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by frank white

 

Anthill.gif (22693 bytes)The Fire Ants Of Workers' Comp

Those of us involved in workers' compensation sometimes feel a kinship with those hapless homeowners whose lawns are invaded by fire ants. Kill off one anthill and a few days later another sprouts up. Ignore the mound of dirt long enough and it grows into an insect condominium.

    Two of the latest workers' comp battles were fought in the 1997 Legislative Session. The first involved unfunded liabilities in the Special Disability Trust Fund; the second concerned the increasing threat of insolvency among some self-insurance funds and insurance carriers. Rep. R.Z. Safley (R-Clearwater) did yeoman's work on these issues. Vigilance is needed to ensure that the solutions work, but we have every reason to believe these two emergencies are on the road to resolution.

    Now, however, it's time to attack the latest workers' comp anthill. This one involves the obstacles to promises made when the Legislature enacted the 1993 reforms. At that time, some criticized the reforms for a certain stinginess toward injured workers. Many business people, including those of us at Associated Industries of Florida (AIF), promised that once the costs of the system were under control, attention could turn to increasing benefits for those who suffer genuinely serious injuries.

    Four years later, we still face obstacles to that goal. An alternate dispute resolution process was implemented in 1994 as a means to resolve issues without wasteful litigation. Nevertheless, attorney fees continue to spiral ever higher, consuming precious system dollars that could otherwise go directly to injured workers. The process has actually served as a vehicle for lawyers to pad their billable hours on claims until they finally manage to get into litigation.

    The attempts to tighten the definition of what constitutes a catastrophic claim qualifying for life-time benefits have failed miserably. The number of claims for permanent total disability have increased over the last several years. Florida now records one of the country's highest incident rates for these claims.

    This is not because Florida is unsafe for workers; rather, it's because every attorney alleges that any claimant with a backache is incapable of ever holding gainful employment. To support the allegations, psychiatrists render opinions that these claimants are permanently impaired as a result of depression caused by pain. Do these psychiatrists really mean that these individuals will be permanently depressed with no hope of ever recovering psychologically or of becoming productive citizens?

    Don't get me wrong. Psychological treatment must be afforded injured workers when needed. I just have a difficult time accepting the pervasiveness of permanent psychological impairment.

    Business people are working with Rep. Safley to effect savings in the system, but not necessarily to reduce premium rates for employers. Rather the goal is to find a way to increase benefits, in terms of both amount and duration, for those workers suffering a permanent partial impairment who need a longer recovery period before returning to the work force.

    It will be no easy task fending off some of the special interest groups who may not wish to see those changes made. The challenge is to convince the Legislature to make a commitment to increasing benefits to those who need them the most without enriching those who don't.

Frank White is executive vice president & COO of Associated Industries Insurance Services, Inc., in Boca Raton. He is actively involved in legislative issues dealing with workers' compensation insurance and serves as chairman of the Florida Self Insurance Fund Guaranty Association and as vice chairman of the Florida Workers' Compensation Joint Underwriting Association. He received a BA degree in mathematics from the University of South Florida.

 


516 North Adams Street ● Post Office Box 784 ● Tallahassee, Florida 32302-0784 ● Phone: (850) 224-7173 ● Fax: (850) 224-6532 ● www.aif.com

 

 

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