call (800) 331-4700 to learn more.

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How Much Life Insurance Should I Have? The importance of adequate life insurance

Many Americans do not have adequate Life insurance coverage. The number of people going without sufficient insurance is high enough that it has gained the attention of researchers.

Why you should be terrified about retirement: cost of long term care

The number of Americans who don’t have Life insurance is more than 90 million. Researchers believe that this number is related to the lack of jobs. One interesting fact is that almost 80% of Americans only have group Life insurance policies offered by their employers. If these individuals lose their jobs, they also lose their Life insurance coverage. The solution to this problem is to decide what individual Life insurance needs are and fill them.

Women who earn more than $100,000 annually are less likely than men to use group or individual insurance. Although women tend to have longer lifespans than men, statistics show that the majority of them don’t have enough individual coverage. However, this doesn’t apply to all men and women. These statistics came from research and represent majority percentages rather than the entire population.

Another factor that isn’t always considered in purchasing Life insurance is the cost of replacing the child care activities of full-time mothers. The costs of driving, housekeeping, child care, food and other details of caring for children must be considered.

Since Americans are living longer than they were in the past, the premiums of Life insurance policies have dropped. The reason for this is because longevity improvement yields lowered mortality costs. However, there is a more difficult aspect of this equation, which involves the earnings on investment portfolios of insurance companies.

Life insurers are regulated heavily, so they must meet reserve requirements. The reserves of life insurers are usually placed in interest-bearing investments that are very conservative. As a result of this and other issues, the insurance premiums for long-term care have risen significantly.

There are several professionals who predict similar trends in the future for life insurers. This is because very little is yielded from their conservative reserve assets. This is another good reason why it’s important to solve Life insurance deficiencies as quickly as possible.

Life insurance isn’t used only as an income replacement to provide for heirs. It’s also useful in helping to reduce estate taxation, as a tax-favored supplemental benefit to the most valuable employees and to fund the succession of a business.

The best way to identify what changes must be made is to contact one of our agents. Experts are available to help you with your life insurance. Call (949) 756-4100

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$750,000 Bail Set in CA Workers’ Compensation Fraud Case

From the California Department of Insurance:

Frances Ann Doherty, 51, of Millbrae was arraigned on 57 counts of workers’ compensation insurance fraud and payroll theft on January 27, 2012 in San Francisco.

Ms. Doherty, the owner of Doherty Painting & Construction, was found to have provided fraudulent employee payroll information to her Workers’ Compensation Insurance carriers from 2006 to 2009, in an effort to pay a lower premium.

The investigation also found that on 23 public projects the company worked on, many of the workers only received a fraction of the pay they were entitled to. According to the California Department of Insurance, “The investigation further revealed that Doherty allegedly provided fraudulent information to public agencies that were doing compliance audits in an effort to conceal the prevailing wage violations.”

In an era of state budget cuts, we are likely to see more crack downs, especially in the public sector. If you have questions about your Workers’ Compensation Insurance, and whether you are compliant with state law, give us a call at (800) 331-4700. We are here to help.

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California Workers’ Compensation Rates 2012: Impacted by Recession

There are several theories about why Workers’ Compensation rates are going up in 2012. The latest theory, that the increase in rates is caused by the recession, is supported by a study by the Workers’ Compensation Research Institute.

California Workers' Compensation Rates Increase 2012

The study showed that the time off for disability claims increased by an average of one week during the recession. This impacted other costs. In addition, medical payments increased.

“Recent growth in medical payments per claim stemmed from multiple factors, including an increase in prices paid for office visits due to a fee schedule increase; growth in payments per service for facilities associated with surgical procedures; more complex office visits with higher prices billed more frequently; and moderate increases in services per visit for physical medicine,” the study states.

Between 2007 and 2009 indemnity costs rose 7%, as compared to a 30% decrease between 2005-2007, which were a result of workers’ compensation reforms passed in California.

See related story about California Insurance Commissioner Dave Jones passing 37% increase for workers compensation pure premium.

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