Can you terminate employees with an open work comp claim?

Can you terminate employees with an open work comp claim?

The answer is — it depends.

While most states have laws that bar employers from terminating or disciplining an employee solely based on them being on workers’ compensation or in response to their experiencing a work injury, there are conditions under which such an employee may be let go.

For example, an employee hurt their back and files for work comp benefits. Then, the employer learns that worker is embezzling from the company. In that case, the employer would likely have just cause to fire that employee, for reasons unrelated to their work injury.

The key is to separate review of the performance concern from the work comp claim. While a work injury does not immunize an employee from discipline for performance problems, including termination, the nuances are important and the risk of retaliation is real.

In another example, what if an employee disregarded safety rules while driving a forklift and injured themself and another worker. They could still be disciplined for engaging in unsafe practices, if the employer was consistent in treating other similarly situated employees the same way. If the employee claimed that the discipline was in retaliation for the work injury or filing for work comp, the employer would have to prove the discipline was non-retaliatory.

If an employee feels they’ve been wrongfully targeted for exercising their protected right to file a workers’ compensation claim, they may in turn file a retaliation claim, which opens the employer in many states (including Minnesota ) to civil damages, including potentially punitive damages or penalties.

The cost of termination

It’s also important to note that termination of employment does not terminate the work comp claim. Some employers may try to reduce or limit the payable lost-time benefits on a work comp claim by terminating the employee for a reason unrelated to the work injury. However, this idea may ultimately make the claim more costly.

Depending on the circumstances surrounding the termination, temporary total disability and temporary partial disability benefits may still be available to an employee up to the statutory caps on the benefits. Therefore, terminating the employee may cost the employer more in wage-loss benefits compared to actively working with the injured employee to return to work.

Two other examples of benefits an employer could continue to pay after terminating employment are vocational rehabilitation treatments post-injury, and assistance in their search for a new job.

Plus, if the employer is found to have terminated the employee in relation to their work comp claim, they may be responsible for paying the employee civil damages, including punitive damages.

Other forms of retaliation

Retaliation against an employee with a work comp claim can take other forms besides termination, including:

  • Failing to provide a First Report of Injury Form at the time of injury or telling the employee they can’t seek medical attention for their injury
  • Demoting or transferring the employee to a less desirable position
  • Denying overtime, a promotion or pay increase
  • Reducing pay, hours or benefits
  • Unjustifiably low performance evaluations
  • Unexpectedly changing the employee’s schedule or work location
  • Intimidating the employee or creating an unpleasant work environment

Other resources

For employers who are experiencing challenges with problem employees and work comp, SFM has additional resources that may prove valuable.

Keeping problem employees on staff can increase workers’ compensation costs

Many times, these employees should have been disciplined or even fired before they reported work injuries. But once a workers’ compensation claim has been filed, disciplining or firing an employee can become much more complicated, and costly.

How to discipline employees who’ve experienced work injuries

Simply because an employee sustained a work injury does not excuse that employee from performing the duties and expected standards of the job.

Conclusion

Employers should ensure they understand the relevant statutes, and map out potential pitfalls, before taking adverse employment action against an employee on work comp.

This is not intended to serve as legal advice for individual fact-specific legal cases or as a legal basis for your employment practices.

Winter safety: Tips and resources

It probably comes as no surprise that winter can be a hazardous time for employees.

Between slips and falls, challenging driving conditions, extreme cold, shoveling and more, there are several additional dangers to consider as the weather turns colder. However, there are a number of steps employers can take to prevent injuries among their workers.

That’s why SFM has compiled a wealth of resources to help keep employees safe during winter. Be sure to share these resources with your safety leaders, employees and others.

Winter-proof your workplace to stop slips and falls

Follow these steps to get your employees ready for the risks of winter weather and cut down on slips and falls in the workplace.

11 common sense tips for safe winter weather driving

Follow these tips to keep safe while driving in snowy and icy winter weather.

Prepare to prevent winter slips and falls

Winter slips and falls are among the most common causes of workplace injuries. As an employer, there’s a great deal you can do to prevent these injuries at your workplace.

Four quick tips for safe snow shoveling this winter

Follow these four tips to reduce the risk of injuries while shoveling snow, so you can get back inside safely.

Easy way to avoid winter falls: Step down, not out.

Using the “Step down, not out” method when getting out of a vehicle or stepping off a curb forces you to stand up or step flat footed, eliminating the chances of slipping.

