Companies might have been overcharged for workers’ comp coverage

By Molly Parker
mparker@scbiznews.com
Published March 5, 2009

The S.C. Small Business Chamber of Commerce is on a crusade to help small businesses that have been overcharged for workers’ compensation coverage to recover money from insurance companies.

The organization announced Wednesday that it has launched the S.C. Workers’ Comp Premium Recovery Project in conjunction with Advanced Insurance Management.

That Chicago-based company specializes in helping businesses determine whether they have been overcharged for coverage and in securing the owed money.

One of the main culprits for overcharged premiums is related to the state’s Second Injury Fund, the company says. That fund and similar funds across the county were created after World War II to encourage businesses to hire employees who had pre-existing medical conditions resulting from an injury.

Insurance companies providing workers’ compensation are required to pay into the fund, which could be drawn from if an employee suffers a so-called “second injury” while on the job. As part of the premium, the employer would be held harmless and not charged for the accident.

But, citing a 2006 study that Advanced Insurance Management conducted on behalf of the chamber, chamber president Frank Knapp said insurance companies were taking money from the fund and not passing savings on to clients.

“The insurance carrier was reimbursed from the state (through the fund), and they were supposed to pass on the benefit to the employers. Over 50% of the time, they were not adjusting the modifier rate,” Knapp said.

Advanced Insurance Management reviews companies’ insurance policies at no charge but collects a percentage of the rebate if it is determined that the insurer owes one.

“There are many ways they are systematically overcharged. One of the major ones is the Second Injury Fund,” said Brad Zaba, director of Advanced Insurance Management’s Southern division. “Nobody connects all the dots to make sure that everybody gets out of it what they should.”

A few years ago, at the insurance companies’ request, S.C. lawmakers voted to do away with the Second Injury Fund, as have most other states.

The federal Americans with Disabilities Act of 1990, which establishes that employers cannot discriminate on the basis of a disability, negated the need for the fund, the companies argued. The impetus for the fund was to encourage businesses not to discriminate against the disabled out of fear their workers’ compensation premiums could go up.

But because workers’ compensation claims can be filed several years after the injury, the fund is being phased out, not immediately eliminated. Zaba said companies still might find that they have been cheated out of savings that were supposed to have been passed on to them.

“Systematic discrepancies in South Carolina are to the point we have opened a South Carolina office simply to deal with it, Zaba said, noting that the firm opened its Columbia office in 2006.

Zaba said savings for companies vary.

“But it’s not unusual at all to see even small to midsize companies benefit in the five-figure range,” he said.

Reach Molly Parker at 843-849-3144.

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Comments:

Added: 6 Mar 2009

Molly, What great info! We are a small business in SC who paid $40,000 in WC last year with 0 claims and only 7 employees. Not only did we not have any claims but we also received a notice stating that our WC was to increase an additional 25-30% for this year! Our initial premium was with AIG and increased from $24,000 - $30,000 from 08-09! We recently switched over to a different company which is 50% less for our premium than we are required to pay to AIG. Now the challenge is ensuring that we actually get all of our money back since making the switch. The workman's comp policies in SC is eventually going to force small businesses to close because we cannot continue to pay the required insurances that we are required to carry in this state. One would think that your premium would go down in the event that you had no claims. No so! Thanks, Tara Duke, Mt. Pleasant, SC

Tara Duke


Added: 6 Mar 2009

This is a welcome sign.I had an employee who was rear ended after he stopped behind another vehicle,who was making a left turn. The company who rear ended my employee paid me for the damage to our vehicle and assumed responsibility for the accident, but my insurance company had to cover my employee (who eventually went out on medical retirement)This was shown as an expense to my insurance company even though they were eventually re-embursed by the company who rear ended my employee. My mods modifier went from .94 to 1.05 for two years and I had no re-course. I am sure that there is a lot of worse stories, but this is one that I was familiar with.

Dan


Added: 11 Mar 2009

To Dan; Why didn't you have any recourse when your mods went up, even though your wc carrier was reimbursed? To Tara; For seven employees and 0 claims, even $15,000 to $20,000 seems high. Are you certain your X-mod is right, and that your worker class codes are correct. Let us take a peek. We really do work on coningent. No fee unless or until we find anything. Plus, after we fix anything we find, and your premiums are finally correct, we never ask for any of your savings going forward. Call me at 803-665-8049

Tim Glowacki, Advanced Insurance Management


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