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Research and Statistics -- DLI statistics



Workers' compensation

Initial denials among initial indemnity claims and paid indemnity claims, injury-years 1984-2004 [1]

Description

Appendix

A. Initial indemnity claims

Injury
year
Total
Initially
denied
Percentage
initially
denied
1984 43,435 3,385 7.8%
1985 42,597 3,543 8.3%
1986 41,650 4,121 9.9%
1987 43,432 4,300 9.9%
1988 46,751 4,749 10.2%
1989 47,897 5,653 11.8%
1990 47,813 6,523 13.6%
1991 47,178 6,658 14.1%
1992 44,472 6,273 14.1%
1993 43,075 6,244 14.5%
1994 43,642 6,567 15.0%
1995 40,214 5,872 14.6%
1996 39,347 5,846 14.9%
1997 38,892 6,130 15.8%
1998 38,136 6,085 16.0%
1999 39,300 5,843 14.9%
2000 39,691 5,684 14.3%
2001 36,595 5,776 15.8%
2002 33,902 5,220 15.4%
2003 31,721 5,236 16.5%
2004 30,894 5,140 16.6%

B. Paid indemnity claims

Injury
year
Total
Initially
denied
Percentage
initially
denied
1984 40,158 1,488 3.7%
1985 39,054 1,464 3.7%
1986 37,575 1,765 4.7%
1987 39,172 1,937 4.9%
1988 42,007 2,175 5.2%
1989 42,465 2,782 6.5%
1990 42,558 3,351 7.9%
1991 42,010 3,697 8.8%
1992 39,423 3,329 8.4%
1993 37,682 3,181 8.4%
1994 37,070 3,260 8.8%
1995 33,984 2,751 8.1%
1996 33,809 2,692 8.0%
1997 33,562 2,810 8.4%
1998 32,751 2,694 8.2%
1999 34,117 2,719 8.0%
2000 34,654 2,619 7.5%
2001 31,732 2,678 8.4%
2002 29,552 2,397 8.1%
2003 27,452 2,460 8.9%
2004 26,537 2,328 8.8%

C. Denied and paid as percentage of denied initial indemnity claims

Injury
year
Denied and paid as percentage of
denied initial indemnity claims
1984 44.0%
1985 41.3%
1986 42.8%
1987 45.0%
1988 45.7%
1989 49.2%
1990 51.3%
1991 55.5%
1992 53.0%
1993 50.9%
1994 49.6%
1995 46.8%
1996 46.0%
1997 45.8%
1998 44.2%
1999 46.5%
2000 46.0%
2001 46.3%
2002 45.8%
2003 46.9%
2004 45.2%

1. Data is from the Department of Labor and Industry claims database. Numbers are "developed," meaning they are estimates (based on observed historical rates of claim development) of what the final numbers will be when claims are mature. Details in Appendix.

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