Safety video: Avoid slipping this winter

Watch this video to learn how to avoid slipping and sliding this winter.

Lastly, be sure to check out additional items related to winter safety in the SFM Resource Catalog.

SFM attends Women and Safety conference

Pictured above, from left: SFM Loss Prevention Specialist Jason Clausen; Sarah Allender, Senior Safety and Loss Control Specialist with True North Companies; and (in VR gear) SFM Loss Prevention Specialist Toby Tortorilla.

SFM recently participated in the Midwest Women in Safety Conference 2024, presenting information on virtual reality (VR) and safety training.

Held at the Kirkwood Linn County Regional Center in Iowa, the event included several safety-related sessions, with SFM Loss Prevention Specialists Jason Clausen and Toby Tortorilla discussing safety technology they are exploring.

“The implications of virtual reality’s use in safety training are certainly exciting,” Clausen said. “There have been remarkable advancements in VR in recent years, and we hope it can help employers keep workers safe in a number of ways.”

Specifically, they talked about:

  • SFM’s hopes for virtual reality training
  • Training methods
  • Exploring virtual reality training benefits
  • Virtual reality training demonstration

“VR is yet another tool employers can utilize to create a safe work environment,” Tortorilla said. “It provides the opportunity to mirror an actual workplace, track progress, engage employees and foster an open learning environment regarding safety.”

The benefits of VR safety training include:

  • Training for hazardous work, such as fall protection
  • Training that is normally very expensive and time consuming, excavation for example
  • Training for locations that do not yet exist
  • Training where errors have a large impact, such as Lockout/Tagout

“We were happy to be able to show the benefits of VR safety training at the Midwest Women in Safety Conference,” Tortorilla said. “It was a great chance to meet others in the industry and learn more about the latest developments in safety.”

Tortorilla also participated in a panel discussion relating to the future of artificial intelligence (AI) in relation to the safety field. He was able to provide findings from the research that he, and a team of SFM Loss Prevention personnel, were involved in recently.

“AI can be used in many ways to assist us as safety leaders,” he said. “AI can help create safety programs and policies, assist with ergonomic assessments, perform compliance and behavioral based assessments and bring attention to real-time hazards through wearables, telematics and other electronic devices. The capabilities are truly limitless.”

Most attendees had not utilized VR or AI in the safety realm and were not familiar with the opportunities both could provide, Tortorilla said. “I was glad to be a part of this conference, to help spread the word.”

Why de-escalation in the workplace is vital

De-escalation in the Workplace - An SFM webinar for policyholders | 2024Each year, thousands of employees are the victims of workplace violence.

More than 20,000 private industry workers experienced nonfatal workplace violence in 2020, according to a 2024 report from the National Institute for Occupational Safety and Health (NIOSH).

Of those, 22% required 31 or more days away from work to recover and another 22% involved 3-5 days off of work. Even more sobering, nearly 400 U.S. employees died from workplace homicide in 2020, according to NIOSH.

That’s why de-escalation in the workplace is so important. The technique is vital when confronted with violent or aggressive behavior.

According to professionals , de-escalation means “transferring your sense of calm and genuine interest in what an individual wants to tell you by using respectful, clear, limit-setting boundaries.” In short, de-escalation is the process of managing someone else’s behavior with your own.

Workplace violence can take many forms, including any act or threat of physical violence, harassment, intimidation and other threatening disruptive behavior.

Industries and de-escalation

Two industries more likely to see workplace violence are educational services and health care and social assistance.

SFM’s own claims data from 2019 through 2023 showed that those two industries accounted for about 95 percent of such incidents. In the health care field specifically, employees are five times as likely to experience workplace violence as other types of workers.

See additional SFM resources for de-escalation.

De-escalation tactics

While specific threats vary among industries, Jason Clausen, a Loss Prevention Specialist at SFM, said many de-escalation tactics apply universally.

“These tactics all require a state of calm, and operate around the cornerstone of active listening,” he said.

General de-escalation tactics that apply universally include:

  • Respecting personal space
  • Maintaining safe body positioning
  • Giving clear, concise direction
  • Setting obvious boundaries
  • Conveying empathy
  • Establishing positive tone of voice

Safety programs

Beyond de-escalation tactics themselves, employers can also take steps to mitigate workplace violence by crafting safety programs.

Generally, building a successful safety program involves four steps.

  1. Set safety goals

Focus on safe behaviors rather than risky ones. Choose goals that relate to safety indicators — such as de-escalation training sessions.

