Posted Date: March 15, 2021


Key Takeaways

  • The 2019 countrywide change in lost-time claim frequency is –4.3%
  • The 2019 countrywide changes in indemnity and medical severity are +4.2% and +3.7%, respectively
  • On a countrywide basis, lost-time claim frequency has decreased over the most recent five-year period, while indemnity and medical severities have increased

Executive Summary

NCCI’s annual update of frequency and severity results is based on data reported to NCCI on the Calendar-Accident Year Financial Data Call. The results are provided by individual jurisdiction, based on lost-time claim data valued as of year-end 2019. The countrywide results are for all jurisdictions where NCCI provides ratemaking services. This report was prepared as of March 12, 2021.

In each chart below, a circle represents data for an individual jurisdiction. For Accident Year 2019, frequency decreased in the majority of states, with changes ranging from –11% to +4%. Severity, on the other hand, increased in the majority of states, with most changes ranging from –7% to +15% for both indemnity and medical. Individual state severity changes may be driven by factors such as the occurrence/absence of large losses and/or the impact of legislative reform. The 2019 countrywide change in lost-time claim frequency is –4.3%, which is consistent with historical frequency changes. The countrywide changes in indemnity and medical severity are +4.2% and +3.7%, respectively.

The following charts illustrate the average annual changes in frequency and severity observed between 2015 and 2019 by individual jurisdiction. Reviewing average changes over a longer time period smooths out year-to-year volatility.


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The countrywide average annual frequency change between 2015 and 2019 was –3.8%. Changes in average claim frequency ranged from –7.6% to +0.2%, with declines observed in nearly all jurisdictions.

In most jurisdictions, average severities have increased over this five-year period.

Between 2015 and 2019, the average annual indemnity severity change across all jurisdictions was +3.1%. Nevada had the largest average annual indemnity severity increase (+8.4%), while Montana had the largest decrease (–2.1%).

During this same period, the average annual medical severity change across all jurisdictions was +3.3%. Hawaii had the largest average annual medical severity increase (+11.3%), while Georgia had the largest decrease (–2.0%).

Results by State

The following interactive section provides information on the frequency and severity of lost-time claims by individual jurisdiction on year-to-year and cumulative bases. In addition, regional and countrywide (i.e., all NCCI states) averages are also provided.

Note:

  • While the regional state grid is prepopulated with surrounding jurisdictions, the selection of states may be changed by clicking/unclicking the respective grid squares
  • Underlying quantitative detail is available by hovering


Select state of interest:


Select regional states:

Note: Data based on the jurisdiction’s filed development methodology.

Claim Frequency

Indemnity Severity

Medical Severity

Appendix

Comparison to Rate/Loss Cost Filings

The following table summarizes the differences in methodology between this frequency and severity report and the state-specific analyses performed as part of the rate filing review process.

Methodology Frequency and Severity Results by State Rate/Loss Cost Filings
Experience Base Calendar-Accident Year Policy Year
Loss Limitation Applied No Yes; in most states
Losses on Current Benefit Level No Yes
Severities Adjusted to Current Wage Level No Yes; thus the resulting changes in severity are in excess of wage growth
Medical-Only Losses Included No Yes

Method of Calculation

The following calculations are applied to the Calendar-Accident Year Financial Call data by individual jurisdiction.

Frequency

  1. Indemnity (lost-time) claim counts are developed to an ultimate report
  2. Calendar year premium is adjusted to the current rate/loss cost level
  3. Expense-related premium, including expense constant premium, is excluded to adjust the current-level premium to a pure premium basis
  4. The pure premium is brought to the current wage level by multiplying by the ratio of current-to-historical average weekly wages
  5. Frequency is the result of dividing the ultimate claim counts by the wage-adjusted, on-leveled pure premium in millions of dollars

Severity

  1. Paid and/or paid plus case losses are separately developed to an ultimate report
  2. Indemnity (lost-time) claim counts are developed to an ultimate report
  3. A factor to remove medical-only loss amounts by jurisdiction is estimated using Statistical Plan data and applied to ultimate medical losses
  4. Severity represents ultimate losses divided by ultimate lost-time claims

Countrywide results are determined by summing the data from each individual NCCI jurisdiction. Each jurisdiction’s premium, claim counts, and losses are developed using a methodology consistent with the approach used in the most recent rate/loss cost filing.

Caveats

From one accident year to another, results at a state level may be volatile due to:

  • Small volume of data
  • Actual versus estimated loss development
  • Changes in reserve adequacy
  • Closure of claims without indemnity payment (reducing claim counts)

For large losses that have a significant impact on the state results, the reported paid plus case amount is used as the best estimate of the claim’s ultimate value. Claims of this magnitude are not frequent, and this adjustment is only made for the valuation in which the predetermined impact threshold is reached.

While reviewing the state-specific results included in this report, there are some limitations to be aware of, which may include:

  • The mix of carriers that are included in the experience may change from one data valuation to the next, which may lead to varying results over time
  • These results are based on a mechanical process and neither indicate nor apply to any type of rate adequacy analysis