THE INDUSTRIAL COMMISSION OF ARIZONA 2003 ANNUAL REPORT 2003 ANNUAL REPORT THE INDUSTRIAL COMMISSION OF ARIZONA Chairman Jean Pierre Angelchick, M.D. Vice Chairman James B. Whitten Commissioner Brian C. Delfs Commissioner Louis W. Lujano, Sr. Commissioner Joe Gosiger Larry Etchechury, Director TABLE OF CONTENTS INTRODUCTION ............................................................................................................................... 1 LABOR DEPARTMENT ..................................................................................................................... 2 CLAIMS DIVISION ............................................................................................................................ 3 ADMINISTRATIVE LAW JUDGE DIVISION (ALJ) ...................................................................... 4 ARIZONA DIVISION OF OCCUPATIONAL SAFETY AND HEALTH (ADOSH) ....................... 5 SPECIAL FUND ................................................................................................................................. 7 LEGAL DIVISION .............................................................................................................................. 9 DIVISION OF ADMINISTRATION ................................................................................................ 11 CURRENT EVENTS ......................................................................................................................... 14 CHARTS............................................................................................................................................ 15 INTRODUCTION over the processing of workers’ compensation claims. Since that time, the role of the Industrial Commission has been expanded to cover other labor related issues such as occupational safety and health, youth employment laws, resolution of wage related disputes, vocational rehabilitation, workers’ compensation coverage for claimants of uninsured employers, insolvent insurance carriers and self-insured employers. The Industrial Commission of Arizona (ICA) is a regulatory agency that was created in 1925 as a result of legislation implementing the constitutional provisions establishing a workers’ compensation system. From 1925 to 1969, the workers’ compensation system consisted of the State Compensation Fund, which was then a part of the Industrial Commission, and self-insured employers which generally were the mining and the railroad companies. In 1969 the workers’ compensation system was reorganized and expanded to include private insurance companies. The State Compensation Fund was split off from the Industrial Commission and established as a separate agency responsible for providing workers’ compensation insurance coverage. The Industrial Commission retained its responsibility as the file of record and its regulatory authority The policy setting body for the ICA is a five member Commission whose members are appointed by the Governor and confirmed by the Senate to staggered five year terms. The Commission oversees an Agency with approximately 308 employees and an operational budget of approximately $16.1million. As a nongeneral fund agency, the Industrial Commission is funded by an annual tax on workers’ compensation premiums that cannot exceed 3%. The tax rate for 2002 was 2.75% and for 2003 is 3%. The mission statement of the Industrial Commission is to efficiently administer and effectively enforce all applicable laws and regulations not specifically delegated to others, relative to the protection of life, health, safety and welfare of employees within the State. Its purpose and objectives are accomplished through seven major divisions which are set out separately in this document. 1 RESOLUTION OF WAGE DISPUTES LABOR DEPARTMENT Orlando Macias, Director When a wage owed to an employee is no more than $2,500 and the accrual of those unpaid wages do not exceed one year, then an employee may file a wage claim with the State Labor Department or with the Small Claims Court. Upon receipt of a claim, the Labor Department will notify the employer of the claim and investigate the allegations. The Labor Department will provide a written determination which can be appealed to Superior Court. An employer who does not comply with a Final Order within ten days after the Order becomes final is liable to pay the employee treble the amount of the unpaid wages found to be owed. While every effort is made to resolve the dispute, in some cases there is insufficient information to make a determination. In those cases, a claimant has the right to file a civil action in Justice or Small Claims Court. The Labor Department is a Department that has had a dramatic change in responsibilities over the years. For example, in the 1930’s, it was responsible for establishing minimum wages, hours of operations for the railroads, and later enforced the payment of appropriate wages on public works projects within the state. Today, the Labor Department essentially conducts 99% of its activities in three specific areas: youth employment law enforcement, resolutions of disputes involving wages, and regulating private employment agencies that charge fees to applicants (these include placement agencies, career counseling firms, modeling and talent firms and sitting services). YOUTH EMPLOYMENT LAW ENFORCEMENT Arizona’s youth employment laws, which establish the hours a youth can work and prohibit occupations in which they can be employed, are very similar to those on the federal level. The Labor Department utilizes information gathered from the ICA’s Claims Division to review and investigate workers’ compensation claims involving minors, receives and investigates information from other governmental organizations and complaints filed by the public. FY01 FY02 FY03 NUMBER OF INJ URY REPORT S INVOLVING MINORS AND COMPLAINT S RECEIVED 1488 1500 1162 NUMBER OF YOUT H EMPLOYMENT VIOLAT IONS COMFIRMED 112 86 42 NUMBER OF WAGE CLAIMS FILE/INVESTIG ATED FY 01 FY 02 FY 03 2918 3196 3153 LICENSED & REGULATED AGENCIES Under Arizona law, private employment agencies that charge a fee to an applicant are licensed and regulated by the Labor Department.The Industrial Commission’s Employment Advisory Council and the Labor Department investigate the background of each firm applying for a license. Based on their investigation, they recommend approval or denial of a license to the Commission. The Industrial Commission administratively approves or denies the license. An appeal of that administrative decision is made before the five member Commission through an administrative hearing. The Commission’s decision is appealable to the Superior Court. 2 The Claims Division, in addition to answering approximately 150,000 telephone inquiries per year, is responsible for processing approximately 6,000 documents per day and making in excess of 31,000 determinations annually that are subject to judicial review. Some of those determinations involve a variety of issues such as allegations of bad faith, awards for facial scaring and loss of teeth, approvals or denials of requests to leave the state, approvals or denials of requests to change physicians, etc. A historical perspective for some of those determinations are as follows: Number of Licensed Agencies Career Counseling Firms Model & Talent Agencies FY01 FY02 FY03 24 25 25 22 21 21 General Agencies 6 4 3 Sitter Agencies 3 3 3 Domestic Help Agencies 2 1 1 Nurses Agencies 1 1 1 Total 58 55 54 CLAIMS DIVISION Noreen Thorsen, Manager AVERAGE MONTHLY WAGE AWARDS Unlike the other Divisions, the historical role of the Claims Division has remained unchanged. Since 1925, the Claims Division has been the file of record for approximately 6 million workers’ compensation claims files. Claims are received by the Claims Division from attending physicians and injured workers. The Claims Division, in turn, notifies the appropriate insurance carrier/third party processing agent or self-insured employer so that they can appropriately process the claim. The historical number of claims processed in the last three years are as follows: Number of Claims Processed FY01 FY02 FY03 152145 138839 131702 The Claims Division establishes the average monthly wage for claimants who have been injured in excess of seven days. The number of wage awards for the last three fiscal years are as follows: Number of Wage Awards FY01 FY02 FY03 18341 16585 15641 LOSS OF EARNING CAPACITY AWARDS The Claims Division is responsible for determining the “loss of earning capacity” (LEC) for claimants who have incurred a permanent impairment that results in an unscheduled injury. The number of “LEC” awards for the past three fiscal years are as follows: In addition to being a file of record, we now have 24 million stored documents on our optical disc system. The Claims Division is responsible for ensuring that the 550 insurance carriers/third party processors and 125 self-insured employers process workers’ compensation claims in accordance with existing statutes and rules. Number of LEC Awards 3 FY 01 FY 02 FY 03 2864 3720 2976 The Commission’s ability to effectively monitor claims activity and process the large volume of data has been due in large part to the Commission’s computer system. In 1991 the Claims Division became the first state workers’ compensation program to utilize optical disk technology and go to a paperless system. This technology, which is used in conjunction with new computer software, allows for greater productivity and instant access to claims information. With this system, more than one person can access a file at the same time, and telephone inquiries can be answered immediately. Based upon the ICA’s Claims Division’s success, a number of other states have adopted this technology. ADMINISTRATIVE LAW JUDGE DIVISION (ALJ) Harriet Turney, Chief Judge The ALJ Division is authorized to conduct hearings and resolve legal disputes in the areas of workers’ compensation, occupational health and safety (OSHA), and youth employment. The ALJ Division’s mission is to resolve all disputes coming before it in an efficient and equitable manner. The vast majority of cases referred to the division are in the area of workers’ compensation. Fully staffed, the division employs 17 ALJs in Phoenix and five in Tucson. All ALJs are appointed by members of the Industrial Commission. They must be active members of the State Bar of Arizona and