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1 Washington Pension System Review Draft Final Report August 29, 2008 Submitted to: State of Washington Department of Labor & Industries P.O. Box Olympia, WA By: W.E. Upjohn Institute for Employment Research 300 S. Westnedge Avenue Kalamazoo, MI2 Contents 1 Overview of Report INTRODUCTION The Issue The Research Team THE RESEARCH PLAN AND ITS IMPLEMENTATION A Program Assessment A Comparative Analysis Claim File Review Predictive Model THE STRUCTURE OF THIS REPORT Program Assessment INTRODUCTION A Summary of the Claims Flow Process State fund claims Self-insured claims Appeals of claims The Board of Industrial Insurance Appeals and the Courts POSSIBLE CAUSES OF THE UPSURGE IN PENSIONS: CHANGES IN APPEALS State Fund Appeals Self-Insured Appeals Trends Conclusion POSSIBLE CAUSES OF THE UPSURGE IN PENSIONS: CHANGES IN NUMBERS OF ACCIDENTS, INJURIES, ILLNESSES, AND IMPAIRMENTS Injury Incidence Level of Impairment Conclusion POSSIBLE CAUSES OF THE UPSURGE IN PENSIONS; DEMOGRAPHIC CHANGES Aging and Work Disability The Aging of Washington s Population Conclusion POSSIBLE CAUSES OF THE UPSURGE IN PENSIONS: CHANGES IN THE TYPES OF CLAIMS AND CERTAIN TREATMENTS Back or Spinal Injuries Conclusion Psychological or Psychiatric Claims Conclusion Opioid Utilization Conclusion POSSIBLE CAUSES OF THE UPSURGE IN PENSIONS: THE PROCESSING OF CLAIMS Duration Long-Duration Claims A Note on Claims of Shorter Duration Claim Managers and Pension Adjudicator Activity i3 The Probability of a Time-Loss Claim Becoming a Pension Claim Efforts to Reduce Time-Loss Duration Conclusion POSSIBLE CAUSES OF THE UPSURGE IN PENSIONS: LEGAL DECISIONS AND LEGISLATIVE DIRECTIONS Significant Decisions Impact on L&I Conclusion POSSIBLE CAUSES OF THE UPSURGE IN PENSIONS: SECOND-INJURY FUND UTILIZATION Second-Injury Fund Utilization Conclusion POSSIBLE CAUSES OF THE UPSURGE IN PENSIONS: DEVELOPMENTS IN THE LABOR MARKET Strong or Weak Labor Market Conditions Employment Growth and Unemployment Disadvantaged Workers and Work Injuries and Illnesses Conclusion POSSIBLE CAUSES OF THE UPSURGE IN PENSIONS: PROVIDING VOCATIONAL REHABILITATION SERVICES The Process of VR within the Agency Mandatory to discretionary vocational rehabilitation The role of private vs. public counselors Total claims management (TCM) The role played by complexity-adjusted cost outcome (CACO) Disability Management at L&I Early intervention program Early return-to-work program (ERTW) Preferred Worker Program Previous Reviews Conclusion HOW MUCH OF AN UPSURGE WAS THERE? Jurisdictional Comparisons TOTAL PERMANENT DISABILITY BENEFITS Compensating for Permanent Partial Disability in U.S. Workers Compensation Systems Scheduled or Specific Benefits Unscheduled Benefits Impairment only Loss of wage earning capacity Wage loss Bifurcation Direct Linkages between Permanent Partial Disability and Total Permanent Disability Compensating for Total Permanent Disability in the U.S Statutory total permanent disability Non-statutory total permanent disability ii4 Attempts to restrict TPD Compromise and release agreements A COMPARATIVE ANALYSIS OF WASHINGTON AND NCCI STATES NCCI Data Incidence of Total Permanent Disability COMPARING WASHINGTON TO BRITISH COLUMBIA Long-Term Disability Compensation in British Columbia Vocational Rehabilitation in British Columbia Direct Comparison of BC and Washington Time-Loss Duration of Claims Conclusion Claim Review Findings INTRODUCTION Necessity and Requirements of the Claim Review METHODS Choice of Study and Comparison Groups Choice of Abstract Elements Sample Weighting DESCRIPTIVE STATISTICS OF CLAIMS Injury Characteristics Worker Characteristics Medical Treatment and Psychological Impairment Claims Management Vocational Rehabilitation Return-to-Work Experience Disputation in the L&I System REVIEWER OBSERVATIONS OF CLAIMS Observations across Pension Years Other Observations of Factors Affecting Pensioning Observations Regarding Information Available to Conduct Claim Reviews Conclusion MULTIVARIATE ANALYSIS OF CLAIM REVIEW DATA Summary and Findings INTRODUCTION PROGRAM ASSESSMENT The Claims Flow Process What Caused the Upsurge in Pensions Possible causes of the upsurge in pensions: injuries and illnesses Possible causes of the upsurge in pensions: changing demographics Possible causes of the upsurge in pensions: changing types of injuries and illnesses and their treatment Possible causes of the upsurge in pensions: claims management practices Possible causes of the upsurge in pensions: changing legal conditions Possible causes of the upsurge in pensions: the Second-Injury Fund iii5 Possible causes of the upsurge in pensions: changes in the labor market Possible causes of the upsurge in pensions: the vocational rehabilitation program WAS THERE AN UPSURGE IN PENSIONS? A JURISDICTIONAL