Suchergebnisse

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

Intro -- WORKERS' COMPENSATION INSURANCE: A PRIMER -- Library of Congress Cataloging-in-Publication Data -- CONTENTS -- PREFACE -- Chapter 1: WORKERS' COMPENSATION INSURANCE: A PRIMER FOR PUBLIC HEALTH -- FOREWORD -- ACKNOWLEDGMENTS -- ACRONYMS AND ABBREVIATIONS -- 1. INTRODUCTION -- 2. BACKGROUND -- 3. BRIEF HISTORY OF WORKERS' COMPENSATION IN THE US -- 4.WORKERS' COMPENSATION INSURANCE BENEFITS -- 5.WORKERS' COMPENSATION INSURANCE PROVIDERS -- 6. STATE WORKERS' COMPENSATION AGENCIES -- 7. THIRD-PARTY ADMINISTRATORS -- 8. TYPES OF POLICIES -- 9. POLICY PREMIUMS -- 10.WORKERS' COMPENSATION RECORDS -- 11. STANDARDIZED CODES AND SYSTEMS IN WORKERS' COMPENSATION -- 12. LOSS PREVENTION -- 13.WORKERS' COMPENSATION ASSOCIATIONS AND ORGANIZATIONS -- 14. PUBLIC HEALTH RESEARCH AND SURVEILLANCE -- 15. PUBLIC HEALTH REGULATIONS -- 16. BREAKING THROUGH BARRIERS -- REFERENCES -- APPENDIX A:WORKERS' COMPENSATION PRIMER GLOSSARY AND OTHER INDUSTRY TERMS -- APPENDIX B: PREPARING FOR ENGAGEMENT -- Chapter 2: THE FEDERAL EMPLOYEES' COMPENSATION ACT (FECA): WORKERS' COMPENSATION FOR FEDERAL EMPLOYEES -- SUMMARY -- INTRODUCTION -- OVERVIEW OF THE FECA PROGRAM -- SELECT CURRENT ISSUES FACING THE FECA PROGRAM -- APPENDIX A. FECA SCHEDULED BENEFITS -- APPENDIX B. LEGISLATIVE HISTORY OF FECA -- INDEX.

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

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

Considerable mythology surrounds the issues of workers' compensation and much of it focuses on migrant workers from non-English speaking backgrounds. In the context of massive employer pressure to reduce the costs of workers' compensation (to employers), and recent legislative changes aimed at achieving this in most States, it is important to explore the nature of migrant workers' experiences of workers' compensation and the effects of so called 'reforms' on them. This report presents the findings of a year long study of migrant workers' and workers' compensation in New South Wales recently undertaken by the Centre for Multicultural Studies at the University of Wollongong. The study utilised quantitative and qualitative data to explore the incidence of compensation claims among migrant and Australian-born workers and the' experiences of those whose claims are contested and/or who are awarded a lumpsum settlement. Data from existing employer, union and government accident records were analysed and in-depth interviews were conducted with 91 migrant and Australian-born workers to provide a comprehensive picture of their compensation experiences. The report is written from a sociological perspective and empirical findings are explained in terms of the social relations underlying workers' compensation as well as by reference to the bureaucratic and legal arrangements in place at the time of the study. The study was funded by the Social Welfare Research Centre at the University of New South Wales and forms part of a larger project to examine workers' compensation systems and their relationship to the social security system.

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

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

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.