have a minimum of five years experience in workers’ compensation, labor and employment law, or a related field. Each ALJ is supported by a legal secretary, who assists in the administration of the judge’s docket and provides information and assistance to parties, attorneys and the public. The division is also supported by clerks in both offices. The Chief ALJ is responsible for assignment of cases, the administration of the division and supervision of all personnel. The Chief ALJ maintains a reduced case load. A Vice Chief ALJ, who works on special projects and has a full case load, is posted in Phoenix. In Tucson, the ALJin-Charge is responsible for day-to-day operations, in addition to handling a full case load. Workers’ Compensation cases are referred to the ALJ Division when an interested party (claimant, employer, insurance carrier or Special Fund) requests a hearing. OSHA cases are referred to the division when an employer protests an action taken by the Arizona Division of Occupational Safety and Health (ADOSH). Once a case is referred to the division, it is assigned to an ALJ who sets it for hearing, usually within 60 days. This allows the parties to conduct discovery in preparation for the hearing and to explore settlement possibilities. Most hearings are held in either Phoenix or Tucson. However, parties may request that a hearing be held elsewhere around the state and the ALJs travel to such locales as Flagstaff, Prescott, Lake Havasu, Kingman, Yuma, Lakeside-Pinetop, Payson, Globe, Casa Grande, Bisbee, Sierra Vista and Nogales. Workers’ compensation cases often require numerous hearings to obtain all necessary evidence. There are no juries in cases in the ALJ Division. The ALJs perform the function of a jury in that they make factual findings and credibility determinations. Written decisions containing the ALJs findings, conclusions and analysis are issued in all cases. A party disagreeing with the decision in a workers’ compensation case may file a request for review which goes to the same ALJ who heard the case. Upon receipt of legal memoranda setting forth the parties’ arguments, the ALJ issues a Decision Upon Review which may affirm, reverse, modify and/or supplement the original decision. 4 If a party disagrees with the Decision Upon Review, the party may file a Petition for Special Action in the Arizona Court of Appeals. The Court of Appeals must either affirm the ALJ’s decision or set it aside; it has no authority to modify the decision. OSHA cases are generally concluded in a single session. Review of OSHA cases is slightly different than for workers’ compensation cases. An OSHA decision is not reviewed by the ALJ who issues it; rather the case is referred to a Review Board. Then, as in a workers’ compensation case, further review is to the Court of Appeals. The ALJ Division’s mediation program has been in operation for approximately two years. Offered on a voluntary basis as an alternative to the formal hearing process, mediation offers the parties a means, through a third party neutral, to work toward a mutually acceptable resolution of their issues. Mediation has been shown to be effective in crafting solutions that might not otherwise be available in the hearing process. While the majority of mediations have been in workers’ compensation cases, mediation has also been used successfully to resolve OSHA disputes. Attorneys in the Legal Division advise all OSHA respondents about the availability of mediation as an alternative to the hearing process. Mediation is a confidential procedure. When mediation is requested, the case is referred to one or two ALJs who serve as mediator or comediators. If the dispute is resolved, the parties prepare a compromise and settlement agreement or a stipulation that is referred to the ALJ who had been assigned to hear the case. If the dispute is not resolved, the case is returned to the hearing process. The ALJ assigned to mediate the case destroys all memoranda and notes from the mediation. The ALJ who presides over the hearing renders a decision based solely on record and evidence presented at the hearing. The ALJ Division is committed to reducing turnaround time. With the cooperation of the legal community, certain types of cases are being set sooner than 60 days. Continuances are granted only for good cause. Hearings for medical witnesses in workers’ compensation cases are often held telephonically in order to reduce costs and expedite completion of the hearing process. The medical community has reacted favorably to this accommodation to their busy schedules as it reduces their travel time and lost productivity. The parties appreciate that telephonic hearings can cut weeks off the hearing process. Additionally, informal conferences are being utilized to explore settlement early in the hearing process, and to explain basic rights and responsibilities to unrepresented workers. Other timesaving measures are being explored. FY01 FY02 FY03 Cases Referred to the Division 8186 8405 8685 Hearings Conducted 7497 7704 7382 Average Length of Time to resolve a Case (Days) 118 125 134 ARIZONA DIVISION OF OCCUPATIONAL SAFETY AND HEALTH Darin Perkins, Director In 1974 Govenor Jack Williams asserted