COMPARISON NCCI State Comparisons Comparing Washington and B.C Conclusions CLAIM FILE REVIEW PENSION PREDICTIVE MODEL Model Specification and Estimation Model s Predictive Ability Summary, Caveats and Extensions References R-1 iv6 Tables Table 2.1 Total and Permanent Disability Awards by Year Table 2.2 Incidence Rates of Non-Fatal Injuries and Illnesses, Cases with Days Away from Work, for Washington and U.S., per 100 FTE Employees Table 2.3 Occupational Fatalities, Washington and U.S., Table 2.4 Permanent Partial Disability Awards for State Fund Claims Table 2.5 Permanent Partial Disability Self-Insured Table 2.6 Washington State Population Table 2.7 Age Data for Pensions Allowed State Fund and Self-Insured Combined Table 2.8 Average Age at Pension by Gender Table 2.9 Average Age at Injury by Gender Table 2.10 Time-Loss Claims with Back/Spine and/or Psych Involvement for State Fund Table 2.11 TPD Pension Claims with Back/Spine or Psych Involvement for State Fund Table 2.12 The Number of State Fund Time-loss Claims Open at the End of Each Year that had been Open for <1 to 10+ Years Table 2.13 The Percentage of State Fund Time-Loss Claims Open at the End of Each Year that had been Open for <1 to 10+ Years Table 2.14 The Number of State Fund Time-Loss Claims Open at the End of Each Year that had been Open for Six or More Years Table 2.15 The Number of State Fund Claims Pensioned (TPD) in a Year that had been Open for <1 to 10+ Years Table 2.16 The Percentage of State Fund Claims Pensioned (TPD) in a Year that had been Open for <1 to 10+ Years Table 2.17 Duration and Accident Year The Probability of Receiving a Pension Table 2.18 Pension Adjudicator Pension Activity Table 2.19 Second-Injury Fund Relief for Pensions, Table 2.20 Washington and U.S. Employment , in millions Table 2.21 Washington and U.S. Unemployment Rates Table 2.22 States Ranked by Unemployment Rates Table 2.23 Unemployment Rates (%) Washington, Washington MSAs Table 2.24 Substantial Returns to Work among Workers with Pre-injury Attributes Associated with Disadvantage in the Labor Market Table 2.25 Pensions Awarded Relative to Time-Loss Claims, Economically Distressed and Other Counties, Table 2.26 Pensions Awarded Relative to Time-Loss Claims, High Minority Group Population and Other Counties, Table 2.27 Breakdown of VR Referrals Table 2.28 Time-Loss Claim Outcomes 5 to 10 Years after Date of Injury Plan Development or Implementation Referrals 5-Plus Years after Accident Table 2.29 Time-Loss Claim Outcomes 5 to 10 Years after Date of Injury Plan Development Referrals 5-Plus Years after Accident Table 2.30 Time-Loss Claim Outcomes 5 to 10 Years after Date of Injury Plan Implementation Referrals 5-Plus Years after Accident v7 Table 2.31 TPD Awards as a Percentage of New claims, Six Years Earlier, State Fund Only Table 3.1 Benefits for Total Permanent Disability Provided by Workers Compensation Statutes in the U.S. Table 3.2 TPD Awards Table 3.2a Arrangements for Permanent Disability Compensation among State Workers Compensation Systems Table 3.3 Jurisdictions that Offset TPD Benefits Table 3.4 Limitations on Lump-Sum Settlements Table 3.5 Frequency by Injury Type Table 3.6 Incidence of TPD Relative to Employment Table 3.7 Incidence of TPD Relative to All Indemnity Claims Table 3.8 Incidence of TPD Relative to PPD Claims Table 3.9 Average Cost of Permanent Disability Claims Table 3.10 Number of Claims by PFI Rating and Accident Year for British Columbia Table 3.11 Number of Claims by LOE Rating and Accident Year for British Columbia Table 3.12 Permanent Disability Claim Incidence, Washington and British Columbia Compared Table 4.0 Claim Review Sample Distribution Table 4.1 Propensity Score Analysis Table 4.2 Back Claims in 1997 and 2002, State Fund Claims Table 4.3 Back Claims in 1997 and 2002, Self-Insured Claims Table 4.4 Number of Allowed Conditions, 1997 and Table 4.5 Total Hospital Admissions, 1997 and 2002, State Fund Claims Table 4.6 Number of Surgical Procedures, 1997 and 2002, State Fund Claims Table 4.7 Total Medical Aid Paid, State Fund Claims Table 4.8 Time-Loss Benefits Paid, 1997 and 2002, State Fund Claims Table 4.9 Estimated Time-Loss Days Paid, State Fund Claims Table 4.10 Age at Injury, 1997 and 2002, State Fund Claims Table 4.11 Mean Age at Pension Award, 1997 and Table 4.12 Age at Injury, 1997 and 2002, Self-Insured Claims Table 4.13 Gender of Workers, 1997 and 2002, State Fund Claims Table 4.14 Gender of Workers, 1997 and 2002, Self-Insured Claims Table 4.15 Proportion Married, 1997 and Table 4.16 Estimated Pre-Injury Monthly Earnings, 1997 and 2002, State Fund Claims Table 4.17 Initial Monthly Compensation Rate, State Fund Claims Table 4.18 Education Level of Workers, 1997 and 2002, State Fund Claims Table 4.19 Selected Industry of Employment at Injury, 1997 and 2002, State Fund Claims Table 4.20 