Indicator 3: Promptness of Submitting the First Supplemental Reports

Indicator Description:  

This indicator measures insurers’ compliance with DWD s. 80.02(2)(b) relating to the submission of first supplementary reports, forms WKC-13’s.

Compliance Requirement:  

Insurers are require to submit a first supplementary report with information required on form WKC-13 on or before the 30th day following the day on which the injury occurred.

Standard or Benchmark:  

While there is no statutory standard set by rule for performance, a benchmark that is used for training purposes is that 80% are submitted timely.

Source of Indicator Data:  

The source of the data is the "date of injury" and last day of work from the WKC-12. The program selects only the first supplemental reports, forms WKC-13’s, received during the evaluation quarter. Only first WKC-13’s that are "first final" (all first payment data, i.e. amount and date paid, has been included) and were received during the quarter are measured. Only claims for compensable injuries are included in the measurement. Denials and "no-lost-time" claims are not included.

Computation Methodology:  

Promptness of the first supplementary report is measured by computing the number of days from the date of injury, or last day of work prior to the first day of lost time that caused the claim to become compensable, whichever is later, to the date the "first final" WKC-13 was received by the Department.

State of Wisconsin Average:


What This Indicator Measures:

This indicator measures the promptness of insurers for submitting first supplemental reports to the Department. These are the reports that provide information about liability and the first indemnity payment. Insurers have 30 days by rule to submit this report. This indicator measures performance quarterly, on a year-to-date and a 12 quarter basis.

Explanatory Comments for Current Indicator:

At  the end of the 1sth  quarter 2017, performance is at 87%. 12 quarter performance  is also  at 87%. Both of these comfortably exceed the 80% benchmark. Late reporting of lost time injuries by employers is one factor that adversely affects the timeliness of first supplemental reports. Continued education of employers by insurers regarding the importance of prompt lost time injury reporting should allow for more improvement in this measure.

Indicator 3: Promptness of First Supplemental Reports
Group A - Large Insurers (400 claims or more per year)
Group B - Medium Size Insurers (65-399 claims per year)
Group C - Small Size Insurers (equal to or greater than 65 claims every 3 years)

PLEASE NOTE: Quarterly summary reports are static, a snapshot of performance reflected by our database the day prior to the reports being run. As such, actual performance may be different due to changes to the claims for the given quarter after the reports are run than performance captured in the PDF.

First Quarter 2017

Fourth Quarter 2016

Third Quarter 2016

Second Quarter 2016

First Quarter 2016

Fourth Quarter 2015

Third Quarter 2015

Second Quarter 2015

First Quarter 2015

Fourth Quarter 2014

Third Quarter 2014

Second Quarter 2014

First Quarter 2014

Fourth Quarter 2013

Third Quarter 2013

Second Quarter 2013

First Quarter 2013

Fourth Quarter 2012

Third Quarter 2012

Second Quarter 2012

First Quarter 2012

Fourth Quarter 2011

Third Quarter 2011

Second Quarter 2011

First Quarter 2011

Fourth Quarter 2010

Third Quarter 2010

Second Quarter 2010

First Quarter 2010

Fourth Quarter 2009

Third Quarter 2009

Second Quarter 2009

First Quarter 2009

Fourth Quarter 2008

Third Quarter 2008

Second Quarter 2008

First Quarter 2008

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