Arizona’s right, under the Federal Occupational Safety and Health Act, to retain jurisdiction over occupational safety and health issues within our state, excluding mining operations, Indian reservations and federal employees. This jurisdiction encompasses approximately 2.2 million employess working in 114,000 public and private establishments. In accordance with the Federal Occupational Safety and Health Act, the Arizona Division of Occupational Safety and Health (ADOSH) operates under an approved plan with the U. S. Department of Labor. In 1985 the U. S.Department of Labor designated (ADOSH) as being one of only 23 states that have programs that are “as effective” as Federal OSHA. 5 Given the large scope of respopnsibility, ADOSH focuses its efforts in four specific areas: compliance, consultation, elevators and boilers. COMPLIANCE ADOSH’s compliance activities consist of conducting unannounced inspections of workplaces throughout Arizona to determine whether employers are complying with the Occupational Safety and Health Act and standards. Inspections may be the result of (1) a work related accident, (2) a complaint, (3) a referral, (4) planned inspection, or (5) a follow-up to ensure that previously cited serious, repeat or willful violations have been corrected. Inspections involving work related accidents are generally serious in nature involving multiple injuries or a fatality. A complaint inspection generally is the result of a serious safety/health allegation or a nonresponse to a written inquiry sent to an employer by ADOSH. A referral generally comes from another government source such as Department of Economic Security’s Farmworker Outreach Program, Department of Health Services, Police and Fire Departments. Planned or scheduled inspections are those directed at those employers who have what appears to be a large number of workers’ compensation claims, or higher than average injury and illness rates. ADOSH is the only state or Federal OSHA program in the country that has an independent body, (the Commission) that is separate from the OSHA program, that reviews the appropriateness of ADOSH’s penalty proposals and either approves, modifies or disapproves the issuance of penalties for violations of Arizona’s Occupational Safety and Health Act. Every Thursday at a public meeting before the Commissioners, a representative from ADOSH presents a prima facie case to the Commissioners as to why a penalty should be assessed. The Commission, as a body, reviews the proposal and either approves, modifies or disapproves the proposed penalties based upon the facts presented. All penalties assessed and collected go directly to the State General Fund. FY 01 FY 02 FY 03 Serious Willf ul and Repeat Violations 583 805 866 Total Penalties Assessed* $1.6 $1.74 $1.51 *in millions It is important to note that not all violations or inspections result in penalties. In fact, the majority of violations are other than serious and carry no penalty. In addition, for a significant number of inspections we find no violations and determine that the employer is “in compliance” with the Arizona Occupational Safety and Health Act. Nonserious Violations In compliance % Rate FY01 FY02 FY03 1045 1717 2267 38.3% 43.6% 59.7% CONSULTATION AND TRAINING ADOSH’s consultation activities consist of providing free consultative assistance to employers who are requesting assistance in coming into compliance with existing occupational safety and health standards. 6 At the request of an employer, a consultation evaluation may involve an individual operation or an entire workplace. No citations or penalties are issued to employers utilizing consultation services as long as the employer corrects the apparent hazards which are noted as written recommendations in a letter to the employer. Free training programs are also provided by ADOSH to business organizations, labor organizations and individual employers upon request. A film library is also available to individual employers who may wish to check-out films to supplement their own safety and health programs. FY01 FY02 FY03 Boilers Inspected 2565 3200 3381 Deficiencies Noted 716 648 602 FY01 FY02 FY03 Elevators Inspec ted 4794 5300 5398 Deficiencies Noted 1861 2053 1890 SPECIAL FUND FY01 FY02 FY03 #of Hazards Found During Consultations 1943 2089 1723 # of Training Programs 620 1496 357* # of Employees Trained 2915 5488 4226 # of Employers Trained 3170 4007 3414 David Sosa, Special Fund Monitor The Special Fund is a “trust fund” that was legislatively created in 1969 for the express purpose of providing workers’ compensation benefits in the following areas: *In FY03 ADOSH began recording the # of training programs differently. T his year, began counting only eac h separate c ours e taught. Prior to FY03, we counted each separate employer in attendanc e as a s eparate clas s . For example, if ten employe were presented in a c las s, it was counted as ten programs taught. Unlike the Arizona Occupational Safety and Health Act, the Boiler and Elevator program is equipment oriented, and not based upon employee exposure. As a result, cease and desist orders are utilized without monetary penalties. Once violations are corrected, certificates of operation are issued allowing the employer to utilize the boiler, elevator or escalator. In the Boiler and Elevator statutes, political subdivisions are allowed to retain jurisdiction if they provide a comparable program. The City of Phoenix has retained jurisdiction over elevators within its boundaries. No other political subdivision has retained jurisdiction for boilers or elevators. 