Suchergebnisse

Companies can take action to stem out-of-control workers compensation costs.

Mestrado em Actuarial Science ; O presente trabalho apresenta uma análise às melhores estimativas de acidentes de trabalho sob o regime de Solvência II que entrou em vigor a 1 de janeiro de 2016, apresentando uma modelização das responsabilidades com base na legislação existente, principalmente a Lei n.º 98/2009. No âmbito de Solvência II, as melhores estimativas das responsabilidades de seguros não vida são calculadas separadamente em provisão para sinistros (respeitantes a sinistros ocorridos) e provisão para prémios (relativamente a sinistros futuros que são cobertos pelas responsabilidades abrangidas pelos limites dos contratos existentes). No que diz respeito a seguros vida, as melhores estimativas devem ser calculadas separadamente para cada apólice. As responsabilidades de acidentes de trabalho apresentam a particularidade de serem compostas por diferentes naturezas, o que proporciona na sua modelização a aplicação de metodologias atuariais não-vida e vida. Em Solvência II, estas responsabilidades são divididas em duas classes de negócio: acidentes de trabalho utilizando bases técnicas não semelhante a técnicas de vida (NSTV) e rendas decorrentes de contratos de seguro de natureza não vida e relacionados com responsabilidades de seguro de acidentes e doença utilizando bases técnicas semelhantes a técnicas de vida (STV). A abordagem ao tema foi realizada de forma separada tendo em consideração a desagregação da melhor estimativa em Solvência II, e as diferentes responsabilidades de acidentes de trabalho: não semelhantes e semelhantes a técnicas de vida. Devido à literatura existente para provisionamento ser bastante diversificada, o trabalho foi desenvolvido com foco nas metodologias que mais frequentemente são aplicadas no mercado segurador. ; This work presents an analysis to the Workers' Compensation best estimate under the Solvency II regime that came into force in January 1st 2016, modelling the liabilities based on the applicable legislation, mainly the Law 98/2009. Within the scope of Solvency II, the best estimate of non-life liabilities are calculated separately under claims provision (concerning claims that have already happened) and premium provision (concerning future claims that are covered by the existing contractual obligations). The best estimate of life liabilities should be calculated separately for each policy. Workers' Compensation presents the particularity of being composed of different natured liabilities, which provides in its modeling the application of life and non-life actuarial methodologies. Under Solvency II, these liabilities are split into two lines of business: Workers' Compensation insurance using non similar to life techniques (NSLT) and annuities stemming from non-life insurance contracts and relating to health insurance obligations using similar to life techniques (SLT). The approach to this report was conducted separately considering the breakdown of the best estimate under Solvency II and the Workers' Compensation liabilities divided into non similar and similar to life techniques. Due to the diversification of existing literature, this work has been developed focusing on the methodologies that are most frequently applied in the insurance market. ; info:eu-repo/semantics/publishedVersion

A tribute to Arthur Larson / John Lewis -- Tensions of the next decade / Arthur Larson -- Paying for asbestos-related diseases under workers' compensation / Donald N. Dewees -- Workers' compensation, wages, and the risk of injury / Ronald G. Ehrenberg -- Lessons for the administration of workers' compensation from the social security disability insurance program / Jerry L. Mashaw -- The future of workers' compensation / Robert J. Lampman and Robert M. Hutchens

Topics covered include low back pain in workers' compensation, payroll taxes, unfunded liabilities, occupational health and safety, private participation, the cost, appeals litigation.

Workers' compensation costs are rapidly rising, driven in large part by annual increases of 15% in medical expenses. Many workers' compensation insurers and third-party administrators have been surprised by the renewed virulence of medical inflation. Although many had adopted managed care approaches, including networks, bill review or audit, case management and precertification, medical savings levels are actually declining. Specialty managed care companies are the next generation of workers' compensation managed care, and they represent an evolution from a broad and general approach to a deep and narrow focus. Specialty managed care companies concentrate on a geographical area and the type of care or provider specialty in which their expertise and focus enables them to deliver outcomes. Old habits, legacy systems and inertia can be difficult obstacles. Savings, which are typically two to three times as great as in generalist firms, must be balanced against implementation and operational challenges.

Comparison of the rate, time loss, and characteristics of workers' compensation claims between different groups of government workers and non-government workers.

The report presents an overview of the workers' compensation scene, identifying a diversity of legislative and administrative arrangements currently existing in Australia. As the first report in this research programme, it takes the form of a discussion monograph, aiming to identify issues and problematic areas in the operation of the workers' compensation system (or systems) rather than attempting to arrive at definitive findings and conclusions. These, it is hoped, will be forthcoming in the future reports. The report has seven chapters. Beginning with the introduction of the subject of workers' compensation and defining the area in the wider context of compensation and income security, it then traces the evolution of the system since the last century to the present day. This is followed by observations on the current state of statistical data and the diversity of legislative and administrative arrangements currently in existence in Australia. Recent changes in some States and proposed changes in others are noted and discussed. One chapter examines specific issues of workers' compensation related to non-English speaking immigrants, and another chapter looks at the issues of occupational health and safety. The final chapter attempts to draw some of the implications of workers' compensation provisions, for the persons who suffer a work-related injury and for the social security system.

The workers' compensation system in California has had a long history of polemic and change. California businesses, lawmakers and political organizations have been intent on creating a system that provides the injured workers of California with comfort and support in the event of an injury and control costs for employers. However, all the reforms and efforts resulted in the creation of a complex, expensive and inefficient system. In the last couple of years, the workers' compensation system in California has become the most expensive system in the nation. Reforming the system has become the most important issue in lawmakers' agendas. On April 19, 2004, a new reform was introduced. SB 899 has brought about changes to all the benefits offered under the system. This reform (SB 899) is a strong effort to bring down the skyrocketing costs of the system and revitalize the business environment in California.