Santa Maria & Company Risk News
  March 2009
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DISTINCT INJURIES GET SEPARATE COMPENSATION:  COURT
Gavel
SAN FRANCISCO-A California appellate court has ruled that simultaneous but distinct industrial injuries must be compensated separately rather than combined to settle a permanent disability case.

The ruling Tuesday by California's 1st District Court of Appeal in San Francisco in the closely followed case of Diane Benson vs. Workers' Compensation Appeals Board, the court upheld a 2004 reform measure regarding claims apportionment.

It also upheld a workers comp board finding that granted Ms. Benson a total of $49,210 for two awards stemming from neck injuries that each caused a 31% permanent disability.

Read on...
HEALTH INSURERS SETTLE OVER IMPROPER CANCELLATIONS
LOS ANGELES (Reuters)-Health Net Inc. and Wellpoint Inc.'s Anthem BuildingsBlue Cross Life and Health Insurance Co. agreed to reinstate health coverage and reimburse medical costs for thousands of California policyholders whose coverage was improperly canceled, officials said Wednesday.

The settlements, worth at least $25 million, end lawsuits brought on behalf of 3,100 policyholders by state Insurance Commissioner Steve Poizner, Los Angeles City Attorney Rocky Delgadillo and private attorney William Shernoff.

Health Net, which was accused of unfairly terminating coverage for 800 people between 2004 and 2009, will reinstate their coverage, reimburse medical expenses and pay $6.3 million in damages and a $2 million penalty, Mr. Shernoff said.

Read on...
IDLED EMPLOYEES SEE WORKERS COMP AS INCOME SPINNER

wc (Business Insurance)-Job reports released in early February underscore a growing challenge risk managers face: managing workers compensation losses in the midst of layoffs that can exacerbate claim frequency and severity.

Employees off the job due to a legitimate injury now may be more motivated to extend the life of their workers comp benefits if their jobs may soon be eliminated or already have been downsized.

Despite economic conditions, though, most employees will resolve their claims as soon as is medically possible if employers treat them fairly and with respect, said Dave Dolnick, risk manager for La Mesa, Calif., construction company The Brady Cos.

INVESTMENT YIELDS KEEP PENSION FUNDING LEVELS LOW
arrow - down

Although higher bond yields last month helped to trim funding shortfalls in defined benefit pension plans, most U.S. pension plans remained significantly underfunded, pension experts at two consultants report.

The discount rates used by most U.S. corporations to estimate their defined benefit pension plan liabilities grew last month in response to a .75% increase in long bond indices, which were largely driven by increased Treasury bond yields, according to New York-based Mercer L.L.C. However, pension assets were still down significantly due to lower investment yields. 

The Mercer report estimated that U.S. defined benefit pension plans are about 75% funded, based on a funding deficit of $380 billion. It is based on an analysis of Standard & Poor's 1500 companies.

Read on...

 
Sincerely,
 

Santa Maria & Company
phone: (925) 988-8085
In This Issue
DISTINCT INJURIES GET SEPARATE COMPENSATION: COURT
HEALTH INSURERS SETTLE OVER IMPROPER CANCELLATIONS
IDLED EMPLOYEES SEE WORKERS COMP AS INCOME SPINNER
INVESTMENT YIELDS KEEP PENSION FUNDING LEVELS LOW
PLEASE NOTE: WE WILL BE MOVING
FEATURED ARTICLE
moving
PLEASE NOTE
WE WILL BE MOVING
our office effective
March 16, 2009


The new address will be:
1550 Parkside Drive,
Suite 200

Walnut Creek, CA  94596
FEATURED ARTICLE

WC CHANGES
EFFECTIVE JAN. 1ST

CALIFORNIA ASSESSMENTS AND SURCHARGES EFFECTIVE 1/1/2009

For Workers Compensation policies effective January 1, 2009 and after, the California Assessments and Surcharges have been revised as follows:

California Fraud Investigation/Prosecution Surcharge
     Changed from
     .2394% to.3956%.
               
California User Funding Assessment
     Changed from
     1.0703% to1.3583%.
 
California Uninsured Employers Benefit Trust Fund Assessment        
     Changed from
     .1730% to.2241%.
       
California Subsequent Injuries Benefits Trust Fund Assessment        
     Changed from
     .0311% to.0827%.
       
California Guarantee Assoc. Surcharge         
     Remains unchanged
     at 2.0%



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Santa Maria & Company | 1777 N. California Blvd., Suite 310 | Walnut Creek | CA | 94596