7 ♦ providing benefits for uninsured claimants, ♦ continuing workers’ compensation benefits for claimants of insolvent carriers and bankrupt self-insured employers, ♦ partial coverage of workers’ compensation benefits for second injury claims, ♦ vocational rehabilitation benefits, ♦ continuing medical benefits for pre 1973 workers’ compensation claimants. Functionally, the responsibilities of the Special Fund have historically been relatively stable. The only significant changes that have occurred dealt with the financing of the Special Fund and the creation of an oversight Investment Committee in 1984. The Investment Committee reviews the tax rate each year and has set the tax rate at 0% again for 2003. The financial integrity of the Special Fund is overseen by a legislatively created Investment Committee. This Investment Committee consists of a representative from the insurance industry, a representative of the investment industry, a representative of the self insured employers, the Chairman and Director of the Industrial Commission. UNINSURED CLAIMS The Special Fund is a $245 million fund which is comprised of investment property, the Industrial Commission offices at 800 W. Washington, Phoenix and 2675 E. Broadway, Tucson, and a mix of bonds, stocks and cash. Because of the Special Fund’s conservative investment strategy, its portfolio consists of 67% bonds, 31% stocks and 2% cash. The Special Fund’s rate of return, over the past four years has ranged from 5.0% for FY00, 1.5% for FY01, 4.4% for FY02 and 7.5% for FY03. The rate of return since the inception of this investment program has been 9.2%. The funding source of the Special Fund has changed dramatically over the years. Originally there were two funding sources: the amount unexpended from a fixed 3% tax on workers’ compensation premiums and an additional discretionary workers’ compensation premium tax of 2% After a legislative change in 1993, the source of funds is now based upon the Special Fund’s investment income and a discretionary tax of 1.5% which has been 0% since 1992. Some examples of operational statistics and their financial impact are as follows: The Special Fund is responsible for providing benefits to injured workers whose employers are violating the law and not providing workers’ compensation insurance (no-insurance claims). The historical number of no-insurance claims and the annualized cost for those claims are as follows: No-Insurance Awards Issued FY01 FY02 FY03 3184 3986 2954 INSOLVENT INSURANCE CARRIERS The Special Fund is responsible for continuing workers’ compensation benefits for those claimants insured by insolvent insurance carriers. Four insurance carriers became insolvent in FY03. The estimated reserve for those claims are as follows: 15% fee to State Compensation Fund Mission Insurance Mission National Insurance Enterprise Insurance Company Employers Casualty Insurance Company Western Employers Insurance Company Carriers Insurance Company Montgomery Wards Idea Mutual American Mutual The Special Fund’s retained earnings are presently at $31.0 million at the end of FY03. 8 13.0 million 4.9 million 9.1 million .2 million .6 million 2.4 million .2 million .2 million .2 million .07 million Rockwood Insurance Credit General Insurance Compan Southwest Supermarkets Relience Insurance HIH America Great States Superior Pacific Superior National Paula Insurance Western Growers Insurance Villanova Insurance Legion Insurance S & H Insurance .11 million .3 million .6 million 14.1 million 1.4 million 12.1 million .9 million 5.0 million 10.4 million .5 million .5 million 6.3 million .2 million 83.3 million This training includes a variety of college courses to supplement prior education, on the job training where the special fund will pay 50% of the salary during training as long as there is a commitment to hire the trainee, and a variety of vocational programs including: graphic artist, meat cutting, respiratory therapy, nursing, computer aided drafting, medical assistants, and pharmacy technicians. For those that are eligible for vocational rehabilitation but are lacking skills to enter a program, the Special Fund offer foundational training in math, reading, and English (ESL) . VOCATIONAL REHABILITATION A workers’ compensation claimant who as a result of the worker’s injury has incurred a permanent impairment that prevents that worker from returning to the worker’s date of injury employment and who also has a loss of earning capacity may be eligible for vocational rehabilitation benefits. In 1988 the Commission enhanced its existing vocational rehabilitation efforts by establishing a specific program for injured workers with scheduled injuries. The historical statistics related to this issue are as follows: # of Rehabilitation Awards Issued FY 01 FY 02 FY 03 94 121 150 Our rehabilitation program