Region of Claim Origin, 1997 and 2002, State Fund Claims Table 4.21 Claims from Economically Distressed Areas, 1997 and 2002, State Fund Claims Table 4.22 Opioid Involvement, 1997 and 2002, State Fund Claims Table 4.23 Pain Clinic Used, 1997 and 2002, State Fund Claims Table 4.24 Psychological Issues in Claim, 1997 and 2002, State Fund Claims Table 4.25 Proportion with Psych Payments, 1997 and 2002, State Fund Claims vi8 Table 4.26 IME Included Psych Evaluation, 1997 and 2002, State Fund Claims Table 4.27 Adjudicative Delays, 1997 and 2002, State Fund Claims Table 4.28 Time Spent in Assessment, State Fund Claims Table 4.29 Number of Independent Medical Exams, State Fund Claims Table 4.30 Multiple Vocational Rehabilitation Referrals, State Fund Claims Table 4.31 Number of Early VR Actions with Not Likely to Benefit Outcomes, State Fund Claims Table 4.32 Preexisting Conditions, 1997 and 2002, State Fund Claims Table 4.33 Prior Claims among Pension Awards, 1997 and 2002, State Fund Claims Table 4.34 Prior Claims with Same Condition, 1997 and 2002, State Fund Claims Table 4.35 Prior Claims with PPD Award, 1997 and 2002, State Fund Claims Table 4.36 Prior Claims from Self-Insured Sector, 1997 and Table 4.37 Reopenings among State Fund Claims Table 4.38 Number of VR Activities Where VR Was Used, 1997 and 2002, State Fund Claims Table 4.39 Number of VR Activities, 1997 and 2002, Self-Insured Claims Table 4.40 Early VR Referrals, 1997 and 2002, State Fund Claims Table 4.41 Time to First VR Referral, 1997 and 2002, Among State Fund Pension Claims Table 4.42 Truncated Time in VR Treatments, 1997 and 2002, State Fund Claims Table 4.43 Vocational Rehabilitation Outcomes, 1997 and 2002, State Fund Claims Table 4.44 Return to Work Experience, 1997 and 2002, State Fund Claims Table 4.45 Return to Work, 1997 and 2002, Self-Insured Claims Table 4.46 Return to Work at Employer at Injury, 1997 and 2002, State Fund Claims Table 4.47 Accommodation, 1997 and 2002, State fund Claims Table 4.48 Light Duty Provided, State Fund Claims Table 4.49 Contested by Employer Claims, 1997 and 2002, State Fund Claims Table 4.50 Contested Claims, 1997 and 2002, Self-Insured Claims Table 4.51 Number of BIIA Appeals Table 4.52 Appeals to BIIA, State Fund Claims Table 4.53 Linear Probability Estimate of the Probability of Pension Award in 1997 and 2002, OLS Regression Estimates Table 5.1 Arrangements for Permanent Disability Compensation among State Workers Compensation Systems Table 5.2 L&I Claim Review Sample Distribution Table 5.3 Summary of Key Findings from Claim Review Table 5.4 Model of Total Permanent Disability (TPD) Cases, among Cases with Three or More Years of Time Loss, Washington State Industrial Insurance Fund, Table 5.5 Predicted Probabilities of TPD by Time-Loss Year among Claims with to 10 Years of Time Loss Table 5.6 Predicted Probabilities of TPD by Age among Claims with 3 to 10 Years of of Time Loss Table 5.7 All Cases Model Prediction versus Actual, 1997 through Table 5.8 Open Cases without TPD Model Prediction, 1997 through vii9 Figures Figure 2.0 Pensions Awarded State Fund and Self-Insured, Figure 2.1 State Fund Appeals Figure 2.2 Number of Pensions by BIIA Decision Figure 2.3 BIIA Pensions as Percent of All BIIA Decisions Figure 2.4 BIIA State Fund Pensions as Percent of All State Fund Pensions Figure 2.5 Self-Insured Appeals Figure 2.6 BIIA Self-Insured Pensions as Percent of All Self-Insured Pensions Figure 2.7 Average Age at Pension by Gender, State Fund and Self-Insured Combined Figure 2.8 Average Age at Injury by Gender State Fund and Self-Insured Combined Figure 2.9 Pension Allowance Rate (Pensions/Open Time-Loss Claims) Figure 2.10 State Fund Claim Manager Caseloads by Fiscal Year Figure 2.11 State Fund Pensions: Attorney Referrals to Pension Adjudicator Unit Figure 2.12 State Fund Pensions: % of Referrals from Attorneys Figure 2.13 VR Expenditures by Year Figure 2.14 VR Expenditures and VR Referrals Figure 2.15 Total Claims, State Fund Figure 2.16 VR $, VR Referrals, State Fund & Self-Insured Time Loss, Total Claims Figure 2.17 Claim Progression Figure Claims Active at Year End, British Columbia and Washington Figure Year Old Active Claims Figure 5.1 Number of TPD Pensions Awarded by Fiscal Year Appendices Appendix 2.1 Breakdown of Vocational Rehabilitation Expenses Appendix 2.2 Breakdown of VR Referrals Appendix 2.3 Timeline of Pension Relevant Events Appendix 2.4 Active and Open Claims Appendix Table Appendix Table Appendix 3.1 Permanent Disability Compensation in British Columbia with Comparisons to Washington Appendix Table Appendix Table Appendix 5.1 Motivation for Logit Model viii10 1 Overview of Report INTRODUCTION In the autumn of 2007 Washington State s Department of Labor and Industries (L&I) entered into a contract with the W.E. Upjohn Institute for Employment Research