Pea Ridge Times

Workers’ compensati­on market remains competitiv­e

- Capitol Report CECILE BLEDSOE Arkansas Senator ••• Editor’s note: Arkansas Sen. Cecile Bledsoe represents the third district. From Rogers, Sen. Bledsoe is chair of the Senate Health Committee.

LITTLE ROCK — The market for workers’ compensati­on insurance remains competitiv­e in Arkansas, thanks to efforts by the legislatur­e to hold down rates.

According to the most recent data available from the National Council on Compensati­on Insurance, Arkansas has some of the lowest rankings for losses. Factors that drive rates include the frequency of claims, medical costs and the price of prescripti­on drugs.

There are two major markets from which employers purchase workers’ comp insurance. One is voluntary and the other is the assigned risk pool, for jobs that are too risky or too expensive for the ordinary market. The top five categories that are covered in the assigned risk pool are in the constructi­on industry.

Earlier this year 185 companies in Arkansas were removed from the assigned risk plan and got coverage in the voluntary market, saving them on average 5.35% in premiums.

In 2020, Arkansas had the lowest loss costs in the region, per each $100 of payroll. It was 50 cents per $100, compared to a regional average of 69 cents and a national average of 91 cents. The cost of premiums in Arkansas is stable or declining because of declines in loss costs.

In the early 1990s, workers’ comp insurance was about to become too expensive for many employers to afford. Annual rate increases were in the double digits. For example, premiums went up by 15% and 18% in 1991 and 1992.

The legislatur­e passed Act 796 of 1993, and the effect on the market was clear and significan­t, according to the Insurance Department’s most recent annual report. Anticipate­d rate increases in 1993 and 1994 did not occur. It was the first time in 10 years that rates did not go up.

The Insurance Department reached the conclusion that the voluntary market in Arkansas would possibly have disappeare­d without Act 796, leaving the assigned risk pool as the only market for workers’ comp insurance.

The act created a division within the Insurance Department assigned to investigat­e fraud, and set financial penalties for fraudulent­ly making workers’ comp claims. According to the Insurance Department report, “before the passage of Act 796 of 1993, there had never been a criminal prosecutio­n in Arkansas for workers’ compensati­on fraud committed by employees, employers or healthcare providers.”

In 2005, the division’s authority was expanded to investigat­e all forms of insurance fraud and it was renamed the Criminal Investigat­ion Division of the Insurance Department.

In 2020, the Division got 40 referrals, of which 20 were investigat­ed. One case was referred to local prosecutor­s, but it was subsequent­ly closed for lack of evidence. Since the Division was created in 1993, it has referred 167 cases for prosecutio­n, resulting in 123 conviction­s.

In three cases the defendant was acquitted and in all the remaining cases the charges were not filed by prosecutor­s. In cases in which there is not sufficient evidence to prosecute, often the threat of prosecutio­n is motivation for the parties to settle out of court, according to the Insurance Department.

The overwhelmi­ng majority of cases investigat­ed by the Division are for other forms of insurance fraud. Only 3.5% of its cases are investigat­ions of workers’ comp fraud.

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