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14-473 Office of Workers' Compensation - 2nd Injury Board

The mission of the Office of Workers' Compensation-Second Injury Board is to encourage the employment of workers with a permanent condition that is an obstacle to employment or re-employment, by reimbursing the employer and/or insurer for the costs of workers' compensation benefits when such a worker sustains a subsequent job-related injury. This is accomplished by: establishing a Second Injury Fund; determining an assessment rate required to maintain a solvent self-generated fund; collecting revenues from self-insured employers and insurance carriers; paying or denying claims for reimbursement in accordance with governing regulations; and litigating claim denials challenged in the court system.

The goal of the Office of Workers' Compensation-Second Injury Board is to reintegrate all job ready, Louisiana workers with partial or permanent disabilities into the work force.

BUDGET SUMMARY

This agency's recommended appropriation does not include any funds for short-term debt.

This agency does not have any long-term debt for Fiscal Year 1998-1999.

This agency's recommended appropriation also includes the following amount by means of financing for payments on the unfunded accrued liability of the Louisiana State Employees' Retirement System in accordance with the provisions of Article X, Section 29 of the Constitution of Louisiana:

State General Fund by:

 

 

Statutory Dedications

 

$24, 986

 

 

 

Total

 

$24,986

PROGRAM DESCRIPTION

The mission of the Injured Workers' Re-employment Program is to encourage employers to hire previously injured workers by reimbursing the employer and/or insurers for some of the associated costs if the previously injured employee suffers another injury on the job.

The goals of the Injured Workers' Re-employment Program are:

1. Reintegrate all job ready, Louisiana workers with permanent, partial disabilities into the work force.

2. Ensure prompt reimbursement to employers and insurers on qualifying claims.

Toward meeting its goals, the Injured Workers' Re-employment Program administers a Second Injury Fund by establishing an assessment rate on insurers with workers compensation claims activity, collecting revenues from insurers, paying or denying claims for reimbursement in accordance with regulations, and litigating claim denials challenged in the court system.

The Injured Workers' Re-employment Program includes the following activities: Claims Processing, and Litigation of Denied Claims.

OBJECTIVES AND PERFORMANCE INDICATORS

1. In FY 1998-99, the Office of Workers' Compensation-2nd Injury Board will accurately process 100% of the claims received from employers and insurance carriers, and keep administrative cost at 2% of the total claims payments.

RESOURCE ALLOCATION FOR THE PROGRAM

SOURCE OF FUNDING

This program is funded from the Louisiana Worker's Compensation-Second Injury Fund. (Per R.S.39:32b.(8), see table below for a listing of expenditures out of each statutory dedicated fund). This Fund is administered by five Board members: the State Treasurer, Commissioner of Insurance, Director of Worker's Compensation, Secretary of the Department of Social Services and Secretary of State. Each insurance carrier and the self-insured employer is assessed an annual assessment based on a percentage of the total paid Worker's Compensation benefits. The Board may suspend or lower this assessment rate annually.

ANALYSIS OF RECOMMENDATION

GENERAL FUND

TOTAL

T.O.

 

DESCRIPTION

 

 

 

 

 

$0

$30,237,040

11

 

ACT 18 FISCAL YEAR 1997-1998

 

 

 

 

 

 

 

 

 

BA-7 TRANSACTIONS:

$0

$0

2

 

Transferred funding from the auxiliary program (other charges expenditure) to the administration program (salaries expenditure) in order to hire two additional staff persons to maintain the increased workload in this office

 

 

 

 

 

$0

$30,237,040

13

 

EXISTING OPERATING BUDGET - December 10, 1997

 

 

 

 

 

$0

($2,766)

0

 

Non-Recurring Adjustment(s) for Acquisitions and Major Repairs

$0

$12,194

0

 

Equipment/Major Repairs Adjustment(s) (Non-recurring: -$2,766; Replacement/New: +$12,194)

$0

$23,434

0

 

Annualization of 1997 -'98 Merit Pay Adjustment(s)

$0

$23,434

0

 

1998 -'99 Merit Pay Adjustment(s)

$0

($1,903)

0

 

Retirement Rate Adjustment(s)

$0

$156

0

 

Adjustment(s) for Civil Service, Training and Other Statewide Interagency Transfer Activities

$0

$1,247

0

 

Risk Management Adjustment(s)

 

 

 

 

 

$0

$30,292,836

13

 

TOTAL RECOMMENDED

 

 

 

 

 

$0

$55,796

0

 

DIFFERENCE (TOTAL RECOMMENDED AND EXISTING OPERATING BUDGET)

The total means of financing for this program is recommended at 100.1% of the existing operating budget. It represents 99.9% of the total request ($ 30,304,623) for this program. The increase is primarily due to annualization of 1997-1998 merit increases, classified state merit increases and acquisitions/major repairs. This program does not have any positions that have been vacant for 1 year or more.

PROFESSIONAL SERVICES

$10,000

 

Legal services for contract attorneys to assist in high volume legal appeals of cases denied for reimbursement of Worker's Compensation claims

$21,000

 

Actuarial study of claims required by the legislative auditor to determine validity and accuracy of unfunded accrued liability

 

 

 

$31,000

 

TOTAL PROFESSIONAL SERVICES

OTHER CHARGES

$29,587,482

 

Reimbursement to insurance carriers for costs' of Workers' Compensation benefits when an eligible worker sustains a subsequent job related injury

 

 

 

$29,587,482

 

TOTAL OTHER CHARGES

 

 

 

 

 

Interagency Transfers:

$158,168

 

Department of Justice for Legal Services

$842

 

Department of Civil Service - for personnel services

$3,408

 

Division of Administration - Comprehensive Public Training Program (CPTP)

 

 

 

$162,418

 

TOTAL INTERAGENCY TRANSFERS

ACQUISITIONS AND MAJOR REPAIRS

$12,194

 

Replacement of three (3) IBM PC's, three (3) IBM printers and accessories and two (2) filing cabinets

 

 

 

$12,194

 

TOTAL ACQUISITIONS AND MAJOR REPAIRS

14 DEPARTMENT OF LABOR


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