Lance's Corner

WCB Announces 2025 Employers' Workers' Compensation Assessment Rate

Oct 29, 2024

Per the notice below, the New York State Workers' Compensation Board (WCB) has announced the 2025 Workers' Compensation assessment rate for employers.

New York State Workers’ Compensation Board Announces 2025 Assessment Rate


Pursuant to Section 151 of the New York State Workers' Compensation Law (WCL §151), the Chair of the Workers’ Compensation Board shall annually establish an assessment rate for all employers by November 1 of each year, to be effective January 1 of the subsequent calendar year.  For calendar year 2025, the rate shall be 7.1% of the standard premium or premium equivalent.  Please contact the Workers’ Compensation Board by e-mail at: WCBFinanceOffice@wcb.ny.gov with any questions on the assessment rate.

Clarissa M. Rodriguez
Chair

Workers’ Compensation Rate Will Decrease by 22 Percent in 2025, Resulting in Savings for More Than 400,000 Small Businesses Across the State

Governor Kathy Hochul today announced that New York State employers are expected to save more than $191 million dollars in 2025 due to a reduction in the annual workers’ compensation assessment rate — the rate was set today and goes into effect on January 1, 2025.  The workers’ compensation rate will be 7.1 percent of the standard premium or premium equivalent — a 22 percent decrease from 2024 — which is expected to save New York State businesses approximately $191 million.

“Affordability is crucial for both businesses and employers to thrive,” Governor Hochul said.  “This tremendous increase in savings for New York State’s employers not only adds employment opportunities, but also strengthens the necessary services and the community that businesses provide.  We are dedicated to supporting our State’s businesses and their employees, and ensuring that they receive the benefits they rely on to care for themselves and for their families.”

New York State Workers’ Compensation Board Chair Clarissa Rodriguez said, “The Board is honored to join the Governor today in celebrating these incredible savings for New York’s businesses.  Assessments on employers have continued to decline, while benefits to workers have climbed in recent years.  We are proud of the work we are doing to build a better workers’ compensation system for the hardworking New Yorkers and businesses we serve.”

Employers pay an annual assessment to operate the workers’ compensation system, which provides critical benefits to workers who are injured or become ill as a result of their employment responsibilities, while protecting employers from costly lawsuits.  Building on Governor Hochul’s initiative to make New York State more affordable, the projected savings will reduce the current assessment costs for employers.  As Chair of the NYS Workers’ Compensation Board, Chair Rodriguez establishes an assessment rate for all employers by Nov. 1 of each year, to be effective Jan. 1 of the subsequent calendar year.  The employer assessment rates are determined by the Workers’ Compensation Board’s need and budgeted statewide premium.  The rate is calculated by dividing the Board’s total estimated annual expenses by a base of total estimated statewide premium.  Insurers are required to apply the assessment rate to their premium or premium equivalent.  The assessment rate has been steadily declining in recent years, largely due to prudent management in accelerating the runoff of special workers’ compensation liabilities — known as special funds — which are funded by the assessments.  The 2025 rate of 7.1 percent reflects an over 43 percent decrease since 2019, when the assessment rate was 12.6 percent.

Rate Changes from 2019 to 2025
YearRate
201912.6
202012.2
202111.2
202210.2
20239.8
20249.2
20257.1

For more information regarding the 2025 assessment rate, as well as additional resources for employers related to workers’ compensation, visit the NYS Workers’ Compensation Board’s website at: wcb.ny.gov.

USDOL Issues Comprehensive Employer Guidance on Long COVID

The United States Department of Labor (USDOL) has issued a comprehensive set of resources that can be accessed below for employers on dealing with Long COVID.

Supporting Employees with Long COVID: A Guide for Employers

The “Supporting Employees with Long COVID” guide from the USDOL-funded Employer Assistance and Resource Network on Disability Inclusion (EARN) and Job Accommodation Network (JAN) addresses the basics of Long COVID, including its intersection with mental health, and common workplace supports for different symptoms.  It also explores employers’ responsibilities to provide reasonable accommodations and answers frequently asked questions about Long COVID and employment, including inquiries related to telework and leave.

Download the guide

Accommodation and Compliance: Long COVID

The Long COVID Accommodation and Compliance webpage from the USDOL-funded Job Accommodation Network (JAN) helps employers and employees understand strategies for supporting workers with Long COVID.  Topics include Long COVID in the context of disability under the Americans with Disabilities Act (ADA), specific accommodation ideas based on limitations or work-related functions, common situations and solutions, and questions to consider when identifying effective accommodations for employees with Long COVID.  Find this and other Long COVID resources from JAN, below:

Long COVID, Disability and Underserved Communities: Recommendations for Employers

The research-to-practice brief “Long COVID, Disability and Underserved Communities” synthesizes an extensive review of documents, literature and data sources, conducted by the USDOL-funded Employer Assistance and Resource Network on Disability Inclusion (EARN) on the impact of Long COVID on employment, with a focus on demographic differences.  It also outlines recommended actions organizations can take to create a supportive and inclusive workplace culture for people with Long COVID, especially those with disabilities who belong to other historically underserved groups.

