Volume 27 Issue 5

May 2017


www.pacounties.org

INSURANCE MATTERS
An e-newsletter of the County Commissioners
Association of Pennsylvania Insurance Programs

 

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May means the PCoRP renewal is coming, and this year we continue our great news for the members, as PCoRP remains financially strong. See the article below for more details.
 
This is PCoRP's 30th Anniversary, and it finds the program with an all-time high membership - 50 counties and 4 county related entities. Please mark your calendars now for our 30th Anniversary PCoRP Annual Membership meeting, Monday night, November 20, at 6:30 p.m. at the Hotel Hershey. The meeting is held during the CCAP Fall Conference, and has been moved to Monday night so we can use a larger room (more members means the event has grown accordingly!).
 
Invitations will be sent out via email, and I promise it will be a special night. We hope every member will be represented!
 
I started work at CCAP because of PCoRP. The association hired me as a consultant to help design a program. CCAP's members were having a very difficult time finding liability insurance, and Doug Hill and I worked with a study committee, issued an RFP, and we ended up establishing PCoRP in April 1987. Twelve counties were the initial members and two more joined the first year, and all are still PCoRP members! Once PCoRP started, I started work at CCAP.
 
Thirty years later its structure has remained very similar to the one selected in 1986, a true testament to the Study Committee, and to Willis Pooling for their design proposal. We will celebrate the power of partnerships like these on November 20, and I hope all PCoRP members can be there to join us!

Make sure you contact us when you need help with something,
  
PCoRP Loss Prevention Grants Increased to $20,000!

The very popular PCoRP Loss Prevention Grants will continue for the next PCoRP policy year. In addition the PCoRP Board of Directors agreed to increase the amount of the grants to $20,000 effective with the June 1, 2017 renewal. Members will have until May 30, 2018 to use the funds. The grants were capped at $15,000 in prior years.
 
Members will be eligible for up to $20,000 in funding, but the total amount received cannot exceed 75 percent of their annual Loss Fund Contributions to PCoRP. In other words, smaller members cannot receive more in grant funding than they pay to PCoRP's Loss Fund.
 
Member who have not used all of their current year (2016-17) Loss Prevention Grants are encouraged to apply very soon - the deadline is the end May.
 
Questions about the PCoRP Loss Prevention Grants should be directed to Keith Wentz at CCAP.
PCoRP Members Will See 1.9% Average Cost Decrease for 2017-18!

PCoRP's members will continue to reap the rewards of being part of a public entity risk pool, with another year of decreased average costs for coverage. For the policy year starting June 1, 2017, costs will decrease 1.93 percent compared to last year. This is the fifth consecutive year with a decrease:
  
          
Policy Year
Rate Change
June 1, 2013
-1.40 percent
June 1, 2014
-2.50 percent
June 1, 2015
-4.00 percent
June 1, 2016
-3.00 percent
June 1, 2017
-1.93 percent
           
PCoRP members also share in savings from credits. For the coming policy year, members will collective save $240,000 in Risk Control Incentive Credits, for accomplishing prevention activities such as participating in risk management training, reviewing prison policies, having an active safety committee and more. Members with risk managers will collectively save an additional $177,000 in costs for having a full time or part time risk manager.
  
Total cost to the members for the upcoming policy year will be $13,816,000 which is down $271,00 from last year.
  
Even with a dividend distribution last year of $2 million, and in addition setting aside $1.8 million for the PCoRP Prison Electronic Documentation Project, PCoRP remains in a strong financial position, with more than $29 million of Fund Balance.

Coverage changes for the June 1 renewal are mainly to clarify coverage, not change it. A detailed listing will be in the renewal package sent to all local insurance producers and members in early May. Clarifications include removal of multiple deductible language for auto physical damage and auto liability claims, inclusion of language to show incidental malpractice coverage is provided for administration of Naxolone, adding a definition of unmanned aircraft (drones) to clarify coverage and specifying coverage for therapy dogs. Members will notice that what was previously called cyber liability coverage is now Privacy and Security Liability, indicating that non-electronic releases of data are also included in coverage. We have also added a clarification that liability coverage is provided for county employees performing notary work for the county (but we do not provide the bond the notary is required to purchase).
 