The best behaviors to observe are those that will prevent injuries from happening. Review your injury records to look for any trends. This will give you a place to start.

  1. Use positive recognition

When you’re observing workplace safety, take the time to recognize employees who follow proper protocols. This can be done verbally, or you can consider some sort of reward program.

  1. Get employees involved

Encourage workers to participate, give them roles and give them the freedom to discuss safety challenges and successes with others.

  1. Respond to employee concerns

If you have employees reporting safety concerns to you that go unanswered, the program will lose momentum, as well as credibility.

Create an environment in which employees feel comfortable bringing safety issues to their superiors and won’t fear reprisal for making suggestions. Also encourage leadership to demonstrate their support of your safety program.

Recap of SFM’s 2024 summer interns’ experience

They came. They saw. They learned a lot about workers’ compensation.

With fall underway, SFM is taking a look back at the experience of its summer interns.

During the summer of 2024, SFM had four interns aboard:

  • Lily Johnson, junior at Iowa State
  • Rishabh Sharma, senior at St. John’s University in Minnesota
  • Fathia Warsame, senior at the University of Minnesota
  • Darius Watt, senior at Hamline University in Minnesota

This year’s goal was to provide broad exposure to workers’ compensation insurance in addition to the corporate side of the business. Instead of interns being assigned to specific teams, they rotated within four main focus areas throughout the summer, including claims, underwriting, analytics and communications/marketing.

“We are thrilled to continue introducing young people to the insurance industry and promoting SFM as an employer of choice through our internship program,” said Senior Vice President and Chief HR Officer Jody Rogers. “It’s our plan to offer summer internships for the foreseeable future.”

During their time with SFM, the group was introduced to the world of workers’ compensation insurance and how SFM handles claims, underwriting, communications, etc. They also created safety videos based on what they learned — focusing on the common workplace injuries incurred among young people. Johnson’s mentor was Sadie Zorn, Marketing Underwriter at SFM.

“It was such a joy and honor to be a mentor to Lily. She brought such fun energy, enthusiasm, and curiosity to the internship. As the summer went on, and she learned more about SFM and the insurance industry, which opened her eyes to the endless opportunities that our industry offers,” Zorn said. “A reoccurring comment from Lily was how welcoming SFM was, how friendly our staff are and how she could tell SFM was a great place to work. It was cool to see Lily catch on to and immerse herself into SFM culture throughout the internship!”

As a group, the interns talked about their experiences at SFM.

Underwriting

During the first week of June, SFM kicked off our intern rotations with the Underwriting team. This was beneficial because it transformed our brains into an insurance mindset. Underwriting Technical Specialist Jen Wolf was one of the first people to take the time to teach us workers’ compensation history, which set the foundation to be able to comprehend the syntax and acronyms used at SFM. As we increased our knowledge and understanding of underwriting, we were tasked with a handful of endorsement requests and eventually processed them.

Claims

We were able to apply our newborn underwriting knowledge and reach another level of understanding of workers’ comp. As a result of our claims experience, we are now able to apply the five W’s of who, what, where, when and why, and how they all have a crucial impact on claim files.

Analytics

We were handed a large dataset containing 27,000 claims with over 50 variables and our general tasks were to answer questions using trends we identified. We learned a lot of cool tips and tricks from Analytics team members and how to turn around projects in a short amount of time.

Communications/marketing

We learned many methods that are utilized to stay up to date on resource literature, websites and blogs. We also learned how SFM uses style guides to communicate effectively and professionally.

We also used our time in Communications to finish our group project, which was to create short safety videos to help younger workers avoid common injuries. We made our final presentation to SFM management, internship leaders and mentors during the last week of our internship.

 

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Don’t let work comp fall off your radar

While pricing and coverage difficulties persist in other property and casualty segments, especially property insurance, agents shouldn’t let workers’ compensation insurance fall by the wayside.

Other lines of insurance may garner more headlines, as well as your attention, but there are several benefits to working with a work comp expert, especially considering some of the industry developments in recent years. Some concerning trends carriers are watching include:

  • Higher claims severity
  • Aging workforce
  • Rise in workplace violence claims
  • Mental health issues
  • Increase in litigated claims
  • High rates of injury frequency among newer employees
  • Medical inflation

At the same time, multistate employers may face difficulties navigating the differences in claims rules and regulations, which can vary based on the jurisdiction.

