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HomeMy WebLinkAbout01/05/1993, C-8 - ANNUAL RISK MANAGEMENT REPORT FISCAL YEAR 1991-1992I 1 1 1 I 11 CITY OF SAN LUIS OBISPO ANNUAL RISK MANAGEMENT REPORT FISCAL YEAR 1991 -92 •+e- w.•we+ ewe+• w+ eewee•• awreeew�w�rrrer` e�+ r+ eawee + +e�wwaerwweeeerewawwstwa +• Prepared by Wendy George Risk Manager ��iii���►�IIIIIIIIIIII�IIIIII san lu s oBespo 1 t 1 1 1 ACKNOWLEDGEMENTS We would like to acknowledge the help of the following in the preparation of this report: Greenfield- Thompson Associates /Associated Claims Management Inc. - statistical information on workers' compensation claims. Carl Warren & Company - statistical information on liability claims. Jacquie Wertz, Work Health Coordinator - statistical information on Wellness Programs. Sue Baasch, Administrative Analyst - preparation of graphical information. Brett Hough, Student Intern - compilation of all information and preparation of written material. + ell is J 3 • 1 � Ib _ I to c r r TABLE OF CONTENTS 197MWIV I. INTRODUCTION I II.. ELEMENTS OF .RISK MANAGEMENT 1 Exposure Identification Risk Evaluation Risk Control 'Risk Funding ;Risk Management Administration III. COST OF RISK ........................... 3 IV. WORKER'S COMPENSATION PROGRAM 4 Program Structure :Loss Analysis Activities and Goals V. WELLNESS PROGRAMS 12 City overall Wellness Program. Fire Department: Wellness Program VI. "LIABILITY PROGRAM 18 Program Structure Loss Analysis Activities and Goals VII. COMMERCIAL INSURANCE. PROGRAM 20 v.', t .f'. 1 I l.t. t ..': - v � � ' ,. _ �� � J..1 ,. '. y i �. 1 � .- _ ) J i 11 . - - .�� - l � ' �. .. � I 3 _ ` 1 T �3 1 nl ,e]] ++ •� ' I 1 � -. -• r .. � ..- �. - � _ ' c. I , ' .. ` ��� .. . .. . :r .. � -. °.. ,. � I t I � i.�.. ,. i � �'. _. � � 1 s,�s ' _ ( � .. s' ' �' ' � � � + ... � r 1 C, �h 'a t - - .. .. _ �. r � - , r ,. - � r t .,. . - . '. ^ ` .. .7 i . .. .. .• ,. � y,.- ' ' �- `i _' ' � �. i � ' �. ... �' . .1 � _ � .. 'i n. . r��- �' r I I i t '� ' -n - F � - r` � I y 1 _ i _ � . '� J _ - � 1 ` 1 - ` ... ... r 1. r'. ' �. .. -�� � , _ 1 ,. � _ `_' .: �. . _.' -. Y .:. �. I I L� i I I CITY OF SAN LUIS OBISPO 1991 -92 ANNUAL RISK MANAGEMENT REPORT I. INTRODUCTION: Over the last several years, governmental entities and their public officials have been embroiled in severe financial and insurance difficulties because of the erosion of official immunity doctrine and the rising tide of litigation in our society. As a result of these trends, insurance premiums and deductibles rose drastically in the mid- 1980's while coverage was significantly reduced or not available. The City's response to these trends was to enter into self insurance for liability and workers' compensation programs. These changes in the City's insurance programs have made understanding and controlling City risk exposures a primary concern. The objective of the City's Risk Management Program is a coordinated and continuous ' effort to uncover significant loss exposures, apply reasonable and effective risk control, and ensure that the financial integrity of the City is not impaired after a loss. This is the City's first Annual Risk Management Report. The purpose of this report is to summarize the activities and programs of the City's risk management effort. The intent of the report is to identify: The City's cost for risks; The City's risk experience; and The City's programs for risk management ' 11. ELEMENTS OF RISK MANAGEMENT The purpose of risk management within the City is twofold: first, it seeks to protect the resources of the City from loss or destruction; and second, it seeks to continue ' the financial viability of the City by ensuring that expected and unexpected losses are properly financed. In the City, this is done through the following basic elements of risk management: Exposure Identification is the continuous process of identifying the resources for which the City is responsible and the accidental loss exposures that could affect them. In San Luis Obispo, this is accomplished through a program of periodic facility /site surveys, contract and policy review, Safety Committee, and I 1 y LL r.. -9 c+.•r, a.1 1 ?�" �.�r�7o- r�S. xi.v 1 �U lac d. it =`-aY U`.11,.•' '7. ,- �T, c>K.i 1.. 5 <'Zc�l, . ♦ 1 INt rt/i•,t r. Y��y /a.!?'.3 � Tr ... aVtJr I..,A t•r L,4 } LL.. t- a i ° IV d. , '1 , -.r , a ' t, - I_,.. • r r rrn r4 1'C1� - , - ♦ CITY'OF "SANrLUIS OBISPO�r S , ; 7991.92 ANNUAL-RISK; MANAGEMENT REPORT, �z .c • .y �; , V = �'S ° r.yF�F` JNI'4v7r F,.p 7 i'.y { + MpAyy�' qri� i r y / , �, "i l .: + KY `?t n' y actroey partic Atlor _,In the Central Coast C tlesMSelf'�Ilnsurance Fundf Risk' 1Manag m eme. t Comlttee� _ 7 F F s SL' r rt :.]ll"'ial 1'.'I -r'�'i `>�'•'- r�''a tf. ILL N- 7.r�.� 1 �u Risk�Eyaluation�is the _measurement�ofinskb canal zin y and _ y y g ast loss frequenc LL i rseverity and estimating fuiure frequency' andose "vef ty. This ois accomplisFiedl ,1 V ,through analyzing loss reports produced by the�Clty's workers' compensatlorn and habilrtY claims adminlstrators y „This report,w II provide a summ ray ofihe e`, 117; - „y. ,c4z r '-' 4 t •�•i, ai,`'. f1 "Ar r l+ F xx l+i'Fi �.i„W;...Fi ni`r.!' x'�rf r- -I•r'4 �” F '. .. ' loss °reports -ttr — )Z1,'r t,.