to undertake a study of the incidence of Total Permanent Disability (TPD) pensions in its workers compensation programs. The contractor was asked to explore the trend of such claims for both the state fund and the self-insured populations, with a view towards identifying causes of the trend both within and outside the state s system. In addition, using the results of the inquiry, the contractor was asked to develop a model that would predict the future levels of TPD pensions. This report responds directly to the Department s request. The Issue The Department made clear the single most important factor that prompted the need for this study. During the late 1990s a sizeable surge in the number of TPD awards occurred, causing concern about the financial implications of such a development. These awards, on average, are very expensive and if the upward trend in pensions continued on that track, serious problems could result for the funding of the system. The Department did not ask the Upjohn Institute to prepare projections of these costs, nor did it request that policy recommendations be made to cope with the possible future developments. Instead, the Department simply wanted to learn what had caused the growth in such awards and what their future incidence might be. The Research Team In order to fulfill its agreement the Upjohn Institute organized a research team which included five senior members with considerable relevant experience: Professor Peter Barth, Emeritus, The University of Connecticut; Professor Heather Grob, St. Martin s University; Professor Henry Harder, University of Northern British Columbia; Dr. Allan Hunt, W.E. Upjohn Institute for Employment Research; and Dr. Michael Silverstein, The University of Washington. In addition, L&I provided two support staff for the team. Russ Redding was our data contact person providing us with analytical support from the L&I data warehouse. Sandra 1-111 Torstenson was our policy contact. Because of the requirement of a claim file review as part of this project, we also hired five retired L&I Claims Managers and Pension Adjudicators to abstract the data from the actual claim files. This strategy took advantage of the enormous depth of experience that such individuals accumulate. Because of this experience, we were able to push well beyond the usual data collection and call for expert judgments on complex claim characteristics. A group from Saint Martin s University, under Dr. Grob s leadership, entered and edited the data from our claim reviewers. THE RESEARCH PLAN AND ITS IMPLEMENTATION Our research plan consisted of four distinct modules, each of which was designed to provide an independent point of view from which to assess the surge in pensions. We briefly describe each one below. 1. A Program Assessment The team carried out an assessment of the TPD pension program including elements from a broader operational context having a significant bearing on TPD pensions. Its purpose was to allow the team to understand the current system and to formulate some hypotheses regarding possible causes for the apparent sudden growth in pensions. The review of the program included developing an understanding of the legislative and regulatory design as well as its administration. Further, we reviewed some operational aspects of the system to see how policies and practices changed over time to look for possible explanatory factors that could be evaluated in the quantitative analysis. Case law that had developed in the courts and significant decisions by the Board of Industrial Insurance Appeals (BIIA) were considered. Additionally, trends were assessed in a variety of areas including demographic changes, regional economic differences, injury and illness incidence and other factors that could shed some light on the core issue under examination. These efforts were supplemented by a review of the relevant literature as well as reports and materials made available by L&I. In order to conduct the program assessment the research team undertook interviews with knowledgeable individuals both within and outside of L&I. Aside from meeting staff in many different units of the agency, interviews were conducted with the leadership of the BIIA, attorneys experienced in workers compensation in Washington, health care and rehabilitation service providers, self-insured and other employers as well as the organizations that represent them, officials from organized labor, and staff from the Attorney General s office. 1-212 A wide range of information from the L&I data warehouse was also made available to the team. Although some of these data were only of relatively recent vintage, this source proved to be very helpful and access to it was greatly simplified because of the assistance from L&I personnel. 