“Workers’ compensation insurance has its own unique challenges for employers, which is why it makes sense to ensure policyholders are getting the best possible service and value,” said Cody Allen, Territory Manager at SFM. “By working with an insurer specifically dedicated to work comp, agents have access to the tools they need to streamline their processes. And equally important is the high level of care the injured worker receives.”

These factors contribute significantly to SFM’s 96% retention rate.

So, while property renewals may be a headache for many agencies today, don’t sleep on the importance of partnering with a strong work comp insurer.

 

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SFM webinar: De-escalation in the workplace

De-escalation in the Workplace - An SFM webinar for policyholders | 2024Join us Nov. 20 for SFM’s next workers’ compensation webinar, De-escalation in the workplace .

Workplace violence has become an increasingly common concern for employers, and taking the steps to mitigate potential issues is vital.

Set for 10-11 a.m. Wednesday, Nov. 20, the webinar will bring in SFM experts to examine:

  • The four categories of workplace violence
  • Factors behind workplace violence and which industries are at higher risk
  • Elements needed for a successful safety program
  • Why a safety program should include de-escalation techniques

Register now

The webinar will also cover the associated work comp matters related to de-escalation, and policyholders and attendees will gain insights into:

  • The claims process once an injury is reported
  • How workplace violence injuries can be challenging for return to work
  • Employer costs due to workplace violence claims and litigation
  • Much more, including a question-and-answer session at the end

Keep an eye out for further details, and be sure to share the registration link with policyholders. And view previous SFM webinars.

 

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SFM’s Cody Allen elected to ICRB governing board

Cody Allen
Cody Allen, SFM Territory Manager

Cody Allen, SFM Territory Manager, has been elected to the governing board at the Indiana Compensation Rating Bureau (ICRB).

The ICRB is a private nonprofit association that includes all insurance companies licensed to write workers’ compensation insurance in Indiana. Chosen to join the group in in early October 2024, Allen will serve a two-year term that is already underway.

“I’m excited and honored to be chosen to join an organization like this,” Allen said. “SFM is proud to be involved in a state where workers’ compensation has been well run and profitable. The ICRB has provided strong leadership for years and created a robust work comp environment in Indiana.”

Established in 1935, the ICRB gathers information from its member companies that may be necessary to establish fair and adequate advisory rates, according to the organization’s website. That information is submitted to the Indiana Department of Insurance for review, then distributed to all member companies.

In addition to the data collection and ratemaking responsibilities, the ICRB is involved in other aspects of workers’ compensation in Indiana, including:

  • Rules promulgation
  • Experience rating
  • Inspection and classification
  • Assigned risk administration
  • Industry education
  • Dispute resolution

 

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Resources to prevent injuries among new hires

Policyholders should know that new employees are among the most likely to be injured on the job.

In fact, SFM data over the past 13 years has shown a steady uptick in the number of claims for employees with four or fewer months on the job.

injuries among new hires

That’s why SFM has created several resources to help employers with safety practices for new hires.

New employee safety: Get your new hires off to a safe start (blog)

Effectively training new employees on safety can be challenging, but it’s key to protecting and retaining quality employees.

Cut down the risk of injury for your new employees (blog)

Make sure prospective hires understand the job and that new employees are properly trained to cut down the risk of injury.

Occupational injuries for new workers (fact sheet)

SFM conducted original research to identify injury risks for new employees. This fact sheet quickly details the findings.

Safety Orientation Success (guide)

Use this step-by-step guide to train employees in safety on the job.

You can also find onboarding checklists for specific industries, and a wealth of other safety information, on the SFM Resource Catalog.

 

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How SFM reduces policyholders’ e-mod

Did you know that large policyholders who switch to SFM see on average a 7-point reduction in their experience modification (e-mod)?

Check out this chart for the specifics:

SFM e-mod chart

This chart shows SFM policyholders with $50,000 or more in manual premium that qualified for an experience modification factor. Each of these policyholders had continuous workers’ compensation coverage with SFM through a minimum of five policy terms.

How does SFM achieve such success for its customers? There are several reasons, including our approach to loss prevention and claim management.

Claim management

  • Low caseloads per adjuster
  • 24/7 nurse triage for injury reporting

Loss prevention

  • In-person services and training
  • Online safety resources

Cost containment

  • PPO networks
  • In-house bill review

Workers’ compensation expertise

  • Focused approach
  • Leaders in the industry

Learn more about how we can help you get the most from your workers’ comp coverage.

 

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