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Appropriate Personal Protective Equipment (PPE) can help protect your greatest asset – your employees, minimize injuries, and lower your Contractors Insurance costs.

The idea of wearing PPE is not new. It dates as far back as ancient times when soldiers wore protective head and face gear and body armor during battle. However, it wasn’t until the construction of the Golden Gate Bridge in the mid-1930s that PPE was required on a large-scale construction project.

The industry norm at the time was that one worker was expected to die for every million dollars spent on a construction project. At a cost of $35 million, that meant 35 workers were expected to die while constructing the Golden Gate Bridge.

Joseph Strauss, the chief engineer on the project, refused to accept that and made safety a priority, spending $130,000 on an innovative safety net and requiring the use of PPE such as fall protection safety belts, glare-free goggles, and hard hats. A total of eleven – not 35 - workers lost their lives on that project and ten of those fatalities occurred during a single accident when a 5-ton work platform broke off and fell through the safety net.

The use of PPE continued to be optional on most construction sites for several decades until the creation of OSHA in 1971. Today, OSHA requires employers to protect workers from workplace hazards that can cause injury or illness, including providing and requiring the use of appropriate PPE.

Determining Appropriate PPE

The first step to determining what PPE is needed is to perform a hazard assessment of the worksite. A few common hazards include the following:

• Sharp edges
• Falling objects
• Flying sparks
• Fluctuating temperatures
• Chemicals
• Noise

The next step is to determine the appropriate types of PPE needed to protect workers from those hazards. OSHA recommends exceeding minimum standards. PPE should fit properly and be well-maintained.

Employees must also be trained in the proper use of PPE, including the following:

• When PPE is necessary
• What PPE is necessary
• How to properly put on, take off, adjust and wear the PPE
• The limitations of the PPE
• Proper care, maintenance, useful life, and disposal of PPE

Training must be documented, and if a previously trained employee is not “demonstrating the proper understanding and skill level in the use of PPE,” they should receive additional training.

Types of Protection

The following are types of protection typically needed at construction sites:

• Head Protection – Construction workers should wear hard hats when there is a potential for objects falling from above, bumps to the head from fixed objects, or accidental head contact with electrical hazards. Those hats should be inspected regularly and replaced as needed.
  
  
• Eye and Face Protection – Construction workers should wear safety glasses or face shields when exposed to any electrical hazards and when they are in danger of having flying particles get in their eyes. For example, during welding, cutting, grinding, and nailing.
  
  
• Hearing Protection – Construction workers should wear earplugs or earmuffs when exposed to loud noises, such as around the use of chainsaws or heavy equipment.
  
  
• Foot Protection – Construction workers should wear safety-toed footwear that has slip-resistant and puncture-resistant soles.
  
  
• Hand protection – Construction workers should wear gloves that fit snuggly and wear the right gloves for the job. For example, heavy-duty rubber gloves for concrete work, welding gloves for welding, and insulated gloves and sleeves when exposed to electrical hazards.

Use Insurance as Your Safety Net!

Just like the safety nets used during the construction of the Golden Gate Bridge, the right insurance can act as a safety net when - despite all of your efforts - an accident does occur.

The independent agents at American Insuring Group specialize in Contractors Insurance. We work hard to get you the right insurance protection at the best possible price because we compare rates and coverage among many competing providers.

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

 

One of the most important types of insurance that almost every business needs is Workers' Compensation Insurance (WC). It helps protect both employees and employers when there is a work-related injury or illness. In Pennsylvania, most employers are required by law to carry WC for their employees.

For many employers, WC is one of the most expensive types of insurance they need to carry, which is why working with an insurance agent who has experience with WC – like those at American Insuring Group - is essential to keeping those costs as low as possible.

They say knowledge is power, so here are the basics every employer should understand about Workers' Compensation Insurance.

What is Workers' Compensation?

If a worker is injured in the workplace or becomes ill because of his or her work environment, Workers' Compensation helps cover medical costs and lost wages if the employee is not able to work. It doesn't matter who or what caused the injury – a faulty machine, the employee, a co-worker, etc. - WC will pay those expenses.

