Global Economic &Workforce Development Coalition

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

951-301-0605  Fax 951-301-0606

 

SOCAL SELECT_TM

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 Strategy^TM 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 SELECT_TM

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 SELECT_TM

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