Understanding strain and sprain injuries

This is the first in a five-part series of blog posts recapping our webinar, Preventing strains and sprains.

The start of SFM’s webinar focused on understanding strain and sprain injuries.

Sarah Wahlberg, Senior Claims Representative at SFM, discussed the differences between the two maladies. While both are soft-tissue injuries, strains are an injury to a muscle or tendon; sprains are injuries or tears to ligaments.

She continued her portion of the presentation with:

  • Symptoms
  • Identifying sprains and strains
  • Frequency and type by industry

Wahlberg, who has more than a decade of experience in the field, wrapped up her segment with SFM claims data, which shows:

  • A 14% increase in strain and sprain severity from 2023-24
  • 60% increase in in costs for workers 45 and older
  • 83% of reported back injuries are a result of strains and sprains

Check out the complete recording of the webinar and view other posts in our blog series highlighting the presentation.

Strain and sprain injury effects on work comp claims

This is the second in a five-part series of blog posts recapping our webinar, Preventing strains and sprains.

The second portion of SFM’s webinar discussed the effects on claims due to strain and sprain injuries.

Holly Hansen, Senior Claims Representative, outlined:

  • When to report a claim and why
  • What might cause claims costs to increase
  • What causes work-related strain and sprain injuries to linger

She broke down the potential costs of an untimely claim report, which could be about $32,000 more expensive depending on the situation.

To wrap up her portion of the presentation, Hansen, who has nearly 20 years of experience in the field, provided examples of SFM’s return-to-work resources.

Check out the complete recording of the webinar and view other posts in our blog series highlighting the presentation.

Identifying ergonomic risk factors in the workplace

This is the third in a five-part series of blog posts recapping our webinar, Preventing strains and sprains.

The third portion of SFM’s webinar focused on identifying ergonomic risk factors in the workplace.

Sara Cooper, Senior Loss Prevention Representative, examined how employers can make their jobsites safer and mitigate the potential for musculoskeletal disorders. The three primary ergonomic risks in the workplace come from:

  • Force
  • Repetition
  • Awkward postures

At the same time, there are individual risk factors that can exacerbate ergonomic risk factors, such as poor health, not recognizing early warning signs, not resting and recovering correctly, etc.

Safety leaders should also keep an eye out for other ergonomic risk factors, Cooper said, including compression or contact stress, cold temperatures and vibration.

Lastly, she wrapped up her portion of the presentation by discussing the hierarchy of controls, a system of addressing workplace hazards from most to least effective:

  • Eliminating the hazard
  • Substituting the hazard (replacing it)
  • Engineering controls (isolating people from the hazard)
  • Administrative controls – changing how people work
  • Personal protective equipment

Check out the complete recording of the webinar and view other posts in our blog series highlighting the presentation.

Implementing solutions for workplace strain and sprain risks

This is the fourth in a five-part series of blog posts recapping our webinar, Preventing strains and sprains.

The fourth segment of SFM’s webinar focused on implementing solutions for the workplace risk factors identified in the previous section. (See Part III below for more information.)

Here, Eric Johnson, Loss Prevention Specialist, discussed minimizing ergonomic risk factors in the workplace. He gave specific examples of things employers can do to reduce musculoskeletal disorders created by high-force loads, repetition and awkward postures.

Johnson, who has about 20 years of experience in the field, also provided information on other methods to prevent musculoskeletal disorders, such as stretching programs, getting employees to move more during work hours and encouraging them to drink more water.

Additionally, he outlined safety programs and training opportunities employers can use to help maintain a safe workplace. To wrap up his portion of the presentation, Johnson encouraged annual reviews of:

  • Safety programs
  • Injury analysis
  • Employee feedback

Check out the complete recording of the webinar and view other posts in our blog series highlighting the presentation.

Legal aspects to strain and sprain injuries

This is the fifth in a five-part series of blog posts recapping our webinar, Preventing strains and sprains.

The final section of SFM’s presentation focused on the legal aspects of strain and sprain injuries.

John Hollick, Chief Defense Counsel at SFM’s in-house law firm, outlined the legal issues that can arise from these injuries and their impact on workers’ compensation benefits.

“The legal standard, generally, is that for an injury to be compensable, it’s not necessary that the employment be the only cause of the condition for which benefits are sought,” Hollick said. “It is sufficient that the employment is a substantial contributing factor. In many cases, it is up to the medical provider to determine what constitutes a substantial contributing factor. Or, in other words, whether the work activities more likely than not caused the injury.”

Hollick, who has decades of experience in the field, also talked about the risks and costs associated with litigated claims. He finished his portion of the presentation by examining the pros and cons of conducting surveillance, outlining the litigation process and discussing what policyholders can do to reduce the risk of litigation.

Check out the complete recording of the webinar and view other posts in our blog series highlighting the presentation.