In Pennsylvania, WC covers health care expenses (doctor's visits, surgery, etc.), ongoing care (such as physical therapy), illnesses, repetitive injuries (such as carpal tunnel syndrome), partial or total disability payments, permanent injury payments, and death benefits.

WC also benefits the employer by limiting an injured employee's right to sue an employer directly for damages that injury or illness causes.

Who is Required to Carry Workers' Compensation?

The Department of Labor & Industry states, "If you employ workers in Pennsylvania, you must have workers' compensation insurance -- it's the law." This includes both full and part-time employees, even if they are family members.

The only exceptions are If ALL employees fall into one or more of the following categories:

• Federal workers
• Longshoremen
• Railroad workers
• Casual workers
• Persons working out of their own homes or other premises not under the control of management
• Agricultural laborers making less than $1200 per calendar year
• Domestic workers who have not elected to come under the provisions of the Workers' Compensation Act
• Sole proprietors or general partners
• Those who have been given an exemption by the Department of Labor and Industry due to religious beliefs
• Executive officers who have been granted exclusion by the Department of Labor and Industry
• Licensed real estate salespersons or associate real estate brokers affiliated with a licensed real estate broker or a licensed insurance agent affiliated with a licensed insurance agency, under a written agreement, remunerated on a commission-only basis and qualifying as independent contractors for State tax purposes or for Federal tax purposes under the Internal Revenue Code of 1986.

If a business does not qualify for one of these exceptions, it must carry Workers' Compensation Insurance for its employees. Failure to do so can result in the employer being required to pay back any costs paid by the Uninsured Employers Guaranty Fund or a work-related injury or illness, including interest, penalties, and fees. An uninsured employer may also face civil and criminal risks that can result in fines and imprisonment.

How Much Does Workers' Compensation Insurance Cost?

How much you pay for WC is based on a formula:

RATE x (PAYROLL/100) x EXPERIENCE MODIFIER = PREMIUM

An employee's classification code determines the RATE. Those codes are based on the likelihood of that employee being injured on the job. Employees doing more dangerous jobs, such as construction workers, will have a higher rating than someone in a less dangerous job, such as office workers.

A projection of your payroll determines PAYROLL.

Your business's loss history determines the EXPERIENCE MODIFIER compared with the average loss history in your industry. An experience modifier of one is average. A lower number will reflect a better than average loss history, and a higher number will reflect a loss history that is worse than the average. The lower your experience modifier number, the lower your WC rates. 

 

How Can You Lower Workers' Compensation Insurance Costs?

An independent insurance agent who specializes in WC - like those at American Insuring Group – can help ensure you pay the lowest premium possible. By searching among many competing insurance carriers, we obtain the right insurance at the lowest price possible. So give us a call at (800) 947-1270 or (610) 775-3848 or connect with us online.

 

Want to know how to lower your Contractor Insurance costs? It’s simple: reduce the number of claims. You already know the construction industry is filled with its share of potential hazards, and this is particularly true for roofers.

Roofing work was rated the fourth most dangerous job - behind logging workers, fishing workers, and pilots – in 2019. The roofing profession has a 48.6 fatality rate – the number of deaths per 100,000 full-time workers calculated by the Bureau of Labor Statistics, with more than 100 fatalities per year (most a result of a fall).

Here are seven tips to ensure the safety of your roofers and reduce insurance costs:

Plan, Provide, and Train

OSHA recommends that employers plan, provide, and train to help ensure the safety of employees. Plan ahead to get the job done safely. Provide appropriate equipment so that employees can work safely. Train workers to recognize hazards and the proper use of equipment, ladders, scaffolds, and fall protection systems.  

Consider Weather Conditions

Moisture, ice, and wet leaves can make a roof extremely slippery, and a strong gust of wind can cause a worker to lose his or her balance. Avoid working on roofs in bad weather, especially on surfaces such as slate, tile, metal, and some single-ply membranes, which can be particularly slippery when wet.

Use Ladders Properly

Ladders are an essential tool for any roofer. Ladders should be inspected for visible defects regularly and after any occurrence that could have caused damage. Ladders should only be used on stable and level surfaces. If that isn’t possible, secure the ladder to keep it from moving. Areas at the top and bottom of the ladder should be kept clear.