is focused on providing vocational retraining that will result in meaningful employment. LEGAL DIVISION Laura McGrory, Chief Counsel The Industrial Commission has always had its own legal representation, separate from the Attorney General’s Office. In its early years, the Legal Division functioned in a dual role as both hearing officers and legal counsel. With the creation of the Administrative Law Judge Division in 1969, the responsibilities changed and remain the same today. The Legal Division represents the Industrial Commission in the majority of legal matters affecting the Agency. The major responsibilities of the Division are as follows: ♦ 9 Represents the Special Fund in actual/ potential litigation involving most activities of the Special Fund, i.e. uninsured workers’compensation claims, second injury claims, supportive care, and, on occasion, claims involving insolvent carriers/bankrupt self-insured employers. Represents the Arizona Division of Occupational Safety and Health in actual/potential litigation regarding the enforcement of the Arizona Occupational Safety and Health Act. ♦ ♦ Represents the Labor Division in the enforcement of youth employment matters and wage claim appeals and the regulation of employment agents under the Labor Department’s jurisdiction. ♦ Represents the agency in personnel matters. ♦ Provides legal advice to the five member Commission and Division Managers. ♦ Represents the agency in personnel matters. ♦ Provides legal advice to the five member Commission and Division Managers. ♦ Assists Division Managers in the promulgation of rules. ♦ Ensures that Arizona’s employers are providing workers’ compensation insurance coverage for their employees. ♦ Initiates subrogation of third party no-insurance claims. ♦ Operates a program for processing and collection of delinquent accounts. A historical perspective of some of the activities of the Legal Division are as follows: Hearings/Legal Proceedings Involving Special Fund and Az Div of Occupational Safety and Health Cases FY01 FY02 FY03 396 386 401 INSURANCE COVERAGE The Legal Division is notified through a variety of sources of those employers who are violating Arizona law by not providing workers’ compensation coverage for their employees. The Legal Division investigates each referral and ensures that insurance is obtained. Insurance ref errals FY01 FY02 FY03 1428 1780 2509 COLLECTIONS The Legal Division is notified when monies owed as a result of Arizona Division of Occupational Safety and Health citations or uninsured workers’ compensation claims are delinquent. The collection of delinquent accounts is either addressed in-house or with outside collection counsel. Collection Referrals 10 FY01 FY02 FY03 415 433 584 The Legal Division is also involved in a variety of miscellaneous legal matters, e.g. ADOSH discrimination cases, Superior Court injunctive activities, attorney fee petitions and certifications of records to the Court of Appeals. The Division pays compensation within three days and medical service providers are paid within fourteen days from receipt of billing. A historical perspective of the number of warrants is provided: DIVISION OF ADMINISTRATION Checks Issued FY 01 FY 02 FY 03 14130 16355 20580 Glenn Hurd, Manager The Division of Administration was created to provide support services necessary to ensure the efficient and effective operation of the Industrial Commission. The Division provides the following services: 1. 2. 3. 4. 5. 6. Budgeting Accounting Data Processing Purchasing Facilities Management Workers’ Compensation Statistical Reporting 7. Ombudsman’s Office for Workers’ Compensation 8. Printing and Mailing Services 9. Personnel Services 10. Processing & Evaluation of Applications for Self Insured Employers 11. Federal Grant Administration OMBUDSMAN In 1988 the Industrial Commission’s Ombudsman’s Office was created by statute to provide assistance to injured workers in resolving difficulties encountered during the processing of their workers’ compensation claims. The Ombudsman’s Office intercedes on behalf of an injured worker to ensure that the worker receives benefits to which the worker is entitled under the law. Personnel in the Ombudsman’s Office do not provide legal advice nor do they participate in legal proceedings. A historical perspective of the number of claimants that have received assistance are listed as follows: Number of Claimants Assisted A more detailed explanation of some of the services provided by the Division are as follows: FY01 FY02 FY03 5119 5602 3785 DATA PROCESSING ACCOUNTING SERVICES In addition to payment of operational claims and purchase orders, the Division is responsible for prompt payment of monthly or semi-monthly payment of compensation and medical benefits provided to those injured workers receiving benefits under the Special Fund. In 1991 the Industrial Commission’s Claims Division became the first state workers’ compensation system in the country to utilize optical disk imaging. The system works in conjunction with a large sophisticated data software program that has provided the agency the mechanism for an agency wide claims system. 