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Matter CC 24-390

Workers’ Compensation Program Annual Report.

Health & Human Services Public Safety, Finance and Strategic Support Committee (PSFSS) Agenda Ready Introduced 19 Aug 2024
3 Documents on file 1.01 MB · 3 extracted · 3 AI summaries
File
CC 24-390
Type
Reports to Committee
Status
Agenda Ready
Requester
Unknown
Introduced
19 Aug 2024
Last synced
12 Jun 2026 · 16:20

The papers

01 400 KB

Memorandum

400 KB Extracted AI Summary
file ae70b306-3466-46ff-af4e-64157667cd2e.pdf sha 10f4c1cb7b76 source unavailable

Official source link unavailable. The file was imported, but the current source metadata does not include a public document URL.

Generated summary AI-assisted

The memorandum discusses the annual report on the City’s Workers’ Compensation Program, focusing on efforts to manage costs and reduce claims through wellness and safety initiatives. It provides updates on open claims, closure rates, COVID-19 claims, total claims expenditures, and the performance of the third-party administrator, Intercare. The report highlights a decrease in open claims and an overall successful closure rate, while expenditures exceeded initial budget forecasts. The HR Department continues to prioritize proactive safety measures and effective claims management.

Key points
  • The report is for the Public Safety, Finance and Strategic Support Committee.
  • As of June 30, 2024, there were 2,456 open workers’ compensation claims, a decrease from 2,491 in 2023.
  • Indemnity claims decreased by approximately 3%, while medical-only claims decreased by 6%. Future medical claims increased by 1%.
  • The overall closure rate for claims was reported at 102%, exceeding the industry standard of 100%.
  • COVID-19 claims were primarily from the Fire and Police Departments, with significant costs incurred.
  • Total Workers’ Compensation claims expenditures for 2023-2024 were $28,314,006, exceeding the initial budget forecast.
  • The HR Department's focus on proactive safety and effective claims management aims to reduce future liabilities.
Limitations
  • The text contains unresolved placeholders and missing information, such as specific details in the table for claims expenditures.
  • The attachment mentioned at the end is not provided in the text.

Generated for convenience from extracted text using AI. Review the official source document before relying on this summary.

Extracted text preview · 11,806 chars
COMMITTEE AGENDA: ITEM: TO: PUBLIC SAFETY, FINANCE AND STRATEGIC SUPPORT COMMITTEE 919/24 (d)2. FROM: Kim Jackson SUBJECT: WORKERS’ DATE: September 6, 2024 COMPENSATION PROGRAM ANNUAL REPORT Approved Date: 9/6/2024 RECOMMENDATION Accept the annual report on the City’s efforts to contain workers’ compensation costs and reduce claims for the Workers’ Compensation Program by focusing on wellness, health, and safety through the end of Fiscal Year 2023-2024. BACKGROUND The Public Safety, Finance and Strategic Support Committee accepted the most recent Annual Report covering Fiscal Year 2022-2023 on September 21, 2023. That Annual Report included a status of the Workers’ Compensation Program. The 2022-2023 memo also included an update on safety initiatives the Human Resources (HR) Department Workers’ Compensation, Health, and Safety Division, in conjunction with City Departments, had implemented to prevent injuries, reduce workers’ compensation costs, and support employee health and wellness. In addition, the report outlined the total number of COVID-19 claims and associated costs the City incurred due to the pandemic. ANALYSIS This report to the Public Safety, Finance and Strategic...
02 466 KB

Attachment

466 KB Extracted AI Summary
file 7c2b9e47-15e7-4237-9a3e-07e0b3ffac78.pdf sha 8d9c35c73d98 source unavailable

Official source link unavailable. The file was imported, but the current source metadata does not include a public document URL.

Generated summary AI-assisted

The source text indicates this attachment appears to be a draft document.

The document provides an update on various Workers’ Compensation, Employee Health, Safety, and Wellness initiatives. It outlines ongoing claims reviews, quarterly liaison meetings, training programs for supervisors, and specific programs for firefighters and police officers aimed at expediting care. It also discusses updates on employee safety initiatives, including a restructuring of the City’s Safety Program, hazard assessments, and the development of a city-wide training program for vulnerable populations. The document highlights wellness initiatives, including health fairs, wellness campaigns, and enhanced employee assistance programs. Additionally, it details the San Jose Police Department's approach to wellness, including mental health resources and training.