$. 1 dl'S��'� /t =i5'a<Ij•`ai,..�F� -�' 1 *•.?YPV��.��f k'eG'.� }fin 1 liy `u+W �L '.a`I 1 .Risk Contro/; is�theafeductidmoo�r :eliminationEOf,rlsk�or loss through gocedr_u es ; 'r sand pppTactices;ih' security; p ersonal safety; fire prevention; vehlclesafety =andr , „ :y� emergency planning; This function Is °5ctlVely9puffsued by the,,Cltys ,Sa`fetyt 5 ,y� F Lt'Cornmittee and the; tRisk Manager_. Since the city self insures many of,:the,rlsks, ;4 c:clsk control i_s even more critical' in preventing or: ,reducing losses, thus saving L k directtcosts for the Glty, Ris k. control activmes are ;Identified InRvarlous sectioomr- ` Tow �A", G" v' - "...''` -O ,.+ s Y +.r .. ate -• I✓;^r , r u - g :x, of�thls report ",."r^:.1 z '.%}"Il lt$�1:. l J - • f. r.,.�,. ,�. '' 11 j,"'h r t M )Jl li l' t Ib� L' • : -�:: �, IJ � ..7 ?4 r� ib"'C' 7r 4,K. T.¢Iri nNr t- fh'h,v�•G �i "r2tt �.va�r..`� .�tz- RwW..._tY "j�r�4 +.1."1 ^, 1 ( Is the provislonPof, sufficient °funds to meet�loss4sltuatlons,if they° ; r ^:1 occur�by° thKe . most,.:e'ffective use of Internal and aexternal ,flnancy al resources,) - �..... includingl'Insuranoc Section III ildentlfle`s the cost of risks to' the Clay, while Attachment 111 provides aschedule of�Insurance)coverage,fornihe vailous;CrtyF` YI,MI� _. . c-v '� r. { -I'�f4 f, n;e >. `t'[C t'11`"".5.; , rY/Y�:Y 41C't'1'. 1!: w Ya "r . e ;, •v`- -y �- � � 1,; p - r' } ✓f"tT �:i �-`"1!__�, b .�a �`+r �4.� r�k- 'ry'}s. i +11 ICTti'.A1 t 1.� R. iskNlanagement— Adm�nrstrationl�ls;fthe tleveloprnent, of�a_ dm�satl trvel y 1 e hrnques to carry iiut' the, r sk�.management; process ost deffectiveI s _m gl skills ,Mlboth vvlthln and outside the 5 City gTh includes >overseemg `adminiStratlon Ofi claims rhandled by° third party: administrators for th'e�Cltys fl' , , �aY workers' compensation +a ^d''Ila6ilty pnograms,.pfoviding directio^ the1Crty's �' u s - � , Safety;Program, and - as�slsttiing� all City,, Apartments assappropnate ..-w - 'pin �'.. JF I•-�'� 4! tY.r , '.r �C,ty�,I a 4; ) u. ,I a '., '': a . .J , J Kh yy� I ,i'R rT r 1 i ._+ ♦.tH r I Tf In I I _ f i 4r. t _ �:[{ a�3. r M1ti r ��•l5 ,51�`�a 1i' � ,�'�I"L ��, "1�,"T JY 4r "}r � -IL � 1. '!' ,. _ `.a�1 ti\ - ' 1. ':rsr_'-">• +'+�'.i+ 7- r=. : r lu 1 ,F �;�}. •-I I_�� .w. � riv7]i.l�nt_�I ply. fcl t 44 i- +rt$a'= J %J: f/t Sr+L.r'�. - • .1 v( a �nZ 1' � ♦ � I � . It ("• 1 r `�tr-�r��� ill�i'aA C 5 :; � 4 r r 1 I 1 t : !I , '� ar v 3 ,'f "� i ,�. -*t• ��' 5 ... -)•. -. -: '..... .-..': .+u I. <:'�. �i'_.��.:. . .. -..:. .�.... ._ _.. .. ... .. .. .. _ ire I ' III. COST OF RISK CITY OF SAN LUIS OBISPO 1991 -92 ANNUAL RISK MANAGEMENT REPORT The cost of risk for the City is the sum of costs for all self- insurance and commercial insurance programs. The self- insurance programs are detailed further to account easily for excess insurance costs, administrative costs, services, and incurred claim ' costs. In the future, the cost of risk will be compared with the previous year. i I 11 I I I I I .! RISK COST FOR 1991 - 92 INSURANCE OR POOLED COVERAGE Dollar Amount Worker's Compensation Total Expense $398,314 Uabil - Total Expense $593,389 Property - Multi -Peril, Fire $28,146 Mobile Equipment $22,763 Boiler and Machine $3,510 Bond - no expense (2nd year of 2 year policy) $0 TOTAL $1,046,122 3 CITY OF SAN LUIS OBISPO 1991 -92 ANNUAL RISK MANAGEMENT REPORT IV. WORKERS' COMPENSATION PROGRAM A. Program Structure The City of San Luis Obispo has been self- insured for workers' compensation coverage since July 1, 1978. In 1984 we obtained an excess workers' compensation policy to cover any claim in excess of $250,000 up to a maximum limit of. $5,000,000. Workers' compensation claims for the City are adjusted by a third party administrator. The Risk Manager oversees the claims administrator and reviews and coordinates open claims with the adjustor. On April 1, 1991, Greenfield- Thompson Associates replaced Risk Management Associates, Inc. as claims administrator. This change was based on the results of a claims audit performed by the Central Coast Cities Self Insurance Fund. This type of transition is not easy but the City has managed to adjust to new procedures and personnel. B. Loss Analysis The City receives monthly, semi - annual, and annual loss reports from the City's claims administrator, identifying the nature and cause of each claim, as well as how much has been paid and /or reserved for each claim. This information is helpful in determining cost of risks by frequency and severity, as well as the type of risk control to focus on City -wide or within a particular department. There was a total of 100 workers' compensation claims filed during 1991 -92, an increase from 93 in the 1990 -91 fiscal year. Total incurred cost (paid to date plus reserves) dropped from $97,910.03 in 1990 -01 fiscal year to $88,935.14 in 1991- 92, for a decrease of $8,974.89. Although there has been an increase number of claims filed this year, there has been a decrease in the total amount paid out on these claims. 