2. A Comparative Analysis The emphasis of this second module was to compare Washington s program with those of other jurisdictions. While the central focus was the recent upsurge in TPD awards in Washington it was necessary to consider the approach used by the state s program in evaluating and compensating all permanent disability cases. In certain specific respects Washington s concerns are not commonly found in the other state workers compensation systems. For several reasons most states find that total and permanent disability awards are seldom encountered. Indeed, while many states find that their permanent disability benefit programs are unsatisfactory from a number of perspectives; this customarily applies to compensation for permanent partial and not for total permanent disability. At least one state, West Virginia, has had a very similar concern that eventually forced the state to entirely recast its workers compensation program in However, West Virginia s situation differs from Washington in several respects including the dimensions of its permanent disability problem, its long-term insurance pricing practices, and the state s very heavy reliance on an industry in long-term economic decline (coal mining). Finding other jurisdictions against which we could compare Washington on the incidence of TPD awards was challenging. Washington is different from most of the other states in barring private insurance and in that its workers compensation program does not allow for compromise and release (lump sum) settlements to decisively close claims. Though a few other states also severely limit the use of such agreements, compared to those states Washington s approach is complicated by its law which pays permanent partial disability benefits strictly on the basis of the degree of medical impairment. The number of states that limit such compromise and release agreements and that also compensate permanent (partial) disability exclusively on the basis of the degree of medically determined impairment is very small. Possibly making Washington unique among this already very small set of jurisdictions is that total permanent disability is not evaluated on the basis of the degree of impairment. Instead, the worker s ability to return to work is considered in the total permanent disability pension 1-313 eligibility decision. The result is that even where a work-related injury causes a severe economic hardship, the law requires that only the medical impairment be considered in the awarding of permanent partial disability benefits. Yet the impairment benefit may bear very little relationship to the degree of economic disability. This places the seriously disabled worker in a position where the only possible source of additional compensation is the TPD pension. Combining this with the limits on lump sum settlements, we believe makes Washington s approach almost unique in the United States. Ultimately, we used the neighboring jurisdiction of British Columbia, Canada as one that could be compared in some detail with Washington. In a number of respects that system approaches permanent disability compensation similarly to Washington. Interestingly, the province also experienced important concerns with the awarding of total permanent disability benefits and undertook a core review of its program and subsequently modified its scheme. We also compared the experience of a number of U.S. jurisdictions to evaluate the comparative incidence of permanent disability awards. However, we recognize the inherent difficulty of comparing Washington s experience with that of states where compromise and release agreements are allowed. For those states, there are severe problems in evaluating how many total permanent disability benefits are paid because of their confusion with permanent partial benefits through the compromise and release process. 3. Claim File Review The research team was obligated under the contract to undertake a review of claims files. The purpose of the review was to determine the key claim characteristics that lead to a determination of a pension by the courts, appeals board, and department pension adjudicators. One of the reasons for the review was to obtain data that could be extracted from the files but did not exist in the data warehouse. For certain purposes we also merged data from the warehouse with those from the review. Undertaking such a review necessitated speedy action by the team to be able both to gain Institutional Review Board (IRB) approval for such a study, and to locate and employ experienced personnel who could rapidly, knowledgably, and accurately review an adequate sample of files. The research design that we followed called for us to select a number of pensioned cases awarded in 1997 and a roughly similar number awarded in Comparing the two groups would allow us to determine if the characteristics of those with pension awarded