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You often hear horror stories about fraudulent workers compensation insurance claims, but fortunately, most employees that make WC claims are honest, hard-working individuals.

Occasionally, you’ll run across an employee who seems to be a repeat WC claim offender. Some are legitimate claims, and some are not, but repeated WC claims can be annoying, time-consuming, and costly.

Here are steps you can take to determine if workers are trying to take advantage of the system, and ways to stop them from making repeated false claims or from incurring repeated injuries:

 

1 - Don’t Antagonize - Give Injured Employees the Benefit of the Doubt

Your first step is to remember that both you and the injured employee are human, and as humans, we all have emotions and make errors. Injured employees need to be treated with respect, or you may inadvertently antagonize the employee and make matters worse, or you may be dealing with a worker with a legitimate claim.

For example, an employee who is willing to do whatever it takes to get a job done may do things that increase their risk of injury. An employee may be naturally clumsy, or they may not be aware of the right way to get a job done safely.

If you encounter an employee who has multiple WC claims, you need to investigate it, so you know what steps to take to reduce the number of claims. It’s vital that you go into the investigation with an open mind. Start the investigation by giving the injured employee the benefit of the doubt until or unless you find a reason not to.

2 - Investigate the Injury

Investigations are essential with any WC claim but especially with an employee with repeated claims. Gather statements from the employee, supervisor, any witnesses, and the treating physician, so you can understand the extent of the injury and how the injury occurred. If you don’t think the treating physician is being honest or is not providing the best information or treatment, it’s okay to get a second opinion.

You also need to figure out the actual cause of the accident. A cause may seem obvious but upon a more in-depth inspection may prove to be a secondary cause – or not the cause at all. Review studies conducted on similar injuries; look at all potential factors; consider other factors such as previous injuries and comorbid conditions such as obesity, mental health issues, substance abuse, etc.; consider the validity of testimonies; and with all that information, make a conclusion.

3 - Talk to the Injured Worker

As mentioned earlier, injured workers are human and have emotions. Like everyone, some of those emotions are logical, and some are not. Having an open, non-confrontational conversation with the injured employee can reveal things such as personal challenges at home, psychosocial issues, or problems with a supervisor or with your company.

4 - Take Steps to Avoid Future Claims

Once you understand the reasons for the repeated WC claims – whether they’re legitimate or not – you can take steps to avoid future claims. If it turns out they don’t know how to perform their job safely, provide additional training and education. If you determine that they are physically unable to do their job effectively, consider transferring them to another job that they can perform safely.

However, if they’re trying to take advantage of the system, be respectful, but let them know that you will be watching them and will take appropriate action if abuse of the system is found, up to and including termination.

Protecting Your Bottom Line

Repeated workers’ compensation claims affect your bottom line while potentially harming productivity and employee morale.

You know what else affects your bottom line? Paying more than you need to for workers comp insurance!

To get a GREAT deal on your WC insurance, give the independent agents at American Insuring Group a call at (800) 947-1270 or (610) 775-3848 or find us online. As independent agents, we’re free to shop and compare rates among competing insurance carriers to make sure that you are getting the best WC insurance at the best possible price!

Call or click today to get started.

Open flames, cooking oils, cleaning chemicals, and paper products are the perfect ingredients for a fire, and all are found in most restaurants. So, it’s no surprise that fire companies respond to more than 8,000 structure fires at restaurants and bars each year, according to the National Fire Protection Association.

A fire in your restaurant can cause lost revenues, injuries, death, higher restaurant insurance premiums, lawsuits, and even the end of your business, which is why it’s essential that you and your staff understand fire risks and do everything possible to prevent fires.

The right insurance can help pay for damages caused by a fire, but preventing fires should always be your first line of defense.

The Main Fire Risks in Restaurants

Cooking

It’s no surprise that cooking is the leading cause of restaurant fires, accounting for 64 percent of all restaurant fires according to the US Fire Administration (USFA). When flames get into the kitchen’s ductwork, exhaust systems, vents, and fans – all of which are prone to grease buildup – fire can quickly spread.

Heating and Electrical Malfunction

The deadliest restaurant fire in US history was at the MGM Grand Hotel and Casino in Nevada in 1980. A result of an electrical ground fault, the fire killed 85 people. According to the USFA, seven percent of all restaurant fires are caused by heating and electrical malfunctions.

