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Schwarzenegger’s Proposal To Raise Payments To Disabled Workers Falls Short: Benefits Woefully Inadequate

Julius-Young.jpg By Julius Young

Aides to Governor Schwarzenegger have recently announced proposals for a small increase in payments to permanently disabled workers. The proposed fix is inadequate and, even if implemented, will not replace the need for the legislative solution proposed by Senator Don Perata, SB 1717.

Since 2005, several studies have shown that permanent disability benefits have been reduced by over 60%. Overall , California comp insurers take between 60-70 cents out of each premium dollar for overhead and profit while workers medical benefits and monetary payments are somewhere between 30 -41 cents out of the dollar. System administration costs and carrier profits now truly dwarf the benefits for workers for which the system was designed. And permanent partial disability payments are only a small fraction of benefits paid out (medical treatment and temporary total disability payments being the larger payouts). Employer premiums have been reduced substantially, but reductions have not been passed along to employers to the degree that might have been expected.

Meanwhile, California workers are struggling. Since California does not have a wage loss workers comp law and prohibits workers from suing employers for on-the-job injuries, permanent disability payments are monies that help workers recoup earnings losses and compensate for pain and suffering.
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California currently lags far behind most states in many disability categories. According to U.S. Chamber of Commerce statistics, the national average for loss of an eye is $74,558. In California it’s $17,714. This would rise under Schwarzenegger’s proposal to around $20,000, still far under the national average. Attachment2.gif

For total hearing loss in one ear, the national average is $30,655. California pays only $5,280. The governor’s plan would raise this only by a small amount.

Loss of a leg at the hip? The national average is $114,522. California pays only $61,435, the 6th lowest in the nation.

Loss of a toe? The national average (according to U.S. Chamber of Commerce stats) is $4,974. But in California the payout is $660. Under the governor’s plan the payout would still be lowest in the nation, less than a quarter of the national average.

How about loss of a finger? The national average is $21,621. California’s average is $8,415.

Workers who have permanent partial disabilities receive awards based on the extent of their disability. In 2004 California adopted a more stringent method of assessing impairment, based on American Medical Association standards.

In 2004, the Governor announced it was not his intention to reduce benefits to truly injured workers. But in 2005 the Schwarzenegger administration adopted a rating “schedule” to translate various medical impairments into disability ratings and thereafter, monetary awards. This 2005 administrative schedule led to the serious reductions in payouts to permanently disabled workers, cuts in the magnitude of 50% on top of specific provisions in SB 899 which had reduced benefits by as much as 20%. In 2006 and 2007 the Governor vetoed legislative attempts to restore some of the steep cuts, and the administration has been stalling on unveiling an administrative fix until May 2008.

Had not Senator Perata demanded a detailed accounting of proposed administration changes during recent confirmation hearings on Schwarzenegger appointees, the administration would not have coughed up its plan.

What is needed is serious revision, not a band-aid approach. The proposed Schwarzenegger revision would leave many workers with a miniscule increase. Even if the administration goes forward with its current plan-which it touts as an average 16% increase-workers will still be receiving 40-50% less for disabling injuries than they received over 4 years ago. Ultimately, the Schwarzenegger plan fails to address the fundamental inadequacy of these benefits in California as shown by charts such as the ones above.

Once again it’s up to the legislature to lead the way. Passage of Sen. Perata’s bill, SB 1717, is a good start. The bill would double permanent partial disability benefits, but over a 3 year period. It’s time that the state’s comp system be fixed yet again.

Starting in 1979, Julius Young has represented thousands of individuals who have sustained life-changing injuries or illnesses while on the job. His goal is to secure the medical treatment his clients need and the maximum benefits they are allowed so they and their families can survive potentially devastating injuries. A partner of Boxer & Gerson since 1988, he practices workers’ compensation and disability law in Oakland. This article originally appeared in his blog. Workerscompzone.com which focuses on California’s workers’ compensation law, its politics, and culture. It is republished with his permission.

Posted on May 19, 2008

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