Insurance Resources

 

Global Economic &Workforce Development Coalition

Post Office Box 989, Sun City, CA 92586-0989 

951-301-0605 Fax 951-301-0606

 

SOCAL SELECTTM 

Manufacturing Industry

Workers Compensation Self-Insured Group

 

 

 

Group Rating Structure:

Bronze Pool 2.0+ mod mate

Silver Pool 1.00-1.99 mod rate

Gold Pool Under 1.0 mod rate

 

Support Resources Council:

  • Benefit Technologies International
  • Global Education Systems
  • Breakthrough Educational Systems & Technologies
  • Advanced Insurance
  • The Risk Advisory Council
  • C.O.R.E.
  • Global Rehab
  • Safety Strategy, Inc.
  • Norman Peterson & Associates
  • Workers Comp Claims Control, Inc.
  • TPA (tbd)

Ward & Associates

Claims Quest

Bragg Administrators

 

County Service Areas:

  • Riverside 
  • San Bernardino 
  • Orange 
  • Los Angeles 
  • San Diego 

 

Imbedded Resource Programs and Benefits:

·        Onsite Risk Management Counseling (Risk Pool Specific)

·        Health & Safety Training

First Aid Training and Certification

Rewards and Consequences

·        Fraud and Abuse Behavior Orientation (pre and post hiring)

·        Safety StrategyTM Injury/Illness Prevention Plan for OSHA compliance

·        "Cradle to Grave" Claims Management and control with certified Medical Provider Network

·        ADA Compliant Essential Job Function Analysis & Rating Classification

·        Injured Workers Support Team Plan

·        Skill Training & Certification

·        HIPPA, Hazardous Materials and Blood Borne Pathogen Training

·        Emergency Response Team System

·        Business, Economic and Financial Literacy Education

·        HR & Regulatory Compliance

Employee Handbook

Hiring & Termination Practices

Essential Job Functions

Performance Review Plan

Online Benefits Management

  • Payroll Service Support
  • Inland Valleys Employer Advisory Council Membership & Hotline
  • Proactive Return-to-Work System (The OURtm System)

Proven Benefits of OUR System:

Injured workers get back to work quickly, often in a day

The number of days lost to work-related injuries is reduced

Litigation for disputed claims is minimized

Fraud & abuse discouraged

Recuperating employees perform much needed work in other areas

No additional staff required

Minimized risk of reinjury

Employer receives productivity for their money

Assists in meeting requirements of the America with Disabilities Act

May be used for job rotation

May be used for non-workers' compensation injuries.

  • Volunteer Center Program (WorkPaceUSA)
  • Nurse Case Management (Field and Telephonic)
  • Telephonic legal counseling
  • Management Communication Skills and Leadership Training

 

ROI Assessments and Targets

Premium Reduction Targets (from 2004 baseline levels)

Year 1 20%

Year 2 35%

Year 3 50%

Year 4 65%

Plan Development Targets

2005 $ 10,000,000

2006 $ 30,000,000

2007 $ 60,000,000

2008 $100,000,000

 

 

 

Cost Allocation Structure

 

Claims Reserve Fund 50%

Reinsurance 15%

Risk & Claims Management 25%

Administration & Development 10%

 

 

Member Costs:

Eligibility Assessment $500

Plan Membership $2,400/year

Capital Contribution Actuarially determined

 

Organization Framework:

Plan Board of Directors (meets bi-monthly & monthly conference call)

Founding Members (7)

Global Economic & Workforce Development Coalition Board Member

Small Manufacturers of California Board Member

 

Executive Leadership Council (Monthly conference call & quarterly meeting)

CEO/COO/CFO each member company

 

Operations Advisory Council (Monthly conference call & quarterly meeting)

HR and Health & Safety Officer

 

The plan will utilize a special VI Council/SKYPE online community communication system established for each plan


 

 

SOCAL SELECTTM 

Manufacturing Industry

Liability Risk Retention Group

 

Support Resources Council:

  • Benefit Technologies International
  • Global Education Systems
  • Breakthrough Educational Systems & Technologies
  • Advanced Insurance
  • The Risk Advisory Council
  • Stuart Baron & Associates
  • Strategic Risk Management Group

 

County Service Areas:

  • Riverside 
  • San Bernardino 
  • Orange 
  • Los Angeles 
  • San Diego 

 

Imbedded Resource Programs and Benefits:

