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Nonsubscription in The State of Texas
How to Manage Injuries and Costs
INTRODUCTION
The State of Texas offers a unique opportunity for employers to opt out of the
Workers' Compensation System. This nonsubscription election allows companies to
reject the state-run program. The only requirements to take this approach are
some limited reporting and posting of notices. The one drawback is that once you
make that election, you give up your right of protection from lawsuit. However,
the smart employer will be responsible in structuring a program to pay lost wages
and medical treatment. This program should be structured through a qualified ERISA
plan designed to clearly identify benefits, procedures, and system administration.
Additionally, protection from lawsuit comes in many other forms. Many well-known
companies, either with part of their operation or fully based in Texas, have experienced
great success by reducing claim loss, reducing insurance premiums, and increasing
the bottom line, while taking care of injured workers and getting them back to
work.
SUMMARY OF THE NONSUBSCRIPTION
PROGRAM
A responsible program is developed to identify all procedures, finalize specialists,
and develop time frames for such. It is imperative that all employees are familiarized
with the program, trained in safety procedures, and advised where detailed information
is available for them. The handling of claims must be timely and professional
to the benefit of the employees and the employer.
AVAILABLE
RESOURCES
ERISA Occupational Injury Benefit
Plan
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Establishes medical treatment procedures, wage continuation benefits, waiting
periods, eligibility requirements and appeals process.
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Explains the procedures, rules, limitations, and responsibilities in the Plan.
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Identifies plan administrator and communication vehicle for injured workers.
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INSURANCE ALTERNATIVES FOR
NONSUBSCRIBERS
Insurance for nonsubscribers is available through numerous liability-based products
designed for large Self Insured Retention plans as well as low-deductible needs.
These policies can cover within policy
limits:
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Approved Medical Treatment
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Lost Time Wages
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Legal Defense of a Claim
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Judgments and Awards
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Following are alternative coverages:
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Employer's Excess Indemnity Coverage:
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High self-insured retention over $100,000
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High policy limits up to $10,000,000
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Requires safety and claims management and ERISA
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Covers medical bills, lost wages, negligence liability, and legal costs within
policy limits
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Combined Single Limit Underlying Coverage:
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Underlying coverage up to $500,000
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Low deductible for $1,000 and up
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Includes ERISA
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Covers medical bills, lost wages, negligence liability, and legal costs within
policy limits
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