SCWCEA One Day Seminar May 6, 2011 Commission Update Gary M. Cannon Amanda Underhill Executive Director Applications Analyst

Commission Update Trends Activities What’s New South Carolina Workers’ Compensation Commission

Accidents Filed South Carolina Workers’ Compensation Commission

Claims Activity FY FY FY (7 mths) Hearings Set (Docketed) 9,86610,912 6,107↓ Benchmark 6,395 Hearings Held (Single Commissioner) 2,345 2,211 1,242 ↓ Benchmark1,289 Settlements10,50610,715 6,117 ↓ Benchmark 6,250 South Carolina Workers’ Compensation Commission

Informal Conferences AssignedConducted FY ,264 3,549 FY (7 mths) 3,410 2,518 ↑ Benchmark 3,654 2,070

South Carolina Workers’ Compensation Commission Appeals to Full Commission FY FY FY (7 mths) Docketed ↑ Benchmark 377 Hearings ↓ Benchmark 208

South Carolina Workers’ Compensation Commission Total System Cost FY ( millions )% of Total Medical $ % Indemnity (Comp.)$ % Total$ * 100% *Does not include legal fees for defense

South Carolina Workers’ Compensation Commission Cost Control Measures Medical Services Provider Manual (Physician’s Fee Schedule) Hospital Fee Schedule Medicare + 40% Ambulatory Surgery Centers Fee Schedule

South Carolina Workers’ Compensation Commission Medical Expense Reduction Actual (millions) FY FY Difference Medical Expense$422.4 $296.0 ($126.4)

South Carolina Workers’ Compensation Commission Indemnity Total % of Total (millions)Indemnity System* Agreements $ % 60.54% Awards $ % 3.55% Total $ % *System Cost = Medical and Indemnity

South Carolina Workers’ Compensation Commission Premiums Paid ( millions ) % of total Commercial Market CY 2009 $ % Self Insurance FY 2010 $ % State Accident Fund FY 10 $ % Total $ %

South Carolina Workers’ Compensation Commission Premium Tax Paid To General Fund Commercial Market (CY 2009) $ 14,673,877 Self Insurance Tax (FY 2010) $ 4,909,000 ___________ Total$ 19,582, Commission Budget General Fund FY10-11$ 1,919,955 Proposed FY11-12$ 1,743,070

What’s New? Issues Form 21 Electronic filing eCase South Carolina Workers’ Compensation Commission

Issues Legislation H 3111 – limits on fee schedule Fee Schedules Notice of Drafting R (A) conversion factor Advisory Committees Surgical Implant Fee Pharmacy Fee South Carolina Workers’ Compensation Commission

Electronic filing South Carolina Workers’ Compensation Commission Hearing Notices Decision and Orders Consent Orders pilot project – April 15 Full Commission Orders Service June 1

eCase Amanda Underhill Senior Applications Analyst South Carolina Workers’ Compensation Commission

eCase Benefits South Carolina Workers’ Compensation Commission Real – Time access Case information Scheduling Hearings, Conferences and Appeals Recent Claim Activity List of Cases in a status group

Registration South Carolina Workers’ Compensation Commission Register at “eCase Status” Registered users Attorneys Paralegals Legal Assistants Adjusters and TPAs

Registration South Carolina Workers’ Compensation Commission Create account Party approval required Attorney Claim Manager SCWCC Confirmation Three user types: ATTORNEY CARRIER or SELF-INSURER TPA

Are you a Carrier? South Carolina Workers’ Compensation Commission Does your company handle ALL SC claims for an carrier or self-insured? YES Carrier User Link to Carrier Gives access to ALL Carrier’s claims Multiple Carriers

Are you a TPA? South Carolina Workers’ Compensation Commission Do you handle some of a carrier’s or self-insured’s cases in SC? YES TPA User Link to Individual Cases Your claim number, WCC# (EDI) Multiple Cases Unlimited timeframe

Attorney User South Carolina Workers’ Compensation Commission Restricted access to cases Linked attorney – attorney of record Search for claims and report representation to the Commission

Attorney of Record South Carolina Workers’ Compensation Commission Electronic notification (attorney add) Replaces the letter of representation (R ) Withdrawal Not allowed electronically (R )

Attorney Add South Carolina Workers’ Compensation Commission User must be linked to attorney User may search for WCC# All searches are logged and audited by SCWCC

Select Party South Carolina Workers’ Compensation Commission User designates party to be represented Claimant Carrier Employer (direct)

Select Party South Carolina Workers’ Compensation Commission

Case Search South Carolina Workers’ Compensation Commission Enter Information: Claimant SSN / Last Name or WCC# Date of Injury Attorney Bar ID

South Carolina Workers’ Compensation Commission

Search Result South Carolina Workers’ Compensation Commission

Confirmation Attorney Add South Carolina Workers’ Compensation Commission Are you sure?

Confirmation Attorney South Carolina Workers’ Compensation Commission Confirmation message

WCC Case Display Data WCC # Caption DOI Attorney for Defendant Claimant’s Attorney Status South Carolina Workers’ Compensation Commission

WCC Case Display Data

Report Options South Carolina Workers’ Compensation Commission Registered User Reports 4 options: WCC# SSN Hearing Date Range Status Group

South Carolina Workers’ Compensation Commission WCC# Report WCC# or SSN Report

Hearing Date Range South Carolina Workers’ Compensation Commission

Status Groups

South Carolina Workers’ Compensation Commission Hearing Request Pending – Status Group

Attorney Registration Questions User Guide Available on Amanda Young, Judicial Analyst (803) South Carolina Workers’ Compensation Commission

Contact Information Amanda Underhill Applications Analyst (803) South Carolina Workers’ Compensation Commission