Claims Summary by Department and Division - Field Descriptions

The following are descriptions of the fields in the workers compensation claims summary reports. The fields were selected to provide information useful to agency/department commissioners, directors, managers, safety officers, and risk control personnel. Contact the Division of Risk Management if you would like more detailed information or other workers compensation claims statistics specific to your department, division or facility.

Fiscal Year –    Fiscal Year ending 06/30/FY. Example: FY1995 includes claims with loss dates 07/01/1994 - 06/30/1995.

# of WC Claims - Number of workers compensation claims filed with loss dates within the specific Fiscal Year.

# of WC Claims >$0 Incurred - Number of workers compensation claims with >$0 Incurred.

# of MO Claims >$0 Incurred - Number of  Medical Only workers compensation claims with >$0 Incurred.

# of IN Claims >$0 Incurred - Number of Indemnity workers compensation claims with >$0 Incurred.

# of Open Claims - Number of claims with future expected losses.

# of Claims with $25K+ Incurred - Number of claims with $25,000 or greater Incurred. The Incurred amount is the sum of Total $ Paid (Medical $ Paid, Lost Time $ Paid, Expense/Other $ Paid) and Total $ Future Reserve.

Incurred Medical - Total dollar amount determined by Sedgwick to be sufficient to close the medical expense of the claim. In other words, this is the total medical $ paid to date plus the projected $ amount in medical expense that the claim will likely end up costing.   Reserves are set up at the opening of a claim and then adjusted up or down as more information becomes available about a claim's specific loss potential.

Incurred Ind/Loss - Total dollar amount determined by Sedgwick to be sufficient to close the Indemnity/Loss Time expense of the claim. In other words, this is the total Indemnity/Loss Time $ paid to date plus the projected $ amount in Indemnity/Loss Time expense that the claim will likely end up costing.   Just like the Incurred Medical amount, the Incurred Ind/Loss Reserves are set up at the opening of a claim and then adjusted up or down as more information becomes available about a claim's specific loss potential.

Total Incurred - The sum of Total $ Paid (Medical $ Paid, Lost Time $ Paid, Expense/Other $ Paid) and Total $ Future Reserve.