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Facts + Statistics: Workplace Safety/Workers Comp

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Workers Compensation Insurance

Workers compensation insurance provides for the cost of medical care and rehabilitation for injured workers and lost wages and death benefits for the dependents of persons killed in work-related accidents. Workers compensation systems vary from state to state. Workers compensation combined ratios are expressed in two ways. Calendar year results reflect claim payments and changes in reserves for accidents that happened in that year or earlier. Accident year results only include losses from a particular year.

      Combined ratio (1)
Year Net premiums
written (2)
Annual percent
change
Calendar
year (3)
Annual point
change (4)
Accident
year (5)
Annual point
change
2013 $41,147,216 5.6% 103.0 -7.4 pts. 94 -7 pts.
2014 43,753,885 6.3 101.9 -1.2 88 -5
2015 45,355,102 3.7 95.5 -6.4 86 -2
2016 45,619,831 0.6 95.6 0.1 85 -1
2017 45,047,380 -1.3 92.2 -3.4 87 2
2018 48,614,131 7.9 86.3 -5.8 90 3
2019 47,146,756 -3.0 88.3 2.0 94 5
2020 42,529,620 -9.8 90.2 1.9 97 3
2021 43,051,105 1.2 91.4 1.2 100 3
2022 47,569,194 10.5 87.40 -4.0 97 (6) -3

(1) After dividends to policyholders. A drop in the combined ratio represents an improvement; an increase represents a deterioration.
(2) After reinsurance transactions, excludes state funds.  
(3) Calendar year data are from S&P Global Market Intelligence.
(4) Calculated from unrounded data.
(5) Accident year data are from the National Council on Compensation Insurance (NCCI).
(6) Estimated by NCCI.

Source: NAIC data, sourced from S&P Global Market Intelligence, Insurance Information Institute; ©National Council on Compensation Insurance.

Rank Group/company Direct premiums written (1) Market share (2)
1 Travelers Companies Inc. $3,547,060 6.8%
2 Hartford Financial Services 3,293,689 6.3
3 AmTrust Financial 2,449,896 4.7
4 Zurich Insurance Group 2,354,376 4.5
5 Chubb Ltd. 2,203,827 4.2
6 Liberty Mutual 2,086,375 4.0
7 Berkshire Hathaway Inc. 1,927,849 3.7
8 New York State Insurance Fund Workers’ Compensation Fund 1,733,104 3.3
9 Accident Fund Group 1,667,442 3.2
10 Old Republic International Corp. 1,291,135 2.5

(1) Before reinsurance transactions, includes state funds.
(2) Based on U.S. total, includes territories.

Source: NAIC data, sourced from S&P Global Market Intelligence, Insurance Information Institute.

  2020 Percent change,
2016-2020
Covered workers (000) 135,572 -2.1%
Covered wages ($ billions)  $8,694 17.0
Workers compensation benefits paid ($ billions)  58.9 -6.0
     Medical benefits  27.7 -12.0
     Cash benefits  31.2 0.1
Employer costs for workers compensation ($ billions)  93.0 -7.2

Source: Workers Compensation: Benefits, Coverage, and Costs, November 2022, National Academy of Social Insurance.

Rank Occupation  Number Percent of total
1 Nursing assistants 96,480 8.2%
2 Registered nurses 78,740 6.7
3 Laborers (2) 64,930 5.5
4 Truck drivers, heavy and tractor-trailer  43,500 3.7
5 Stockers and order fillers 31,280 2.7
6 Licensed practical and
licensed vocational nurses
29,230 2.5
7 Retail salespersons 28,110 2.4
8 Personal care aides 27,750 2.4
9 Production workers, all other 26,850 2.3
10 General maintenance and repair workers 23,400 2.0
  Total top 10 450,270 38.3%
  Total all occupations 1,176,300 100.0%

(1) Nonfatal injuries and illnesses involving days off from work for private industries; excludes farms with fewer than 11 employees.
(2) Laborers and freight, stock and material movers.

Source: U.S. Department of Labor, Bureau of Labor Statistics.

Causes of Workplace Deaths

According to the U.S. Department of Labor, transportation related accidents (including vehicle crashes) were the leading cause of workplace deaths in 2022, with 2,066 fatalities, accounting for 38 percent of total workplace deaths.

  2021 2022
Cause Number Number Percent of total
All transportation (includes vehicle crashes) 1,982 2,066 38%
     Vehicle crashes (2) 1,253 1,369 25
Falls 850 865 16
Contact with objects and equipment 705 738 14
Exposure to harmful substances or environments 798 839 15
Intentional injury by person (includes homicides) 718 791 14
     Homicides 481 524 10
Fires and explosions 76 707 13
Total workplace fatalities 5,190 5,486 100%
(1) From intentional and unintentional sources. Data in this chart do not add to total workplace fatalities due to the inclusion of miscellaneous injuries in the total. (2) Roadway incidents involving motorized land vehicles. Source: U.S. Department of Labor, Bureau of Labor Statistics, Census of Fatal Occupational Injuries.

Large Loss Fires

The chart below shows the costliest large-loss fires, many of which involve industrial facilities and other non-residential structures. The rankings are based on property loss data from the National Fire Protection Association. For further data see NFPA statistics.

Rank State Month Type of facility Estimated loss
1 Kansas April Gas distribution system building $200.0 
2 California July Wildfire/urban interface 200.0 
3 Oregon February Food processing plant 100.0 
4 Michigan February Country club 80.0 
5 California September Wildfire/urban interface 75.0 
6 Oklahoma February Apartment building under construction 65.2 
7 Utah October Apartment building under construction 55.0 
8 Ohio May Natural gas plant 45.0 
9 California April Food processing facility 45.0 
10 Illinois February Document storage warehouse 38.0 
(1) Large-loss fires of $20 million or more in 2022. Note: Loss data shown here may differ from figures shown elsewhere for the same event due to differences in the date of publication, the geographical area covered and other criteria used by organizations collecting the data. Source: Reproduced with permission from Large-Loss Fires and Explosions in the United States in 2022 by Stephen G. Badger, ©2024 National Fire Protection Association www.nfpa.org.

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