·        Onsite Risk Assessment & Management Counseling

·        Lean & Six Sigma Performance Improvement Plan Design

·        Health & Safety Training

First Aid Training and Certification

Rewards and Consequences

·        Fraud and Abuse Behavior Orientation (pre and post hiring)

·        Injury/Illness Prevention Plan Assessment & Upgrade

·        Product & Completed Operations Liability Assessment

·        Skill Training & Certification

·        Emergency Response Team System

·        Business, Economic and Financial Literacy Education

·        HR & Regulatory Compliance

Employee Handbook

Hiring & Termination Practices

Essential Job Functions

Performance Review Plan

Online Benefits Management

Payroll system integration

  • Inland Valleys Employer Advisory Council Membership & Hotline
  • Management Communication Skills and Leadership Training

 

ROI Assessments and Targets

 

Premium Reduction Targets: (from 2004 baseline levels)

Year 1 20%

Year 2 30%

Year 3 40%

Year 4 50%

Plan Development Targets:

2005 $ 3,000,000

2006 $10,000,000

2007 $20,000,000

2008 $30,000,000

 

Cost Allocation Structure

 

Claims Reserve Fund 60%

Reinsurance 15%

Risk Management 15%

Administration & Development 10%

 

Member Costs:

Eligibility Assessment $300

Plan Membership $1,200/year

Capital Contribution Actuarially determined

 

Organization Framework:

Plan Board of Directors (meets bi-monthly & monthly conference call) 

Founding Members (9)

Global Economic & Resource Development Coalition Board Member

Small Manufacturers of California Association Board Member

Executive Leadership Council (Monthly conference call & quarterly meeting) 

CEO/COO/CFO each member company

 

Operations Advisory Council (Monthly conference call & quarterly meeting) 

HR and Health & Safety Officer

 

The plan will utilize a special VI Council/SKYPE online community communication system established for each plan

 

 

SOCAL SELECTTM 

Manufacturing Industry

Consumer Directed Health Plan (CDHP)

 

Support Resources Council:

  • Benefit Technologies International
  • Global Education Systems
  • Breakthrough Educational Systems & Technologies
  • Advanced Insurance
  • The Risk Advisory Council
  • Emcentrix
  • EBA&M
  • WELLCOA
  • CashDoctor.com
  • Definity Health
  • Veritas Health Systems
  • California Choice
  • Pacific Business Group on Health

 

County Service Areas:

  • Riverside 
  • San Bernardino 
  • Orange 
  • Los Angeles 
  • San Diego 

 

Imbedded Resource Programs and Benefits:

·        Onsite Risk Management Counseling

·        HSA / HRA / FSA Resource Programs

Risk Reduction and Rewards

·        Health & Safety Training

First Aid Training and Certification

Rewards and Consequences

·        Fraud and Abuse Behavior Orientation (pre and post hiring)

·        Injury/Illness Prevention Plan

·        Consumer and Dependent Empowerment

·        Reduction or Elimination of state benefit mandates

·        Workers Support Team Plan

·        Skill Training & Certification

·        Business, Economic and Financial Literacy Education

·        HR & Regulatory Compliance

Employee Handbook

Hiring & Termination Practices

Essential Job Functions

Performance Review Plan

Online Benefits Management

  • Inland Valleys Employer Advisory Council Membership & Hotline
  • Wellness Programs and Team Competition
  • Nurse Case Management & Healthcare Coaching
  • Healthcare & Professional Services Benefit Plans
  • Management Communication Skills and Leadership Training

 

ROI Assessments and Targets

Premium Reduction Targets (from 2004 baseline levels)

Year 1 15%

Year 2 25%

Year 3 35%

Year 4 40%

Plan Development Targets

2005 $ 50,000,000

2006 $102,000,000

2007 $105,000,000

2008 $110,000,000

 

Cost Allocation Structure

 

Claims Reserve Fund & Reinsurance 80%

Risk Management 10%

Administration 10%

 

 

Member Costs:

Eligibility Assessment $250

Plan Membership $600/year

 

Organization Framework:

 

Plan Board of Directors (meets bi-monthly & monthly conference call) 

Founding Members (9)

Global Economic & Workforce Development Coalition Board Member

Small Manufacturers Association of California Board Member

Executive Leadership Council (Monthly conference call & quarterly meeting) 

CEO/COO/CFO each member company

Operations Advisory Council (Monthly conference call & quarterly meeting) 

HR and Benefits Manager

 

The plan will utilize a special VI Council/SKYPE online community communication system established for each plan