Overview of US Workers Compensation System James Lynch, Chief Actuary Insurance Information Institute 110 William Street New York, NY 10038 212.346.5533 jamesl@iii.org www.iii.org 1
I.I.I. Mission Statement Improving public understanding of insurance... … what it does and how it works 2 2
1910: Before Workers Compensation 3
The Worker’s Plight Source: Crystal Eastman, “Work Accidents and the Law.” (published 1910.) 4
The Grand Bargain (No. of States with Workers Compensation Laws) 45 43 40 35 32 30 25 20 15 10 5 1 0 1910 1911 1912 1913 1914 1915 1916 1917 1918 1919 1920 SOURCE: Insurance Information Institute research. 5
The Role of the States States with Monopolistic WC Systems SOURCE: Insurance Information Institute. 6
Benefits Varies by State SOURCE: ProPublica.org, https://projects.propublica.org/graphics/workers-compensation-benefits-by-limb 7
Does the System Work? (Number of Work-Related Injuries and Illnesses) 1,000,000 service-producing goods-producing 908,310 800,000 675,840 600,000 400,000 407,610 200,000 226,320 0 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 Source: U.S. Bureau of Labor Statistics, National Occupational Injuries and Illnesses Requiring Days Away from Work, 2015 , Table 1, released November 10, 2016, and earlier releases. 9 9
Current Issues The Opioid Epidemic Overall Drug Abuse Deaths Opioid-Related Deaths 70,000 25,000 64,070 Opioids¹ Heroin Fentanyl² 60,000 20,000 20,145 50,000 15,000 15,446 40,000 10,000 30,000 6,158 5,000 14,427 20,000 16,849 1,960 730 10,000 - 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 - 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 ¹Opioids less synthetic opioids ²Fentynyl and other non-methadone synthetic opioids SOURCE: National Institute on Drug Abuse. 10
Current Issues Medical Marijuana ■ Fully legal ■ Medical use legal and recreational use decriminalized ■ Medical use legal ■ Recreational use decriminalized ■ Fully illegal Congressional Cannabis Caucus WA ME MT VT ND OR MN NH ID SD NY WI WY MI IA PA NE NV OH UT IL IN WV CO VA MA CA KS MO KY Rohrbacher Bluemenauer RI NC (CA) (OR) TN AZ OK CT AR NM SC NJ MS GA AL TX DE AK LA MD FL DC HI Young Polis (AK) (CO) SOURCE: National Journal. 11
Summary Workers Compensation Has Worked in United States for More Than A Century. Law Is Result of Grand Bargain Between Labor and Management. Every State Has Its Own Workers Compensation System. The System Evolves to Address Emerging Issues. 12
Thank You! Questions? 13
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