Join us for the SFM Foundation’s fall fundraisers

Mark your calendars now to join us for the SFM Foundation’s fall events.

The SFM Foundation is a nonprofit that helps families affected by workplace injuries by providing scholarships to children of workers disabled or killed in work-related accidents.

Up first is the third annual Bowling for Scholarships fundraiser in Iowa . It will be held Thursday, Oct. 30, at Spare Time Entertainment in West Des Moines.

Next is the Minnesota fall fundraiser – a bowling event at Pinstripes in Edina . This is a new event and new location for 2025. It will be held Thursday, Nov. 6.

More details will be announced as the events draw near.

Other SFM Foundation updates

Earlier this year, the SFM Foundation announced nearly $600,000 in new scholarships, a record since the organization was founded in 2008.

“We have seen a steady uptick in the number of applicants for our scholarship, so being able to award more students and provide more funding this year is amazing,” said Deb Zorn, the foundation’s Scholarship Director. “It’s so rewarding to see these young people follow their dreams with the support of the foundation community.”

This year marks the highest number of scholarships awarded in the foundation’s history – 19.

Also, the SFM Foundation’s summer golf tournaments generated $150,000.

“We are so grateful for the continued support of our agent partners, clients and others in the community,” said Linda Williams, President of the SFM Foundation. “Without their generosity, we wouldn’t be able to help as many students as we do each year.”

About the SFM Foundation

The SFM Foundation was created in 2008 by SFM Companies. The nonprofit is dedicated to easing the burdens on families affected by workplace accidents. Scholarships are awarded regardless of which workers’ compensation insurer was involved in the claim. Since its inception, the foundation has awarded 266 scholarships totaling $4.7 million. For more information, visit sfmfoundation.com .

The SFM Foundation is an affiliate of Kids’ Chance of America  in Iowa and Minnesota.

 

View more news about SFM

SFM featured resources: School safety

As summer winds down, school safety should be top of mind.

Schools face unique safety challenges relative to other types of organizations, which is why SFM has a wealth of resources available. View our School safety resources page for more, plus links to even more information for keeping schools safe.

Below are a few highlights for you to peruse.

Safety training talks for schools

SFM’s Supervisor Initiated Training (SIT) series helps managers talk with their staff about preventing common sources of injuries.

See all school-related SITs

5-Minute Solutions

Check out SFM’s 5-Minute Solutions for brief training talks on safety-related topics.

See all school-related 5-Minute Solutions

Get to know a member of the SFM Subrogation Team: Wes Spain

Wes Spain, SIU manager
Wes Spain, SIU Manager

Wes Spain has been with SFM since 2022 as a Subrogation Specialist & Special Investigation Unit (SIU) Manager. We asked Spain to share a little bit about his background and role.

Tell us little bit about your background.

I grew up in an insurance household. Both of my parents worked for insurance companies, so I watched them and how they handled insurance.

When I got out of college I worked for an insurance company, then at a rental car agency for a bit, then back in insurance for 19 years. I joined SFM in 2022 and got into subrogation. It’s been great and I really enjoy it here.

How would you describe your role in a nutshell?

To be a learner and a leader at the same time. Although I’m a leader of a team, I’m new to workers’ compensation, so I’m learning as I go. My main role is to work with my team, work with attorneys and outside surveillance vendors, handling subrogation claims, reviewing catastrophic claims for subrogation potential, as well as leading a team of SIU reps — being a coach and motivator for them, addressing any issues they have, and hopefully making life at SFM somewhat enjoyable for them.

How is SFM different from other carriers you’ve worked with?

SFM feels like your neighbors, like your family. It’s very closeknit. At other companies, you kind of feel like a tree in a forest. At SFM, you’ll have the CEO and COO asking about you and your kids and your weekend. We all know each other and have a great sense of community here.

Is there a time that stands out to you when your job was particularly rewarding?

Thursdays – I love Thursdays because that’s when we get our results entered. It is a real time measure of our success and it’s rewarding most weeks, because it’s a team effort. Many factors go into making a recovery that could reduce or eliminate our ability to recover so when you get the check it’s a good feeling.

What do you like about your job?

I like the ability to work with different people and different departments. I like working closely with my team.

We’re here to serve claims and I’ve always been a customer service guy. Any time we’re able to accomplish that though bringing back subrogation dollars or completing a strong investigation, that makes me feel like we’re getting the job done.

What’s most challenging about your job?

When I don’t know something — having to figure out who the right person is to get that answer. Being relatively new, I still don’t know exactly what everybody does. Plus, if I’ve done a process, it might have been just once. Figuring out things I don’t do very often and that aren’t in my wheelhouse keeps me on my toes.

What words of wisdom do you have for employers?

I would suggest that they treat their employees well and provide a good work-life balance.