4 I I I I I 1 I I TOTAL 266,978 337,842 247,770 193,187 61,665 1,107,467 Evaluating all claims with actual incurred costs, excluding "record only claims ", the "Other" column accounted for 37% of the City's total incurred claim cost and 8% of claims for fiscal year 1991 -92. Note that the Finance Department listed in the "Other” column, has had one claim (back injury) amounting to $57,554. Without this claim, the "Other” column total would amount to $4,131 and only 3% of the total claim amount for fiscal year 1991 -92. The department with the next highest claim cost was Public Works at $42,307, 27% of the City's total incurred claim cost and 27% of the claims. The police department ranked third with 21 % of the City's total incurred claim cost and 29% of the claims. Note that the Police department had the largest number of claims with incurred costs at 23. The most frequent injury type for all claims including "record only claims ", was musculoskeletal injuries to the neck, shoulder, back, lower back, arms, legs, and knees, accounting for 35% of total injuries department wide. The department with the most reported injuries was the Fire Department, accounting for 32% of all City worker injuries. The department with the next highest percentage of total injuries was the Police Department accounting for 24% of all city worker injuries. The Public 9 • ' x "4`�,'"�a�pl>: 1 :r l '`f34 MOM ' �` tiy?fi�s;Lia*°v°&R.�,�.�"� . <l ZS.:^ �n5e �i�� �. h, 'i • %N�C'rh"J'+Rio»..; <�?�i, „r,i �^l hic r?*3@��`��`,u��\`>��,°�`,�6�,,� :�, < ,.,:: : E .: wc3`3 ........ • I.,v v> at i i3 �1 0 1 Fri�c «- v.a „iii ii\ [a yg9, �`y:�.( � ,w".1,'2. ;'6': a .•M, -S� �.'9�yMty�,p Ma,+,h '9h'1`:n • • • •A•... IC 1 1 1' • a. a .\ '.iyn l+' M J Y 5a:rv+ ' �l- ^..- ".\ �((�`v 1 \1110kW�l'�(�. I I I I 1 I I TOTAL 266,978 337,842 247,770 193,187 61,665 1,107,467 Evaluating all claims with actual incurred costs, excluding "record only claims ", the "Other" column accounted for 37% of the City's total incurred claim cost and 8% of claims for fiscal year 1991 -92. Note that the Finance Department listed in the "Other” column, has had one claim (back injury) amounting to $57,554. Without this claim, the "Other” column total would amount to $4,131 and only 3% of the total claim amount for fiscal year 1991 -92. The department with the next highest claim cost was Public Works at $42,307, 27% of the City's total incurred claim cost and 27% of the claims. The police department ranked third with 21 % of the City's total incurred claim cost and 29% of the claims. Note that the Police department had the largest number of claims with incurred costs at 23. The most frequent injury type for all claims including "record only claims ", was musculoskeletal injuries to the neck, shoulder, back, lower back, arms, legs, and knees, accounting for 35% of total injuries department wide. The department with the most reported injuries was the Fire Department, accounting for 32% of all City worker injuries. The department with the next highest percentage of total injuries was the Police Department accounting for 24% of all city worker injuries. The Public 9 CITY OF SAN LUIS OBISPO 1991 -92 ANNUAL RISK MANAGEMENT REPORT Works Department followed closely behind the Police Department in percentage of injuries, representing 23% of all City worker injuries. Figure 1 Figure 1 is a graphic illustration of five years of workers' compensation claims by department. Note that the total number of claims reported does not have a direct correlation to the total cost of claims as shown in figure 2. A 0 01 f =`1 E-j j 1�3 Figure 1 Figure 1 is a graphic illustration of five years of workers' compensation claims by department. Note that the total number of claims reported does not have a direct correlation to the total cost of claims as shown in figure 2. A CITY OF SAN LUIS'OBISPO 1991 -92 ANNUAL RISK MANAGEMENT REPORT Figure 2 Figure 2 is a graphic illustration of five years of workers' compensation claims costs by department. 7 1 1 1 jt e et ell *61 less Figure 2 Figure 2 is a graphic illustration of five years of workers' compensation claims costs by department. 7 E 4 U 1' i CITY OF SAN LUIS OBISPO 1991 -92 ANNUAL RISK MANAGEMENT REPORT I��Ml � .I JATLM i. ME �. Five Years of Workers' Compensation Claims - UTILITIES DEPARTMENT TdN Cad -SI M167 Tdd Na d cwm -M FIGURE 3 Figure 3 is a graphic illustration of each departments' changing Worker's Compensation claim costs by year from 1987 -88 to 1991 -92. Five Years of Workers' Compensation Claims - PUBLIC WORKS DEPARTMENT Tdd Ced- QQ.T70 Tdd Na of Clde! - I" up pN7U -7. j aa,.4s+ -ao na M 40.40 .WI en m Annual Claims Five Years of Workers' Compensation Claims -ALL OTHER DEPARTMENTS Tdd ZZ ast.aa7 wo T.4eY MO.dCYIs -76 Essepra -e a M WNIG goal 0542 Ammsil Clan. I I 1 I I 1 I I I I 1 I I 1 CITY OF SAN LUIS OBISPO 1991 -92 ANNUAL RISK MANAGEMENT REPORT Workers' Compensatlon Claims Incurred Costs -1987 - 88 Workers' Compensation Claims Incurred Costs -1988 - 89 Workers' Compensetlon Claims Incurred Costa -1990 - 91 H FIGURE 4 Figure 4 shows each department's Workers' Compensation claim costs as compared to the total claim costs in the years from 1987 -88 to 1991 -92. Costs are illustrated as a percentage of total claim costs. Workers' Compensation Claims Incurred Costa -1989 - 90 �a Workers' Compensation Claims Incurred Costa - 1991 - 92 Cl-TY'OF SAN LUIS OBISPO& -:5 -91 ANNUAL RISK MANAGEMENT �REPORT'l:-.