California Reconsiders En Banc Decisions

By | April 20, 2009

The California Workers’ Compensation Appeals Board has decided to reconsider its earlier en banc decisions in Ogilvie v. City and County of San Francisco, Almaraz v. Environmental Recovery Services and Guzman v. Milpitas Unified School District, which industry experts say would increase workers’ compensation rates.

The decisions essentially set precedent in ruling that in permanent disability (PD) workers’ compensation insurance cases, physicians are not necessarily bound by the American Medical Association’s “Guides to the Evaluation of Permanent Impairment” portion of the 2005 Schedule for Rating Permanent Disabilities.

Gov. Arnold Schwarzenegger commented on the board’s reconsideration, issuing the statement, “It’s absolutely right for the Workers’ Compensation Appeals Board to reconsider its earlier decision, and its decision to do so shows that board members recognize the importance of this issue. It is important that we assist California workers injured on the job, and it is also important that we protect businesses to be sure they can weather the current economy and create jobs.”

In its most recent rate filing, the Workers’ Compensation Insurance Rating Bureau of California recommended a 24.4 percent increase in pure premium rates that would be effective July 1, 2009, for new and renewal policies, of which 5.8 percent was attributed to the en banc decisions.

Insurance Commissioner Steve Poizner had criticized the recommended rate increase, saying. “California’s unemployment rate is skyrocketing and more than 1 in 10 are jobless. In January alone, nearly 80,000 jobs in the state were lost. The last thing that California’s employers need is increasing workers’ compensation costs when so many of them are struggling to keep the employees they have.”

In late March, John C. Duncan, administrator of the Uninsured Employers Benefits Trust Fund and the Subsequent Injuries Benefits Trust Fund, requested Chairman Miller and the Commissioners to vacate their decisions in recent en banc decisions.

Topics California Workers' Compensation

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Insurance Journal Magazine April 20, 2009
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