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Welcome Welcome and Introduction Michelle Reynolds Chief Executive Officer, WorkCover WA Session outline Agenda 7.30 am Welcome and Introduction 8.00 am Scheme trends and developments 8.20 am Regulating the Scheme: Everyone has a part to

  2. Welcome Welcome and Introduction Michelle Reynolds Chief Executive Officer, WorkCover WA

  3. Session outline Agenda 7.30 am Welcome and Introduction 8.00 am Scheme trends and developments 8.20 am Regulating the Scheme: Everyone has a part to play 8.50 am The Future of Work 9.20 am Closing Address 9.30 am End

  4. WorkCover WA Statutory Authority – Board  Policy and Legislation  Regulator  Dispute Resolution

  5. Our vision and goals A workers’ compensation and injury management scheme that works for all. 1. Strategic Scheme Management 2. Leadership 3. Agile and Innovative Organisation

  6. Comparison of Australian Schemes NT QLD $93M $1.36B WA 1,100 25,460 $1.15B 11,370 NSW $2,42B 32,770 Comcare VIC SA TAS $360M / 2,260 ------------------ $2.11B $592M $154M Seacare 20,980 8,380 2,690 $18M / 130

  7. Number of people in the Scheme

  8. Insurer Market Share – 2014/15 Zurich 5% WFI 3% Allianz 16% QBE 19% Catholic Church 1% GIO 17% Guild 0% ICWA 19% IAL/CGU 20%

  9. Legislative Review  2011 - Initial changes implemented  New dispute model  Removed age-based limits  Extended safety net  2014 - Government approval to rewrite Act  2015 - Drafting and further consultation underway

  10. Today’s Topic  The interface between modern ways of working and the ‘employment’ relationship  And… Christmas is coming

  12. Scheme trends and developments Chris White General Manager Legislation & Scheme Information

  13. Scheme trends  Claim trends  Underwriting and premium rates  Scheme outlook

  14. Lost-time claims frequency rate 7.8 9.2 8.9 Claims per 8.5 million hours 7.8 worked -16% 2010/11 2011/12 2012/13 2013/14 Lost-time frequency rate

  15. Lost-time claims - 7.6% 1-59 Days 60+ Days Lost-time 14,136 claims 13,814 12,632 11,976 69% 5,452 5,170 4,827 4,725 1-59 days lost 31% 2011/12 2012/13 2013/14 2014/15 60+ days lost

  16. Claim payments $1,200 $953.9 $945.0 $858.6 $1,000 $826.4 $800 +15% Millions $600 Total claim $400 payments $200 $0 2011/12 2012/13 2013/14 2014/15

  17. Claim payment types - 2014/15 Allied Fatal health Income 0.5% 5% replacement Legal and 38% miscellaneous Fatal $5m 11% Vocational rehabilitation $33m Allied health $34m Lump Legal & Miscellaneous $103m sum 28% Medical & hospital $136m Lump sum $266m Vocational rehabilitation Medical and Income replacement $367m 4% hospital 14%

  18. Industry Industries with highest proportion of claims in 2014/15 Mining 7% Education and training 7% Construction 16% Manufacturing 13% Health care and social assistance 14%

  19. Nature of injury/disease – 2014/15 Sprains and strains Sprains and strains 52% Wounds, contusions,… 79 days 21% Fractures Average days 10% lost Other injuries 6% Diseases 5% $43,400 Mental conditions 3% Average claim cost Burns 2%

  20. Key comparative statistics • 75% of WA scheme costs expended on services for and payments to workers • 79% of WA workers returned to work between 7-9 months after injury • 3.1% disputation rate – the second lowest of the Australian jurisdictions • 89.5% of WA claim disputes completed within six months

  21. Underwriting trends  WorkCover WA not directly involved  Data collection and analysis  Independent actuarial review  Estimates of claims, costs and wages  Recommended premium rates