at 1-414 the outset of the upsurge were similar to those whose awards were made in 2002 at the peak of the upsurge. We also drew two comparison groups of individuals with long-term disability who had not received pensions by 1997 or 2002, but who had some characteristics in common with those who had received pensions. This enabled us to check whether changes between the pension samples of 1997 and 2002 were unique to pensioned cases, or whether they were more general in application. There were many challenges in identifying appropriate cases to be included in the comparison groups. In order to ensure that the claim reviewers were able to extract information that could plausibly point to the causes of pensions being awarded or not awarded, we also retained a highly experienced insurance industry consultant to review actual claim files and our proposed review plans. Ultimately, the claim file reviews were useful both to identify the factors that differentiated pensions awarded in 1997 from those in 2002, as well as establishing the specific correlates of pension claims. 4. Predictive Model As noted above one of the primary goals of the study was to develop a predictive model of future TPD awards. We present such a model in chapter 5 of this report. It uses variables from the L&I data warehouse, since those data are available for all claims. Of course such a model is tied to the assumption that most of the conditions that currently exist will continue into the future. Therefore, the predictive accuracy of the model cannot be evaluated simply on the basis of the numbers that we project. What we have observed in Washington, and in other jurisdictions, is that workers compensation systems are dynamic. Changing conditions not included in the model undoubtedly will affect the forecasts made here, and we expect both dramatic and subtle changes will be occurring. One obvious change which we believe will have important impacts on the system is the new approach to vocational rehabilitation undertaken as a pilot program with an implementation date of January 1, The ever-changing economic landscape in the state of Washington and in its regions is also certain to impact the number of pensions that will be awarded. Another cautionary note should be observed about the predictive model that is developed here. This is a quantitative model. As such it is dependent on using only those factors that are quantifiable, and depends upon data that are accurate and available. This creates several 1-515 challenges. First, in some cases the number of years for which data are available are limited. If for example we have data that extend back only 10 years, this is a relatively short time to use for time series analysis. Consider a situation where some seemingly significant change occurred in the workers compensation program five years ago. Determining the impact of that change is made more difficult if other changes were made in that same year, possibly enhancing or weakening the impact of either one of these changes. Simply as an example, consider attempting to discern the impact of a change in the organization of claims management units, in a year when an important decision was made by the BIIA, following several years of poor economic performance in the state, and a large layoff by the state s largest private sector employer. Further, such a set of changes may not begin to show effects immediately. An important decision by the Supreme Court may only impact the system with an implementation lag, as L&I, BIIA, attorneys, claim managers, and others begin to understand the operational significance of the decision. Reorganizing internal L&I claim management practices may be disruptive initially and yet be productive as the new system becomes familiar to staff. Secondly, we recognize that there are qualitative factors that affect the incidence of pension awards. Some of these factors can be quantified, albeit crudely at times, through proxies, while others cannot. Because a variable cannot be quantitatively measured and inserted into a model does not render it unimportant. It does require that it be noted and that the results of the model be appropriately qualified. THE STRUCTURE OF THIS REPORT Our report consists of four additional chapters. Chapter 2 contains the assessment of the program. Much of it is directed to the question, could the upsurge of pensions in the late 1990s be accounted for by certain specific factors? It also asks the question, was there actually an upsurge in pensions, or simply lumpiness in the awarding of pensions? Chapter 3 focuses on the comparative analysis of permanent disability in Washington. Though difficult to pin down, due to the unique Washington environment that creates several comparability issues, it seems evident that the number of TPD pensions awarded in the state is considerably higher than in other states or in British Columbia. Chapter 4 presents the findings of the claim file reviews. It does so using bivariate analysis (cross tabulations) to consider a large number of variables that could be tied to pensions. 