From: Santa Maria & Company [info@santamariarisk.com]
Sent: Wednesday, May 13, 2009 12:15 PM
To: Jonathan Supran
Subject: News from Santa Maria & Company

Santa Maria & Company Risk News
  May 2009
Greetings!

Thank you for viewing this material. We are pleased to provide this service to you, and to provide up to date information regarding risk management, insurance industry news, products and changes.

 
SMALLER COMP RATE INCREASE URGED FOR CALIFORNIA
wc
SACRAMENTO, Calif.-Insurance Commissioner Steve Poizner on Tuesday called for the California Workers' Compensation Insurance Rating Bureau to withdraw a portion of the 23.7% rate increase it is recommending.

The commissioner wants the WCIRB to eliminate 6% of its recommended rate increase linked to two controversial Workers Compensation Appeals Board rulings.

Read on...
SENATE EYES TAX CHANGE TO PAY FOR HEALTH INSURANCE
WASHINGTON (Reuters)-Experts urged Congress Tuesday to cutBuildings tax breaks for employer-sponsored health insurance as a way to help pay to cover people without benefits.

The Senate Finance Committee, which is taking a lead in writing legislation to overhaul the $2.5 trillion U.S. health care system, is weighing spending cuts and tax increases to help cover the cost of expanding coverage to 46 million uninsured people.

Read on...
'QUESTIONABLE' CLAIMS ON THE RISE:  NICB

arrow-up A recent report by the National Insurance Crime Bureau shows that the number of questionable claims is up during the first quarter of 2009 compared with the first quarter of 2008, providing a snapshot of what claims analysts call "opportunistic fraud."

A down economy and mounting unemployment level is causing some people to look at insurance fraud as a possible way to make money by taking advantage of a situation, according to the NICB. The report, released Tuesday, is an analysis of questionable claims submitted by more than 1,000 NICB member companies in the first quarter of 2009 versus the same period a year ago. A questionable claim is a claim that is reviewed by an insurance company and classified as possibly fraudulent.

RECESSION TO CAUSE MORE HEALTH COST SHIFTING:  SURVEY

Buildings The economic recession likely will boost group health care costs higher than employers anticipated, leading more organizations to shift more costs to employees and adopt lower-cost consumer-driven health plans, according to a survey released Thursday.

Employers surveyed by benefit consultant Mercer L.L.C. of New York now expect health care costs to rise by an average of 7.4% this year. That compares with a 6% average increase employers predicted in a 2008 Mercer survey.

One possible reason for the higher-than-expected increase is increased utilization of health care services, according to the survey. In fact, 15% of the 428 responding employers said medical plan utilization has been higher than expected.

Read on...
REHABILITATION RIGHTS OF INSURED WORKERS

wc The word "rehabilitation" in the area of workers' compensation has two very different meanings. When most people think of rehabilitation, they think of physical therapy or rehabilitative care aimed at overcoming an injury and regaining functionality. Did you know that there is also vocational rehabilitation? In many states, injured workers who cannot return to their former employment are entitled to this type of rehabilitation at the expense of their employer's workers' compensation carrier.

* The amount and type of vocational rehabilitation provided to injured employees, as with any other workers' compensation law, varies greatly between jurisdictions. Some of the services which an injured worker may be entitled to include:

Read on...
 
Sincerely,
 

Santa Maria & Company
phone: (925) 956-7600
In This Issue
SMALLER COMP RATE INCREASE URGED FOR CALIFORNIA
SENATE EYES TAX CHANGE TO PAY FOR HEALTH INSURANCE
'QUESTIONABLE' CLAIMS ON THE RISE: NICB
RECESSION TO CAUSE MORE HEALTH COST SHIFTING: SURVEY
REHABILITATION RIGHTS OF INSURED WORKERS
PLEASE NOTE: WE HAVE MOVED
FEATURED ARTICLE
moved
PLEASE NOTE
WE HAVE MOVED
our office effective
March 16, 2009


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

Walnut Creek, CA  94596

We have new phone numbers:
Phone:  925-956-7600
Fax:  925-956-7601
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 | 1550 Parkside Drive, Suite 200 | Walnut Creek | CA | 94596