SafetyNewsAlert.comWal-Mart opts out of workers' comp program » Safety News Alert

Wal-Mart opts out of workers’ comp program

April 10, 2012 by Fred Hosier
Posted in: cost of safety, In this week's e-newsletter, Latest News & Views, Workers' comp


Wal-Mart has decided to manage its own injury benefits program in one state. That’s led proponents and opponents of such an option to weigh-in on whether it’s a good idea for businesses or not.

The retail giant dropped out of Texas’ workers’ comp system in March. Wal-Mart is one of the largest private employers in Texas, where 15% of businesses with more than 500 employees have opted out of the system. Texas is the only state that provides such an option. Instead of having workers’ comp insurance, businesses administer their own injury benefits programs. They save a significant amount of money, but in exchange they increase their liability risks.

Opponents say companies dropping out of the system puts more pressure on workers’ comp insurers to cut costs at the expense of injured employees.

Proponents see putting that sort of pressure on workers’ comp insurers as a good thing.

Another point of contention: Benefits for employees aren’t equal. Terry Frakes, a Sr. VP with Texas Mutual quoted in the Texas Tribune, said Wal-Mart’s plan caps total medical coverage at $300,000 compared with lifetime coverage under the state workers’ comp system. He says Wal-Mart’s plan provides 90% of lost wages for up to 120 weeks (2.5 years), compared with 70% of lost wages for up to 401 weeks (almost 8 years) in the state system. Maximum Wal-Mart pay-out: $54,000 compared to $140,350 under the state system.

Bill Minick, president of PartnerSource which has designed private injury benefit policies for dozens of large companies, including Wal-Mart, said the private plans emphasize employee responsibility. Examples: Employees are required to report injuries in a timely manner, visit pre-approved doctors and follow medical advice.

Plans similar to the one in Texas could spread to other states. A bill to do that is being considered in Oklahoma.

The idea to spread this system to other states is being led by large national companies such as Nordstrom and Lowe’s.

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  • Dave

    I agree that allowing companies to “self insure” in this way. Having this as an option for a company is in effect creating competition that will drive down prices for coverage and as a result force the insurance companies to more actively investigate potential fraud cases that raise the cost for all in order to preserve their bottom line. However, I feel that the coverage provided by the company should at the minimum provide the same coverages/protections that the state plan does. If employers want to save money by self administering, that is great, but allowing them to save money by undercutting the benefits is not. Now if opting out of the state plan also removes the exclusive remedy provision so that employees with extreme injuries and lifelong ramifications can take their case to court to get covered, that’s another thing entirely.

  • Willy

    The Walmart medical plan could be worst. The employees should be happy with it. With having lost wages being paid for only 2.5 years instead of 8 may deter fraud claims knowing they get nothing else after 2.5 years.


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