Read the brief

Long COVID and Disability Accommodations in the Workplace

The policy brief “Long COVID and Disability Accommodations in the Workplace” explores Long COVID’s impact on the workforce and provides examples of policy actions different states are taking to help affected people remain at work or return when ready.  It was developed by the National Conference of State Legislatures (NCSL) as part of its involvement in USDOL’s State Exchange on Employment and Disability (SEED) initiative.

Download the policy brief

Understanding and Addressing the Workplace Challenges Related to Long COVID

The report “Understanding and Addressing the Workplace Challenges Related to Long COVID” summarizes key themes and takeaways from an ePolicyWorks national online dialogue through which members of the public were invited to share their experiences and insights regarding workplace challenges posed by Long COVID.  The dialogue took place during summer 2022 and was hosted by USDOL and its agencies in collaboration with the Centers for Disease Control and Prevention and the U.S. Surgeon General.

Download the report

Working with Long COVID

The USDOL-published “Working with Long COVID” fact sheet shares strategies for supporting workers with Long COVID, including accommodations for common symptoms and resources for further guidance and assistance with specific situations.

Download the fact sheet

COVID-19: Long-Term Symptoms

This USDOL motion graphic informs workers with Long COVID that they may be entitled to temporary or long-term supports to help them stay on the job or return to work when ready, and shares where they can find related assistance.

Watch the motion graphic

A Personal Story of Long COVID and Disability Disclosure

In the podcast “A Personal Story of Long COVID and Disability Disclosure,” Pam Bingham, senior program manager for Intuit’s Diversity, Equity and Inclusion in Tech team, shares her personal experience of navigating Long COVID symptoms at work.  The segment was produced by the USDOL-funded Partnership on Employment and Accessible Technology (PEAT) as part of its ongoing “Future of Work” podcast series.

Listen to the podcast

HHS OIG Issues Annual Report on State MFCUs

Per the notice below, the Office of the Inspector General (OIG) of the United States Department of Health and Human Services (HHS) has issued its annual report on the performance of state Medicaid Fraud Control Units (MFCUs).

Medicaid Fraud Control Units Fiscal Year 2023 Annual Report (OEI-09-24-00200) 

Medicaid Fraud Control Units (MFCUs) investigate and prosecute Medicaid provider fraud and patient abuse or neglect. OIG is the Federal agency that oversees and annually approves federal funding for MFCUs through a recertification process. This new report analyzed the statistical data on annual case outcomes—such as convictions, civil settlements and judgments, and recoveries—that the 53 MFCUs submitted for Fiscal Year 2023.  New York data is as follows:

Outcomes

  • Investigations1 - 556
  • Indicted/Charged - 9
  • Convictions - 8
  • Civil Settlements/Judgments - 28
  • Recoveries2 - $73,204,518

Resources

  • MFCU Expenditures3 - $55,964,293
  • Staff on Board4 - 257

1Investigations are defined as the total number of open investigations at the end of the fiscal year.

2Recoveries are defined as the amount of money that defendants are required to pay as a result of a settlement, judgment, or prefiling settlement in criminal and civil cases and may not reflect actual collections.  Recoveries may involve cases that include participation by other Federal and State agencies.

3MFCU and Medicaid Expenditures include both State and Federal expenditures.

4Staff on Board is defined as the total number of staff employed by the Unit at the end of the fiscal year.

Read the Full Report

View the Statistical Chart

Engage with the Interactive Map

GAO Issues Report on Medicaid Managed Care Service Denials and Appeal Outcomes

The United States Government Accountability Office (GAO) has issued a report on federal use of state data on Medicaid managed care service denials and appeal outcomes.  GAO found that federal oversight is limited because it doesn't require states to report on Medicaid managed care service denials or appeal outcomes and there has not been much progress on plans to analyze and make the data publicly available.  To read the GAO report on federal use of state data on Medicaid managed care service denials and appeal outcomes, use the first link below.  To read GAO highlights of the report on federal use of state data on Medicaid managed care service denials and appeal outcomes, use the second link below.
https://www.gao.gov/assets/d24106627.pdf  (GAO report on federal use of state data on Medicaid managed care service denials and appeal outcomes)
https://www.gao.gov/assets/d24106627_high.pdf  (GAO highlights on federal use of state data on Medicaid managed care service denials and appeal outcomes)

CMS Issues Latest Medicare Regulatory Activities Update

The Centers for Medicare and Medicaid Services (CMS) has issued its latest update on its regulatory activities in the Medicare program.  While dentistry is only minimally connected to the Medicare program, Medicare drives the majority of health care policies and insurance reimbursement policies throughout the country.  Therefore, it always pays to keep a close eye on what CMS is doing in Medicare.  To read the latest CMS update on its regulatory activities in Medicare, use the link below.
https://www.cms.gov/training-education/medicare-learning-network/newsletter/2024-03-14-mlnc