1-616 Then a multivariate linear probability regression is presented which considers the impact of many of these variables simultaneously. This analysis clarifies relationships among potentially causative variables and provides additional insight into the determinants of pensions in Washington. In part it also serves to set the table for the predictive model that is found in chapter 5. Our predictive model estimates the probability that individual workers compensation claims with three years of time loss will turn into total permanent disability pensions at some point in the following six years. This is a somewhat contrived simulation of the real-world situation and we do not offer our model as an alternative to current L&I actuarial procedures, but as a supplement that has the potential to assist in identifying those claims that are likely to turn into pensions and that might justify additional intervention to prevent that eventuality. Chapter 5 also contains a summary of the entire study. Our findings are summarized there for the reader who does not want to take the time to digest the entire presentation. 1-717 2 Program Assessment INTRODUCTION The primary purpose of this study is to determine the reasons for the significant growth in the number of total permanent disability awards and to project what the Department of Labor and Industries can anticipate in the future. 1 In this chapter our direction is two fold. First, we consider the system that L&I uses to process claims along with the appeals process to see if any clues to the causes for this surge in pension awards can be found there. Second, we consider a variety of other possible drivers of this growth, recognizing that there may be several factors that are responsible for it. Table 2.1 lists the number of pensions awarded by the year that the awards were made. Figure 2.0 shows the same data graphically. The data are reported both for the state fund and for self-insured employers. The rates of growth for both are high though comparisons are tricky since the choice of the initial year and the terminal year substantially affects the rate of growth. For example, from 1988 to 2007 the growth for the self-insured market was 102 percent Table 2.1 Total and Permanent Disability Awards by Year Calendar Year Self-Insured State Fund Total ,126 1, ,278 1, ,439 1, ,025 1, ,559 1,816 SOURCE: Washington Department of Labor and Industries. 1 Terminology is also specific to jurisdiction. Most states (and the NCCI) refer to permanent total disability (PTD). But we will follow Washington s practice of referring to such claims as total permanent disability (TPD). 2-118 compared to 165 percent growth for the state fund. But from 1988 to 2005 the state fund grew by only 47 percent while the self-insured awards increased by 94 percent. Figure 2.0 Pensions Awarded State Fund and Self-Insured, Number Self-Insured State Fund Year SOURCE: Data Warehouse, Department of Labor and Industries. The awards made in specific years depended in part upon the claim flow process and delays that led to some lumpiness in the timing of awards. In any case there can be no doubt that both classes of insurance experienced a substantial increase over the last 18 years. It is notable that the state fund awards actually declined for two years after 1994 and had not surpassed the level of awards for that year until A significant upsurge in awards for the state fund occurred in 1999 and though the following years showed some choppiness in awards, the overall level for all years after 1999 were high when measured against historic levels. We can mark the upturn in the self- insurance market with the year-to-year jump of 36 percent from 1996 to For the combined awards from self insurance and the state fund, we can mark the upturn in 1997 or shortly thereafter. 2-219 A Summary of the Claims Flow Process In order to evaluate possible drivers of the growth of pensions, it is necessary to provide a brief summary of the claims flow process, from the origins of a claim to its resolution. State fund claims The process begins when a health care provider sends a Report of Industrial Injury or Occupational Disease (form ROA) to L&I. 2 The ROA is reviewed in the Claims Initiation unit by a data entry worker who decides whether the claim will be initiated as a medical only or timeloss claim and then enters the ROA information into the LINIIS (the automated claims management) system. The claim is routed electronically to Employer Services where an account manager (previously, a policy manager) determines whether there is an employer-employee