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Chief Administrative Office, Risk Management Division, recommending the Board review and approve the California State Association of Counties Excess Insurance Authority (EIA) proposed amendments to the Addendum A - Workers’ Compensation Claims Administration Guidelines.
FUNDING: There is no change to Net County cost.
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BUDGET SUMMARY:
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Fiscal Impact/Change to Net County Cost
There is no change to Net County cost.
Background
El Dorado County has participated in the Excess Workers’ Compensation (EWC) Program through EIA since 2002. This program provides bodily injury coverage for employees when they are injured on the job. Currently, the County has a $300,000.00 self-insured retention and the EWC Program provides the excess coverage to statutory limits.
At its June 7, 2013 meeting, the EIA Board of Directors authorized proposed amendments to the Addendum A - Workers’ Compensation Claims Administration Guidelines to be circulated to members for review and comment. Responses are due back to EIA by September 6, 2013.
Reason for Recommendation
Senate Bill 863 was signed into law in 2012 and took effect on January 1, 2013, which made wide ranging changes to the workers’ compensation system. The EIA Claims review Committee is recommending amendments due to SB863, comments from members and third party administrators (TPAs) and continued review of audit results. The proposed amendments have been reviewed by the EIA Executive Committee and the EIA Board of Directors.
Highlights of the proposed changes include:
1) Reducing targeted caseload from a maximum of 175 to a maximum of 165;
2) Adding a section regarding ongoing claimant contact with unrepresented injured workers;
3) Modifying the sections regarding permanent disability, Supplemental Job Displacement Vou...
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