- cgs f q. 7 Wj�4 u L9MAIVOR RS_ COMPENSATION ;C LAIM§`6 VER3'5001' _777 �T . .... . I. j *.%'. Xause��;� Department 13 P Uomm.Ajevelopmenv Pzyvie,��,6, a or J ut-ffifibe"-sc Groin a Cumulative Hearing Lossr��- Curnu 'OjiCe elomoise�,, � H r—t n7 -D-V-4a"Q' a lar,EKG� on,fitheiiii�esi4"�,,IidkOO6-'o j 49 -000 Chords �_ licd V B'da I Po Strained Stniffed,yrocal Chordst dispa --w6h)" ~ Finance c 1G CeNid5lL Disk H erniP 4 Sitting at computer. Jr _"'L I R F65t Bunidn %��-*-Uftffi?j anVol#, ith1fodt-'1-A-Z,10"800.`;:' C.v: ­­11. - -,, 1 ... ... ... 04� -'�-43VTfie-e friffm-i- �t:,'ftbliq works 'Back'.Strain R JE "Knee Stra C I i _rn- b i rg out p C6-Cpil TO �Jf"z 0 Rf- nel Syndrome M p _gtitiVe n 4. -!,;,ActiV.itiesFano Goals-.- b_- -1 IJ he _utbi APO A S, Implemen krn Illness =,, reven on M, program� The prpgr?m is designed lo reduce wand ke- -6 P bi,45 minimum_ 16CEUP one 7 R '1l9&�j_Q.C)dfC 14—cc!dents,,,5-hd'ihjUWAs. required by*the passage of S 5 9891., 4.' J J T '-*. - -, .; , The� AL ­4, :iy"elements-pv*�'.- ffijury an 11 r -ogram are:!. r ')�r dgfififidafi6n of W, W ) ?'KI, Y.- 1.i Y(5 0 iffis ,V,8 -Witystem, including - KSO ga t i 6 h qwp • A --pr6gra timely A ,,manner-;., I 0, --Hbi§ltn �ano,saTeTy-�Trainin'g"instructing,,,e - �F . .f a, s- 'kwitKl� employees )r I including means system 'co"thmUnicate 9l .6-n i0radtices for employees�'.td rep6rt htzaFd r, k. wrthou -,fear of ,safety committee); -4 X,sy ee comly wit hr"sa e�and�Ihealthy work r I ipraciic.es,�--- w hictf,-miy.inelu-de,disdiplinary actiop . . .... ' r 2 L4 "ind"111refferevention PrO-gTPm--,Ahd4o owi, Ifi hh-e: vf -fimpliam ,adlivitfield? have taken Pita 0 3:' M1t ]I I CITY OF SAN LUIS OBISPO 1991 -92 ANNUAL RISK MANAGEMENT REPORT • Revitalization of Safety Committe The Safety Committee began holding regular bi- monthly meetings, with new ' members appointed to represent new program's such as Parking and Water Conservation. The Safety Committee was then broken into sub - committees to address specific problem areas. Subcommittees were formed for Accident Review, Training, Hazardous Materials, Inspections and Safety Manual Revision. • Development of New Insoection Forms: ' Based on sample OSHA inspection forms, the inspection Sub - Committee selected appropriate evaluation questions and developed individual inspection forms for offices, workshops, buildings and parks. These forms are used for monthly inspections. • Training Record Forms: ' As required by SB 198, new training record forms were developed. All supervisors were given forms for their employees and trained in their use. ' • Safety Manual Revision: The Safety Manual Revision Sub - Committee is currently working to rewrite the Safety Manual to reflect the Injury and Illness Prevention Program and the City's new Risk Management Manual. • Injury and Illness Prevention Program Training: All employees were trained in the contents of the Injury and Illness Prevention Program so that they will be aware of the protection it offers them and what their responsibilities are in developing safe work habits. • Development of Codes of Safe Practices: Individual Codes of Safe Practices were developed for each major work activity. Supervisors provided input which was then used to create the Codes. Employees were then trained on the Code or Codes appropriate to their work responsibilities. ' • Review of Safetv Policies and Practices: A new Hearing Protection Policy was developed after performing noise surveys at all work locations. The Hazard Communication Policy is in the process of being 11 11 CITY OF SAN LUIS OBISPO 1991 -92 ANNUAL RISK MANAGEMENT REPORT updated, as is the Lockout/Tagout Policy, and Emergency Procedures Policy. A Blood borne Pathogens Standard is also under development. • Training: Taking advantage of programs provided by the Central Coast Cities Self Insurance Fund WPA) Risk Management Committee, training classes for employees were provided in Hazard Communication, Asbestos, and Traffic Delineation. Monthly safety themes were established to help supervisors with tailgate training sessions. Quarterly Safety Feeds were provided, where a safety program was given to all employees who attended. These Safety Feeds are open to all employees. • Defensive Driving: The Safety committee is addressing the need to provide defensive driving training to all employees who drive City vehicles. It hopes to have a program in place in 1993. V. WELLNESS PROGRAMS A. The City's Overall Wellness Program The City has implemented a Wellness Program offered to all regular City employees. The City began this voluntary Wellness Program for its employees in November of 1986. The Wellness Program for the City of San Luis Obispo was inspired by a desire to develop a preventative program that would increase employee productivity and at the same time decrease the City's health - related costs. By encouraging employees to participate in this program, the City believes that a new attitude of health and fitness awareness will result. From this knowledge a healthier and more fit work force will emerge. Proposed benefits to the City include a safer, healthier, more productive work force; benefits to the employee include reduced injuries, illness and accidents, and improvement in the quality of life. The program consists of the following components: 1. A Health Risk Appraisal which provides computerized feedback based on blood tests and employee supplied health information. This appraisal is interpreted for the employee by a health professional. 