Changing marijuana laws and the impact on work comp

By John Hollick, JD, SFM Chief Defense Counsel

Nationally, many states have been enacting laws regarding medical marijuana, recreational marijuana and hemp-derived substances. Given the prevalence of THC-infused products, employers are asking about the impact of these potentially intoxicating substances on the workers’ compensation system.

For example, in Minnesota consumers can now purchase THC-infused food and beverages. The THC must be hemp-derived, and there are no restrictions on who can sell these products or where they can be sold. Hemp, which is legal on the federal side, has less THC (the substance in marijuana that produces the “high”) than the typical marijuana plant. The THC edibles in Minnesota could be consumed as gummies, milk chocolate, snacks or beverages.

This has left employers wondering whether they need to be more concerned about the potential for THC-intoxicated employees to become injured on the job, and if these intoxicated employees would then get workers’ compensation benefits.

Look to state laws

Many states, including Minnesota, have several exceptions to the typical workers’ compensation no-fault system. One exception is the so-called “intoxication defense.” Minnesota’s law, which was first enacted in 1953, states that if the intoxication of the employee is the proximate cause of the injury, then the employer is not liable for workers’ compensation benefits. The burden of proof, however, is on the employer.

Iowa law states that if an injured employee fails the post-injury alcohol and drug tests, they will then carry the burden of proof to show that they were either not intoxicated, or that the intoxication was not the substantial factor in causing the injury.

In Wisconsin, the law states that if the employee is in violation of an employer’s policy regarding alcohol or drug use and that violation causes a work injury, the employee would lose all their rights to workers’ compensation benefits, except medical.

Colorado, which has had medical and recreational marijuana legalization in effect for several years, has one of the tougher laws. It states that if a drug test indicates the presence of a controlled substance, including marijuana, in the employee’s system during working hours, then it is presumed that the employee was intoxicated, and the injury was caused by the intoxication. The employee would then have to rebut this presumption by presenting clear and convincing evidence. Indemnity benefits would be reduced by 50% if the employer prevailed on this defense, but medical benefits would not be affected.

What can employers do?

The best way employers can control work comp costs is to prevent injuries and have solid safety programs. A clear and communicated handbook policy on intoxication is important.

It is also important to report workers’ compensation injuries in a timely manner to your work comp insurer or administrator, and if intoxication could be an issue in causing the work injury, early investigation and identification of witnesses is important. An employer should also consult an attorney if they are considering a drug testing program as some states, including Minnesota, have complex drug testing laws.

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

 

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SFM territory expansion: Sights set on Tennessee

SFM’s territory expansion continues as the team makes more progress in Kansas and Indiana and sets its sights on Tennessee.

SFM has selected the Volunteer State as our 2023 expansion state, continuing our plans for growth. Our team is already meeting with key industry contacts in the state to develop relationships with regulators, agencies, and agency associations. SFM expects to be appointing new agency partners in Tennessee in the coming months, and to begin writing business in the first half of 2023.

“We are extremely optimistic about our future outlook in Tennessee,” said SFM Business Development Specialist Cody Allen. “We chose Tennessee based on several key factors: a consistent history of profitability in the work comp line, ease of doing business from a regulatory standpoint, and a potential strategic partnership to help with our initial agency distribution.”

A year in Indiana

SFM entered Indiana in fall of last year and started writing business in January. So far, we have surpassed our initial goals for 2022 for written premium and appointed agencies.

“Our team is developing a few key relationships in Indiana that we expect to increase our growth in the state in the coming year,” said SFM Small Business Marketing Representative Mark Lewis. “It’s encouraging to know that agents in this competitive work comp market want to work with a carrier that has a deep desire to support both them and their policyholders, and that is also competitive on pricing and commission.”

This first year, we have had the chance to meet many new agencies thanks to our team members’ activities participating in both the Big I Indiana and the Professional Insurance Agents (PIA) of Indiana. SFM will be exhibiting at the annual Big I Indiana convention in November, and we encourage you to stop by our booth to meet our team.

Recap of Kansas, our first expansion state

We’re continuing to grow in Kansas.