Roofers should be trained to maintain three points of contact (two hands and a foot or two feet and a hand) at all times when going up or down a ladder. Workers should also not carry anything that could cause them to lose their balance.

Check to make sure that ladders are fully open before using them. If using non-self-supporting ladders, such as extension ladders, OSHA recommends setting the ladder “at an angle so the horizontal distance between the top support and the foot of the ladder is approximately one-quarter the working length of the ladder (a 1:4 ratio).”

Provide Fall Protection

It comes as no surprise that falls are the leading cause of work-related injuries and fatalities among roofers. Employees should attend regular training on fall safety.

OSHA requires that employees who are exposed to a fall of six feet or more to a lower level be provided with fall protection. Fall protection can come in many forms, including personal fall arrest systems (PFAS), fall restraint systems, guide-rail systems, warning line systems, safety net systems, safety monitoring systems, and covers.

Provide Safe Scaffolding

Ensure that any scaffolds used are designed and constructed by a qualified person. Employees are most likely to fall when climbing on or off a scaffold, so it’s important to provide safe access. It’s also important that scaffolds are fully planked or decked between the front uprights and guardrail supports.

Consider Electrical Safety

The biggest electrocution risk for roofers is contact with overhead powerlines, but contact with electrical conduit buried in old roofing can also cause electrocution. Workers should be protected from electrocution by de-energizing the circuits, grounding, or guarding it with insulation.

Train Employees on Hazardous Materials

Employees must be trained on how to read and understand safety data sheets, container labeling, and other forms of warning and how to protect themselves from hazards, such as asbestos, lead, silica, and hazardous chemicals.

 

Compare Insurance - Here's How We Can Help You Save!

Another way to save on Contractor Insurance is to work with an independent agent – like those at American Insuring Group – who will compare the cost and quality of insurance coverage among several different competing insurance companies.

If you want to be confident that you’re getting the best price and coverage on Contractor Insurance, give us a call at (800) 947-1270 or (610) 775-3848 or connect with us online!

Return-to-work (RTW) programs help employers by helping retain experienced workers, reduce turnover, and control Workers’ Compensation Insurance costs. RTW programs help injured employees by promoting physical and mental healing, retaining social connections, providing financial security, and helping them retain skills. RTW programs even help improve productivity and morale among co-workers. 

Studies show that injured employees who are out of work for more than six months have less than a 50% chance of returning to work and 80-90% of injured workers would rather get back to work than collect disability.

What is a Return-to-Work Program?

The goal of RTW programs is to get an injured employee working again as quickly as possible while they are still recuperating. That may mean providing the injured employee with temporary, modified, or transitional duties to get them back to work more quickly.

Unless you are a doctor, you probably don’t know how long it typically takes an injured employee to heal from an injury – whether it’s a simple sprain or a more serious injury. To develop an effective RTW, it is important to have some expectations as to recovery times. The good news is that someone has already figured that out for you.

Evidence-Based Medicine (EBM) Injury Guideline

An EBM injury guideline tool can help reduce uncertainty by providing recovery timeframe estimates, including the average and median amount of time it takes an injury to heal. It is based on the type of work an employee does – sedentary, light, medium, heavy, or very heavy work.

The two most well-known tools are the ODG guidelines from the Work Loss Data Institute (WLDI) and the MDGuidelines from the Reed Group.

The ODG (official disability guidelines) was released in 1995 as an “evidence-based disability duration (return-to-work) guideline,” by the WLDI. In 2017, WLDI became part of MCG Health.

MDGuidelines are researched and evaluated by an academic-based research team. According to the Reed Group, “MDGuidelines empower employers, insurers and providers to successfully improve health and financial outcomes.” It links several data sources – OSHA, CDC, the National Hospital Discharge Survey, and the worldwide ICD-9 coding system.

An Example

If an employee suffers from a partial rotator cuff tear, and they have a sedentary or light job, it should take a minimum of zero days and a maximum of four days for that person’s body to physically heal enough for them to go back to their full duties at work. However, if that same employee has a heavy or very heavy job, it should take a minimum of 21 days and a maximum of 85 days to recover and be ready to go back to their full work duties.