Unsafe wiring, switches, plugs, or sockets projecting heat onto a flammable or combustible material cause these fires. Often, outdated wiring is not able to handle the voltage used by today’s appliances. Commercial kitchen equipment is certified by NSF International; however, most smaller equipment purchased at retail stores is not certified and can be a hazard when used in commercial kitchens.

Gas leaks and the resulting explosions are often the most devastating fires. Thankfully, this type of occurrence is uncommon but can occur when older or neglected equipment isn’t able to support the flow of gas. Gas is released into the air and can be ignited by turning on an electrical device or lighting a match.

Other Fire Risks

Other causes of restaurant fires include unintentional, careless actions (4 percent), appliances (4 percent), other heat (3 percent), and several other categories, according to the USFA reports.

4 Restaurant Fire Prevention Tips

1 - Employee Training

• Your workers should be trained in fire prevention methods and the importance of proper cleaning.

• Workers should know not to use water to try to put out a grease fire because it can cause the grease to splatter and spread the fire.
• Employees should be trained on how to use a fire extinguisher. The National Restaurant Association suggests using the acronym PAST – pull out the Pin, Aim at the base, make a Sweeping motion, and be Ten feet away.
• Employees should know how to properly store flammable liquids – kept in original containers or puncture-resistant tightly sealed containers stored in well-ventilated areas.

2 - Regular Maintenance

• Fire-suppression systems should be professionally inspected twice a year.
• The pressure gauge on portable fire extinguishers should be checked monthly to be sure that the extinguisher is holding pressure and inspected and certified annually.
• Electrical equipment should have regular maintenance and regularly checked for frayed cords and cracked or broken switch plates.
• Exhaust systems should be inspected for grease buildup. In high-volume operations, the NFPA requires quarterly inspections and semi-annual inspections for moderate-volume operations.

3 - Installation of an Automatic Fire-Suppression System

Fire-suppression systems, which are built into stoves or oven hoods, have sensors that can detect a fire and automatically release a chemical to put out a fire and shut down the fuel or electric supply to cooking equipment. Installing a fire suppression system can sometimes lower your insurance premiums.

4 - Portable Fire Extinguishers

You should also keep portable fire extinguishers handy as a backup. Class K extinguishers are used for kitchen fires that involve grease, fats, and oils that burn at a high temperature. Class ABC extinguishers can be used on all other fires such as paper, wood, electrical, etc.

Benjamin Franklin said, “An ounce of prevention is worth a pound of cure.” Understanding fire risks in your restaurant and taking steps to prevent them will help keep your employees, your customers, and your business safe.

Get the Right Insurance for Your Restaurant, Bar or Nightclub

If these measures fail, having the right insurance can help repair the damage.

But don’t overpay for restaurant insurance. Give the independent agents at American Insuring Group a call at (800) 947-1270 or (610) 775-3848 or contact us online. We’ll search competing insurance companies to find affordable restaurant insurance that will properly protect your business.

Don’t delay – call the experts at American Insuring Group today!

When you ride the Tube (aka the subway) in London, you’ll probably hear “mind the gap!” as you board your train.

“Mind the gap” is a warning to rail passengers to be careful when crossing the gap between the station platform and the train door. If you don’t “mind the gap,” you could fall between the train and the platform and cause serious injury.

“Mind the gap” is also good advice when discussing insurance for contractors! There are lots of moving parts with every construction project – from multiple subcontractors to heavy equipment and power tools. Each of those parts pose different types of risk, and if you don’t have the right insurance to protect you from those risks, you’ll have gaps in coverage that could cause serious injury to your bottom line.

Here are 3 coverages that often create insurance gaps for uninformed contractors:

#1 - Aggregate Coverage

There are two types of aggregate endorsements a contractor can purchase: a per policy and a per project aggregate. A per policy aggregate sets the total amount an insurer will pay for all of your claims during your policy’s term whether you have ten projects or 100 projects during that time.

A per project aggregate ensures that you have equal coverage on a per project or per location basis, which could significantly increase the amount the policy could pay.

Some insurance companies automatically add a per project endorsement to a contractors’ commercial liability policy, but some don’t. If you don’t clarify this from the start, you may not be comparing apples to apples thinking one insurance quote is a real deal when in fact it could leave you with a gap in your insurance. 

#2 - Professional Liability Coverage

There are two basic types of liability coverage contractors may need- general liability and professional liability. Commercial General Liability (CGL) insurance usually covers liability claims for property damage and bodily injury. It helps cover legal fees in the event of a lawsuit against your company and is required by most banks and clients.

