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

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

5. Accidents Filed 1999 - 2010 South Carolina Workers’ Compensation Commission

6. Claims Activity FY FY FY 08-09 09-10 10-11 (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

7. Informal Conferences AssignedConducted FY 09-10 6,264 3,549 FY 10-11 (7 mths) 3,410 2,518 ↑ Benchmark 3,654 2,070

8. South Carolina Workers’ Compensation Commission Appeals to Full Commission FY FY FY 08-09 09-10 10-11 (7 mths) Docketed 700 647 397 ↑ Benchmark 377 Hearings 450 357 168 ↓ Benchmark 208

9. South Carolina Workers’ Compensation Commission Total System Cost FY 09-10 ( millions )% of Total Medical $ 296.0 36% Indemnity (Comp.)$ 528.2 64% Total$ 824.2 * 100% *Does not include legal fees for defense

10. South Carolina Workers’ Compensation Commission Cost Control Measures Medical Services Provider Manual (Physician’s Fee Schedule) Hospital Fee Schedule - 2006 Medicare + 40% Ambulatory Surgery Centers Fee Schedule

11. South Carolina Workers’ Compensation Commission Medical Expense Reduction Actual (millions) FY FY 08-09 09-10 Difference Medical Expense$422.4 $296.0 ($126.4)

12. South Carolina Workers’ Compensation Commission Indemnity Total % of Total (millions)Indemnity System* Agreements $ 498.994.46% 60.54% Awards $ 29.3 5.54% 3.55% Total $ 528.2 100% *System Cost = Medical and Indemnity

13. South Carolina Workers’ Compensation Commission Premiums Paid ( millions ) % of total Commercial Market CY 2009 $586.9 63.10% Self Insurance FY 2010 $253.3 27.23% State Accident Fund FY 10 $ 90.0 9.67% Total $ 930.2 100.0%

14. 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$ 19,582,877 ------------------------------------------------------------------ Commission Budget General Fund FY10-11$ 1,919,955 Proposed FY11-12$ 1,743,070

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

16. Issues Legislation H 3111 – limits on fee schedule Fee Schedules Notice of Drafting R 67-1302 (A) conversion factor Advisory Committees Surgical Implant Fee Pharmacy Fee South Carolina Workers’ Compensation Commission

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

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

21. 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

22. Registration South Carolina Workers’ Compensation Commission Register at www.wcc.sc.govwww.wcc.sc.gov “eCase Status” Registered users Attorneys Paralegals Legal Assistants Adjusters and TPAs

23. 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

24. 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

25. 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

26. 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

27. Attorney of Record South Carolina Workers’ Compensation Commission Electronic notification (attorney add) Replaces the letter of representation (R.67-1202) Withdrawal Not allowed electronically (R.67-1203 )

28. 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

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

30. Select Party South Carolina Workers’ Compensation Commission

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

32. South Carolina Workers’ Compensation Commission

33. Search Result South Carolina Workers’ Compensation Commission

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

35. Confirmation Attorney South Carolina Workers’ Compensation Commission Confirmation message

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

37. WCC Case Display Data

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

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

40. Hearing Date Range South Carolina Workers’ Compensation Commission

41. Status Groups

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

43. Attorney Registration Questions User Guide Available on www.wcc.sc.gov www.wcc.sc.gov Amanda Young, Judicial Analyst (803) 737-5747 ayoung@wcc.sc.gov South Carolina Workers’ Compensation Commission

44. Contact Information Amanda Underhill Applications Analyst (803) 737-5714 aunderhill@wcc.sc.gov South Carolina Workers’ Compensation Commission