12 CITY OF SAN LUIS OBISPO ' 1991 -92 ANNUAL RISK MANAGEMENT REPORT 2. A Nutrition Profile for each employee based on answers to a questionnaire. 3. A Fitness Evaluation which includes blood pressure measurement, body fat ' measurement, and testing of muscular strength, endurance, flexibility, and aerobic capacity. 1 4. Fitness goal setting done individually by each employee to provide direction for his /her own particular fitness activities. 5. Fitness and educational activities selected by the employee which allow him /her to meet established goals. ' 6. Retesting and re- evaluation of goals at the end of each 6 -month session. Partial subsidy of expenses is available to employees who follow pre- determined requirements and achieve their goals. 7. Educational programs offered on a bi- monthly basis. ' The following is a summary of data based on a thorough evaluation of the Wellness Program soon to be published. ' The average workers'compensation claim cost for a Wellness Program participant decreased from $938 in 1983/84 to $890 in 1990/91. The cost for Non - Wellness employees for the same periods rose from $3661 to $4035. Similarly, while medical claim costs for both Wellness and non - Wellness employees rose significantly between 1986/87 and 1990/91, the comparison years, the average claim cost for Wellness ' employees in 1990/91 was $1034 and for non - Wellness employees was $2,792. Figure 5 on page 14 is a graphic comparison of Average workers' compensation claim costs for 1990 -91 Wellness versus non - Wellness employees. Figure 6 is a ' comparison of average health insurance claim costs for 1990 -91 Wellness versus non - Wellness employees. Over the past 5 years the difference between the two groups in average sick leave usage has decreased. However, the average for non - Wellness employees is still 1.5% ' higher at 48.18 hours per year, compared to 47.45 hours per year for Wellness employees. -1 i 1 13 1 CITY OF SAN LUIS OBISPO 1991 -92 ANNUAL RISK MANAGEMENT REPORT Figure 5 Figure 6 iEl Controlling HEALTH INSURANCE CLAIM COSTS - City Wellness Program $2,M E V m 0 r 0 1 $1.034 M 1 ■ .:: -.. Q 77L WNlnw Non -Welk w Comparison of Avg Cost of Claim - 90.91 Figure 6 iEl C� CITY OF SAN LUIS OBISPO 1991 -92 ANNUAL RISK MANAGEMENT REPORT ' A survey of employee participation showed Wellness employees to have a higher understanding of proper nutrition and are more satisfied with the elements of work life, interpersonal life and the direction of their life. To further aid employees in their effort to stay physically and mentally fit, the City offers an Employee Assistance Program administered by Occupational Health Services 1 (OHS). OHS provides a wide -range of counseling services to all employees and eligible family members including: marital and family problems, alcoholism, drug dependency, financial and credit concerns, legal issues and questions, tax problems, ' emotional problems, stress, childcare, eldercare, interpersonal conflicts and situational life problems. B. Fire Department Wellness Program ' The Health and Fitness Program for the San Luis Obispo City Fire Department assists the members of that organization in maintaining a high level of physical fitness. ' The San Luis Obispo Fire Department has made a choice to fight back and reduce the physical risks their occupation demands. Beginning January 1, 1990 a physical fitness program was implemented to meet the training requirements of each Fire Department safety employee covered under the Fire MOA contract. This program adopted as guidelines the policies outlined in Chapter 8 of the 1987 edition of the National Fire Protection Association Standard 1500 (Appendix A). Physical ' conditioning programs in public safety departments have reportedly shown beneficial physiological changes, improved physical performance, and a reduction in cardio- respiratory disease risk factors. A properly designed and managed physical conditioning program is the best solution to the problem of low fitness, high injury rates, and excessive cardiovascular disabilities among firefighters. PROGRAM COMPONENTS: The design of an effective fitness program must include certain essential factors to insure its success in the Fire Department. These factors include, yet are not limited to: a) a comprehensive health and fitness evaluation; b) individual consultation; ' c) a recommended physical conditioning program based on each individuals physiological needs and activity preferences; 1 15 CITY OF SAN LUIS OBISPO 1991 -92 ANNUAL RISK MANAGEMENT REPORT d) an hour during the scheduled workday which allows the participant to workout and attend to his /her fitness needs; e) an abbreviated fitness evaluation administered throughout the year to check progress and re- evaluate the individual's conditioning program; f) a continuous educational plan for all participants on health related topics; and g) provide proper equipment, exercise area and an atmosphere which permits each individual to strive to reach a high fitness level. Through the implementation of its program, the San Luis Obispo Fire Department has become an organization committed to assisting its personnel in reducing the health risks resulting from occupational demands. The department strives to develop and maintain a level of fitness in each employee that contributes to the wellness of that individual and to the department as a whole. The objectives of the program are: Provide each employee an opportunity to learn more about making positive lifestyle changes for themselves and their families. 