City of Hermosa Beach --- 04-24-01

Quarterly Report on Workers Compensation
January 1, 2001 through March 31, 2001

 

Recommendation

Receive and File the Quarterly Report on Workers’ Compensation.

 

Background

This quarterly report on workers’ compensation is for the period of January 1, 2001, through March 31, 2001. The City entered into a contract with a new third party administrator effective January 1, 2001.

 

Analysis

Claims expense for the current 2000/2001 fiscal year is currently less than previous years. It is estimated that by June 30, 2001, the claims expense should be approximately $50,000 to $75,000 less than last fiscal year.

Period

Claims Expense

FY 93/94

$308,400

FY 94/95

$535,708

FY 95/96

$535,736

FY 96/97

$492,079

FY 97/98

$608,025

FY 98/99

$521,352

FY 99/00

$589,731

   

FY 00/01 @ March 31

$277,794

   

Claim reserves (the City’s estimated future liability on current open claims) has increased since December of 2000. The increase in reserves can be attributed to two reasons. First, a few claims in the Police Department are coming close to being closed out and the reserves were increased to reflect the proposed settlements. Also, the prior third party administrator may have underestimated the reserves for some claims. An estimate of the March reserves was made after reviewing the loss data. Initially the reserves were listed in excess of $900,000. After discussing this information with the administrator, adjustments are to be made of approximately $100,000. Staff has scheduled a claims review meeting with the administrator for April 26, 2001 to review each open claim file status and reserve.

Date

Total Workers’ Comp. Reserve

June 1996

$1,130,925

June 1997

$1,266,861

June 1998

$833,161

June 1999

$770,263

June 2000

$617,124

September 2000

$614,511

December 2000*

$699,817

March 2001

Estimate $833,319

*12/00 Broken Neck Claim $175,000

The number of claims reported during the fiscal year is below the average of the prior five years. Over the last five years an average of more than 38 claims were reported. To date, only 14 claims have been reported through March 31, 2001.

Cases Reported By Fiscal Year

95/96 54

96/97 36

97/98 30

98/99 47

99/00 26

00/01 14 to date

Listed below is a summary of the current open claims. The table shows the claims by department, the date of injury and the nature and type of injury. Clearly the majority of claims received are from the Police Department. This is consistent with the nature of work, consistent with the benefits available to public safety employees, and consistent with other cities’ claims.

Department

Date of Injury

Type of Injury

Task

Comm. Serv.

Nov-91

Back/Psyche/Internal

Auto Accident

Comm. Serv.

Nov-00

Arm

Cat Bite

Comm. Serv.

Jan-00

Back Strain

Slip & Fall

Finance

Dec-96

Back Strain

Moving Boxes

Fire

Mar-80

Heart

Stress

Fire

Sep-98

knees/wrist

Running

Fire

Jan-01

Hands

Exposure to blood

Fire

Jan-01

Shoulder Sprain

Training

Fire

Feb-01

Knee

Puncture

Fire

Mar-01

Hand Laceration

Washing vehicle

Personnel

Apr-83

Carpal Tunnel

Clerical Tasks

Personnel

Jul-93

Foot Sprain

Walking

Police

Nov-99

Low Back

Detaining Suspects

Police

Jun-82

Multiple Fractures

Motorcycle Accident

Police

Nov-83

Multiple Injuries

usual duties

Police

Mar-85

Psyche

Stress

Police

Jul-85

Ears/Hernia

Assaulted by Suspect

Police

Oct-88

Back/Hypertension/Psyche

Stress

Police

Jul-91

Psyche

Stress

Police

Sep-92

Respiratory

Exposure to Fumes

Police

Apr-93

knees/wrist

hit by suspect

Police

Apr-93

Neck and Back Strain

Auto Accident

Police

Sep-97

Multiple Injuries

Motorcycle Accident

Police

Mar-98

Back Strain

Driving

Police

Mar-98

Ankle Hip Strain

Arresting Suspect

Police

Aug-98

Shoulder Sprain

Fell off fence chasing suspect

Police

Nov-98

Hypertension

Stress

Police

Jan-99

Throat

Range Duties

Police

Apr-99

Skin Cancer

Exposure to sun

Police

Sep-99

Psyche

Stress

Police

Nov-99

Neck and Back Strain

Auto Accident

Police

Jun-00

Knee Strain

Running

Police

Aug-00

Back/Forearm/Knee

Chasing Suspect

Police

Sep-00

Leg/Hand/Arm

Motorcycle Accident

Police

Oct-00

Knee contusion

slip on stairs

Police

Oct-00

Hypertension/Hearing Loss/Skin cancer

usual duties

Police

Oct-00

Knee contusion

slip on stairs

Police

Oct-00

Shoulder Sprain

Fell From Fence

Police

Nov-00

Hamstring Strain

Training

Police

Dec-00

Shoulder Sprain

Arresting Suspect

Police

Jan-01

Internal

Hepatitis Exposure

Police

Feb-01

Ankle/Hip

Motorcycle Accident

Police

Mar-01

Chest Pains

Conducting Surveillance

Public Works

Aug-98

Shoulder Sprain

Fell From Stage

Public Works

Dec-98

Wrists & Arms

Jackhammering

Public Works

Nov-00

Back Sprain

Shoveling

Public Works

Dec-00

Broken Neck

Fell From Truck

Staff is beginning to work on a workers’ compensation claims manual and is planning to provide training to supervisors and managers on procedures for handling claims when they are reported. In addition, the development of an early return to work program is planned to help reduce the costs associated with having an employee miss work due to their injury. Early return to work policies generally include a modified duty policy whereby an employee can return to a modified assignment on a temporary basis while recovering from their injuries. They also include monitoring of medical treatment to ensure treatment is provided timely and appropriate to the injury.

Safety training continues to be conducted on preventing back and repetitive motion injuries. Employees in City Hall, Public Works field operations, and the Fire Department were completed during the months of March and April. Training in the Police Department will be conducted later in the calendar year.