If you utilize an RTW program, that means that even an employee in a heavy or very heavy job with this type of injury should be back to work within four days – not doing their original work duties but doing sedentary or light duty.

What might surprise you is that more than 50% of people aren’t back to work within the maximum amount of time (85 days) required for physical healing of a partial rotator cuff tear. Understanding recovery time and instituting an RTW program will lead to benefits for your injured employee, his or her coworkers, and your bottom line.

Want to Save Even More on Workers’ Compensation Costs?

Give the experienced independent agents at American Insuring Group a call at (800) 947-1270 or (610) 775-3848 or connect with us online. Our independence means we're free to shop competing providers to get you the best deal. We’ll show you how to save on all of your worker's comp insurance needs in Philadelphia, PA and far beyond.

Despite all of your best efforts to create a safe work environment, accidents do happen on worksites – whether it’s a restaurant or a construction site or even an office, and you should be prepared.

Knowing what to do when someone injures themselves in the workplace can help ensure that the injured employee gets immediate medical attention and that any Workers’ Comp insurance claims are processed quickly and accurately. You should have a process in place, and all managers and supervisors should be trained in that process.

Here Are Four Steps That Should Be Included in the Process:

Take Care of the Injured Employee

Your employee’s welfare should be your first priority. As soon as an injury occurs, determine the appropriate medical treatment. If it’s a serious injury, call 911 immediately. If it isn’t a serious injury, take the injured employee to a medical care facility.

Some insurance carriers offer a 24/7 injured employee hotline that has registered nurses who can provide medical guidance. If your Workers’ Comp insurance carrier has a hotline, all managers and supervisors should be aware of that number.

Survey the Scene of the Accident

Once the injured employee has received appropriate medical care, survey the scene. If it’s a severe injury, any equipment involved in the incident should be secured, and the area where the incident occurred should be cordoned off with cones or tape until the local police and/or the Occupational Safety and Health Administration (OSHA) are finished with their formal investigation.

Even with minor injuries, surveying the scene could reveal what caused the injury. For example, if an employee falls because of a wet floor, that area can be cleaned up to avoid further accidents.

The purpose of an investigation isn’t to lay blame but to determine the root cause of the accident, so it doesn’t happen again. In that same example, if a faulty refrigerator caused that wet floor, the appliance can be fixed to avoid any additional injuries.

Collect Information

A manager or supervisor should then gather details about the incident. Write down the details of the accident – where it happened, how it happened, etc. – and any medical treatment the injured employee received. Also, talk to anyone who witnessed the incident and document what they share and their contact information. 

Complete the Incident Report

Before the details of the injury fade from memory, the incident report should be completed. OSHA requires employers to maintain records of all work-related injuries using its Injury & Illness Record-keeping Forms and to notify OSHA if the injured employee needs to be hospitalized.

Any Workers’ Compensation claims should be filed within 24 hours of the incident. 

If the injury is fairly minor but still prohibits the injured employee from performing his or her regular tasks, you may also need to consider if a transitional or modified job may be appropriate. The longer an employee is out of work, the harder it is to go back and the more it costs you. A return-to-work program can help keep injured employees off of long-term disability and save you money.

You may also want to take a look at your safety program. Did an employee not receive proper training? Was a safety procedure ignored? What can you do to help ensure this type of accident doesn’t happen again?

Want to Save on All Kinds of Commercial Insurance?

The agents at American Insuring Group specialize in commercial insurance, including Workers’ Compensation. We can help ensure that you have the right coverage and – as independent agents who can compare costs with several companies – that you get it at the best price!  Give us a call at (800) 947-1270 or (610) 775-3848 or connect with us online.

In an attempt to lower workers’ compensation insurance costs, some companies implement safety incentive programs. For example, everyone receives a $25 gift card if there are no injuries reported for thirty days. This type of incentive program is called a “results-based” program, and at least on paper, makes perfect sense.

According to one study, between 1991 and 2001, companies with a safety incentive program saw a 44.16% reduction in the mean lost-time workday injury rate.

Again, this makes perfect sense; a safer workplace means fewer injuries and lower WC costs, so a company with no reported injuries for thirty days is a safer workplace, right? Maybe. The biggest flaw found in a results-based incentive program is that it can encourage underreporting.

