Workers in California experiencing injuries at work that result in permanent partial disabilities (PPD) are eligible to receive compensation. The workers' benefits, doctors' and attorneys' fees, and the system that processes the hundreds of thousands of annual claims cost employers billions of dollars each year. This report evaluates the workers' compensation system by examining its efficiency and the adequacy and equity of its benefits, and suggests system reforms. The authors conducted interviews with system participants and found that the system is still troubled by many of the same problems that plagued it before the 1989 and 1993 reforms. It remains overly costly, complex, and litigious while delivering modest benefits. The authors estimated the wage losses of PPD claimants in 1991-93, and found that even after five years, the injured workers earned considerably less than controls. In addition, injured workers experience considerable time out of work, not just immediately after the injury, but also after the initial return to work. The authors identified particular problems among claims categorized by the workers' compensation system as "minor," the vast majority of claims. For this group, wage replacement rates were lowest. Reform proposals include an elective fast track to streamline claims processing, and a revision to the disability rating schedule to improve the relationship between wage loss and benefits paid.

Investigates the adequacy and equity of permanent partial disability benefits and the efficiency of the procedures and standards used to provide these benefits. Includes a Ten-State Study and a summary of a Wage-Loss Study in three of these ten states.

The chapters in this volume were originally presented at a conference to honor Terry Thomason,held at the University of Rhode Island in March, 2004. It is about workplace safety and health and issues related to prevention and compensation for occupational injuries and illnesses, a topicto which Terry devoted much of his research life. The volume is intended to serve as a detailedintroduction to the workers' compensation novice but also provide insights to those more familiarwith the area.

The adequacy of benefits for permanent disability from occupational injuries is a continuing source of controversy among policymakers in California. This book focuses on the economic consequences of disabling injuries and what those outcomes suggest about the current adequacy of workers' compensation in California. In particular, the authors investigate the relationship between losses in earnings from workplace injuries and economic conditions in the state during the 1990s. Although changes in economic conditions had some impact on earnings losses experienced by permanent partial disability claimants, especially less-severely injured workers who are more easily accommodated by their employers, the decline in earnings losses may be more closely related to changes in the workers' compensation market. Even though benefit levels have increased since 1991 and earnings losses have declined, replacement rates for lost income remain below two-thirds of pre-tax wages, the standard commonly cited for adequacy. Because benefits have declined (in inflation-corrected dollars) since their last increase in 1996 and, as of 2001, the economy is headed into a new recession, it is possible that workers injured today will have worse outcomes than workers injured in 1996 or 1997.

Employers that self-insure for workers' compensation have greater incentives than insured employers to return injured employees to work as quickly as possible. And because self-insured firms typically are larger, they often have more opportunities to offer injured workers modified work. This report examines the consequences of a disabling workplace injury for workers at 68 private self-insured employers in California from 1991 through 1995. Using employer-provided data on permanent disability claims, which were then linked to longitudinal data from the state of California on earnings before and after injury, the authors estimate the earnings losses associated with a permanent disability and examine the post-injury employment patterns of permanent disability claimants. They found significant earnings losses for claimants at the self-insured firmsʺmore than 20 percent of earnings over the five years after injury. The authors compared the experiences of workers at self-insured firms with workers at insured firms and found lower proportional losses at self-insured firms, but also slightly lower replacement rates. They also found better return to work at self-insured firms. However, when controlling for pre-injury earnings, industry, and firm size, differences in earnings losses between workers injured at self-insured and insured firms are diminished.