“The reception by Kansas agencies and our results to date have far exceeded our expectations and this state remains a marker of what our company can achieve with hard work and through terrific agency partnerships,” Allen said.

Currently, we have over 450 policies and $1.6 million of in-force premium in the state, and we have signed up over 115 agencies.

SFM is now writing business in 34 states. You can view a complete state coverage list on the coverage and services page of the SFM website.

 

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SFM and Underwriter Jeff Magee recognized by the IIAN

IIAN CEO Carol McClelland, CAE, presents SFM Senior Marketing Underwriter Jeff Magee with the Company Representative of the Year award
IIAN CEO Carol McClelland, CAE, presents SFM Senior Marketing Underwriter Jeff Magee with the Company Representative of the Year award

The Independent Insurance Agents of Nebraska recognized SFM for outstanding effort and service with two annual awards for 2022.

Senior Marketing Underwriter Jeff Magee was named the IIAN’s Company Representative of the Year and SFM was named Five Star Company of the Year for 2022.

Company Representative of the Year: Jeff Magee

The Company Representative of the Year award considers an individual’s support of the “Big I,” company-agent relations, new business production and agents’ ability to give their clients superior service. Magee’s nomination cited both his service to agencies and leadership within the organization.

“Jeff goes out of his way to make sure he is providing our agency with the highest level of service and truly values the relationship we have with SFM,” the nominator said. “Jeff has been an active leader on the IIAN Foundation Board, and promoter of our Nextgen group. Jeff is a great leader in our industry.”

Magee, who is based in Omaha, Nebraska, has been an underwriter with SFM for six years. He’s spent time working in a variety of roles for both carriers and agencies throughout his 25-year career in the insurance industry. He currently serves as president of Kids’ Chance of Nebraska , a nonprofit organization that provides scholarships to the children of Nebraska workers who have been severely or fatally injured on the job.

Five Star Company of the Year: SFM

The Five Star Company of the Year award is based on agents’ ratings of carriers in the following areas: technology, personnel, policy issuance, products/markets, claims, agency support, extraordinary factors (such as charity work or lobbying efforts) and overall relationship.

“We’re so grateful to our agency partners in the Nebraska ‘Big I’ for this meaningful recognition,” said VP of Regional Business Shawn Miner. “This award leaves us humbled and even more inspired to continue working hard for our Nebraska agents.”

 

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Agents can update policy effective dates on SAM applications

Users of SFM Agency Manager (SAM) now have the ability to change effective dates on quoted applications, including approved quotes. We added this feature earlier this year in response to feedback from agents.

You can update application effective dates right from the SAM quote screen. To change the effective date on an existing application, simply type the new effective date in the provided boxes and click “Save Dates.” You can reset effective dates forward up to 60 days past the original application effective date. To move a date backward, please reach out to your underwriter for review.

This change comes as a response to suggestions made by agents who use the SAM system frequently. This enhancement represents the latest in a series of refinements to the digital user experience for SFM’s agency partners.

“We’re already hearing from agents who appreciate the additional flexibility this upgrade gives them,” said Steve Sandilla, SVP & Chief Business Officer. “We’re grateful to our agency partners for providing direct feedback on how our SAM system can make their lives easier, and we work hard to turn their suggestions into meaningful improvements.”

For more information about optimizing your agency’s application workflow in SAM, contact your SFM underwriter.

 

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Get to know SFM premium auditor Jeremy Brandt

Jeremy Brandt
Jeremy Brandt

Jeremy Brandt has worked in SFM’s premium audit department for 15 years, starting as an Internal Premium Auditor and now serving as Premium Audit Technical Specialist. We asked him about his background and his role at SFM.

How did you get into the premium audit field?
There wasn’t anything that really drove me to insurance. I was just out of college looking for a job and that’s when I came across a medical underwriting job. After a short time in that role, I found an entry-level position as an auditor at SFM, and it ended up working out.

How would you describe your role in a nutshell?
As the Audit Technical Specialist, I’m the go-to person when underwriters have class code questions, or other auditors have questions about classifications or rules or anything like that. If I don’t know it off hand, I do the research and find it for them. I also do some internal, electronic and external audits and then handle any vendor audits and additional projects that the team has, so it’s kind of a wide array.