Recognize talent early and make sure you hold onto them and reward them appropriately. Continue to push them up. The best companies have employees who mostly feel like they’re rewarded and recognized for what they do every day.

 

View more news about SFM

Hands-free driving: Safety and the law

A new hands-free driving law went into effect in Iowa on July 1, 2025, highlighting legal aspects of safe driving.

Iowa’s law is similar to those in other states and prohibits drivers from using electronic devices unless the device is in a hands-free setting. The statute bars drivers from holding their phone, which includes:

  • Typing
  • Scrolling
  • Entering GPS coordinates
  • Streaming video
  • Viewing content
  • Making calls unless voice activated

State officials are allowing an initial warning period through the end of 2025.

“Iowa’s new hands-free law marks a pivotal moment in our fight against distracted driving; it’s an unprecedented opportunity to fundamentally change driver behavior,” Brett Tjepke, chief of the Governor’s Traffic Safety Bureau, said in a press release . “By embracing this change, we can drastically reduce fatalities and serious injuries on our roads, making Iowa safer for everyone.”

Safe driving

Not using a phone while driving is not only the law in many states, it’s also a good safety practice.

The National Highway Traffic Safety Administration (NHTSA) reports that 3,275 people died in distraction-affected crashes in 2023.

While more than 30 states have laws related to driving and cellphone use, companies can take the extra step of addressing the matter in company policy.

SFM provides a sample cellphone policy CompTalk in our resource catalog. The example policy prohibits any use of phones while driving for work, regardless of an employee’s use of hands-free devices. It requires employees pull over and stop before calling, answering, or texting using a cellphone.

Other safe driving resources:

Hands-free laws in other states

Minnesota

Minnesota’s hands-free law went into effect in 2019 .

Accessing or posting on social media, streaming videos, searching a website or otherwise using a phone is prohibited. For repeat offenders, the fine can be $300 or more, including court fees.

Wisconsin

In Wisconsin, its law went into effect in 2017 and is slightly different from those in Iowa and Minnesota:

  • Texting while driving is against the law for all drivers
  • Hand-held or hands-free cell phone use is prohibited for any driver with a probationary license or instruction permit, except to report an emergency
  • No driver may use a hand-held mobile device when driving through a road work zone, except to report an emergency

Conclusion

Safety-conscious employers should review the laws in their state regarding cellphone use and driving, and ensure employees understand the dangers of distracted driving.

Independent contractors and work comp liability

If you hire a subcontractor that lacks the proper workers’ compensation coverage — or doesn’t qualify as an independent contractor — it could put you at risk for liability if a work injury occurs, depending on which state the work is being performed in.

Here are some tips to avoid this situation, where applicable:

  • Confirm that the subcontractor is an independent contractor as defined by your state’s laws
  • If the subcontractor uses employees, ask for a certificate of insurance as proof of workers’ compensation coverage

Subcontractors with no employees can choose whether to purchase workers’ compensation insurance for themselves in most states. If they do have coverage, ask for a certificate of insurance for verification. Note that certificate of insurance verification alone does not qualify a subcontractor as an independent contractor. They still must meet all of the state’s criteria.

If they don’t have coverage: Request a copy of the subcontractor’s independent contractor registration form if applicable in your state. Some states have a registration process for independent contractors, and some don’t. Otherwise, ask for a copy of the subcontractor’s current license.

Note that a contractor registration form alone does not qualify a subcontractor as an independent contractor. You should also:

  • Check to see that the subcontractor is registered with the state as a business entity
  • Request a Certificate of Insurance for General Liability covering the dates the work was performed with limits of at least $300,000

Other considerations

Employers must also be aware of their respective state requirements. Every state is different, but in most cases, for a worker to be considered an independent contractor for workers’ compensation purposes, the worker must have:

  • Control over how the work is performed
  • Ability to realize financial loss or gain based on how a project goes
  • Ownership of equipment to complete the job
  • Compensation on a per-job basis

These are just some basic criteria, and most states have additional requirements beyond these. Get details through your state’s department of labor. For example, the labor departments in Minnesota Wisconsin and Iowa  provide additional information online.

There are also industry-specific considerations. In Minnesota, for example, many job sites require drivers in varying capaci­ties. There is a statute that defines independent contractors in the “trucking and messenger/courier industries,” but those industries are undefined. An operator of a car, truck or van is deemed an employee unless all criteria are present. These include:

  • Owning or leasing the vehicle
  • Being responsible for the maintenance and all related operating costs
  • Being compensated based on the work performed, and not an hourly basis
  • Being substantially responsible for the means and manner of performance
  • Having a written contract specifying the relationship of independent contractor

A general contractor should assume any driver will be deemed an employee unless all of the statutory criteria are met.

Your agent can help

Lastly, if you need help determining whether a subcontractor is an independent contractor or employee, ask your agent for guidance.

They can help you understand the implications to your workers’ compensation coverage.

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