Indicator 6: Accuracy of Weekly Rates & Total Payments

Indicator Description:  

This indicator measures both the accuracy of setting wages for computing TTD rates under ss. 102.11 and 102.43 of the Wisconsin statutes, and accuracy of total payments of temporary and permanent disability benefits.

Compliance Requirement:  

Insurers are required to comply with ss.102.11 and 102.43 and make accurate payments in accordance with these statutes.

Standard or Benchmark:  

There is no standard set by statute or rule for this indicator. The benchmark used for training purposes is to have a ratio of no more than 10% of claims requiring letters to correct rate calculation or payment accuracy.

Source of Indicator Data:  

The source of the data is from wage and rate computations shown on the Supplemental Report, form WKC-13, and the Wage Information Supplement, form WKC-13A. The program selects "balance due" (form letters WC77 and WC77P) and "wage correction" request letters (form letter WC119) sent during the quarter. Click here (Standard Letters)  to view specific letter language.

Computation Methodology:  

Accuracy is computed by dividing the number of balance due and wage correction letters by the number of first and final supplemental reports received during the quarter and establishing a ratio of these letters sent during the quarter to the number of first and final supplemental reports received during the quarter. Counts and ratios will be made for these two categories combined on the report:

    1) The accuracy of the wages used and TTD rate computation, and
    2) The accuracy of the total temporary and total permanent disability payments

State of Wisconsin Averages:

 

What This Indicator Measures:

This indicator measures the accuracy of insurers in determining the rate at which to pay worker's compensation temporary benefits and the accuracy of actual total payments. It has a 90% benchmark which is minimal for the importance of this indicator.

Explanatory Comments for Current Indicator:

Industry performance for the past 12 quarters is at 92%. 4th quarter 2013 performance is at 91%. Continued monitoring, education and feedback by the WC Division, as well as insurance carrier and self-insured employer diligence, have enabled insurers and self-insured employers to meet or exceed the 90% benchmark for this very important aspect of claims adjusting.

Indicator 6: Accuracy of Weekly Rates & Total Payments
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.

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   

Fourth Quarter 2007   

Third Quarter 2007   

Second Quarter 2007   

First Quarter 2007   

Fourth Quarter 2006

Third Quarter 2006

Second Quarter 2006

First Quarter 2006

Fourth Quarter 2005

Third Quarter 2005

Second Quarter 2005

First Quarter 2005

Fourth Quarter 2004

Third Quarter 2004

Second Quarter 2004

First Quarter 2004 

Fourth Quarter 2003 

Third Quarter 2003 

Second Quarter 2003 

First Quarter 2003   

 

Indicator 6 Table 1: Accuracy of Weekly Rates & Total Payments
Group A - Large Insurers (400 claims or more per year)

Fourth Quarter 2002   
Third Quarter 2002
   
Second Quarter 2002  (Revised 8/2/02) 
First Quarter 2002   
Fourth Quarter 2001   
Third Quarter 2001
      
Second Quarter 2001
  
First Quarter 2001

Fourth Quarter 2000 (Final)
Third Quarter 2000
Second Quarter 2000
First Quarter 2000

Indicator 6 Table 1: Accuracy of Weekly Rates & Total Payments
Group B - Medium Size Insurers (85- 399 claims per year)

Fourth Quarter 2002   
Third Quarter 2002
   
Second Quarter 2002  (Revised 8/2/02) 
First Quarter 2002   
Fourth Quarter 2001   
Third Quarter 2001
   
Second Quarter 2001
    
First Quarter 2001

Fourth Quarter 2000 (Final)
Third Quarter 2000
Second Quarter 2000
First Quarter 2000

Indicator 6 Table 1: Accuracy of Weekly Rates & Total Payments
Group C - Small Size Insures (less than 85 claims per year)

Fourth Quarter 2002   
Third Quarter 2002
   
Second Quarter 2002 (Revised 8/2/02)  
First Quarter 2002   
Fourth Quarter 2001    
Third Quarter 2001
    
Second Quarter 2001
    
First Quarter 2001

Fourth Quarter 2000 (Final)
Third Quarter 2000
Second Quarter 2000
First Quarter 2000