However, not every insurance claim is the result of an accident or injury. As projects continue to get more complicated and the line between the design firm and contractor become more blurred, contractors may find unexpected gaps in their liability coverage. A contractor who finds himself in a lawsuit claiming negligence, misrepresentation, defective materials, or faulty recommendations may not be covered by CGL.

Professional liability coverage (aka errors and omissions) goes beyond standard liability and covers liability for professional services such as engineering, design, and construction management operations.

#3 - Subcontractor Coverage

Many contractors work with subcontractors. If you’re one of them, you need to ensure that you have two documents from every subcontractor you work with upfront to protect your business from damage caused by those third parties: a certificate of insurance that lists you as an “additional insured” and a signed “hold harmless” agreement.

You will need to list all subcontractors that you work with and document third-party certificates with your insurance carrier, and if that carrier finds a subcontractor that is not insured, you could end up paying a much higher rate, open you up to workers’ compensation costs, and force you to take responsibility for claims that aren’t your fault.

 

Avoid the Gaps – Get the Right Construction and Contractor Insurance!

An insurance company that specializes in contractor and construction insurance– like American Insuring Group –we’ll work to eliminate the gaps in your coverage. We know what questions to ask you and what gaps “to mind.” 

So, give us a call at (800) 947-1270 or (610) 775-3848 or check us out online. Our experienced independent agents will not only help you mind the gaps but also help ensure you get the best prices because we search, compare and analyze policies and pricing among many competing providers.

Call or click today to start saving!

The majority of employees are honest, and the majority of workers compensation insurance claims are legitimate.

Unfortunately, there is a small group of people who commit workers compensation fraud, and they cost companies billions of dollars every year in rising insurance premiums, production delays, and training costs. 

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What is EMPLOYEE Workers Comp Insurance Fraud?

Workers Compensation fraud occurs when a WC claim is filed that is not entirely truthful to get money or extended time off. Fraudulent claims include faking or exaggerating an injury, claiming an injury that occurred off the job, or claiming an old injury that didn’t heal.

Workers comp fraud is a serious crime, and one of the fastest growing types of insurance fraud in the U.S. Estimates place the cost of WC fraud to companies at $6 to $7 billion every year.

The good news is that there are steps you can take to minimize WC fraud by both employees and providers.

One of the first steps is to recognize common warning signs.

 

13 Warning Signs of EMPLOYEE Workers Comp Fraud

Protect your business from WC insurance fraud by recognizing the warning signs of fraudulent claims:

1. No witnesses
2. An injured employee refusing treatment
3. Delayed reporting of injury
4. Conflicting or inconsistent report of the incident
5. An employee with a history of making WC claims
6. An employee with a history of frequently changing addresses, jobs, or physicians
7. Suspicious medical providers or legal consultants
8. An injury that occurs just before or after a weekend or holiday
9. An injury that occurs right before or after job termination, layoff, end of seasonal work, a strike, or the end of a project
10. An injured employee working a side job
11. An injured employee doing activities that would not be possible with the claimed injury
12. An injured employee who is difficult to get in touch with
13. An injured employee who hires an attorney and tries to get a quick settlement

Never accuse an employee of fraud. If you see two or more of these warning signs, notify your insurance company immediately, but remember these are just potential signs that there could be an issue. It doesn’t mean that every workplace injury that occurs with no witnesses is fraudulent or that every injured employee who is hard to get in touch with is lying. They are just indicators that there may be a problem. 

How to Minimize Employee WC Fraud

• Follow a screening process for all new employees by conducting thorough background checks of all applicants, contacting references, and watching for red flags such as a spotty work record or a criminal record
• Create clear WC policies and establish a zero-tolerance policy on WC fraud
• Clearly communicate these policies with new hires and provide WC fraud training
• Create a culture of safety to reduce opportunities for fraudulent claims
• Install video surveillance
• Consider establishing ways that employees can report suspicious or fraudulent claims anonymously
• If you suspect fraud, notify your insurance carrier immediately and provide supporting documentation.

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What is PROVIDER Workers Comp Insurance Fraud?