11 The Commission’s Data Processing Section has converted all existing systems to an agency wide PC based UNIX system utilizing HP servers that will utilize the optical disk imaging technology, and will begin the process of integrating the ALJ, Special Fund and Legal systems into the optical disk imaging system. We are continuing to develop an employer master file to be shared by all Divisions of the agency. This system will contain current information on Arizona employers including address, workers’ compensation insurance coverage, number of employees and other data needed to assist the agency tracking Arizona employers. Also, we are in the process of rewriting the Claims Data Base System for processing of claims and the Hearing Data Base for processing of workers compensation hearings. 12 CURRENT EVENTS The focus of the Industrial Commission’s efforts this year continues to be in looking at our internal operations to ensure that we are efficiently meeting our statutory mandates and at the same time to deal with other issues through the regulatory and legislative process. Internally one of the continuing problems associated with workers compensation claims processing is the amount of time it takes to resolve an issue in dispute. On the one hand are the constitutional “due process” requirements that are required and on the other is the necessity to resolve issues in dispute so that employees, legitimately injured on the job, can receive the medical and indemnity benefits that they are statutorily entitled to in a timely fashion. This constant tug and pull has allowed some cases to be resolved in a rather timely fashion and others to take what seems to be an inordinate amount of time. The Commission is committed to addressing this issue and has been interviewing doctors and attorneys and surveying other states in the hopes that an equitable solution can be found. 13 Last year, with the passage of the Commission’s legislative package, problems associated with timely processing of claims in which the employer was not insured were addressed. This significant piece of legislation will hopefully address what has been a significant problem to those non- insured claimants. I want to take this opportunity to thank all those that had a part in the passage of this legislation. From a regulatory standpoint we are looking at resolving regulatory packages that have been in development for several years. By Commission policy regulatory issues particularly those issues in conflict are to be resolved if possible before the regulatory process is initiated. This mandate requires the Commission staff to work with the community to define the issues and to work diligently in attempting to resolve those issues in conflict. Many meetings with the parties have occurred and many drafts of these proposed regulations have been submitted to the community for comment. I expect that this year we will see the rule packages CHARTS 14 CHART 1. TAXABLE WORKERS COMPENSATION PREMIUMS REPORTED (IN MILLIONS) ON A CALENDAR YEAR BASIS* (1998 - 2002) $700 $600 $570 $494 $493 $500 $432 $400 $589 $567 $425 $365 $440 $367 $300 $200 $142 $128 $127 1999 2000 $142 $149 2001 2002 $100 $0 1998 INSURANCE CARRIERS SELF-INSURED EMPLOYERS TOTAL *PREMIUMS WRITTEN LESS RETURNED PREMIUMS, DIVIDENDS, CANCELLED PREMIUMS 15 CHART 2.DIRECT LOSSES PAID (IN MILLIONS) ON A CALENDAR YEAR BASIS. (1998 - 2002) 500 $413 400 $375 $344 $313 $360 300 $291 $402 $380 $303 $327 200 100 0 $69 $61 1998 1999 $69 $77 $75 2000 2001 2002 INSURANCE CARRIERS SELF-INSURED EMPLOYERS TOTAL 16 158359 158008 1999 156353 2000 2001 147377 2002 137099 CHART 3. TOTAL COMPENSATION CLAIMS FILED WITH THE INDUSTRIAL COMMISSION (calendar year) 180 160 140 120 100 80 60 40 20 0 1998 17 CHART 4. TOTAL TIME LOST CLAIMS FILED WITH THE INDUSTRIAL COMMISSION (1998 - 2002) (calendar year) 25 Thousands 20842 20039 20 19752 19095 17298 15 10 5 0 1998 1999 2000 18 2001 2002 CHART 5. LOST WORKDAY CLAIMS 1999-2002 by MAJOR INDUSTRY DIVISION Thousands 5 4 3 1999 2000 2001 2002 2 1 Agriculture, forestry bl e ifi a ce s rv i ss la N on -c e, Fi na nc Se in s ur a nc e de et R sa le ai lT ra Tr ad e io n at or t W ho le tu rin g Tr an sp ac on s C Major Industry Division M an uf tr uc ti o n in in g M A gr ic ul tu re ,f or es tr y 0 1999 2000 2001 2002 629 581 583 606 Mining 187 126 146 132 Construction 3148 3118 2969 2767 Manufacturing 1530 1462 1396 1226 Transportation 1727 1689 1501 1483 Wholesale Trade 981 936 808 695 Retail Trade 2896 2736 2669 2660 Finance, insurance 320 314 338 345 Services 3944 3816 3722 3619 Non-classifiable 117 244 251 117 INCLUDES ALL PRIVATE SECTOR LOST WORKDAY CLAIMS THAT WERE RECEIVED DURING CALENDAR YEARS 1999, 2000, 2001 and 2002. 19 CHART 6. LOST WORKDAY CLAIMS 1999-2002 by NATURE 6 5 4 1999 2000 2001 2002 3 2 1 th er O ct ur C es ut s, la ce ra Br tio ui ns se s, co nt us io ns H ea tb ur ns C he m ic al bu rn s Am pu ta tio ns M ul tip C l e ar In pa ju lt rie un s ne ls yn dr om e Te nd on ite s Fr a Sp r ai n s, st ra in s 0 NATURE 1999 2000 2001 2002 Sprains, strains 5422 5142 4934 4795 Fractures 1585 1501 1398 1413 Cuts, lacerations 1220 1114 1212 1072 Bruises, contusions 898 941 889 795 Heat burns 189 187 161 162 Chemical burns 38 38 30 34 Amputations 182 169 143 110 Multiple Injuries 1160 1055 831 708 Carpal tunnel syndrome 189 165 157 139 Tendonites Other 92 101 91 46 4541 2795 4531 4379 INCLUDES ALL PRIVATE SECTOR LOST WORKDAY CLAIMS THAT WERE RECEIVED DURING CALENDAR YEARS 1999, 2000, 2001 and 2002. 