Our liability coverage for drones will continue to be available, at a set limit of $3 million for $1,500 per drone. Drones must be scheduled and other provisions must be met (such as registration with the FAA) before coverage can be provided.
 
For questions about the PCoRP renewal, contact Karen Cohen at CCAP.



Help Manage Your RTW Program
By: Jean Henry, RN, Risk Control Wellness Nurse
  
It is a fact that bringing an injured employee back to work as soon as possible will help reduce the cost of a workers' compensation claim. Two underrated and underutilized forms in the return to work saga are the letter or statement that your county has a return to work program and the physical capacity form.

 

Statement of a Proactive RTW Program 
 

This statement can be in the form of a letter to "all physicians" or "doctor" or a declarative statement. The purpose of either is to state that you offer a return to work process designed to return employees to work before they have reached 100 percent recovery and as soon as medically able in order to assist your employee to remain engaged at the work place while allowing for modifications to meet specific medical restrictions.
 
Why is this necessary? Because most employees are either unaware of a return to work program or don't offer this option to their treating provider. If a provider does not know that modified work accommodations are available, they will simply put the injured employee off work until the next visit, which could be weeks. A medical only claim just became a costly lost time with indemnity claim where wages paid typically equal 30 to 50 percent of the entire expense of the claim.
 
At the time of a workplace incident, include a return to work letter or statement in your packet of information that is reviewed with the employee. Instruct the injured worker to give this document to each provider at the time of the first evaluation.
 
It is the responsibility of the employer's claims coordinator to communicate with the employee to ensure he or she is following the procedure.
 
Physical Capacity Form

This form is thought of as "the return to work" form. It is to be completed by the provider at the time of each evaluation to concisely communicate to the employee and employer the results of the visit.
  
Why is this important? At the time of an injury, the injured worker's head is swimming with form completion, workers' compensation rules, and concern for the injury. Directions and explanations get mixed up and easily misinterpreted. The physical capacity form should provide a diagnosis, prognosis, next appointment date, medical restrictions if any, how long medical restrictions are in effect, medical restrictions to follow at home, if any, and ability to return to work. Not using this form allows the physician to simply sign an "out of work" note which offers no documentation whatsoever.
  
At the time of a workplace incident, include a physical capacity form in your packet of information that is reviewed with the employee. It should be completed at each evaluation or referral until the injured worker is released from care. It is the responsibility of the employee to take the form to each office visit and to make sure it is completed and returned to the employer immediately by fax and/or in person. If the employee meets with the county claims coordinator to return the form, he or she can get another form as well as communicate in person his or her interpretation of the evaluation. This is a great opportunity to check on your employee as well as answer questions about workers' compensation and return to work expectations.
  
Using these forms as part of your return to work program will help get your injured worker back to work and on the road to recovery. In addition to the claim management and expense savings benefits of a return to work program, PComp offers members a one percent incentive credit for utilizing a return to work program. Our claims representatives, risk control specialists and the risk control wellness nurse are available to assist you with your return to work program.
  
For more information about a return to work program, sample forms, or the loss control incentive program, contact your PComp representative today.

 
2017 NACo-Nationwide Aspire Awards

The NACo 2017 Aspire Awards honors and recognizes counties for innovative solutions and for promoting employee retirement savings.

The Aspire Award ad will be featured in one of the next couple of  issues of County News promoting the Aspire Awards as well as the details for counties submitting their entry.  Click here to read the 2017 Aspire Awards brochure for additional details.

The two winners from last year  were Grant County, OK and Maricopa County, AZ.

Plan Sponsors can also log onto www.naco.org/aspire for details as well.

The deadline for submissions are May 26, 2017.
Here are our asks:
* Have the Aspire Award ad posted on your State Association website and in your newsletters.
* Communicate the Aspire Award opportunity to your County Contacts within your state.

The winners will be announced and recognized at the Annual Conference in Franklin County, (Columbus), OH.






