Workers’
Compensation
Program Annual
Report
Public Safety, Finance, and Strategic
Support Committee
Presenters:
Kim Jackson, Assistant Director - Human Resources
Joe Gregory, Division Manager
Agenda Item (d)2.
Open Workers’ Compensation Claims as of June 30,
2024
Claim Type Number of Open Claims as of
6/30/23
Number of Open Claims as of
6/30/24
Indemnity 1363 1,320
Medical Only 95 89
Future Medical 1033 1,047
Total 2491 2,456
The total number of open claims has decreased by approximately
1.5% since June of 2023 when the open claim inventory was 2,491. 1 Workers’ Compensation Total Expenditures
Department 2023-2024 Budget (adopted) 2023-2024 Budget
(Modified) 2023-2024 Actuals
Fire $9,000,000 $13,250,000 $13,467,968
Police $9,000,000 $9,650,000 $10,436,343
PRNS $1,500,000 $1,050,000 $994,932
DOT $500,000 $555,000 $539,358
Others $1,500,000 $1,400,000 $1,285,774
Public Works (GS) $350,000 $360,000 $354,252
General Funds Total $21,850,000 $26,265,000 $27,078,627 Special Funds Total $1,907,500 $2,017,500 $1,235,379
Total $23,757,500 $28,282,500 $28,314,006
2 AON Actuarial Study – Projected Ultimate Losses
Changes through June 30, 2024
Claim Period Projected Ultimate Losses as
of 12/31/19
Projected Ultimate Losses as
of 12/31/24 Change Percentage Change
2018/2019 $ 27,254,000.00 $ 29,557,000.00 $ 2,303,000.00 8% 2019/2020 $ 36,122,000.00 $ 30,280,000.00 $ (5,842,000.00) -16% 2020/2021 $ 37,950,000.00 $ 36,060,000.00 $ (1,890,000.00) -5% 2021/2022 $ 39,870,000.00 $ 40,272,000.00 $ 402,000.00 1% 2022/2023 $ 41,888,000.00 $ 40,024,000.00 $ (1,864,000.00) -4% 2023/2024 $ 43,403,000.00 $ 45,095,000.00 $ 1,692,000.00 4% Total $ 335,496,000.00 $ 326,880,000.00 $ (8,616,000.00) -2.6% 3 Third Party Administrator (TPA) Performance
Quality Performance 7/1/23 – 6/30/24 Total Claims
Audited
Total
"Yes"
Total
"No"
Total
"N/A" Overall Audit Percentage Score
Timely completion of 3 Point Contacts. (Pass/Fail) 336 316 7 13 98% Causation Analysis decision within 90 days. (Pass/Fail) 336 320 7 9 98% Plan of Action in claim notes every 90 days. (Pass/Fail) 336 319 8 9 97% Timely and accurate benefit payments. (Pass/Fail) 336 172 6 158 98% State Compliance Performance 7/1/23 – 6/30/24 Total Claims Audited
Total
"Yes"
Total
"No"
Total
"N/A" Overall Audit Percentage Score
Temporary Disability payment compliance 336 172 0 164 100% Permanent Disability & Death benefits payment compliance 336 172 0 164 100% Subsequent indemnity payment compliance 336 172 0 164 100% Agreed Medical Examiner/Qualified Medical examiner
notices compliance
336 299 16 21 95%
Audit Period 7/1/23 – 6/30/24
Total Possible
Categories
Audited
Total
"Yes"
Total
"No"
Total
"N/A" Overall Audit Percentage Score
Overall Total 2,688 1,942 44 702 98.3% 4
Third Party Administrator (TPA) Performance
TPA Employee Type Number of Staff Average Caseload
Senior Claims Examiner 10 132.3 (a)
Future Medical/Medical Only Examiner 4 258 (a)
Clerical and Support Staff 5 -
Total 19 -
(a) Clerical and support staff are not included in the calculation of the average caseload. (b) Total number of claims do not include Information Only claims 5 Conclusion and Follow-up
Build on the success of the City’s safety programs through focusing on proactive employee health, safety, and injury prevention. Innovate Monitor the City’s Third-Party Administrator to ensure the City and Monitor our employees receive the highest quality service.
Continue to manage the workers compensation budget, program Manage costs, and future liabilities. 6