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WCIRB Releases Report on Emerging Trends in California Workers’ Compensation ALAE Costs

The WCIRB has completed an analysis of allocated loss adjustment expense (ALAE) cost trends in California workers’ compensation. The major findings of the report are:

  • Average ALAE cost per claim have increased by more than five-fold in the last 25 years. In addition, despite the implementation of SB 863 in 2013, average ALAE costs have increased by 20% since 2012.
     
  • California ALAE costs as a percentage of losses are by far the highest of any state and more than twice the countrywide median. Other interstate comparisons suggest that the differences in California ALAE costs are largely related to activities that occur later in the life of a claim.
     
  • Recent increases in ALAE levels are related to both increases in the frequency of claims involving significant ALAE costs in addition to the average ALAE cost on those claims. Although the majority of claims with significant ALAE costs occur in the Los Angeles Basin area, recent increases in ALAE costs have occurred broadly throughout California.
     
  • Cumulative injury claims are much more likely to involve significant ALAE costs than non-cumulative injury claims and these types of claims have been growing faster than other types of claims, indicating that the recent growth in cumulative injury claims is likely a key driver of recent increases in ALAE levels.
     
  • The proportion of claims with significant ALAE costs that have been settled by compromise and release has more than doubled since 2010. Claims settled by compromise and release incur significantly higher ALAE costs than claims closed by other means, suggesting that the recent increases in these types of claims is a factor driving recent increases in ALAE levels.
     
  • Based on a recent WCIRB claim survey on ALAE costs, a majority of permanent disability claims involve an applicant’s attorney and Workers’ Compensation Appeals Board appearances. In addition, significant portions of permanent disability claims involved depositions, liens, disputes for which no lien had yet been filed (i.e., “pre-liens”), surveillance or investigation costs, or costs of preparing subpoenaed records.
     

The full report is available in the Research section of the WCIRB website (www.wcirb.com) and at the link below:

WCIRB Research Forum

The WCIRB will hold a WCIRB Research Forum webinar to discuss the report as well as the WCIRB’s 2016 Senate Bill No. 863 Cost Monitoring Report released last November. Register at the link below to attend the webinar. 

Date: Thursday, January 19, 2017
Time: 10:00 AM – 11:00 AM PT

For those unable to attend the live webinar, a recording will be posted on the WCIRB Research Forum page of the WCIRB website following the event.

January 5, 2017