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ARKANSAS
STAKEHOLDERS SEE W.C. SYSTEM AS STABLE; WCRI STUDY NOTES
RISING INCURRED MEDICAL AND INDEMNITY BENEFITS PER CLAIM,
LOWER STATUTORY BENEFIT LEVEL
CAMBRIDGE,
MA, September 15, 2005—The
Arkansas workers’ compensation system has experienced a
period of stability after extensive reforms were passed in
1993, according to a new study by the Workers Compensation
Research Institute (WCRI).
The law
change in 1993, in part, revised the definition of
compensable injury, introduced managed care, required
disability rating guidelines, and added features that
provided additional incentives for employers to return
injured workers to suitable work.
Some
concerns remain, however, among both employers and workers.
For example, some employer representatives say that several
court decisions have diluted the impact of these reforms. On
the other hand, some workers’ representatives are critical
of the exclusion of many workers with job-related, but
gradually occurring injuries and also cite delays in
resolving disputed claims and relatively low statutory
maximum weekly temporary disability benefit levels.
The study
Workers’ Compensation in
Arkansas:
Administrative Inventory
is the 37th
in a series of Administrative Inventories of state workers’
compensation systems published by the Cambridge, Mass.-based
WCRI.
The WCRI
study found that rapidly rising medical and indemnity (wage
replacement payments to injured workers) benefits per claim
were system cost drivers in recent years. Average incurred
medical benefits per indemnity claim (inflation adjusted)
rose 7.9 percent annually from policy years 1999 through
2002, while average incurred indemnity benefits per claim
grew 4.7 percent annually (adjusted for inflation).
The study
reported that about one in six injured workers was affected
by Arkansas’ relatively low statutory maximum weekly
temporary total disability (TTD) benefit.
As of
January 1, 2004, Arkansas’ weekly TTD benefit of $453,
representing 85 percent of its statewide average weekly wage
(SAWW), placed it 42nd among the states. Arkansas
is one of 10 states that tie the maximum weekly TTD benefit
to less than 100 percent of the SAWW.
The study
found that the formal dispute resolution process in Arkansas
was faster than in the typical state examined by WCRI.
Arkansas Workers’ Compensation Commission (AWCC) officials
say there is effectively no formal hearing backlog in the
state.
Data from
the AWCC showed a statewide average of 6.5 months from
hearing request to a formal hearing and opinion by a judge
among cases closed in fiscal year 2003. This interval was
shorter than in six of nine other states (for which
comparable data are available) that WCRI has studied in the
past ten years.
The study
also cited two system features that combine to provide
strong incentives for employers to return employees to work.
Arkansas
has a two-tier permanent partial disability (PPD) benefit
structure. Under this system, if the worker returns to work
at pre-injury wages, he or she receives PPD benefits based
on anatomical impairment only.
Otherwise,
he or she receives benefits based on impairment and then
might also receive additional weeks of PPD benefits based on
loss of wage-earning capacity.
The law
also states that if an employer unreasonably refuses to
return an injured employee to work when suitable employment
is available within the employee’s limitations, the employer
may be liable to pay the worker additional compensation for
up to one year.
The Workers
Compensation Research Institute is a nonpartisan,
not-for-profit membership organization conducting public
policy research on workers’ compensation, health care and
disability issues. Its members include employers, insurers
and governmental entities, insurance regulators and state
administrative agencies, as well as several state labor
organizations. |