Key points
  • Quarterly claims reviews with Intercare supervisors and managers are ongoing.
  • Monthly telephonic claims reviews with large City Departments continue.
  • Quarterly Workers’ Compensation Liaison Meetings provide guidance on best practices.
  • Ongoing training for supervisors and liaisons is provided by HR and Intercare.
  • Firefighter and Police Fastlane Programs expedite care for first responders.
  • City Safety Officers have a dual reporting relationship to enhance the Safety Management System.
  • A Beautify SJ hazard assessment project was initiated to improve safety training.
  • A city-wide Vulnerable Populations Safety Training Program is being developed.
  • A new PRNS Safety Officer position was created to enhance safety procedures.
  • The Workplace Violence Prevention Program was developed in response to new labor code requirements.
  • A Safety Scoreboard was created to analyze safety program performance.
  • The Ergonomics Program aims to reduce repetitive motion injuries.
  • Wellness initiatives include health fairs, wellness campaigns, and enhanced EAP benefits.
  • The San Jose Police Department offers comprehensive wellness resources and training.
Limitations
  • The document appears to be a draft as it contains incomplete sections and unresolved placeholders.
  • Specific dates, votes, dollar amounts, and outcomes are not provided.

Generated for convenience from extracted text using AI. Review the official source document before relying on this summary.

Extracted text preview · 20,177 chars
Attachment Report of Workers’ Compensation, Employee Health, Safety and Wellness Initiatives. Update on Workers’ Compensation Program Initiatives A. Claims Reviews Quarterly in-person claims reviews with Intercare supervisors, adjustors, and managers to review high exposure and high reserved claims is a continuing initiative beginning in Fiscal Year 2021-2022. The purpose of these meetings is to ensure cost control strategies are in place and to bring claims to closure in a cost-effective manner. During these meetings, Intercare adjusters also present cases for settlement authority to the Human Resources (HR) Division Manager. In addition, telephonic/remote videoconferencing claims reviews with the City’s large Departments, including Police, Fire, Planning, Building, and Code Enforcement (PBCE), Transportation, Environmental Services Department (ESD), Parks, Recreation and Neighborhood Services (PRNS), and Airport continue monthly. These meetings provide an opportunity for Intercare Claims Adjusters to review the return-to-work and medical status of employees with the Departmental Worker’s Comp Liaisons, Office of Employee Relations (OER), and the HR Division Manager, with the...
03 168 KB

Presentation

168 KB Extracted AI Summary
file 0b53e51a-b501-4bc3-a60b-cb617ec7de04.pdf sha 42ec621778d7 source unavailable

Official source link unavailable. The file was imported, but the current source metadata does not include a public document URL.

Generated summary AI-assisted

The document presents the annual report on the Workers’ Compensation Program, detailing open claims, expenditures, and Third Party Administrator (TPA) performance. As of June 30, 2024, there are 2,456 open claims, a decrease from 2,491 in 2023. The total expenditures for the 2023-2024 budget are reported, with actuals exceeding modified budgets in several departments. The TPA performance is evaluated with high compliance scores in various categories, and the report concludes with recommendations for innovation, monitoring, and management of the program.

Key points
  • Open Workers’ Compensation claims decreased from 2,491 on June 30, 2023, to 2,456 on June 30, 2024.
  • Total expenditures for the Workers’ Compensation Program exceeded modified budgets in multiple departments.
  • The TPA performance audit shows high compliance rates, with overall audit percentage scores around 98%.
  • Recommendations include focusing on proactive employee health and safety, monitoring TPA performance, and managing budget and liabilities.
Limitations
  • The document does not specify the exact dates for the budget figures or the claims data.
  • There are unresolved placeholders in the text that affect the completeness of the summary.

Generated for convenience from extracted text using AI. Review the official source document before relying on this summary.

Extracted text preview · 3,723 chars
Public Safety, Finance, and Strategic Support Committee Workers’ Compensation Program Annual Report Presenters: Kim Jackson, Assistant Director - Human Resources Joe Gregory, Division Manager Agenda Item (d)2. Open Workers’ Compensation Claims as of June 30, 2024 Claim Type Number of Open Claims as of Number of Open Claims as of 6/30/23 6/30/24 Indemnity 1363 1,320 Medical Only 95 89 Future Medical 1033 1,047 Total 2491 2,456 The total number of open claims has decreased by approximately 1.5% since June of 2023 when the open claim inventory was 2,491. 1 Workers’ Compensation Total Expenditures 2023-2024 Budget (adopted) 2023-2024 Budget (Modified) 2023-2024 Actuals Fire $9,000,000 $13,250,000 $13,467,968 Police $9,000,000 $9,650,000 $10,436,343 PRNS $1,500,000 $1,050,000 $994,932 DOT $500,000 $555,000 $539,358 Others $1,500,000 $1,400,000 $1,285,774 Public Works (GS) $350,000 $360,000 $354,252 General Funds Total $21,850,000 $26,265,000 $27,078,627 Special Funds Total $1,907,500 $2,017,500 $1,235,379 Total $23,757,500 $28,282,500 $28,314,006 Department 2 AON Actuarial Study – Projected Ultimate Losses Changes through June 30, 2024 Claim Period Projected Ultimate Losses as...