Restructuring The Workers’ Compensation System:
Better For Employees. Better For Business. Better For South Carolina.
Our Mission:
The primary mission of our Workers‘ Compensation legislation is to create a fair,
transparent and accountable system that protects the rights of employees, while
ensuring and encouraging jobs and economic opportunity for all South Carolinians.
The Problem
The current South Carolina Workers’ Compensation System is having a detrimental impact on job
creation and is stifling business growth in the state.
In 2001, the employers of this state spent $387,981,574 on workers compensation premiums. In 2005,
these employers spent $664,955,355 on workers compensation premiums. That’s an increase of nearly
$277 Million! Given the fact that the average per capita income for South Carolina is $21,500.00,
simple math shows us that equates to a loss of over 12,800 jobs. Instead of hiring new employees,
employers were paying increased workers' compensation premiums.
In addition, workers’ compensation losses are 30% to 40% higher than those of our neighboring
states and insurance companies are refusing to write new workers’ compensation policies
or are leaving the market altogether. It is also important to note that 40% of the businesses
impacted in South Carolina are self-insured and do not rely on the private insurance market.
Let’s be clear. This is not simply an insurance issue; rather, this is a jobs issue. Certainly,
insurance rates have a major impact on the financial health of a business, but when considering
workers’ compensation insurance rates, it is important to bear in mind that they are a
symptom of a more fundamental problem – a flawed workers’ compensation system that
lacks fairness, accountability, predictability and common sense.
- Job Creation
- Workers’ Compensation rates have increased 17,
12, and 18.4 percent in the last three years, respectively.
Therefore, a business paying $100,000 in
workers’ compensation rates three years ago is
now paying, on average, $155,151.00 per year for
workers’ compensation. Now, multiply that by the
number of companies in South Carolina.
- The Result: Businesses have less money to pay for
capital investments, pay raises, and jobs. Workers’
compensation rates significantly contribute to the
state’s 6 percent unemployment rate.
- Economic Development
- Companies that are considering expanding or
locating in South Carolina take into consideration
the cost of doing business in our state. With rising
unprecedented workers’ compensation rates, the
state is not only losing business to neighboring
southeastern states, but also to foreign countries,
such as India and China.
- Why are the rates increasing
at an alarming rate?
- Factors that are driving the cost up:
- Out of control awards
- Second Injury Fund
- Supreme Court rulings that unfairly favor
plaintiffs
- Awards for non-occupational diseases
(arthritis, heart)
- What can we do?
- Introduce and pass a bill that curbs cost
to business and supports job creation,
which includes:
- Limiting awards
- Dissolving the Second Injury Fund
- Reversing Brown v. Bi Lo, Tiller v. National
Healthcare and Dodge v. Bruccoli
- Restricting awards for repetitive trauma
(non-occupational diseases)
Legislative Objectives
Repeal Three Supreme Court Decisions
Recently, the South Carolina Supreme Court has issued rulings that have contributed to the erosion of the
workers’ compensation system in South Carolina.
- Tiller v. National Healthcare – In this case, the South
Carolina Supreme Court held that a claimant is not
required to provide expert witness testimony to prove
causation in a medically complex case. Our legislation
will specify that the burden of proof is upon the
claimant and require the use of an expert witness to
prove causation in medically complex cases.
- Brown v. BiLo – The South Carolina Supreme Court
held that the Workers’Compensation Act authorizes
communication between health care providers and
employers, carriers or their representatives by written
reports only. In practice, this now requires employers
to take depositions from treating physicians to obtain
information necessary to defend the claim, driving up
cost in the system. Our legislation will permit physicians
to communicate with both sides in a workers’
compensation case without fear of being sued for
breach of patient-physician confidentiality.
- Dodge v. Bruccoli – The South Carolina Court of
Appeals held that the Workers’Compensation
Commission has the authority to order the payment
of future medical benefits in any non-settled case. In
practice, the Court provided the Workers’ Compensation
Commission the authority to order payment of future
medical benefits in the majority of cases rather than
those only involving permanent or total disability.
Our legislation seeks reasonable limitations on future
medical benefits.
Awards Standards
A major cost driver in the workers’ compensation
system is the inconsistency and unpredictability of
awards by commissioners. Our legislation promotes
a standardized approach to determining awards,
which would bring stability and predictability and
reduce costs.
Second Injury Fund
The Second Injury Fund was created to encourage the
employment of disabled persons.Unfortunately, the
fund no longer is serving this noble purpose and must
be abolished or limited in scope. In 2004, of the 98,000
employers in our state less than 2,000 received any
benefit from the fund. Seventeen states have abolished
their Second Injury Fund because of the unpredictable
assessments and there is no evidence that
Second Injury Funds have ever achieved their stated
purpose of fostering the employment or retention
of persons with disabilities. Our legislation seeks to
restrict the Second Injury Fund from over 30 types
of claims to only three.
Repetitive Trauma
South Carolina is starting to see a rise in cases for
injuries beyond the original purpose of workers’
compensation known as “repetitive trauma” claims.
The system has eroded into not just paying for the
worker’s injury but also paying for issues related to
the natural aging process. Our legislation will define
injuries as only those of a traumatic event or unusual
strain occurring during a single work shift.
50% Back Rule
Employees with an impairment rating of 50% or higher
for their back receive total and permanent disability.
The back is the only area where this occurs. Employees
with 50% impairment to the back are able to perform
other duties in many cases. Our legislation seeks the
elimination of the 50% back rule.
Fraud
Employee and Employer insurance fraud drives up
cost for everyone.The intentional misclassification
and/or under reporting of payroll is a misdemeanor
in our state. Our legislation seeks to increase the
penalties for insurance fraud.