A 2010 survey conducted by the Government Accountability Office, found that approximately 75% of manufacturers in the US had safety incentive programs that could potentially affect workers’ reporting of injuries and illnesses.

Let’s say on day twenty Joe Smith incurs an injury, but he doesn’t want to blow the $25 gift card for all of his coworkers, so he decides (or is pressured by coworkers) to wait to report the incident. When he does finally report that injury ten days later, there could be complications resulting in a more severe injury and higher medical costs.

Plus, if the injury is caused by an unsafe situation, another employee could be injured before the initial injury is reported and the hazardous situation remedied. Either way, you’re looking at higher medical costs and higher workers’ compensation costs.

That doesn’t mean that safety incentive programs don’t work. They can motivate employees to pay attention to safety and to work more safely, but they have to be done correctly. If the incentive program focuses on the incentive and not actual safety, it can interfere with creating a safer work environment.

Here are six tips to help you create an effective safety incentive program to help lower your workers’ compensation costs:

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An Incentive Program Has to Be Part of a Comprehensive Safety Program

Some companies try to create an incentive program without having a comprehensive safety program – including safety training, accident investigations, a return-to-work program, etc. - in place. An incentive program is a way to encourage employees to engage in a company’s safety program and safe actions that it creates. 

Consider “Process-Based” Incentives

As discussed earlier, a results-based incentive program can result in unreported injuries, which is not reducing accidents or injuries. Instead of rewarding employees for the number of days without an incident, try rewarding positive, proactive behavior such as attending safety meetings, wearing PPE, scoring well on a safety training quiz, or suggesting ways to create a safer workplace. 

Provide Genuine and Meaningful Incentives

You need to find out what motivates your employees, and you need to offer a meaningful incentive that is worth achieving. Not everyone is motivated by money. Some would rather be recognized for doing a good job.

Incentives can include a pizza party or exclusive T-shirts with the company logo or an annual recognition dinner where employees on every level mingle, and top management presents awards to employees who have practiced safe work practices.

Award Incentives Often and to Many Employees

Workplace safety is a year-round activity. If you only award employees once a year, it’s easy to forget about safety three or four months into a program. Instead, offer frequent rewards – quarterly, monthly, or even weekly.

Everybody wins when you offer a safe work environment, so your incentive programs should take that same approach and award everyone – from top management to individual employees and from employees who already work safely to those who need encouragement to work more safely.

Get Buy-In From Upper Management

Upper management is footing the bill, so they need to understand the goals of the program and how it will progress. It takes a while to see a decrease in injuries and the resulting lower WC costs. 

Plus, there is usually an upfront investment required for things like signs, results boards, and even time. As the program progresses and employees become more familiar with the program, those costs typically decrease.

But if upper management doesn’t see immediate results, they could withdraw their support if they don’t understand the process.

And in order to create a culture of safety, upper management needs to buy into your company’s safety program, including incentives.

KISS

Keep it Simple Stupid! Don’t make an incentive program so complicated that your employees don’t understand what they need to do in order to receive the award. If it’s too complicated, a safety incentive program could backfire by lowering employee morale.

Providing a safe working environment is every employer’s responsibility. The good news is that efforts to create a safer workplace – such as safety incentive programs – can also help improve your bottom-line.

Get the Best Price on Workers’ Comp insurance

The experienced independent agents at American Insuring Group are committed to getting you the very best price on quality workers’ compensation insurance protection. Give us a call at (800) 947-1270 or (610) 775-3848 or find us online.

Restaurant Insurance is available to protect your property, your employees, and your business. Some types of insurance are pretty standard and may even be required by law or by other entities such as lenders and landlords.

The following are standard types of insurance that most restaurant owners carry:

• Property Insurance

covers your building and its contents if it is damaged by fire, storms, theft, etc. and is usually required by lenders.

• Commercial general liability insurance

covers legal costs and any judgments you may be required to pay a plaintiff if you are found liable for bodily injury or damage to someone else’s property.

• Workers’ compensation insurance

covers injury to employees and is required by law for most businesses with employees.

These insurances are great for protecting many of your assets; however, you may find that there are gaps in your coverage.  Fortunately, there are other types of insurance or additional coverages available that can help fill those gaps.