relationship with an employer who is covered by the state fund. The employer s Uniform Business Identifier (UBI), account number and risk class are assigned to the claim and the employer is sent a claim arrival notification letter. If L&I does not have jurisdiction the claim is rejected. LINIIS then assigns the claim to a claim unit and determines the level of the adjudicator who will manage the claim using an algorithm that takes claim complexity into account. The claim is electronically routed to the assigned Claim Manager (CM) for adjudication. The CM makes an initial decision to allow the claim, reject the claim, or place it in undetermined or provisional status. Allowance or rejection orders of the CM may be protested to L&I or appealed directly to the Board of Industrial Insurance Appeals (BIIA) (see below for details). CMs continue to gather and assess information on undetermined or provisional claims. If disability is certified by a medical provider, provisional time-loss payments may be made pending determination of claim allowance. If the claim is rejected, the amount of provisional time-loss benefits paid is assessed against the worker as an overpayment. Claims that have been allowed continue to be managed by the CM who monitors progress, authorizes treatment, and pays time-loss compensation as long as this is certified by the medical provider. The CM may call upon several internal resources for assistance, including nurse consultants, higher level adjudicators, vocational services specialists or the office of the medical director. All workers receiving time loss after two weeks are referred for an early return- 2 Washington State s practice is unlike most states where claims are initially filed by employees or employers. However, in 2006 the legislature directed L&I to undertake a pilot project on employer reporting (RCW ). This pilot project expires in July,20 to-work assessment (described elsewhere in this chapter). The CM may also utilize external resources such as an IME (Independent Medical Examiner) evaluation or vocational rehabilitation providers in the course of ongoing claim management. Claims Consultants (CCs) These Level 4 staff are considered within L&I to be the last level of the claim. They review claims where there is a protest to an appealable order, and they review appeals filed with the external appeals board, the Board of Industrial Insurance Appeals (BIIA). On occasion, their review will cause them to return an appeal back to the CM or Pension Adjudicator (PA) if the CC finds that the appeal appears to be warranted or if evidence is inadequate to support L&I s decision. They may request that a CM or PA seek to strengthen the evidence in the file before it is sent to the BIIA. Pension Adjudication CMs decide if a claim needs assessment for a possible pension and refer these claims to their assigned Pension Adjudicator (PA) for review. A pension referral can require a substantial commitment of time by the CM in order to assure that all issues have been addressed and the claim is ready for referral to the PA. The PA decides whether a pension should be awarded or denied. If more information is needed before a decision can be made the PA may obtain the information personally, or may return the claim to the CM with specific instructions and guidance. In resolving claims, the PAs have the authority to enter into comprehensive settlements that may address a variety of issues including claim validity, accepted and/or denied conditions, payment for diagnostic tests or medical treatment, travel expense, time-loss compensation and PPD. Some settlements require coordination with or agreement by another section, such as modification or reversal of an administrative fraud order, waiver of an overpayment, or approval of an over-seven-year reopening with payment of accident fund benefits. There are several other ways that claims may be referred to the pension unit. After reviewing an appeal or a protest, a Claims Consultant may refer claims directly to the pension unit if they feel the worker is unable to work or to benefit from vocational services due, at least in part, to the accepted industrial injury or disease. In addition, any of the following parties may directly request the pension unit to review a claim for pension: the injured worker, the worker s legal/lay representative, the employer or the employer s representative, an attending physician, 2-4 View more
of Workers' Compensation Systems in Select Jurisdictions JURISDICTION: WASHINGTON ENVIRONMENT Population Size 5.5 million in 1996. Labor Force 2.8 million in 1996. Demographic and Economic Indicators The More information Minnesota Workers' Compensation. System Report, 2012. minnesota department of. labor & industry. research and statistics
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