20 CHART 7. LOST WORKDAY CLAIMS 1999-2002 by PART OF BODY 7 6 5 1999 2000 2001 2002 4 3 2 1 PART OF BODY er th O M ul tip le ne e K e A nk l t ris W k B ac k N ec H ea d 0 1999 2000 2001 2002 HEAD 602 634 597 617 NECK 238 178 196 197 BACK 3119 2950 2825 2603 WRIST 84 770 756 681 ANKLE 622 617 574 598 KNEE 1574 1540 1552 1575 MULTIPLE 1886 1794 1482 1232 OTHER 6641 6569 6405 6150 INCLUDES ALL PRIVATE SECTOR LOST WORKDAY CLAIMS THAT WERE RECEIVED DURING CALENDAR YEARS 1999, 2000, 2001 and 2002. 21 CHART 8. LOST WORKDAY CLAIMS 1999-2002 by EVENT OR EXPOSURE 5 4 1999 2000 2001 2002 3 2 1 an er th O ul ts , vi o xp le lo nt si o ac ts ns ts en s, e re ac ci d Ex po se d Tr As sa sp o rt a tio n su fu l rm ep to Fi bs ta m ot io nc es n n e et iv ve ha Fa R ll to O Sl re x ip s, er tri p tio s l ve le sa m e w er lo lt o Fa l C on ta c tw it h ob je le v ct el 0 EVENT OR EXPOSURE 1999 2000 2001 2002 Contact with object 3865 3691 3395 3368 Fall to lower level Fall to same level Slips, trips Overexertion Repetive motion 1429 2012 268 4321 550 1340 1944 275 4129 536 1321 1987 285 3951 556 1123 1928 283 3939 407 Exposed to harmful substances 307 319 271 261 817 817 729 673 54 52 50 56 Assaults, violent acts 255 247 226 253 Other 1638 1702 1616 1362 Transportation accidents Fires, explosions INCLUDES ALL PRIVATE SECTOR LOST WORKDAY CLAIMS THAT WERE RECEIVED DURING CALENDAR YEARS 1999, 2000, 2001 and 2002. 22 CHART 9. LOST WORKDAY CLAIMS 1999-2002 BY SOURCE Thousands 4 3 1999 2000 2001 2002 2 1 O FU R N C C H EM IC A LS ,C H EM IC A L PR O D U C TS N TA IN IT U ER R S E, FI XT U R ES M A PA C PE H R IN TS R ER SO & Y N M S, A TE PL FL R A O IA N O TS LS R ,G & A R N O IM U N A D LS SU R FA C H ES A N D TO O LS VE H IC LE S A LL O TH ER 0 SOURCE 1999 2000 2001 2002 CHEMICALS, CHEMICAL PRODUCTS 124 125 94 86 CONTAINERS 1944 1927 1739 1807 FURNITURE, FIXTURES 472 475 459 452 MACHINERY 1060 992 977 912 PARTS & MATERIALS 1877 1731 1653 1491 PERSONS, PLANTS & ANIMALS 3064 3107 2991 2718 FLOOR, GROUND SURFACES 3613 3571 3597 3327 HANDTOOLS 979 939 876 867 VEHICLES 1462 1285 1207 1204 ALL OTHER 931 906 795 789 INCLUDES ALL PRIVATE SECTOR LOST WORKDAY CLAIMS THAT WERE RECEIVED DURING CALENDAR YEARS 1999, 2000, 2001 and 2002. 23 CHART 10. LOST WORKDAY CLAIMS 1999-2002 by OCCUPATION 7 6 5 1999 2000 2001 2002 4 3 2 1 uc rs O ab fa b tio ric n, at or cr af s, l t, r th e s or ai ep hi ,f is try es fo r g, Pr ec O is i pe on ra pr to r s, od rm in ch n Te er rs ng e rv ic Se Fa ic al M an ,s al ag er ia es ,a l, pr dm in of es su p si o po na rt l 0 OCCUPATION 1999 2000 2001 2002 Managerial, professional 873 838 935 896 Technical, sales, 2115 2124 2090 1924 Service 2375 2234 2053 2066 Farming, forestry, fishing 650 591 609 629 Precision production, craft 3573 3371 3504 3503 Operators, fabricators 5844 5599 5011 4535 86 295 185 100 Others INCLUDES ALL PRIVATE SECTOR LOST WORKDAY CLAIMS THAT WERE RECEIVED DURING CALENDAR YEARS 1999, 2000, 2001 and 2002. 24 CHART 11. LOST WORKDAY CLAIMS 1999-2002 by AGE 5 4 1999 2000 2001 2002 3 2 1 ov er 64 an d 65 55 to 54 to 45 35 to 44 34 25 20 to 24 to 19 to 16 15 an d un de r 0 AGE 1999 2000 2001 2002 15 and under 9 8 7 9 16 to 19 510 512 433 384 20 to 24 1679 1658 1419 1357 25 to 34 4071 3820 3603 3220 35 to 44 4481 4403 4056 3925 45 to 54 3085 2972 3062 2987 55 to 64 1340 1327 1421 1380 65 and over 248 277 317 341 INCLUDES ALL PRIVATE SECTOR LOST WORKDAY CLAIMS THAT WERE RECEIVED DURING CALENDAR YEARS 1999, 2000, 2001 and 2002. 25 CHART 12. DISTRIBUTION OF FATAL OCCUPATIONAL INJURIES BY EVENT OR EXPOSURE ARIZONA, 1999-2002 35 30 25 1999 2000 2001 2002 20 15 10 5 O TH ER TS R A W O R K ER A ST R IR C U C K FT B Y Y B U C K ST R IN C ID EN H IC VE O B LE FA LL S C T ID IC H O M ID IN C H IG H W A Y JE ES EN TS 0 EVENT 1999 2000 2001 2002 HIGHWAY INCIDENTS 14 25 20 26 HOMICIDES 14 10 19 18 STRUCK BY OBJECT 12 11 11 6 FALLS 3 14 9 10 WORKER STRUCK BY VEHICLE 4 5 8 11 AIRCRAFT INCIDENTS 6 31 4 9 OTHER 17 22 25 21 SOURCE: CENSUS OF FATAL OCCUPATIONAL INJURIES, INDUSTRIAL COMMISSION OF ARIZONA 26 CHART 13. DISTRIBUTION OF FATAL OCCUPATIONAL INJURIES BY INDUSTRY DIVISION ARIZONA, 1999-2002 35 30 25 1999 2000 2001 2002 20 15 10 5 INDUSTRY DIVISION TH ER T E O N M EN R VE O G IL ET A R SE R VI C TR A D ES R E U LT U R IC G A O SP TR A N C O N ST R U C TI O R TA TI O N N 0 1999 2000 2001 2002 CONSTRUCTION 21 21 15 20 TRANSPORTATION 13 15 10 25 AGRICULTURE 8 3 6 4 SERVICES 7 17 13 7 RETAIL TRADE 7 9 16 15 GOVERNMENT 9 30 12 18 OTHER 5 23 15 12 SOURCE: CENSUS OF FATAL OCCUPATIONAL INJURIES, INDUSTRIAL COMMISSION OF ARIZONA 27 CHART 14. DISTRIBUTION OF FATAL OCCUPATIONAL INJURIES BY AGE ARIZONA, 1999-2002 35 30 25 1999 2000 2001 2002 20 15 10 5 R 4 N D O 55 VE -6 4 45 -5 4 35 -4 4 -3 25 24 65 A A N D U N D ER 0 AGE 1999 2000 2001 2002 24 AND UNDER 9 19 10 5 25-34 18 22 22 26 35-44 18 29 22 27 45-54 10 21 16 31 55-64 12 18 11 8 65 AND OVER 3 9 6 4 SOURCE: CENSUS OF FATAL OCCUPATIONAL INJURIES, INDUSTRIAL COMMISSION OF ARIZONA 28