You may not need any of these additional coverages, but knowledge is power. If you want to avoid unpleasant surprises down the road, it is critical that you consider potential risks, determine if they are covered under your existing policies, and decide how (or if) you need additional coverage.  

An experienced agent who specializes in restaurant insurance – like those at American Insuring Group - can help you determine the best coverage for your specific needs.

Here are Additional Coverages You May Want to Consider for Your Restaurant

Liquor Liability

If you have a liquor license, you should have liquor liability insurance to protect your restaurant if a customer becomes intoxicated and causes injury or damage.

Commercial Automobile Insurance

If you use a vehicle to transport food or people, you will need commercial automobile insurance.

Employment Practices Liability

If an employee sues your restaurant for discrimination or harassment, it may not be covered by general liability insurance.

Life Insurance

If your death (and loss of income) would cause a financial hardship for your family, you should consider either term or permanent life insurance.

Commercial Umbrella Insurance

Umbrella Insurance provides coverage above the limits of your general liability, commercial auto, or employer’s liability on a WC policy.

Sewer Backup

Sometimes a sewer backup isn’t just a stinky nuisance; it can cause real damage to your restaurant and is typically not covered under property insurance.

Utility Interruption Coverage

The loss of utilities such as electric, gas, water, etc. could shut down your restaurant or even cause damage to your restaurant.

Equipment Breakdown

Restaurants rely on their equipment – ovens, freezers, food warmers, etc. - and equipment does break down and can cause damage.

Spoilage or Food Contamination Insurance

An interruption in utilities or an equipment breakdown could result in costly food spoilage.

Extra Expense

If your property is damaged, and you want to continue operating at another location while repairs are being made, you’re going to incur expenses such as equipment or property rentals. If you want those expenses covered, you’ll probably need to purchase extra expense coverage.

Fine Arts

If you have expensive paintings or other artwork in your restaurant, you may need to protect your investment from damage or theft with fine arts coverage.

Employee Theft

A typical property insurance policy does not cover theft by employees.

Peak Season

If your restaurant sees a high level of business during certain times of the year, you may want a higher limit for personal property insurance coverage during that time.

Specific Peril Insurance

If your liability policy doesn’t cover damage from natural disasters (some do, and some don’t), you may need specific peril insurance.

Business Interruption Insurance

If your restaurant sustains damage and you need to close for an extended period, business interruption insurance can cover your loss of income while repairs are made.

You don’t want to pay more for insurance than is necessary, but at the same time, you do want to make sure that your business assets are adequately covered. This is where an independent agent who specializes in restaurant insurance can help.

Need Help Ensuring That Your Restaurant’s Assets are Properly Covered?

The independent agents at American Insuring Group can help you determine the best coverage for your restaurant. They check and compare coverage from multiple insurance companies to make sure you’re getting the best price on quality coverage. Give us a call at (800) 947-1270 or (610) 775-3848 or find us online.

The majority of workers’ compensation insurance claims are legitimate, and if an employee is injured on the job, they are entitled to the medical care and indemnity benefits stated in the workers’ compensation statutes. Unfortunately, there are also a number of fraudulent workers’ compensation claims every year.

Workers Compensation Insurance Fraud Statistics

The National Insurance Crime Bureau (NICB) estimates that workers’ compensation insurance fraud costs the insurance industry $7.5 billion every year, which in turn drives up the cost of workers’ compensation premiums. This doesn’t even take into account the cost of replacing the “injured” employee, training a new employee, overtime, and even a decrease in employee morale and productivity.

“Workers’ comp fraud is a large crime in America today,” according to the Coalition Against Fraud Insurance. “Scams are forcing premiums higher — draining business profits and costing honest workers their pay and jobs.”

Tips for Investigating Workers Comp Insurance Claims

Yet, many employers don’t investigate workers’ compensation claims properly. There is one simple thing every employer can and should do immediately following an accident or injury: collect written incident reports from the injured employee and any witnesses.

The injured employee should provide a written description of the incident including details of the accident, what caused the injury, the nature and scope of the injury, and what the employee thinks could be done to prevent the accident from happening again because.