Is there a time that stands out to you when your job was particularly rewarding?
Anytime I am able to help other coworkers if their workload gets too overwhelming and keep them a little less stressed about their work. Other than that, there have been plenty of times where a policyholder calls and asks for help to get something right away such as a revised audit or something like that. I enjoy just being there to help them out.

What do you like most about your job?
I’d say I like the team that we have in the audit department. Everybody really gets along and works well together. I also like the variety I have in my work now that I am taking on additional projects and stuff like that.

What’s most challenging about your job?
It’s the difficult audits where the decisions make a pretty significant impact on premium. Our goal is to make sure everybody understands the rules and why they’re applied with minimal frustration from the policyholder and agent’s standpoint.

What tips do you have for employers?
We know everyone’s really busy, but when the auditors call for additional information or send an email, it helps a lot when employers get back to them as soon as possible. The sooner we hear back, the sooner we can get the audit finalized. When there are delays, it can lead to inaccuracies in the audit or even cancellation in some cases.

Tell us a little bit about yourself.
When I’m not working, I tend to be at a softball field. I help coach a 12U fastpitch softball club team, my younger daughter’s team. My older daughter is in club softball as well, so we’re basically traveling all over all the time for softball. I think in the last year we’ve gone to more states for tournaments than I’d ever visited in my entire life before that, so it’s kind of chaos, but it’s a fun chaos.

 

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Minnesota rating structure changes in 2023

Starting in 2023, the Minnesota Workers’ Compensation Insurers Association will be including trend, tail development, and loss adjustment expense data in pure premium base rates.

This change will bring Minnesota more in line with the practices of states that use the NCCI for rating, which include Iowa, Nebraska and South Dakota.

The pure premium rate statewide is increasing 5.7%, with the loss experience component decreasing 9.5% and definitional changes offsetting with a 16.8% increase. Insurers will be required to adjust their expense load, known as a Loss Cost Multiplier, to take out trend, tail development, and loss adjustment expense when adopting the 2023 rate sets. Many SFM policyholders could see a decrease in premium next year, although in some cases this may be offset by changes in payroll and individual loss experience.

Here’s a little more information from the Minnesota Workers’ Compensation Insurers Association newsletter on the data that will now be included in the Minnesota rates:

  • Trend data: This accounts for the difference in cost between the experience period, which was in the past, and the future period for which the rates apply.
  • Tail data: This accounts for the ultimate costs of claims, which can go on for years or even decades.
  • Loss adjustment expenses: This accounts for costs associated with recording, managing and settling claims such as attorney fees, court expenses and claim adjuster salaries.

See additional information about the change in MWCIA Circular Letter No. 22-1809 .

 

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SFM Foundation in-person fall fundraising event returns

Back by popular demand, the SFM Foundation’s live fall fundraising event is scheduled for this November.

SFM Foundation event proceeds provide most of the funding for scholarships. Due to the pandemic, the annual fall fundraiser was changed to a virtual event over the past two years. By bringing the in-person event back in 2022, the Foundation hopes to provide even more funding for a growing number of scholarships to students and families in need.

Join us from 6-9 p.m. on Thursday, November 10, at the Westin Edina Galleria in Edina, Minnesota, near SFM’s Bloomington headquarters. The event will feature wine and craft beer tasting, a silent auction, raffles, shopping, appetizers and more. Tickets are $40 in advance or $50 at the door.

In addition to the in-person event, a virtual silent auction will begin on Monday, November 7 and close during the live event at 8 p.m. on Thursday, November 10. The link to participate in the virtual auction will be available on the SFM Foundation website as the event nears.

If you’re interested in sponsoring the event, donating items for the silent auction, or purchasing tickets, visit sfmfoundation.com/events .

About the SFM Foundation

The SFM Foundation provides scholarships for students whose parents were seriously injured or killed while working for Minnesota or Iowa employers. SFM Foundation is an affiliate of Kids’ Chance of America  in Iowa and Minnesota and is also known as Kids’ Chance of Iowa. To learn more about the cause, visit sfmfoundation.com .

