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Workers' compensation benefits as a share of payroll for injured workers continue to decline
even as employment grows and overall employer costs increase, according to a new report from
the National Academy of Social Insurance (the Academy). Workers' compensation, which was
the first social insurance program in the United States, provides medical benefits paid to the
providers of health care for injured workers, and cash benefits paid to workers whose injuries
prevent them from working.
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Despite the growth in employment following the Great Recession - and the significant uptick in
employees eligible to receive workers' compensation - benefits per $100 of covered payroll
dropped to $0.98 in 2013, a 5 percent decrease from 2009. At the same time, the growing
workforce has translated into rising workers' compensation costs for employers - now $1.37 per
$100 of covered payroll, a 5 percent increase from 2009.
Workers' compensation benefits as a share of payroll were lower in 2013 than during almost any
period in the last three decades, according to the report, Workers' Compensation: Benefits,
Coverage, and Costs, 2013. Total workers' compensation benefits in 2013 were $63.6 billion,
while employer costs were $88.5 billion.
Benefits as a percent of payroll declined in 39 states between 2009 and 2013, continuing a
national trend in lower benefits relative to payroll that began in the 1990s. "The decline is due to
a drop in workplace injuries as well as changes in many state laws that made it more difficult for
workers' to qualify for benefits," said John F. Burton, Professor Emeritus, Rutgers and Cornell
University. "These state laws include more stringent compensation rules, the reduction of
coverage for certain medical diagnoses, and new legal requirements that make it more difficult
for workers to succeed in their claims for benefits."
Workers' compensation, which was the first social insurance program in the United States,
provides medical benefits paid to the providers of health care for injured workers, and cash
benefits paid to workers whose injuries prevent them from working. Due to rising health care
costs during the last 30 years, medical benefits now account for an increasing share of total
workers' compensation benefits, from 29 percent in 1980 to more than 50 percent in 2013. About
33 states currently spend more than half of their workers' compensation spending on medical
care for injured workers.
Marjorie Baldwin, chair of the Academy's Study Panel on Workers' Compensation Data, noted
that "state trends vary from national trends due to their industrial mix, workers' compensation
policies, and the extent to which their economy is struggling to recover from the Great
Recession."
The Academy report details state-by-state changes in coverage, benefits, and employer costs over
the last five years. The state-level results show that between 2009 and 2013:
The number of covered workers and the amount of covered wages increased in every state except
Arkansas and New Mexico;
In 2013, the jurisdictions with the lowest workers' compensation benefits as a share of payroll
were the District of Columbia ($0.26 per $100 of covered payroll), Texas ($0.40 per $100 of
covered payroll), and Arkansas ($0.49 per $100 of covered payroll);
The Academy's report, Workers' Compensation: Benefits, Coverage, and Costs, 2013, is the 18th
in an annual series. The report provides the only comprehensive data on workers' compensation
benefits, coverage and employer costs for the nation, the states, the District of Columbia and
federal programs.
NOTE TO REPORTERS AND EDITORS: The full report is available from the Academy's
website at www.nasi.org. For a copy of the printed report, media can contact Jill Braunstein at
(202) 452-8097 or at jbraunstein@nasi.org. All others should contact Ishita Sengupta at
isengupta@nasi.org.
EXPERTS TO CONTACT:
Ishita Sengupta
Marjorie Baldwin
(480) 577-2771
marjorie.baldwin@asu.edu
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