Here’s why:

1. Immediately following an incident, the employee should be able to recall the accident or injury more accurately than they could months or years later.
   
   
2. Having the details of the accident in writing will discourage the employee from embellishing the details later, and having documentation of exactly which body parts were injured, limits the employee’s ability to add additional body parts to the claim at a later time. Tales do tend to grow taller on down the line.
   
   
3. Often, if a claim is questionable, the adjuster will take a recorded statement from the employee. A written report allows them to compare the two reports to look for deviations. In this interview, the adjuster may also ask if the employee has any prior claims, accidents, and any prior injuries to the same body part.

Keeping the WC Claims Process Honest

The bottom line is that knowing that an employer has the details of the incident written in the employees’ own words goes a long way to help keep an injured employee honest.

Obtaining a written report from every witness immediately following the incident will help provide additional information about the accident and the extent of the injuries. Employers should be cautious of any accidents that have no witnesses or that the only witnesses are friends of the injured employee.

The employee’s supervisor or someone familiar with the work process should review the reports to confirm the accuracy of the information, and those reports should be given to the workers’ compensation adjuster. The employer should also provide information to the adjuster about any previous workers’ compensation claims, any other accidents or injuries the employee has incurred in the past, and any strenuous activities, sports, or hobbies the employee participates in.  

Create a Standard Protocol for Investigating Workers Comp Accidents

Having an established protocol for investigating accidents can help ensure that the proper steps are taken each time. It’s important that you react quickly to an accident or injury, capture the details quickly, and take the right actions to investigate the claim. Doing this will help limit the ability of dishonest employees to exploit legitimate workers’ compensation claims and help you keep workers’ compensation costs down.

How to Get the Best PA Workers Comp Insurance Coverage

To learn more about protecting your company against WC insurance fraud or your workers compensation insurance coverage options, you can reach us via our Contact Page or call American Insuring Group at (800) 947-1270 or (610) 775-3848.

Our independent agents are ready to help you get affordable insurance protection. We'll drive down your cost by comparing prices and coverages among lots of competing WC insurance carriers. Don't delay - contact us today and start saving!

You’ve probably heard that the United States is in the middle of an opioid overdose epidemic. Opioids - a class of drugs that include both heroin and prescription pain relievers such as oxycodone, codeine, and fentanyl - are being prescribed at an alarming rate and too often those prescriptions are leading to opioid addiction and even death. Workers compensation insurance costs are, of course, impacted by the epidemic.

INFOGRAPHIC:
The Opioid Overdose Epidemic And Workers Compensation Insurance

 

259 Million Opiod Prescriptions in the US?

The American Society of Addiction Medicine reported that in 2012, 259 million prescriptions were written for opioids, which is more than enough to give every American adult their own bottle of pills!

The Center for Disease Control (CDC) reported that every day, over 1,000 people are treated in emergency departments for misusing prescription opioids, and in 2014, almost 2 million Americans abused or were dependent on prescription opioids.

“Opioids were involved in the overdose deaths of more than 33,000 Americans in 2015, nearly quadruple the number from the year 2000 and more than any year on record,” according to the CDC.

The Impact on Your Workers Compensation Insurance

There is no denying that the human costs of this epidemic are tragic, but have you ever considered what this epidemic is costing your business? The CDC reports that the side effects of opioids – drowsiness, mental confusion, depression, nausea, etc. - can increase the risk of workplace incidents, errors and injury. In 2013, the estimated lost productivity for people in the United States with opioid use disorder totaled $20.4 billion and a cost of $29 billion in increased health care and substance abuse treatment.

60% of Injured Workers May be Addicted to Opiods

According to the International Risk Management Institute, Inc. (IRMI), 5,000 employees a week are injured and disabled for at least a week and pain management is often part of their treatment. The CDC reported that in 2011 approximately 25 percent of workers compensation prescription drug claim costs were for opioids. IRMI says, “While reliable data showing the proportion of injured workers that may be addicted to opioids is hard to find, it is estimated around 60 percent of all those prescribed.“

Reducing the Human and Financial Impact of Opiod Abuse

At the 2017 Workers Compensation Research Institute Conference earlier this year, experts provided two recommendations to reduce the human and financial impact of this epidemic.

