Workers’ Compensation Benefit Changes
Intuition for State Average Weekly Wage (SAWW) Problems
To analyze benefit changes linked to the State Average Weekly Wage (SAWW):
- Concept: Treat benefits as equivalent to claims.
- Relative Analysis: If the problem is stated in percentages of the SAWW, relate wages and workers to the average:
- Percentage of Wages: (where is class wage, is total wage)
- Percentage of Workers: (where is class workers, is total workers)
- Ratio:
- Average Benefit per Worker: Find the ratio of Average Benefit to SAWW for each wage interval, then calculate the sumproduct with the worker distribution to get the overall average benefit relative to the SAWW:
- Below Minimum:
- In Range:
- Above Maximum:
- Critical Wage Points: Divide the benefit limits by the compensation rate to find the wage levels where limits begin to apply:
- Minimum Limit Point:
- Maximum Limit Point:
Benefit Limits Comparison
| Type | Limit/Rate | Received | % of SAWW | Range Details |
|---|---|---|---|---|
| Current | Min Benefit | $550.00 | 100.0% | Or below |
| Max Benefit | - | - | - | |
| Compensation Rate | - | 50.0% (1/2) | ||
| Revised | Min Benefit | $550.00 | 75.0% | Or below |
| Max Benefit | $1,375.00 | 187.5% | Or above | |
| Compensation Rate | - | 66.7% (2/3) |
One-Time Premium Changes
Historical premiums must be adjusted to the current rate level (on-leveled) using one of two primary methods:
1. Extension of Exposures (EOE) Method
- Concept: Re-rates every historical policy using the current rate manual rules and rates.
- Pros/Cons:
- ✅ Highly Accurate: Captures the exact distribution of rating variables.
- ❌ Data Intensive: Requires detailed historical data for every single policy.
- ❌ New Variables: Difficult or impossible to use if a new rating variable is introduced for which historical data was not captured.
- ❌ Time-Consuming: Requires significant computational effort.
2. Parallelogram Method
- Concept: Adjusts historical earned premiums at an aggregate level using the average rate levels of the historical and current periods.
- Pros/Cons:
- ✅ Simple: Does not require detailed policy-level data; only needs overall rate change history and earned premium aggregates.
- ❌ Less Accurate: Relies on simplifying assumptions.
- ❌ Uniform Writings Assumption: Assumes policies are written uniformly over time.
- Mitigation 1: Analyze smaller time intervals (e.g., quarterly).
- Mitigation 2: Adjust for actual writings distributions (non-uniform writings).
- ❌ Classification Limitations: Less reliable for class-level ratemaking.
- Mitigation: Run the parallelogram method at the class level rather than the aggregate level.
Parallelogram Method Calculations
Portion of CY Earned Premium at a New Rate Level
Under the uniform writings assumption, the portion of a calendar year’s earned premium written at a particular rate level corresponds to the area of the geometric shape representing that rate level within the CY square:
- Annual Policies: The transition period is 24 months. The area of a triangle at a corner of the CY square (representing a rate change) is:
- Semi-Annual Policies: The transition period is 18 months.
- General Formula for Portion:
Handling Uneven Exposures
When the uniform writings assumption is violated, the geometric area does not represent the earned premium portion. We must weight the average rate levels by actual writings:
- Divide the experience period into intervals between rate changes.
- Determine the average rate level for each write-segment.
- Apply weights based on the actual number of exposures written in each segment to find the overall average rate level for the policy year (PY) or calendar year (CY).
Example of Uneven Writings
Suppose writing volumes differ:
- Jan 1, 2013 to Jul 1, 2013: 10 exposures/month (Total = 60)
- Jul 1, 2013 to Jan 1, 2014: 11 exposures/month (Total = 66)
- Total exposures written in PY 2013 = 126.