Unfortunately, it isn’t just employees who commit WC fraud; providers of WC benefits such as medical and legal professionals sometimes take advantage of WC programs with unnecessary billing, fake clinics, kickback schemes, and inflated worker injuries or service costs

8 Warning Signs of Provider WC Fraud

1. Billing for services never received
2. Billing for equipment never used
3. Billing for treatment that was never performed
4. Duplicate billing
5. Higher than usual bills for services performed
6. Billing for procedures that don’t make sense for the reported injury
7. Increasing visits
8. Ongoing medical services that don’t improve injury

WC fraud can cause a ripple effect that touches everyone. Fraudulent claims create additional costs for insurance companies, which can turn into higher insurance premiums for employers. Increasing business costs can cause an increase in prices customers pay, a decrease in employee benefits, or even job cuts.

 

How to Get a Great Deal on Workers Comp Insurance

To learn more about preventing and recognizing WC Fraud and ways to save on Workers’ Compensation Insurance, contact the WC specialists at American Insuring Group at (800) 947-1270 or (610) 775-3848 or find us online.

Our Trusted Choice independent agents will work hard to analyze and compare plans from competing WC insurance carriers, so you’ll get the best price on quality protection.

Call or click today to get started!

Your truck is your livelihood and the best way to protect it is with the proper truck insurance. By "proper" we mean insurance that covers your specific needs and doesn’t leave any gaps – all at the best price.

The best way to do that is to work with an independent insurance agent – like those at American Insuring Group – who specialize in truck insurance and have the freedom to compare coverage and pricing from several different insurance carriers and then present you with options and recommendations.

Knowing the right questions to ask your agent is important because it will help reveal the depth of their knowledge so you can decide if they are right for you.

Here are seven questions to ask your insurance agent to make sure that you get the right coverage at the right price:

How long have you been selling truck insurance?

The risks, costs, and required coverages involved with an 18-wheeler are significantly different than those of a regular car. Having an agent knowledgeable in truck insurance can help ensure that your investment is adequately protected.

How much coverage is right for me?

A minimum of $1,000,000 liability insurance coverage is mandatory for most commercial trucks, but it’s important to remember that trucks can cause a lot more damage than a car. Ask your agent to take you through what-if scenarios and different limit options available to you. Also, ask about the benefits and costs of an umbrella policy, which can protect you in the event of a catastrophic loss.

Do you offer broad form cargo coverage?

Depending on what you are hauling, the standard $100,000 of cargo coverage may leave gaps in your coverage, so your agent should understand the types of cargo you haul and the risks associated with that cargo. Ask your agent if they offer broad form coverage, which protects you against specific risks not covered by basic cargo insurance.

What is my deductible and do you offer a combined deductible?

Increasing your deductibles should lower the cost of your premiums, but it’s essential that you ensure that you have enough available cash to pay that higher deductible if you need to pay it.

You may have coverage on multiple items such as your tractor, your cargo, and another damaged vehicle (the one you hit), but each of them may come with a separate deductible. With a combined deductible – which doesn’t usually cost much more – you only pay one deductible for all lines of coverage or all vehicles in one claim.

What affects the cost of my premiums?

The most common things that affect your premium costs are age, driving record, years of experience, what you’re hauling, the age of your equipment, area of operation, criminal record, and credit score. If you know what factors are affecting your premium, you may be able to take steps to fix that factor before your next renewal or go with a carrier that doesn’t put as much emphasis on a particular risk.

How quickly can you react to my needs?

Ask them how quickly they can get you your certificate of insurance and how quickly they can change your policy. If you haul different cargo from day to day, you need an agent who can quickly update your policy for you. Ask your agent, “How easy is it to reach you, and if you’re out of the office is there someone else who can help me?”

Most (but not all) insurance companies now have 24-hour claims services. Don’t assume anything; ask your agent if it’s available to you. 

What discounts are available?

Some discounts are required by law such as for airbags or anti-lock brakes, but there are often other discounts that may not be required or as standard but may apply to you. Potential discounts can include paying in full, packaging, prior insurance savings, and more.

 

Ask the Truck Insurance Pros at American Insuring Group!

A good truck insurance agent can not only protect your investment but also be a great asset to your business.

When you’re ready to purchase your next policy, give the experienced independent agents at American Insuring Group a call at (800) 947-1270 or (610) 775-3848 or contact us online.

We’ll be happy to answer these and all of your questions to help you get the right insurance at the best price!

According to the Brewers Association, craft brewing was a $26 billion industry in 2017 and accounted for more than 23% of the $111.4 billion U.S. beer market. While overall beer sales were down about 1%, craft brewing grew at a rate of 5% by volume.