 

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Policyholders receive portion of WCRA distribution

The Workers’ Compensation Reinsurance Association is distributing $35 million to policyholders who had Minnesota workers’ compensation policies in 2020.

Recipients whose share of the distribution exceeds $15 will receive a check from the association, according to the association’s FAQ page . Checks are being sent out over the course of this year.

The amount each policyholder receives is based on the amount of earned premium for the 2020 calendar year.

Insurers and self-insured employers are also receiving a distribution.

For more details on the distribution, see the Workers’ Compensation Reinsurance Association’s Policyholder FAQ page .

 

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Legal and safety considerations for hybrid workers

The growing popularity of hybrid work schedules has many employers wondering about the workers’ compensation and safety implications.

There are some important legal and workplace safety considerations to be aware of if you have employees who work both remotely and on-site.

Injuries at home

Workers’ compensation coverage extends to hybrid employees whether they are working remotely or on-site at your office.

Overall, an employee’s injuries are usually compensable if they happen during the actual performance of work, and they are sustained during normal working hours. However, the presumption of the injury being work-related is what sets remote office work apart from injuries sustained on-site at an employer’s office.

In most cases, an employee injured in their home or remote office has the burden of proof, which means they must be able to document that their injury occurred within the course and scope of employment.

Personal comfort needs

Injuries that occur while meeting personal comfort needs are typically compensable whether an employee is working on-site or remotely. These can include injuries that happen while taking bathroom breaks, coffee and meal breaks, or other similar comfort tasks.

That does not extend to injuries suffered by employees working at home while they take breaks to complete personal life and home-related tasks such as caring for a child, carrying personal items up and down stairs, or doing housework. In those cases, compensability is determined by an investigation into whether the activity occurred in the course and scope
of employment.

Commuting to work

The “coming and going rule” typically applies to employees commuting to work. Under this rule, workers’ compensation benefits generally do not cover vehicle accidents or injuries that happen while employees are driving to and from the employer’s on-site location because they aren’t providing a service to the employer during that time.

There are some exceptions that make it possible for an injury to be compensable when sustained during a commute to or from a workplace. For example, if the employee is required to drive their own vehicle to the office to use during their workday or for business travel, or if the injury occurs while an employee is running a work-related errand or operating a company-owned vehicle, it could be compensable. Careful analysis of the facts will help determine compensability.

Reporting injuries

No matter the circumstances, it’s important to report all injuries that occur during or around work hours whether they occur at an on-site location or the home office. Report injuries right away and let your workers’ compensation carrier determine compensability.

Setting expectations can help your hybrid workforce understand their role in safety and injury reporting. It helps to create a policy that clearly defines the terms and conditions of hybrid work activities and settings.

When injuries do occur, employers should promptly document in detail exactly when and how the accident occurred, and what the employee was doing before, during, and after the injury.

Remote work safety

The most frequent types of injuries we see among hybrid or remote workers are cumulative injuries that are usually a result of poor ergonomics at their remote workstation, and slips, trips, and falls.

An employer can manage ergonomics and reduce common hazards in an on-site office; however, the maintenance of the workspace shifts to the employee when they are setting up an office at home, so stressing the importance of good office ergonomics and good office housekeeping are important steps to providing and maintaining work safety for the hybrid employee.

Desk work completed in a home office may be lower risk for workplace injuries than other occupations, but it’s still important to talk about safety with your office employees, and to help your hybrid employees understand their role in home-office safety. We offer office-specific trainings and resources on our website at sfmic.com/safety/office.

Loss prevention insight from the experts

This article was adapted from our Loss Prevention 101 webinar. The full recording is available on our webinar page.

Preventing work injuries can save you money, time and stress, but those aren’t the most important reasons to establish a strong workplace safety program.

“Always remember that at the center of every workers’ compensation claim is a person and an injury can interrupt their life, their family, their hobbies, and more,” said SFM Loss Prevention Specialist Mike Fetting. “It’s important not to lose sight of that fact.”

In addition to the impact to the employee, work injuries can lower morale among coworkers and increase workers’ compensation premiums.

