Nonsubscription Possible Savings

Where do savings come from?

Combined will project policyholder savings, if any, by accident year and injury type by comparing the insured's historical claims against like-industry Texas Nonsubscriber claims. Contact our Texas Nonsubscription team to learn more.

Sample Feasibility Study

By electing to become a nonsubscriber, an employer assumes effective control of his employee occupational injury plan and can participate in the savings and management opportunities generated by controlling the exposure, claim cost, and lost time elements of his business operations. Fraud and malingering are greatly reduced because of the employer's interest and control of benefits.

Insurers can participate in the claims cost savings of insuring loss conscious employers who have ERISA plan defined benefit plans, formalized medical provider selection, a loss control program, employer and industry specific benefit plans and mechanisms in place to minimize employers liability potential. As contrasted to W.C., the burden of proof is reversed and it lies on the employee to prove damages, course and scope of employment and negligence as a result of an alleged workplace injury. Together, the policy and ERISA plan provide for an employee's agreement to participate in binding arbitration in order to receive benefits, a 36 month sunset clause on losses, and a definition of the occurrence date of Occupational Disease and Cumulative Trauma of the last day of the last exposure to the causative agent or activity which must be during the policy term.

Where Do The Savings Come From?

  • Improving Medical Outcomes:

    • Providers utilized
    • Immediate medical treatment
    • Elimination of experimental, investigational, unproven, etc.

  • Encouraging Return to Work:

    • Wage replacement stops when released to full or modified duty

  • Eliminate Fraudulent Claims:

    • Drug and alcohol related
    • Limited pre-existing coverage
    • Underlying degenerative disease and disorders of aging, etc.

  • Employee Paradigm Shift:

    • It's no longer about entitlement