As the demand for craft beers increases, the number of craft breweries continues to rise! For many, making craft brews is fun: creating original recipes, coming up with clever names, and watching people enjoy your creations. In fact, many of these craft breweries are started as hobbies among a bunch of friends or family members in someone’s garage. 

However, it’s important to remember that once you begin selling your beer or if you decide to open a brewpub or restaurant, you need to treat it like a business and that includes addressing safety and risk management. The safer your brewery or restaurant, the safer your workers. Safe workers mean fewer injuries and expenses and perhaps even the difference between a thriving business and one that is forced to shut its doors.

Insurance is Important; Prevention is Key

Insurance will help protect you, your workers, and your brewery or restaurant, but prevention is always your best bet.

There are a surprising number of hazards during the production of beer: grain mills with sharp parts, mash and lauter tuns with boiling ingredients, chemicals, overflowing kettles, pressurized fermenter tanks. Then there hazards common to many industries such as the use of heavy equipment and ladders. 

If you want to keep your workers safe and protect your business from lawsuits and Occupational Health and Safety Administration (OSHA) fines, it’s important to recognize potential hazards and address them BEFORE someone is injured or worse.

 

Here are 4 Common Hazards in the Brewing Industry:

1 - Carbon Dioxide Poisoning

Carbon Dioxide (CO2) is a colorless, odorless gas produced during beer fermentation. It’s heavier than air, soit can collect at the bottom of confined spaces and containers such as tanks. When it accumulates, it can lead to dizziness, loss of consciousness, and even death.

According to Crowcon Detection Instruments Ltd, a toxic gas detection equipment manufacturer, “Exposure to as little as 0.5% volume CO2 represents a toxic health hazard, while concentrations greater than 10% volume can lead to death. Because CO2 is completely odorless and colorless, there is no physical indication of danger until it is usually too late.”

Carbon monoxide detectors should be used in confined spaces where CO2 can quickly accumulate, and those areas should only be entered when absolutely necessary. The buddy system can also help avoid issues with CO2

2 - Heavy Equipment

As the volume of beer production increases, breweries to use forklifts and other equipment to move heavy loads like raw materials, pallets of kegs, and cases of beer. It’s essential that a qualified person trains anyone who is going to be operating any of this type of equipment before operating the equipment. 

3 - Chemical Hazards and Toxic Substances

Brewers use a variety of hazardous chemicals and toxins such as caustics and acids used in sanitization that can cause irritation, sensitization, corrosion, fires, and explosions. Workers need to be trained on proper handling of hazardous materials, the use of personal protective equipment, and first aid. OSHA requires that safety data sheets be available for every hazardous chemical used. 

4 - Slips and Falls

Falls are one of the most common causes of serious work-related injuries and deaths. The use of ladders and catwalks in breweries can create falling hazards. Guardrail systems, safety nets, personal fall protection systems, and training on the proper use of ladders can help prevent falls from higher levels.

Spills should be cleaned up immediately, floors should be kept clean, and any potential hazards clearly marked.

Brewing beer can still be enjoyable, but once you begin selling your beer or decide to open a restaurant, it’s important to assess hazards and take a few safety measures to protect your workers and your business. The right insurance coverage – whether that’s genera liability, workers’ compensation, or liquor liability insurance – provides protection when safety measures fail.

 

Save on Great Insurance for Your Brewery, Brew Pub or Restaurant

Give American Insuring Group a call at (800) 947-1270 or (610) 775-3848, or contact us online to get the right insurance at the best price for your brewery or restaurant.

Our independent insurance agents will compare plans and costs among competing carriers and present the best insurance solution to meet your needs.

Call or click today to get started!

A few weeks ago we began discussing the Occupational Safety and Health Administration’s (OSHA) Fatal Four. These are four safety hazards that account for the majority of all construction worker deaths.

Understanding how to recognize and prevent these hazards can save lives, improve employee morale, and help reduce your contractor insurance costs 

Again, the Fatal Four include the following hazards (statistics are from 2016).

• Falls accounted for 38.7% of deaths
• Being struck by an object accounted for 9.4%
• Electrocutions accounted for 8.3%
• Caught-in/between accounted for 7.3%

We covered caught-in/between hazardsand electrical hazardsin previous blogs. Today our focus is on the second highest cause of fatalities (9.4%) among construction workers – struck-by hazards.

What are Struck-By Hazards?

