Friday, September 30, 2016

The Florida Office of Insurance Regulation Takes Action on Workers’ Compensation Insurance Rates

September 28, 2016






















Tallahassee, FL – After a thorough review of the workers’ compensation insurance rate filing submitted by the National Council on Compensation Insurance (NCCI) and careful consideration of hundreds of public comments and testimony received from interested stakeholders, the Florida Office of Insurance Regulation (Office) has issued an Order (PDF) that gives contingent approval to an overall combined average statewide rate increase of 14.5% versus the requested 19.6%. Approval of the revised rate increase is contingent on NCCI amending the filing to include the recommended changes stipulated within the Order. As ordered by the Office, the revised rate increase would become effective on December 1, 2016 for new and renewal business, with no change in rates for current in-force policies. The amended rate filing must be filed with the Office for review and approval no later than October 4, 2016.

The NCCI rate filing was originally submitted in May of this year and amended in June to address the impact of three recent legal changes, including two Florida Supreme court case decisions (Castellanos v. Next Door Company and Westphal v. City of St. Petersburg) and legislatively-mandated updates to the Florida Workers’ Compensation Health Care Provider Reimbursement Manual (HCPR Manual).

If NCCI submits the required amended rate filing and it is subsequently approved by the Office at an overall combined average statewide rate increase of 14.5%, the individual rate impacts will include:

  • A 10.1% statewide average rate increase for the April 28th Florida Supreme Court decision in the case of Castellanos v. Next Door Company, which found the mandatory attorney fee schedule in Section 440.34, Florida Statutes, unconstitutional as a violation of due process under both the Florida and United States Constitutions.
  • A 2.2% statewide average rate increase for the June 9th Florida Supreme Court decision in the case of Westphal v. City of St. Petersburg, in which the Florida Supreme Court found the 104-week statutory limitation on temporary total disability benefits in Section 440.15(2)(a), Florida Statutes, unconstitutional because it causes a statutory gap in benefits in violation of an injured worker’s constitutional right of access to courts. The Supreme Court reinstated the 260-week limitation in effect prior to the 1994 law change.
  • A 1.8% statewide average rate increase related to updates within the Florida Workers’ Compensation HCPR Manual per Senate Bill 1402. The manual became effective on July 1, 2016.

Friday, September 23, 2016

The Florida Supreme Court recently made two separate rulings that have triggered a monumental reform of Florida’s Workers’ Compensation Laws and Rates.

As some of you may be aware, the Florida Supreme Court recently made two separate rulings that have triggered a monumental reform of Florida’s Workers’ Compensation Laws and rates. The recent rulings will reverse the 60% rate decrease we’ve experienced since 2003.



















What does this mean for your company?

A proposed rate increase of 19.6% has been recommended to take effect October 1st, 2016 for all new and renewal policies. Furthermore, the ultimate rate increase will apply on a pro-rata basis to all policies in place on October 1st, 2016.

What can I expect as a result of this overhaul?

These recent changes will now encourage more litigation due to attorney fees no longer being capped on cases. There is also potential for prior claims still within the statute of limitation (2 years from accident, 1 year from last payment) to be re-opened due to the recent case law.

What can you do to alleviate the financial burden?

This is a great time to evaluate your current risk management and claims prevention protocols. Workers Compensation is the one insurance coverage where an ounce of prevention is truly worth a pound of cure when it comes to controlling your premium. It will be important going forward to really work closely with your employees and making sure claims are managed properly. Getting injured workers back to work will be critical! This could help offset some of the cost increase in the event your claims experience is positive.

What are my options from an insurance standpoint?