Indicator 1: Promptness of Submitting First Reports of Injury, Form WKC-12

Indicator Description:

This indicator measures insurers’ compliance with DWD s. 80.02(2)(a) relating to submission of first reports of injury to the Department.

Compliance Requirement:  

Insurers are required to submit the Employer’s First Report of Injury or Disease, form WKC-12, to the Department on or before the 14th day after an accident or the beginning of a disability from an occupational disease for all compensable injuries where disability exists beyond the 3rd day after the employee leaves work as a result of an accident or disease.

Standard or Benchmark:  

DWD s. 80.02(3)(b), sets the standard for prompt reporting at 70% of First Reports to be received by the Department within 14 days of the date of injury or the last day worked after injury before the first day of compensable lost time.

Source of Indicator Data: 

The source of the data is from the WKC-12, specifically the "date of injury" and the "last day worked". The data reflected in the tables represents only compensable claims for which supplemental reports, WKC-13’s, were received during the quarter indicating that the first indemnity payment was made.

Only claims for compensable injuries are included in the measurement. Denials and "no-lost-time" claims are not included. Those claims "under investigation" are included at the time they become compensable. Claims put on the information system without the receipt of a First Report of Injury are considered late. These are known as "non-reported" claims. These include those set up as claims because of the receipt of applications for hearing, medical reports or other documents.

Computation Methodology:  

Promptness for the first report of injury is measured by computing the number of days from the day following the date of injury or last day of work prior to the first day that caused the first day of lost time to be paid, whichever is later, to the day the report is received. There is no time lapse for "non-reported" claims, but they are included as late and shown as No WKC-12 on the claim detail. Permanent disability claims are excluded.

State of Wisconsin Average:

 

What this Indicator Measures:

This indicator reflects the combined performance of about 180 insurers with respect to their promptness of submitting First Reports of Injury to the Department. These insurers account for over 90% of the claims submitted. The legal standard for insurers is to submit 70% to the Department within 14 days of the date of injury. Data is reported quarterly and the year to date and 12 quarter history data are updated quarterly.

Explanatory Comments for Current Indicator:

The industry average for the past 12 quarters is 77%. Performance  remains well above the 70% standard. 1st quarter 2014 performance is  75%. Most delays in reporting the First Report of Injury are caused by employer failure to report, in a timely manner, lost time injuries to their insurance carriers. Performance improvement measured by this indicator can be directly attributed to intense monitoring by the WC Division as well as insurance carrier concern to engage in informational outreach to employers regarding when the former should be reporting injuries to the latter. In quarters to come the WC Division will continue to look closely at individual insurance carrier/self-insured employer performance measured by this Indicator with an eye towards improving performance even more

Indicator 1: Promptness of First 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 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   

Fourth Quarter 2007   

Third Quarter 2007   

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First Quarter 2007   

Fourth Quarter 2006   

Third Quarter 2006   

Second Quarter 2006   

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Fourth Quarter 2005   

Third Quarter 2005   

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Fourth Quarter 2004   

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Fourth Quarter 2003   

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Indicator 1 Table 1: Promptness of First Reports
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 1 Table 2: Promptness of First Reports
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 1 Table 3: Promptness of First Reports
Group C - Small Size Insurers (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