2. Increase employee morale and effectiveness. 3. Reduce early retirement due to disability. 4. Reduce the number of sick days taken due to stress, injury or illness. 5. Maintain the health of all safety personnel above levels of disease and injury risk. Jacquie Wertz, the Work - Health Coordinator has collected data from past years which enabled her to concentrate training on specific areas, i.e. back injury reduction. • 1990 vs. 1991 On- The -Job Injuries /Accidents by Fire Suppression Personnel. Results: Back injuries were reduced from 12 in 1990 to 4 in 1991, a 66% decrease. In 1990, of the 12 reported back injuries, 7 resulted in lost time away from duty. Of the 4 injuries in 1991, only 2 resulted in lost on -duty time, a 71 % reduction. Figure 7 illustrates by year, the number of back injuries reported as well as the number of back injuries that resulted in lost time. 16 I I I I I 1 I i I LI CITY OF SAN LUIS OBISPO 1991 -92 ANNUAL RISK MANAGEMENT REPORT Figure 7 Knee injuries were down from 2 in 1990 to 1 in 1992. All other types of injuries ranged from various musculoskeletal injuries to cuts and burns. The year total for work - related injuries was down from 24 injuries in 1990 to 18 in 1991, a 25% reduction. - • 1991 Sick Leave Utilization by Fire Suppression Personnel (including Personal Illness, Family Care Leave, and Bereavement Leave) Results: The most significant change is that in 1991, total sick leave and sick leave taken for personal illness was the lowest it has been since 1987. • Five Year (1987 -1991) Review of Fire Suppression On- The -Job Injuries and Accidents (Workers' Compensation) including Lost Time. This report does not include data from a serious heart condition or any Department incidents of communicable disease exposure. The reductions reflected from the above data are related to the Fire Department's increased awareness of the importance of health and fitness. An individual's ability and willingness to become more involved and committed to his or her own well -being increases his or her ability to have a long, active and productive work life. The goal 17 no r RUN Figure 7 Knee injuries were down from 2 in 1990 to 1 in 1992. All other types of injuries ranged from various musculoskeletal injuries to cuts and burns. The year total for work - related injuries was down from 24 injuries in 1990 to 18 in 1991, a 25% reduction. - • 1991 Sick Leave Utilization by Fire Suppression Personnel (including Personal Illness, Family Care Leave, and Bereavement Leave) Results: The most significant change is that in 1991, total sick leave and sick leave taken for personal illness was the lowest it has been since 1987. • Five Year (1987 -1991) Review of Fire Suppression On- The -Job Injuries and Accidents (Workers' Compensation) including Lost Time. This report does not include data from a serious heart condition or any Department incidents of communicable disease exposure. The reductions reflected from the above data are related to the Fire Department's increased awareness of the importance of health and fitness. An individual's ability and willingness to become more involved and committed to his or her own well -being increases his or her ability to have a long, active and productive work life. The goal 17 CITY OF SAN LUIS OBISPO 1991 -92 ANNUAL RISK MANAGEMENT REPORT of the Health Maintenance program is to continue efforts which encourage Fire Department members to increase involvement and commitment to safety, health and fitness. VI. LIABILITY PROGRAM A. Proaram Structure On July 1, 1978, the City joined the Central Coast Cities Self Insurance Fund (CCCSIF) for liability coverage. The City is self- insured through the CCCSIF for the first $100,000 for liability claims, which include bodily injury, personal injury and property damage to the public. Carl Warren and Company adjusts claims for the CCCSIF member cities. Sedgwick James of California provides administrative services to the CCCSIF. Settlement authority for claims is: $1,000 or less - Carl Warren and Company; $1,000 to $10,000 City Administrator or his designee; $10,000 to $100,000 - City Council.. For claims in excess of $100,000 the CCCSIF has purchased excess liability insurance through Insurance Company of the West. The City's premium deposit to the CCCSIF for the liability program for fiscal year 1991 -92 was $522,590 as compared to $518,594 for fiscal year 1990 -91, constituting a .8% increase. The deposit premium