- Weights:
- Segment A (first 6 months):
- Segment B (second 6 months):
Average rate levels by area:
- (Portion earned in 2013 = )
- (Portion earned in 2013 = )
- (Portion earned in 2013 = )
- (Portion earned in 2013 = )
The average rate level for PY 2013 is:
Compare this to even exposures where the weight would be each:
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Calendar Year Written Premium (WP) On-Level Factors
Without Law Changes
For CY WP (without law changes), the average rate level is the weighted average of the rate levels in effect during the year, based on the portion of the year each rate level was active:
- Example: A rate change occurs on July 1, 2025.
With Law Changes (Adjusting In-Force Policies)
If a law change impacts in-force policies mid-term, the calculation must account for premium adjustments on policies written prior to the calendar year:
- Partition the CY into segments between rate changes.
- Find the written premium under base assumptions (e.g., 100 policies written uniformly per year, $1,000 base premium).
- Add the premium adjustment from the law change for policies that were already in-force.
- Calculate the average rate level and the On-Level Factor:
Illustration of Law Change Adjustment
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- Average Rate Level Calculation:
- Written in the CY:
- Adjustment for Policies Written in Previous Year (In-Force during Law Change):
- Average Rate Level =
- Current Rate Level =
- On-Level Factor =
On-Leveling with Actual Writings Distributions
If exposures are not written uniformly, group data by rate level and calculate the earned exposure portion for the target calendar year:
Example Data Table
- Rate change: on September 1, 2014.
- Historical writings distribution:
| Interval | Written Exp. | Rate Level | Avg Written Date | % Earned 2014 | Earned Exposures |
|---|---|---|---|---|---|
| 2014 Q1 | 100 | 1.00 | 2/15/2014 | 0.878 | 87.78 |
| 2014 Q2 | 300 | 1.00 | 5/15/2014 | 0.628 | 188.33 |
| Jul - Aug 2014 | 333 | 1.00 | 8/01/2014 | 0.417 | 138.89 |
| Sept 2014 | 167 | 1.05 | 9/15/2014 | 0.294 | 49.07 |
| 2014 Q4 | 700 | 1.05 | 11/15/2014 | 0.128 | 89.44 |
Analysis Steps
- Average Written Date: Determine the average date policies were written in each group.
- % Earned in CY 2014: Calculate the portion earned in CY 2014. For annual policies, this is the time elapsed from the average written date to December 31, 2014.
- Earned Exposures: .
- Average Earned Rate Level:
- On-Level Factor:
Direct and Indirect Effects of One-Time Changes
When evaluating the impact of a one-time change, actuaries must distinguish between two types of effects:
- Direct Effects: The immediate, arithmetic impact on premiums, losses, or expenses under the assumption that human behavior remains unchanged.
- Example: An increase in the statutory maximum benefit for workers’ compensation directly increases the amount paid for claims that exceed the old limit.
- Indirect Effects (Incentives): The secondary impact resulting from changes in human behavior triggered by the one-time change.
- Frequency Effect: Higher benefit levels may incentivize workers to file more claims.
- Duration Effect: Increased weekly benefit payments may reduce the financial incentive to return to work quickly, leading to longer claim durations.
Miscellaneous Considerations
- Effective Through vs. Effective From:
- “Effective through [Date]” means the rate level is active up to and including that date.
- “Effective from [Date]” means the rate level starts on that date.
- Loss Ratio Method Denominator: When utilizing the Loss Ratio method, the premium in the denominator must be adjusted to the current rate level using the premium on-level factors (OLFs).
- On-Leveling for Loss Data (Benefit Changes):
- If a benefit change applies to policies written on or after a certain date, the adjustment must be calculated using a policy-year/parallelogram approach.
- If a benefit change applies to accidents occurring on or after a certain date, it behaves like a law change with a sharp cutoff. The losses should be adjusted using a step-function approach (no diagonal transitions).
- Equivalence of On-Leveling: On-leveling Calendar Year (CY) Earned Premium is methodologically equivalent to on-leveling Policy Year (PY) Written Premium (since for a given PY, ultimate Earned Premium equals Written Premium).