Did you know that the longer an employee is off work due to an on-the-job injury, the less likely it becomes that the employee will ever return to work?
That's why employers and injured workers benefit from strong return-to-work programs. Even if injured employees can’t return to their regular jobs right away, bringing them back as soon as possible by providing modified-duty tasks or reduced hours helps them:
- Recover faster
- Stay in the routine of working
- Feel productive
- Maintain workplace relationships
Employers benefit by bringing injured employees back to work as soon as they’re medically able because it:
- Reduces the likelihood of litigation
- Helps control workers' compensation claim costs, which affect future premium
Past workers’ compensation claims affect future premiums
You probably know that your loss history is taken into account when calculating your workers’ compensation premium, but you may not know exactly how it works.
Your state’s rating bureau calculates an experience modification factor (e-mod for short) for each employer over a certain minimum premium level.
If your loss history is average for your class of business, your e-mod will be 1. If it’s better than average, it will be less than one. Because your e-mod is used as a multiplier when calculating your premium, a better-than-average e-mod will lower your premium.
For more details on this, see our CompTalk on e-mods .
Preventing lost-time claims pays off
When calculating an e-mod, not all claim costs are treated equally.
If a claim remains medical-only, meaning the injured worker does not receive wage-replacement (also called lost-time) benefits, claim costs are discounted by 70 percent.
To keep a claim medical-only, you must bring the employee back to work before your state’s waiting period ends. The waiting periods are:
- Three days in Iowa, Minnesota and Wisconsin
- Seven days in Nebraska and South Dakota
Split-point increases make return-to-work more important
When total costs for an individual claim rise above a split point that’s set by each state annually, those costs are also discounted for the purposes of calculating your e-mod.
The split point ranges from $17,000-$17,500 in SFM’s core states of Minnesota, Wisconsin, Iowa, Nebraska and South Dakota.
Example: How return-to-work impacts future premium
If you can bring an employee back to work before the waiting period ends, the impact of the claim on your e-mod and future workers’ compensation premiums will be significantly less.
Here’s an example:
Consider two assisted living facilities, each with about 13 employees and currently paying about $23,000 in workers’ compensation premium.
A certified nursing assistant at the first facility slips and falls while working. Her medical bills total $7,500, but she is able to start doing light-duty work filing and answering phones before the state’s waiting period ends, so the claim remains medical-only.
At the second facility, another nursing assistant has a similar accident, but her employer does not provide light-duty work, and she ends up receiving some workers’ compensation benefits for lost pay. The combined cost for her medical expenses and lost-time compensation total $7,500.
Although the total cost for both claims is the same, the impact on their respective employers’ workers’ compensation costs are very different, because only 30 percent of the medical-only claim impacts the employer's e-mod, compared with 100 percent of the lost-time claim.
What does this mean for these employers’ workers' compensation premiums? The claim that remained medical-only would cost the employer $2,850 over three years in terms of increased premium. To compare, the lost-time claim would cost the employer $9,494 over three years!
How to start a return-to-work program
If you don’t have a return-to-work program already, follow these four steps to start one:
1. Draft your policy.
Formally state that your company intends to bring injured employees back to work as soon as they’re medically able, and will provide adaptations or light-duty work when needed. For guidance, see SFM’s sample return-to-work program.
2. Appoint a claims coordinator.
This is an individual tasked with overseeing workers’ compensation claims and return to work. Have this person develop a plan for reporting injuries and communicate it to supervisors and employees. Having step-by-step instruction sheets around helps a lot. For more details, see SFM’s Comp Talk on claims coordinator duties .
3. Select a primary care clinic.
Establish a good working relationship with a local clinic where the physicians understand occupational medicine and return-to-work. If possible, meet with doctors at your preferred clinic to give them an overview of your organization and tell them you are committed to returning employees to work as soon as they are medically able. Suggest that your employees go there if they’re injured. Note that in most states, employees have the right to choose where to have their injuries treated.
4. Identify transitional jobs.
Transitional or modified-duty jobs provide opportunities for your employees to return to work even when medical restrictions prevent them from doing their regular jobs. That might mean having an injured employee work in a different department temporarily. To come up with ideas ask your managers, “What would you do if you had an extra pair of hands?”. For more ideas, check out our lists of transitional jobs broken down by industry.
See our infographic on return-to-work below:
This is not intended to serve as legal advice for individual fact-specific legal cases or as a legal basis for your employment practices.