includes the incurred cost of claims and their administration. B. Loss Analysis The City receives monthly loss reports from Carl Warren and Company. These loss reports indicate each claim with a brief description, and identify expense reserves, paid loss reserves and total incurred expense, which includes actual expenses plus reserves. The report is organized by year of claim occurrence. Attachment I shows the City's claim experience for the past five years. See Attachment 11 for a five year history of individual liability claims over $10,000. The Public Works Department had the highest number of claims (37) and the largest claim cost of $278,128, representing 68% of the City's total claim costs. Of the 37 claims filed, 14 were for parking lot, side walk and street design defects which was the most common claim type filed in fiscal year 1991 -92. The Police Department had the next highest number of claims (18) representing a total claim cost of $89,175, accounting for 22% of the City's total claim costs. The most common claim filed against the Police Department was alleged police harassment and false arrest. Figure 8 18 I F 1 C L 1 1 1 I I CITY OF SAN LUIS OBISPO 1991 -92 ANNUAL RISK MANAGEMENT REPORT displays both the total number of liability claims and total cost associated with these claims by department. Figure 8 C. Activities and Goals One of the most significant activities of fiscal year 1991 -92 was the adoption of a Risk Management Manual by the City Council. This manual defines a formalized Risk Management Program which can be used by all departments in the City. The manual was introduced to all department heads and mid - managers at individual department meetings. Manuals were provided to all attendees. One of the areas identified by the Risk Management Manual is insurance requirements for contracts. Based on these requirements, the City has modified its contract guidelines to meet these standards. Training sessions were held for all department heads and mid - managers on what insurance standards should be included in bid packages, requests for proposals, and contracts. Included in the training was basic information on reading Certificates of Insurance and Additional Insured Endorsements. 19 Liability Cases by Department Cost and Number - 1991 -92 3W- M./ 5278,128 37 elalms m o' $69,175 18 claims 100 525,657 5 elalma $6,734 57.000 2 claims 2 Balms Public Works Police Utilities Fire Mlacellansous City Departments Figure 8 C. Activities and Goals One of the most significant activities of fiscal year 1991 -92 was the adoption of a Risk Management Manual by the City Council. This manual defines a formalized Risk Management Program which can be used by all departments in the City. The manual was introduced to all department heads and mid - managers at individual department meetings. Manuals were provided to all attendees. One of the areas identified by the Risk Management Manual is insurance requirements for contracts. Based on these requirements, the City has modified its contract guidelines to meet these standards. Training sessions were held for all department heads and mid - managers on what insurance standards should be included in bid packages, requests for proposals, and contracts. Included in the training was basic information on reading Certificates of Insurance and Additional Insured Endorsements. 19 CITY OF SAN LUIS OBISPO 1991 -92 ANNUAL RISK MANAGEMENT REPORT Another section of the manual specifies minimum driving standards for employees operating vehicles on City business. These standards also include insurance requirements for employees using private vehicles on City business and were implemented after meeting and consulting with employee associations. This section of the Risk Management Manual also requires basic defensive driving training for all employees who regularly drive City vehicles. The Safety Committee is currently investigating cost effective ways to provide this training. In order to monitor employee driving records, the City enrolled in the Motor Vehicles Driver Record Information Service. This service automatically notifies the City when there is any action appearing on an employee's driving record. This action can be anything from a suspended license to a change of name or address. Through this program employees may be classified as negligent operators based on a point system assigned by the DMV to different violations. Such employees can be identified for further driver training and /or closer supervision. The Risk Management Manual also addresses insurance requirements for special events. In order to implement these requirements, training was provided for the City Clerk's Office and the Recreation Department, the locations where the public goes to receive special event permits. In addition, the City has purchased a "tenant user" umbrella insurance policy under which public groups or individuals may purchase insurance for their special events. As a result, the Personnel Department now includes "insurance sales" as part of its other duties. A committee under the direction of the Police Department was also established to address the City's special events policies. A final policy has yet to be