Workers' Compensation Indemnity Benefits Data

data.oregon.gov | Last Updated 28 Jul 2023

Oregon workers' compensation paid indemnity data. The data is presented in the Department of Consumer and Business Services report at https://www.oregon.gov/dcbs/reports/compensation/Pages/index.aspx. The attached pdf provides definitions of the data. Workers’ compensation indemnity benefits are cash benefits paid to injured workers. These benefits include benefits for temporary disability (time loss), permanent partial disability, permanent total disability, and death. Statute sets eligibility criteria and the rates at which insurers pay these benefits. In the case of death from work-related causes, indemnity benefits are paid to survivors. Indemnity benefits also include vocational assistance benefits paid on behalf of severely disabled workers to get them back to work. Indemnity benefits also include settlements between workers and insurers. Claim disposition agreements (CDAs) and disputed claim settlements (DCSs) are the two forms of settlements. The Workers' Benefit Fund ( WBF)provides funds for programs that assist employers and injured workers. Assessment revenues, not insurance premiums, finance these programs. Employers and workers each pay half the assessment. The two major programs are the Retroactive Program and the Re-employment Assistance Program. The Retroactive Program pays cost-of-living increases to workers or their beneficiaries based on changes in average wages. The two major benefits paid are for permanent total disability and death. Since at least 1995, the majority of PTD and death benefits have been paid from this program. The Re-employment Assistance Program provides incentives for injured workers to return to work, through the Employer-at-Injury Program (EAIP) and the Preferred Worker Program (PWP). Benefits common to both are wage subsidies, worksite modifications, and employment purchases. Workers who have not been released to regular work but can return to transitional jobs are eligible for the EAIP. Use of this program allows many claims to remain nondisabling even though the workers have medical restrictions. Workers who have a permanent disability and are unable to return to regular work are eligible for the PWP benefits, which may be initiated by either the worker or the employer. In addition, claim cost reimbursement is paid for preferred workers who suffer new injuries. The data in this table include estimated figures and are subject to revision. All dollars are shown in millions of dollars.

Tags: workers' compensatioin, indemnity, benefits, temporary disability, ttd, td, permanent partial disability, ppd, death benefits, ptd, workers' benefit fund, return-to-work benefits, rtw, oregon

This dataset has the following 26 columns:

Column NameAPI Column NameData TypeDescriptionSample Values
Yearyearcalendar_dateCalendar year
Total benefits paidtotal_benefits_paidnumberThe sum of the estimated indemnity and medical payments in millions of dollars, in the calendar year.
Total indemnity paidtotal_indemnity_paidnumberEstimated indemnity payments, in millions of dollars, paid during the calendar year.
Total medical paidtotal_medical_paidnumberEstimated total medical payments, in millions of dollars, paid during the year. The department requires the large insurers to report medical billing data. The total estimated amounts are extrapolated from these reports.
Total ADC indemnitytotal_adc_indemnitynumberThe sum of the seven components of the indemnity payments, in millions of dollars for the calendar year.
ADC Temporary disabilityadc_temporary_disabilitynumberThe estimated temporary disability payments, in millions of dollars. Temporary disability is reported at the time of claim closure, not by the date of payment. When a claim is settled with a CDA, insurers do not report the temporary disability paid prior to the settlement; these amounts are estimated.
ADC PPDadc_ppdnumberThe permanent partial disability (PPD) payments, in millions of dollars, paid in the calendar year. Most PPD is paid at the time of claim closure. PPD can also be awarded or rescinded during the closure appeals process.
ADC Beneficiary paymentsadc_beneficiary_paymentsnumberThe sum of the PTD and death benefits, the next two columns.
ADC PTDadc_ptdnumberEstimated insurer-paid permanent total disability (PTD) payments, in millions of dollars, paid during the calendar year. Not all insurers report data; the estimated amounts are extrapolated from the reported data.
ADC Deathadc_deathnumberEstimated insurer-paid death benefit payments, in millions of dollars, paid during the calendar year. Not all insurers report data; the estimated amounts are extrapolated from the reported data.
ADC Settlementsadc_settlementsnumberThe sum of the CDAs and DCSs, the next two columns.
ADC CDAadc_cdanumberThe claims disposition agreements (CDA) payments, in millions of dollars, paid in the calendar year for accepted disabling claims. Workers may give up their rights to future benefits other than medical services and the Preferred Worker Program in exchange for a cash settlement.
ADC DCSadc_dcsnumberThe disputed claim settlement (DCS) payments, in millions of dollars, paid in the calendar year for accepted disabling claims. Workers may give up all rights to future benefits in exchange for a cash settlement. The settlement may cover the entire claim or just certain accepted conditions.
ADC Vocational assistanceadc_vocational_assistancenumberVocational assistance payments, in millions of dollars, each year.
ADC Average benefits paidadc_average_benefits_paidnumberThe average indemnity payments for the accepted disabling claims resolved in the year in dollars.
Total, WBF paymentstotal_wbf_paymentsnumberThe sum of the six components of the Workers' Benefit Fund (WBF) reimbursements, in millions of dollars for the calendar year.
Beneficiary payments, WBFbeneficiary_payments_wbfnumberThe sum of the WBF-paid PTD and death benefits, the next two columns.
PTD, WBFptd_wbfnumberEstimated Workers' Benefit Fund (WBF)-paid permanent total disability (PTD) payments, in millions of dollars, paid during the calendar year. PTD benefits are paid monthly when a worker is totally and permanently disabled due to a work injury. The WBF pays cost-of-living increases to workers or their beneficiaries based on changes in average wages.
Death, WBFdeath_wbfnumberEstimated Workers' Benefit Fund (WBF)-paid death benefit payments, in millions of dollars, paid during the calendar year. Death benefits are provided to surviving family members of a worker who dies on the job or while permanently and totally disabled. The WBF pays cost-of-living increases to workers or their beneficiaries based on changes in average wages.
EAIP, WBFeaip_all_claims_millionsnumberThe Workers' Benefit Fund (WBF) reimbursements for EAIP costs, in millions of dollars. EAIP benefits include wage subsidies, worksite modifications, and employment purchases. The values are the sum of the values in the next two columns.
EAIP ADCs, WBFeaip_adcs_wbfnumberThe Workers' Benefit Fund (WBF) reimbursements for EAIP costs for disabling claims, in millions of dollars. EAIP benefits include wage subsidies, worksite modifications, and employment purchases.
EAIP nondisabling claims, WBFeaip_nondisabling_claims_wbfnumberThe Workers' Benefit Fund (WBF) reimbursements for EAIP costs for nondisabling claims, in millions of dollars. EAIP benefits include wage subsidies, worksite modifications, and employment purchases.
PWP benefits, WBFpwp_benefits_all_claims_millionsnumberThe Workers' Benefit Fund (WBF) reimbursements for PWP contracts, in million s of dollars. Included are the wage subsidies, worksite modifications, and employment purchases. The values are the sum of the values in the next two columns.
PWP worker initiated, WBFpwp_worker_initiated_wbfnumberThe Workers' Benefit Fund (WBF) reimbursements for the PWP worker initiated, in millions of dollars. Included are the wage subsidies, worksite modifications, and employment purchases.
PWP employer initiated, WBFpwp_employer_initiated_wbfnumberThe Workers' Benefit Fund (WBF) reimbursements for the PWP employer initiated, in millions of dollars. Included are the wage subsidies, worksite modifications, and employment purchases.
PWP claim costs reimbursed, WBFpwp_claim_costs_reimbursed_wbfnumberThe Workers' Benefit Fund (WBF) reimbursements for claims costs for new claims for claimants in the PWP, in millions of dollars. In most circumstances, if a worker in the PWP suffer new compensable injuries, the WBF reimburses the claims costs.