A state lawmaker is proposing to eliminate the
agency that helps resolve claims for people hurt on the job and put that
task in the hands of the state Department of Insurance.
Critics of the plan, including plaintiffs' lawyers, say merging the
Workers' Compensation Commission into the insurance department would
jumble functions, create administrative chaos and make it harder for
injured workers to get assistance.
If passed, the bill crafted by Rep. Bob Leach, R-Greenville, would
transfer all duties of the commission, including dispute resolution, to
the Department of Insurance and an administrative law judge.
Leach, who believes it's too late in this session for the bill to pass
but is hoping for action in the next session, said he believes the
insurance department is better fitted to oversee workers' compensation.
He said he believes the seven-person commission has been too generous
in awarding workers' claims and not scrupulous enough in trying to detect
fraud, adding that "familiarity" between commissioners and plaintiffs'
attorneys has biased awards judgments.
The insurance department, he said, would do a better job of rooting out
workers who abuse the system through false and exaggerated claims that
drive up premiums for employers.
"The way it is now isn't working," said Leach. "I'm not trying to
eliminate workers' comp. ... I'm just trying to get rid of the fraud."
The Department of Insurance declined to comment.
Leach said his proposal, filed in December, was the culmination of two
years of talks with business chambers, business owners, lawyers and
insurance companies.
"They all agreed we need to reform the system so it's fair to people
who are legitimately hurt on the job and fair to employers that have to
pay the workers' comp premiums," he said.
State Rep. Bobby Harrell, R-Charleston, supports the effort, saying it
would streamline administrative processes and reduce the duplication of
tasks that mires state government.
Mike Kelly, a Columbia-based attorney with nearly three decades of
experience handling claims on behalf of workers, said he believes Leach's
proposal is ill-advised.
"I think it's an awful idea," he said. "The state workers' compensation
system is a well-thought-out compromise between industry and employee. It
isn't broke, so don't fix it."
Kelly, like a lot of lawyers who represent injured workers, believes
workers injured in South Carolina are inadequately compensated and that
rolling the commission into another agency would further hurt their
chances of recovering damages.
He cited the case of a Midlands client, Beverly Burns of Lugoff, as an
example.
The 27-year-old mother of two said she had to have the bottom half of
her leg amputated after the forklift she operated at a division of Kord
Products Inc. malfunctioned and crushed her leg.
"I had toes cut off, then half of my foot ... and finally they cut my
leg off right below knee," she said, adding that her award of $42,000 was
paltry and the subsequent assistance has been spotty.
She said she wouldn't trust officials with ties to the insurance
industry to settle claims fairly for victims.
Kelly agreed.
"The commission is a quasi-judicial agency with many years experience
in settling worker claims. The Department of Insurance has no such track
record. It has close ties to the insurance industry and injured workers
would not be given a fair shake," he said.
While not opposed to the idea of consolidation, Alicia Clawson,
executive director of the commission, said the agency has a history of
settling claims disputes fairly and accurately for both workers and
employees.
A 2002 study by the state of Oregon estimated that South Carolina
employers pay the ninth-lowest workers' comp premiums in the country and
the second-lowest in the Southeast.
Clawson said she doesn't believe the commission is redundant to the
insurance department, or that commissioner-attorney relationships have
biased the awards process.
"Commissioners' relationships with attorneys are no different than
judges' relationships with attorneys," she said.