Hot Topics
Medicare Section 111 Reporting
 
And now for something completely different! Federal law requires us to review every workers' compensation and liability claim, where PCoRP, PELICAN or PComp has accepted liability and claimant is seeking medical expenses/reimbursement. Section 111 of the Medicare Act added mandatory reporting requirements with respect to Medicare beneficiaries who have coverage. You may have noticed fees as part of your claim costs. We use a specialized law firm to review each claim, to determine which claims are necessary to report to Medicare. It is a complicated process, and there are significant fines from Medicare if claims are not properly and timely reported. And when a claim is settled for a Medicare beneficiary we are adding specific settlement language to each agreement, along with conducting an in depth lien search to verify that all the treatment related costs to this claim have been settled and paid for by PCoRP, PELICAN or PComp. On the workers' compensation side there is a need to setup a Medicare Set Aside (MSA) as part of the settlement, which means money is set aside to reimburse Medicare for medical claims related to the settlement. Currently on the liability side an MSA is not mandatory, although this is not off the table and we know the federal government is considering this in the near future. Our legal partners at Burns White continue to keep us apprised of our legal obligations as it relates to liability claims and we will continue to handle your claims accordingly.
 
With all that said, this means our claims staff is in need of some very detailed information about claimants, including their date of birth, social security number, and specific medical codes which delineate what medical diagnoses and services they are receiving. Our claims representatives or defense counsels may be contacting the county seeking this information, which is required by Medicare to evaluate if the claimant is Medicare eligible.
 
For more information, contact Cassie Troup   at CCAP.


 
Monroe County
   
Monroe County was able to purchase emergency call boxes for their administration building parking garage thanks to the monies provided by the PCoRP Loss Prevention Grant.

The little blue boxes marked, "POLICE" are located outside of each stairwell door.
These call boxes are to be used in an emergency. When the button is pressed (just once) it will call the 911 center directly. The person will hear a ringing and the call boxes work just like a speaker phone! The 911 center operator will ask, "What is your emergency?" and the operator will be able to see where you calling from!

Monroe County was also able to have a
Fire Extinguisher Training in April!

 

With so many fire extinguishers to choose from, selecting the proper one for your home and workplace can be a daunting task.

 

Fire extinguishers are divided into four categories, based on different types of fires.
* Class A extinguishers are for ordinary combustible materials such as paper, wood, cardboard and most plastics.
* Class B extinguishers involve flammable or combustible liquids such as gasoline, kerosene, grease and oil.
* Class C extinguish electrical fires such as appliances, wiring, circuit breakers and outlets.
* Class D extinguishers are commonly found in chemical laboratories. They are for fires that involve combustible metals, such as magnesium, titanium, potassium and sodium.
 
When selecting the appropriate type of extinguisher, it is important to think about the extinguishing agents. Each class of fire is best fought by a specific extinguishing agent.

 
 
 

For more information or to learn to more about PCoRP grants, please contact Keith Wentz at CCAP.
New CCAP Associate Members
 
Avanco International, Inc.
Technology

Avanco International, Inc. is an application and database development firm that has been a leader in the evolution of Business Intelligence and Web-Based Portal Solutions. Our business philosophy focuses on the utilization of efficient, economical, value-added web-based technologies in the development and delivery of Business Intelligence Portals, Data Warehousing Systems, Internet Software Applications, and System conversions.
 
Chrislynn Energy Services, Inc.
www.chrislynnenergy.com
Consulting, Energy

Chrislynn Energy Services, Inc. (CESI) is an Energy Management & Consulting firm. CESI helps Governmental entities reduce their energy costs through energy rebate programs, demand response, natural gas & electric procurement and contract negotiations. CESI is an independent consulting firm; and not affiliated with any utility or supplier. We utilize our network of 30+ suppliers to negotiate the best price, contract terms & solutions on behalf of our clients. Let us help reduce your costs today!
 
CM3 Building Solutions, Inc.
www.cm3inc.com
Construction, Energy

The CM3 Energy Performance Contracting division specializes in creating opportunities for Counties, Municipalities, and School Districts to fund capital improvements through energy savings. Our performance contracting group works with you to utilize funds currently spent on utility bills and operating costs to pay for the modernization and improvement of your buildings.
 
Optum
www.optum.com
Human Services, Technology

At Optum®we focus on improving connections across all parts of health care to deliver better outcomes. We help make Healthier happen in three key ways: modernizing infrastructure, advancing care and empowering consumers.
 
SERVPRO
www.servpro.com
Other

SERVPRO specializes in disaster preparation and recovery from building emergencies. We provide water mitigation, fire and smoke damage restoration, mold remediation, biohazard and crime scene clean up, air duct cleaning and several other residential/commercial services. We work in any sized building, no job is too big or too small. Our goal is always the same, to make it , "Like it never even happened."