1. Mandate for Physicians to check Prescription Drug Monitoring Data

Kentucky, which was has been at the epicenter of the opioid drug problem and opioid overdose deaths, became the first state (2012) to require physicians to search patients’ prescription drug histories on an electronic database - Prescription Drug Monitoring Program (PDMP) - before prescribing opioid painkillers, sedatives or other potentially harmful and addictive drugs. According to a former employee at the Kentucky Department of Workers Compensation Claims, this one step had the biggest impact. Since then, fifteen more states – including Pennsylvania – have instituted the same mandate.

2. Alternative Pain Treatment

The current medical model for the treatment of pain isn’t working because it doesn’t consider the biopsychosocial factors of pain management. This includes “biological factors (genetic, biochemical, etc.), psychological factors (mood, personality, behavior, etc.), and social factors (cultural, familial, socioeconomic, medical, etc.),” according to John W. Santrock, Ph.D. Some popular options for pain management include mindfulness and Cognitive Behavioral Therapy (CBT).

When it comes to Workers’ Compensation claims taking a collaborative approach that includes a variety of experts, different pain management approaches, and the injured worker has shown to be more effective in reducing medical costs and in getting employees back to work more quickly.

 

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To learn how we can help you save on workers compensation insurance, contact American Insuring Group online or call at (800) 947-1270 or (610) 775-3848. Our independent insurance agents will check for the best rates among many competing insurance carriers. You'll get a quality policy at a geat rate.

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Recently, I learned of a book called Made to Stick: Why Some Ideas Survive and Others Die. It refers to a phenomenon called “the curse of knowledge,” which states that “when we know something, it becomes hard for us to imagine not knowing it.

As a result, we become lousy communicators.”

This “curse” often affects individuals who work with the workers’ compensation insurance claim process, which can be quite complicated – especially to an injured worker who has never filed a claim.

Here are 5 Common Questions an Injured Worker May Have When Filing a Workers Comp Claim

1. How and when will I get paid, and how much 
   will I get paid?

If the case is determined to be compensable (which usually takes a week or two to a month or so), the injured employee will receive a check (which is typically about 66-80% of their net pay) either by mail or direct deposit every week or two. A payment from Workers Comp is not taxable income, so the employee will not receive a W2 for this payment.

2. What physician can I go to?

This can vary by jurisdiction, but generally after a certain period of time, the injured employee can go to his or her primary care physician, and usually, the first appointment will be paid for by the insurance company handling the claim. Whether or not they can continue with their primary care physician will be determined by two things: 1) if the adjuster authorizes it and 2) if the doctor accepts workers compensation patients.

3. Why isn’t my adjuster more attentive?

Just because the adjuster doesn’t return a call immediately, it doesn’t mean that the injured worker isn’t important to them. Most adjusters handle hundreds of workers compensation cases at the same time – all at different stages in the process and all of varying complexity. Advise your employee to try to be patient and give the adjuster a day or two to return the call; however, if they’ve left several messages and a few days go by, suggest that they call and ask for a supervisor. Every adjuster is obligated to return calls from the cases they are handling and can incur penalties or fines if they fail to return calls within a reasonable amount of time.

4. Can a light duty job pay less than my regular job?

Yes, it can, but the insurance carrier will take the reduced wages the injured employee earns and issue a supplemental check for the difference. That amount can vary depending on the jurisdiction the claim is made in.

5. Should I contact an attorney?

Only the injured employee can answer this question. They can speak with a lawyer without filing a lawsuit against their employer, and if talking with a legal professional helps put them at ease, then they should do so.

Don't Assume - Think Before You Communicate About Workers Compensation Claims

Don’t fall prey to “the curse of knowledge.” Remember that this may be the first and only time an employee files a workers compensation insurance claim, and they may have questions. Do your best to answer their questions, and when in doubt, reach out to his or her adjuster for clarification.

 

Are You Paying Too Much for PA Workers Compensation Insurance? We Can Help!

To learn more about saving on workers compensation insurance, contact American Insuring Group online or call at (800) 947-1270 or (610) 775-3848. Our independent agents will compare policies from competing insurers to find the best insurance at the best price. Call or click today to start saving.