There are a lot of moving parts at a construction site and many hazards that can cause struck-by injuries. When a worker comes into forcible contact with an object that is flying, falling, swinging, or rolling, a struck-by injury can occur.

The four most common causes of struck-by hazards in the construction industry are flying objects, falling objects, swinging objects, and rolling objects.

Prevention:

Your first line of defense against this type of injury is being aware of your surroundings and using hard hats and personal protective equipment (PPE).

Hard hats should be worn on job sites at all times. They should be properly adjusted to sit firmly and securely on the head, and they should be inspected regularly for cracks, gouges, dents, and other damage. Exposure to sunlight and cleaning solvents can damage or weaken a hard hat, so they should be cleaned with mild soap and stored out of direct sunlight. 

If a hard hat is damaged or worn out, replace it immediately. It’s much cheaper to replace a hard hat than it is an employee.

Employees should also be equipped with additional PPE where appropriate. PPE that can protect against struck-by injuries may include safety glasses, face shields, and steel-toed boots. All PPE should meet American National Standards Institute standards, and all should be inspected regularly and replaced when damaged or worn out.

Here are preventative measures for each of the most common types of struck-by hazards.

Stuck-by Hazard 1: Flying Objects

Nail gun discharge accidents are the most common cause of flying-object injuries. However, thrown debris or tools, a tip flying off a saw blade, or any other object that is flying around the work site can also cause injuries.

Prevention:

Employees should stay clear of the line of sight when a nail gun is being used. And because nail guns create enough force to penetrate plywood and sheetrock, employees should also be aware if a nail gun is being used in an adjacent room. Check out “Nail gun Safety and Workers Compensation” for more information about nail gun safety.

Additional safety measures include regular inspection of all power tools, the use of protective guards, and wearing safety glasses, face shields, or goggles when working with power tools.

Stuck-by Hazard 2: Falling Objects

This type of injury can be caused by falling tools or materials falling off edges or suspended from a crane.

Prevention:

Areas, where work is being performed overhead, should be cordoned off, so employees avoid those areas. Employees who are working overhead should use toeboards, screens, debris nets, and catch platforms to keep tools and materials from falling 

Employees should also be aware of suspended loads and never walk or position themselves under those loads.

Stuck-by Hazard 3: Swinging Objects

Sometimes materials that are being mechanically lifted can begin to sway and can strike a nearby worker.

Prevention:

Employees should be aware when a load is being moved and avoid the swing radius of that load. Workers should also make sure they aren’t in a blind-spot of the heavy equipment operator.

Stuck-by Hazard 4: Rolling Objects

Moving vehicles or heavy equipment usually causes this type of injury, but it can also be caused by objects that roll, move, or slide into an employee.

Prevention:     

First, heavy equipment operators should be adequately trained in how to operate the machinery safely. Second, other employees should be aware of where heavy equipment is being operated and understand where the operators have limited or no visibility.

Contact Us and Get Ready to Save on Contractor Insurance!

These preventative measures can significantly reduce worksite injuries and death, which can lead to lower contractors’ insurance premiums. Another way to lower your contractor insurance costs is to contact American Insuring Group at (800) 947-1270 or (610) 775-3848 or connect with us online. 

As independent agents, we always compare the cost of your construction insurance among competing insurance companies to make sure that you’re getting the right coverage at the very best price!

In Pennsylvania, most employers are required by law to have Workers Compensation (WC) insurance. According to the Department of Labor & Industry, “Employers who do not have workers' compensation coverage may be subject to lawsuits by employees and to criminal prosecution by the Commonwealth.”

Workers compensation insurance is designed to protect both employees and employers. If an employee is injured on the job, WC helps pay for medical costs and lost wages. If an injured employee sues their employer, WC helps pay for legal fees and any resulting financial settlements.

The good news is that there are steps you can take to lower your WC premiums without losing the protection that it provides. 

How is Your Workers Comp Insurance Premium Calculated?

There is a simple formula that determines how much you pay for WC. You can control some things within that formula, and others you can’t, so it’s important to understand the formula before you can understand how to lower your premium costs. Let’s take a look at the formula and break it down.

RATE X (PAYROLL/100) X EXPERIENCE MODIFIER = Premium

RATE

This is one of the parts of the formula that you have little control over. The RATE for each employee is based on his or her classification code. An employee’s WC classification is determined by what duties the employee performs or “the scope of work performed” and how dangerous his or her job is along with what state they work in. There are over 700 different classification codes.

