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Wednesday, September 21, 2005 - Last Updated: 7:02 AM 

Some insurers trim workers' comp policies

Developments have carriers concerned about ability to make a profit in S.C.

BY MATTHEW MOGUL
Of The Post and Courier Staff

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Some top workers' compensation insurance companies are scaling back business in South Carolina, saying the cost of underwriting policies has gotten too expensive in light of uncertainty over a proposed rate increase and the pending imposition of higher business charges.

Two carriers, American Interstate Insurance Co. and Builders Insurance Group, have circulated memos to their independent agents notifying them of the changes. A third company, Accident Fund Insurance Co., hasn't altered its position but says it's "very concerned" about its ability to make a profit here.

Tom Maupin, a spokesman for Builders Insurance Group (not to be confused with Builders Mutual Insurance Co.) said his Georgia-based carrier will no longer write standalone workers' comp policies in South Carolina. It will, however, continue to sell such coverage alongside its general liability policies.

The company, which entered the South Carolina market last year, writes roughly $2.5 million in workers' comp premiums, putting them among the top 50 insurers in the state.

"We have not seen good loss experience in South Carolina, albeit our tenure there is pretty short. And, obviously, developments like this impact our ability to make profit writing workers' comp," Maupin said. "We understand this is only half the story, that the outcome of a rate increase is pending. But we need to change our strategy before the pending outcome."

The moves come amid a lingering fight over a workers' comp rate request that began in July when an industry-led group proposed an unprecedented 32.9 percent rate increase, likely the highest nationwide.

Insurers say the higher rate is needed because they are losing a lot of money. For every $1 paid to insurers in workers' comp premiums in South Carolina in 2003, insurers paid out $1.27 in losses and expenses. Nationwide, that figure was $1.02.A mix of consumer and business groups challenged the rate proposal, contending it would cost policyholders at least an extra $130 million in premiums and would discourage business expansion.

The issue is now before an administrative law court. But the Department of Insurance rejected the rate request without waiting for a ruling from the judge, who will decide soon whether it was legally permissible for the department to make that call.

Observers say it's likely the judge ultimately will decide whether insurers deserve an increase and, if so, how much.

Insurers also say their profits will be hurt because a state-run fund that covers workers who have pre-existing injuries has more than doubled the assessment it charges insurance carriers.

The Second Injury Fund was established after the Second World War so that companies could hire injured veterans without worrying about them getting hurt on the job and causing their employers' premiums to go up.

All workers' comp insurers chip in to the fund and bill it when a policyholder submits a claim. The problem, insurers say, is that the fund this year is raising its assessment rate to 28.5 percent, up from 11.1 percent, meaning tens of millions of dollars more in charges.

That increase, along with uncertainty over the outcome of the workers' comp rate request, leaves insurers wondering whether they can make a profit in South Carolina.

Eleanor Kitzman, director of the Department of Insurance, said Tuesday she understands why a handful of insurers are taking a "wait-and-see" approach.

"They tell me this more selective look at the state is temporary," Kitzman said. "They are in no way pulling up their stakes and leaving the state for good. But they might if major reforms aren't addressed."

Kitzman said a healthy balance must be struck so that companies can insure their workers and insurers can make a profit. She added that most of the concerns she is hearing from insurers have to do with the Second Injury Fund and not her department's decision to deny the rate request.

"The fact that the department denied the increase should not be construed as us thinking the current rates are adequate," Kitzman explained. "There's no disputing they (insurers) have paid out more in losses than they've received in premiums. But our analysis thus far has been that 32.9 percent is excessive."

Officials at American Interstate Insurance Co., also known as Amerisafe, didn't return calls seeking comment Tuesday.

The carrier ranks among the state's top 15 workers' comp insurers. According to one area agent, it will no longer write new business and intends to raise its rate by 25 percent, the maximum allowed under the law.

That agent, Todd Tyler of Commonwealth Insurance Group, said "some insurers are telling me, 'We're done if we can't make money here.' "

Tyler also said a subsidiary of Liberty Mutual, the state's fourth-biggest insurer, is cutting back on the number of agents it has here, though it isn't pulling out of the state. "In effect, that amounts to less business they'll do," he said.

Glenn Woytisek, who manages workers' comp premiums in South Carolina for Michigan-based Accident Fund Insurance Co., said his company is sitting tight for now, but the Palmetto State has fast become one of the most expensive places to do business out of the nine markets it operates in.

"If you noticed across the country, there are a lot of states actually decreasing their rates," Woytisek said. "We need to see a happy medium here where insurance carriers, companies, the workers' comp commission can all come to a reasonable middle ground and resolve this."


Matthew Mogul can be reached at 937-5594 or mmogul@postandcourier.com.