  22. Recommended premium rates WorkCover WA recommended rates ensure:  Market is informed about fair rates  Cross-subsidisation across industry groups is limited  Market competition is encouraged  Sufficient premium is collected to cover claim liabilities

  23. Average recommended premium rate 2.317 2.117 1.849 1.738 1.691 1.668 1.582 1.497 1.569 1.556 1.483

  24. Standardised premium rates – 2013/14 NT 1.90% WA QLD 1.25% 1.44% WA had the lowest standardised average premium NSW rate of the Australian 1.53% states. Aus Gov SA 1.19% 2.47% VIC TAS 1.31% 2.00%

  25. Gross earned premium Earned premium Brokerage 1,400 70 $1,172m $1,194m Earned Premium $m 1,200 60 Brokerage $m $947m 1,000 50 $821m $790m $768m 800 40 600 30 $33.6m $32.2m 400 $25.8m 20 $24.4m $23.7m $23.0m 200 10 0 0 2008/09 2009/10 2010/11 2011/12 2012/13 2013/14

  26. New premium rating classifications 2017-18 transition to ANZSIC 2006 as the basis for recommended rates More reflective of current structure and composition of industry Streamlined and efficient collection and reporting of claim and policy data Reduction in manual forms based data collection

  27. Scheme Outlook  Changing economic landscape  Cost pressures and service delivery challenges  Return to work vs settlements  Internal claims management  National self insurance

  28. Summary  Scheme is performing well  2015-16 average premium rate is lowest on record  Claim numbers are falling but costs are increasing  New industry classifications will apply from 2017-18  Potential impact of State economic performance

  29. Role of WorkCover WA in regulating the scheme Wendy Attenborough General Manager, Regulatory Services

  30. Regulation model Enforcement Accreditation and monitoring Information, advice and assistance

  31. Information, advice and assistance WorkCover WA educates scheme participants via: Advice & Assistance 1300 794 744 Website www.workcover.wa.gov.au Twitter @WorkCoverWA Publications Order form in your info packs Events Welcome to WorkCover WA Insurance Brokers’ Breakfast Injury Management Conference

  32. Accreditation & monitoring

  33. Insurance Brokers’ Code of Practice  Provision of timely and accurate information  Premiums  Training and professional development

  34. Aspects influenced by brokers  Certificates of Currency  75% loading applications  Dispute resolution

  35. Enforcement

  36. Legal obligations for employers Workers’ compensation insurance policy  Must cover ALL workers (including contractors & sub-contractors) Claim Form & Medical Certificate to insurer within 5 days  If submitted through an insurance broker, the broker must forward immediately  Make payments to injured worker Implement an injury management system  Not complicated - templates are available on the WorkCover WA website Prepare and implement a return to work program  Employers may discharge this obligation to their insurer

  37. Compliance issues relevant to brokers  Claims management  Uninsured claims

  38. Enforcement outcomes 2014/15  Letters of caution – 67  Infringements issued – 178  Prosecutions – 79

  39. Prosecution examples Company Summary of offence Fine Avoided Total premium (inc. costs) Company A* Employed a total of 56 $10,000.00 $26,241.39 $36,816.39 workers, whilst not the holder of a current workers’ compensation insurance policy. Company B Employed a total of 18 $35,000.00 $16,061.63 $52,436.63 workers, whilst not the holder of a current workers’ compensation insurance policy. Company C employed a total of 31 workers, $7,500.00 $5,219.96 $13,344.96 whilst not the holder of a current workers’ compensation insurance policy.

  40. Summary  Ensure employers are aware of their obligations and the costs of non-compliance  Take care with Certificates of Currency  Use Code of Practice to guide behaviour and activities

  41. Stretch Break (2 minutes)

  42. Keynote Speaker The Future of Work Virginia Kane Strategy Consultant

  43. Guest Speaker Closing address Blake Gleeson NIBA Representative

  44. Thank you for coming! Please take a moment to complete your evaluation form located in your pack For further information, please email: communications@workcover.wa.gov.au

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