Through a blend of self-insurance and excess insurance, ICRMA provides statutory workers’ compensation coverage to Program members. Members pay an annual contribution based on actuarially determined losses, administrative expenses, and excess insurance. The Workers’ Compensation Program Manager provides claims oversight, conducts periodic claim file reviews, reports losses to the excess carrier, and reviews the performance of member-selected TPAs. Click here to view the Workers’ Compensation 2017-18 Memorandum of Coverage.
Because each public agency has a unique risk appetite, members can determine how much risk they are willing to accept by selecting a member retained limit of $350,000, $500,000, $750,000 or $1 million. The ICRMA pooled retention is $2 million. The chart below shows how the various loss layers are funded from the members’ retentions through the excess insurance.
The Workers’ Compensation program actuarial report as of June 30, 2017 can be viewed here.
Report a Workers’ Compensation Claim
Workers’ Compensation claims should be reported directly to each member’s respective third-party claim administrator (TPA) within two working days of knowledge of the incident or injury.
Member employees are required to report any work-related incident or injury to the Company Nurse Triage Hotline at (877) 223-9310. More information below.
View the MOC for Workers’ Compensation claim reporting requirements. Claims meeting these requirements should be reported as soon as possible to ICRMAclaims@carlwarren.com. If you have questions, please contact ICRMA’s Workers’ Compensation Manager, Robert Tran. The Workers’ Compensation Program Manager will be responsible for reporting to the excess insurer(s).
Third Party Administrators
ICRMA’s Governing Board has adopted performance standards for Workers’ Compensation TPAs to ensure appropriate claims handling. Following are some helpful documents:
Defense Panel
ICRMA’s Governing Board has adopted Litigation Management Policies and Procedures to ensure appropriate claims handling. Following is a link to the document:
Nurse Triage
When an employee is injured, he/she is instructed by the member to call the Nurse Triage line at (877) 223-9310. A registered nurse completes a series of triage questions which will determine whether or not a medical referral to the city’s industrial clinic needs to be made. A copy of the report generated by the nurse is e-mailed to the City contact, ICRMA’s program manager, and to the city’s TPA.