If an employee is a tree trimmer, their classification code is 106 with a rate of $22.91 in Pennsylvania. An employee with a job that isn’t as hazardous and where he is less likely to incur an injury, such as a clerical office employee (classification code 8810) has a rate of $.34 in Pennsylvania. If you plug each of those numbers into the formula, you can see how different your premium rate will be.

The only thing you can do about the classification code is to make sure that every employee is classified correctly, so, for example, make sure that a clerical worker isn’t accidentally given a tree trimmer classification code. On the other hand, if you assign a clerical classification code to a tree trimmer, you could face a sizable additional premium at your year-end audit.

Assigning the correct classification code isn’t as easy as it sounds, and it’s where an experienced insurance agent who specializes in workers compensation is crucial.

PAYROLL

Your payroll is what it is, and there isn’t anything you can do about it in the WC premium calculation except to make sure that the projected payroll used in the formula is accurate. If you think it’s too high, don’t wait for an audit. Ask your insurer to adjust your payroll number.

EXPERIENCE MODIFIER

This is where you can really make a difference in your workers’ compensation insurance premiums. The experience modifier is a score your individual company receives based on your company’s loss history compared to the average for your industry.

A score of 1.00 is assigned if your loss history is average. If you’ve had a lot more injuries and WC claims than your industry average, your experience modifier will be higher than 1.00. If you have fewer injuries and claims, your score will be lower. 

Try plugging different numbers into that formula, and again, you can see just how much your experience modifier score can affect the cost of your premium. If you can lower your modifier, you can reduce your premiums. The best way to do that is to create a safer working environment for your employees, so there are fewer injuries and fewer claims. This is the reason that we focus so much on safety in this blog.

 

We Specialize in Workers Comp Insurance, so Contact Us for Help

American Insuring Group specializes in Workers’ Compensation insurance, and our independent agents will make sure that you get the best possible price on quality workers comp insurance.

How? We diligently compare competing rates among many insurance carriers, and then come back to you with the best deal on the insurance that meets the unique needs of your business.

So call us today at (800) 947-1270 or (610) 775-3848 or connect with us online.

As a commercial vehicle driver, you probably travel on unfamiliar roads quite often, and when you’re unfamiliar with the roads, you’re more likely to get lost – an unclear turn, an unexpected accident, bad visibility.

When you get lost, it’s easy to get frustrated and impatient and make bad choices that can lead to accidents – especially when you’re on a tight schedule.

When you’re traveling on a familiar road, you know where that sharp turn is, where traffic tends to back up, and where that unexpected stop sign is located. When you’re on unfamiliar roads, you don’t have those advantages, which makes safe driving practices even more vital 

In fact, the Large Truck Crash Causation Study found that nearly one-quarter of large-truck crashes occurred when CMV drivers were unfamiliar with the roadway.

More accidents mean more injuries, which translates to higher truck insurance costs. 

Here are 3 tips to help you navigate unfamiliar roads more safely:

1 - Plan Your Route Ahead of Time

Before you get behind the wheel, take a look at a map or your GPS and have your route planned. If you’re driving along and realize you got off track, pull off somewhere safe where you can refer to your map or guidance system to regain your bearings.

It may be tempting to adjust electronic devices while you’re driving. Don’t do it! Taking your eyes off the road for even a few seconds can result in an accident, and when you’re driving a 50,000-pound truck, the chances of that accident being severe enough to cause an injury are high.

If you’re transporting hazardous materials, you should also be aware of any route restrictions or designated routes required by state and local townships.

2 - Don’t Make Knee-Jerk Decisions

You’re in the passing lane of the interstate when you notice that you’re about to pass the exit you’re supposed to take. When you realize your mistake, you may be tempted to try to turn onto that exit quickly. Don’t do it! It isn’t worth the chance of causing injury to yourself or another driver. 

According to the U.S. Department of Transportation Federal Motor Carrier Safety Administration NAFTA Safety Stats, almost 50,000 moving violations from 2004 to 2007 were classified as improper turns or improper lane changes.

If you miss a turn, get off at the next exit or go around the block instead of making a knee-jerk decision.  

3 - Communicate With Other Drivers

Let other drivers know in advance what you intend to do – even if that’s just changing lanes – by using your turn signal. A recent study reported that there are approximately 630,000 lane-change crashes annually (involving both large trucks and passenger vehicles).