completed, but when done it should simplify the permitting process and provide for cost recovery on the part of the City. It will also allow for greater control of such events and a better opportunity to evaluate the risks involved. VII. COMMERCIAL INSURANCE PROGRAM Insurance is purchased by the City through Sedgwick James of California to cover all insurable property. Generally, insurable property is covered for all risks except earthquake and flood with a total of $84,940,643 in insured values. The City also purchases boiler and machinery insurance to cover heavy mechanical equipment such as water well pumps. We also participate in the California Public Entity Mobile Equipment Program which insures large pieces of mobile equipment, such as fire trucks, which have a value in excess of $50,000. The total value of insured equipment under this program is $2,276,252. In addition, the City 20 CITY OF SAN:LUIS OBISPO 1991 -92 ANNUAL RISK MANAGEMENT REPORT purchases honesty and faithful performance bonds; for its employees. There was one loss reported in the 1991 -92 fiscal year against, our boiler and machinery policy. See Attachment III for a schedule of City insurance. 211 CITY OF SAN LUIS OBISPO 1 ' 1991 -92 ANNUAL -RISK MANAGEMENT REPORT ATTACHMENT r;- e 22 1 A FIVE YEAR HISTORY OF LIABILITY CLAIMS :NET RESERVES NET PAYMENTS TOTAL INCURRED NUMBER LOSS . EXPENSE TOTAL LOSS EXPENSE TOTAL LOSS E7PENSE TOTAL OF CLAIMS ....... ....... ....... ....... ....... ....... ....... ....... ....... .............. 07/1187.06/.10188 ...... OPEN. 2 25,000 23.197 48,197 78,803 78,803 '25,000 100,000 125,000 _ CLOSED 34 - 25.597 53AU 79.136 .25,597 53AM 79.136 TOTAL 36 25,000 .23.197 46,197 25,597 130,542 1551939 50.597 153,539 204,138'.1 0 710118 8 - 0 6/3 0169 OPEN .8 72,540 214,096 .286,638 2.460 133.448 135,907 75.030 347,545 422,545' ,CLOSED 39 40.4S3 140,307 180,760 40,453 140407 180,760 TOTAL 45. 74540 214.098 2BB,S38 42,913 . 273,755 316,687 115.453 487,853 803,305 07/1189.06/30190 ' OPEN. 11 82.505 134,530 217.035 645 .73im 74,690 '89,350 208.3.74 281,724 CLOSED 47 27,085 25214 53,199 .27,885 25914 9,199 TOTAL 58 82,505 134,530 .217,035 28,831 89,058 127,089 .111,= •233,588 544,924, 07/01/90 - 06/30/91 OPEN 13 34}72 1 &185 52.751 40,378 30 1$9 53.866 74,BSD 31,873 106,425., CLOSED 39 19.432 '30234 49,666 10.432 30.234 49,866 TOTAL 52 34}72 1 &185 52,757 59,810 43.524 103,934 04,382 61,709 156,091 0 7/1191 - 0 6/3 0192 OPEN 47 17204.1 115,180 287,223 73.757 43,820 117,577 245.900 159,000 404,6001 CLOSED 25 15,363 12238.: 27.602 15,963 12.230 27.802 + 2872223 89.119 WAD - 145.178 261.163 _ 171,239. 432.402' TOTAL 72 172,043 115.180 - r;- e 22 1 f' 1 1 1 t 1 1 1� CITY OF SAN LUIS OBISPO 1991 -92 ANNUAL RISK MANAGEMENT REPORT ATTACHMENT II INCURRED COSTS FOR INDIVIDUAL CLAIMS OVER $10,000 AS OF 6/30/92 FISCAL YEAR 1991-92 DATE ALLEGED CAUSE RESERVES PAYMENTS TOTAL LOSS EXPENSE LOSS EXPENSE INCURRED --- �_ �_-- a- a- aaa�- a�a- a- �s_aaaa�z= ea�aasaaarae• �---m� ��'•^°s.� a-- eaaaaeaaaa¢� �� 23 1987 -88 07/26/87 ALTO STRUCK AND KILLED BICYCLIST 20,000 7,474 0 67,526 95,000 10/02/87 FOOT TURNED UNDER CRACK IN SIDEWALK 5,000 12,112 0 12,888 30,000 1968 -89 07/05/88 R/E BY FIRE TRUCK 25,040 34,745 2,460 5,255 67,500 10/25/88 SLIP 8 FALL 10,000 21,858 0 6,413 38,271 08/18188 BLDG. PERMIT -RON LIC. CONTRACT 15,000 71,718 0 39,254 125,972 04/10189 JOGGER MIT BY A VEH 15,000 42,204 0 33,599 90,803 02/28189 CLMT SHOT BY POLICE OFFICER 5,000 40,012 0 49,988 95,000 1989 -90 08/28/89 CLMT TRIPPED ON SIDEWALK 20,000 22,478 0 2,522 45,000 11/28/89 TRIP E FALL ON SIDEWALK 2,500 18,728 0 3,772 25,000 04/27/90 ASSAULT BY POLICE 10,000 23,673 0 7,415 41,088 04/27/90 ASSAULT BY POLICE 10,000 21,293 0 9,023 40,316 04130/90 FALSE ARREST 5,000 15,949 0 7,101 28,050 06/01/90 INVERSE CONDEMNATION 20,000 55,582 0 67,850 143,432 1990 -91 05/27/91 SIDEWALK TRIP AND FALL 9,500 1,424 500 1,076 12,500 02/22/91 CONTRACT DISPUTE 5,000 3,001 0 1,999 10,000 1991 -92 07/10/91 SIDEWALK TRIP AND FALL 80,000 14,865 0 5,135 100,000 01/04/92 STREET FLOODED/VEHICLE DAMAGED 29,500 BBS 0 1,612 32,000 02/14/92 DRAIN CLOGGED FLOODING 7,500 1,818 0 682 10,000 10/08/92 FALSE ARREST 10,000 2,500 0 0 12,500 23 CITY OF SAN LUIS OBISPO 1991 -92 ANNUAL RISK MANAGEMENT REPORT ATTACHMENT III 24 )Ram $19,127 $154,945 ine. above. $$0,143 513,741 $7,339 52,091 $1,178 S1,7SS CITY OF SAN LUIS OBISPO INSURANCE POLICY SUMMARY 1991.93 TYPE COMPANY &�. DEDUCTIBLE PROPERTY F 8391788 Lesiwm $10,000,000 510,000 MUICCIPAL LIABILITY Gne. E & O) CSR 1164219 (Occurrence) his. Co. of the Wen. 54000,000 $100,000 AUTOMOBILE LIABILITY CSR 1164219 (Occurrence) Im. Co. of the West 31,000,000 $100,000 EXCESS LIABILITY lm .co. of the West $4,000,000 Eaeea OR I1644ixo MOBILE EQUIPMENT GC 011545 First State $1,000,000 $5,000 FIDELITY BOND 30285649 (Except PbUm) Fi c&y and 5300,000 52,500 30285648 (Police) Deposit Co. of MD 5300,000 52,500 BOILER AND MACIIINERY 7384)8.36 Pacific Indemnity Co. SS,000,000 woo FLOOD 060503490791 National Flood llndervritem 5200.000 SS,000 EXCESS WORKERS COMPENSATION C2!%SQR38 Evployc`a Reimonoee Crop. 32,000.000 5250,000 24 )Ram $19,127 $154,945 ine. above. $$0,143 513,741 $7,339 52,091 $1,178 S1,7SS