The only controllable item in an organization’s workers’ compensation premium cost is its experience modifier (e-mod) which is directly impacted by claim costs and severity. When a claim happens, it affects the company’s e-mod for 3 years.

If your claim history is about average among similar businesses, your e-mod will be 1.0. Each claim that results in a cost has the potential to increase your e-mod above 1.0, meaning worse than your peers, which directly increases the premium amount you pay. The lower your e-mod is, the less you pay in premium.

Hazard assessments and developing controls

Every safety program should include an ongoing process to identify workplace hazards, including anything within the scope of a job duty that could cause physical or mental harm to employees. For example, loud noise levels, wet floors or cracks in the parking lot could all be workplace hazards.

Depending on where employees are working, hazards could exist inside, outside, on a jobsite or even over the road, said SFM Loss Prevention Specialist Dana Mickelson.

Hazards can arise from materials, equipment, tools, or machines used by employees or within the workplace. They can even arise from people such as outside contractors, employees who create unsafe conditions for others, or supervisors who do not correct unsafe issues.

There are several assessment methods that safety and loss prevention leaders can use to identify hazards:

  • Identify loss history trends. For example, if an organization had 10 injuries last quarter and five are slips and falls from a wet floor, that should be a good indication to focus on slips and falls. Even if there aren’t any trends, employers can still use loss history to determine which jobs or areas to focus on.
  • Use other records to find risks and hazards to focus on. Examples include inspection reports, data safety sheets and job hazard analysis.
  • Complete inspections. Inspections can be done by a member of your safety committee, an employee, a supervisor or other leader, or a third party. They should also be completed after incidents occur as part of the investigation process. We recommend performing inspections periodically at different intervals, such as daily, monthly, or annually, depending on the hazard.
  • Conduct investigations. Injuries and near misses should always be investigated. The steps of an investigation include collecting facts – who, what, when, where and how – and then analyzing the facts to determine the root causes. Once the root causes are identified, decide what corrective actions to take for each root cause.
  • Have discussions. Ask employees about their safety concerns because they know and understand their job the best. Consider developing a safety committee consisting of different disciplines and departments to discuss hazards. During the discussions, think about potential emergency situations, and routine and non-routine tasks, such as those completed only once a year.

Prioritize the hazards identified

Some hazards will have easy fixes or can be corrected on-the-spot, but if there are several hazards without quick fixes, use a risk matrix to help you prioritize. A risk matrix is a grid where you plot likelihood of occurrence on one axis, and severity on the other.

First, determine the likelihood that an incident or event will occur based on a numeric scale – for example, one represents the lowest likelihood and four is the highest. Then, determine the severity if an incident or event were to occur, with one being low severity and four being catastrophic. For example, if you determine a hazard has a likelihood of three, and a severity of two, that is a medium-high risk hazard and should be given higher priority than the low-risk and medium-risk hazards.

Risk matrix: Use a risk matrix to help you prioritize which hazards to address first

Hierarchy of controls

After prioritizing hazards, determine what controls (i.e., corrections) to put in place. There are several options, and some are more effective than others. These options, ranked from most effective to least effective are:

  • Elimination: Physically remove the hazard
  • Substitution: Replace the hazard
  • Engineering controls: Isolate people from the hazard
  • Administrative controls: Change the way people work
  • PPE: Protect the worker with personal protective equipment

Hierarchy of controls from most effective to least effective: 1) Elimination: Physically remove the hazard. 2) Substitution: Replace the hazard. 3) Engineering controls: Isolate people from the hazard. 4) Administrative controls: Change the way people work. 5) PPE: Protect the worker with Personal Protective Equipment

There will most likely be several controls for each hazard. Some controls will be an immediate fix, and in most cases, you need to determine controls that will result in improved and sustainable corrections.

Finally, implement the controls. Develop a plan to document progress and set accountability. The plan should include the hazard, controls, target due dates, who is responsible for implementation, and a completion date.

Keep in mind that performing assessments and determining and implementing controls is a continual, repeated process.

To learn more about building and maintaining your safety and loss prevention program visit the safety tab on our website. You can also reach out to your SFM contacts.

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