Here are other ways you can try to communicate with drivers around you:

• Use your 4-way flashers if you have to pull off to the side of the road or when traffic is unexpectedly stopped in front of you.
  
  
• Toot your horn to sound an alarm and warn another driver of your presence. Please, note that we say “tooting” and not “laying on” your horn. The misuse of a horn has been known to cause road rage, but it is one of the few ways that a driver can get the attention of another driver to prevent an accident.
  
  
• Turn on your headlights. It can make your vehicle more visible especially at night or in bad weather. In fact, some trucks are programmed to have the low beam headlights on whenever the engine is running, and some states require the use of headlights when the windshield wipers are on. So make sure your headlights, turn signals, and brake lights are clean and use your headlights when appropriate.

When you’re driving on unfamiliar roads, it’s even more crucial that you exercise safe driving habits to keep yourself and those around you safe. Lower trucking insurance premiums that go with fewer accidents and claims is just icing on the cake.

Want to Save on Truck Insurance?

American Insuring Group can help you save even more on your trucking insurance. As independent agents, we’re free to shop the market for you among competing insurance carriers. So give us a call at (800) 947-1270 or (610) 775-3848 or connect with us online to start saving!

Every workers compensation insurance claim should be investigated because it’s imperative to making accurate and legal assessments related to primary liability.

To do that, you need to know a bit about the law and about medicine to create an efficient workers compensation program.

Most business owners lack extensive knowledge of both medicine and the law, so here are 3 valuable tips to help you investigate Workers Compensation (WC) claims. 

1 - First Report of Injury 

This document is the beginning of any WC insurance claim investigation, and it serves as the basis for your insurance company’s investigation making it a critical document to any successful resolution of a WC claim.

The form you use may be issued by your state’s industrial commission or could be company-specific. Whichever type of form you’re using, the information on it needs to be accurate and complete. This is an instance when you do want to sweat the small stuff.

Before submitting this form, make sure it is completely filled out and that the information is correct. Check that the name of the injured employee is spelled correctly; that you have the correct social security number, date of injury, and wage info; and any potential witnesses are listed.

Make sure information about the injury is complete and accurate including when, where, and how the injury occurred, type of injury, the body part affected, and where the injured employee received medical care and treatment.

You should also know who completed the form and even a little background about that person. It’s a balancing act; you need to trust but at the same time verify that all the information is correct.

Often, the space allowed is not enough to provide thorough information, so don’t be afraid to write “see attached” if you need more room to describe the accident including alternate explanations of what did or didn’t occur.

2 - Recorded Statements from Injured Employee and Witnesses

First, make sure you understand the laws in your state regarding recorded statements and that you follow those guidelines. Then you want to obtain as much detail as possible. You should ask questions about:

• The claimant’s background information such as date of birth, education, work history, etc.
• The claimant’s prior medical history including surgical history, car accidents, chemical and substance abuse treatment, mental health, etc.
• Potential interveners such as public assistance, veterans' benefits, unemployment compensation and history, etc.
• Working environment at the time of the injury such as the claimant’s manager or supervisor, work duties, wage history, verbal and written reprimands, etc.
• Detailed information about the injury such as a description of injury, immediate injury symptoms, post-injury symptoms, etc.

To help avoid questions regarding the admissibility of the recordings, make sure that the employee reviews and signs a transcribed copy of the statement.

3 – WC Documentation

There are several documents available to you as you delve into a workers’ compensation claim investigation including the following:

• Medical records and authorizations to discover prior injuries or conditions.
• Industrial Commission records – Most states keep WC records on file with whatever state agency is responsible for overseeing the WC act. Although you will probably need to get authorization to obtain these records, they can contain a great deal of information about an employee’s prior medical history.
• Central Index Bureau Records (CIB) or ISO report - Although these reports may not be admissible, they can provide information about prior insurance-related claims made by the injured employee that can lead to other information that is admissible

A thorough Workers Compensation claim investigation takes time and effort but can save you thousands of dollars and reduce your insurance costs. Follow these 3 tips to make the process go more smoothly and lead to quicker and more successful Workers Comp claim resolutions.

 

Save Big on Workers Compensation Insurance!

Workers comp insurance can be more affordable than you think!

To learn how you can save big on Workers Compensation Insurance, give the independent experts American Insuring Group a call at (800) 947-1270 or (610) 775-3848 or contact us online.