Spring Workshop Season!
By: Linda Rosito, Risk Management Training Director
 
There are several excellent educational opportunities still available to you for this spring. There are two opportunities to attend the Building a Country Culture of Success, one more opportunity to attend the time management session entitled: KEYS: Juggling Too Many Balls in the Air? Our popular Prison Risk Management Workshop and HR Boot Camp are also being held this month as well. If you are employed by a county or county related entity that is a member of one of the workshops sponsoring insurance programs, the workshop is FREE to attend. And as always, lunch is included. If interested in attending, please Register Please Register !

For a complete listing of our upcoming risk management trainings, dates and location please see the chart below:


We continue to collaborate with The Academy for Excellence in County Government. This spring we offer additional opportunities to fulfill several of your required courses as well as to pick up some additional elective credits.  

We are starting to plan for the fall workshop season. If you have any suggestions of topics, please  Linda Rosito   . We strive to offer the best educational opportunities that you are interested in learning more about.

If you have any questions or to learn more about the workshops, please contact Linda Rosito.

Hope to see you this spring!
Watch Your Step - Stairway Safety
By: Maureen McMahon, Senior Risk Control Specialist
 
The vast majority of stairway falls result from a loss of balance, just as falls are on the level. A very common contributing factor is neglecting to use handrails.
Because stairway accidents can cause severe injury and even death, building codes for stairs are very rigorous. Good design can substantially reduce the potential for mis-stepping by providing us with the means to retrieve our balance, but even the best design cannot eliminate falling hazards entirely. The fact is that some incidents can be caused by inattention, unsafe behavior and inappropriate footwear.
 
The best approach to minimize the hazard of falling down stairs is to encourage the building of well-designed stairways, combined with training focused on raising our awareness of the potential hazard.
 
Stair surface
To reduce the risk of slipping on stairs, non-slippery surface on the whole steps or at least on the leading edges is crucial. Such a surface can be made of rubber, or metal or painted with special slip-resistant paint. Regular maintenance of the stairs in good repair plus good housekeeping can reduce hazards for tripping.
 
Stair handrails
Attempts to design aesthetically pleasing stairways including handrails must not compromise functionality.
The prime function of the handrail is for holding as support while going up or down stairs. Handrails must be "graspable".
 
It is therefore crucial to be able to grasp it quickly, easily and firmly if you should start losing your balance.
You should be able to run your hand smoothly along the entire length without having to adjust your grip.
 
Visibility on stairs
Improving visibility on stairs significantly reduces the risk for common mishaps caused by misjudging distances. Otherwise you can trip on a step or miss it completely. You can catch a heel on the edge of a step. Such mishaps are a routine cause of twisted ankles, sprained knees or more serious injuries incurred by a total fall.
  • Recommended illumination should be at the minimum 50 lux level
  • Use angular lighting and color contrast to improve depth perception
  • Use matte finishes on the treads to avoid glare
  • Avoid patterned carpeting that may visually hide differences in depth
  • Be very cautious on stairs if you are wearing bifocal glasses
 
Work activity
  • Persuade people to grasp the handrail while both ascending or descending stairs
  • Avoid carrying objects with both hands
  • Do not carry bulky objects that block your vision

Housekeeping

 

  • Good housekeeping is also vital to stair safety
  • Nothing should be sticking out the surfaces of stairs, handrails or bannisters (like nails or splinters) that could cause a fall
  • Spills, wet spots, or any debris should be immediately cleaned up
  • Broken or malfunctioning lighting should be repaired or replaced



Upcoming Events 

CCAP UC Trustees Meeting
May 5, 2017
CCAP Office, Harrisburg

CCAP Solicitors' Conference
May 12, 2017
CCAP Office, Harrisburg

2017 CCAP County Administration Conference
May 31, 2017
Penn States Conference Center, State College

County Risk Managers Council Meeting
June 1, 2017
CCAP Office, Harrisburg

PIMCC Board of Directors Meeting
June 9, 2017
CCAP Office, Harrisburg

PComp Retreat and Board Meeting
June 21-23, 2017
Wyndham, Gettysburg



Quote of the Month
 
  "Do not go where the path may lead, go instead where there is no path and leave a trail. "

- Ralph Waldo Emerson
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