Study Highlights Workersâ Comp Fraud by Employers

by Les Boden

Today, The New York Times reports on an important study that shows us the tip of the iceberg of employer workersâ compensation fraud.

The Fiscal Policy Institute compared payroll dollars reported to the New York State Workersâ Compensation Board with payroll reported to the unemployment insurance (UI) system. They found that employers report 20% lower payroll to workersâ comp than they do to UI. Workersâ comp premiums are based on reported payroll, so this underreporting is a way of cheating on these premiums.

This is only part of the story, because the Fiscal Policy Institute study also documents that employers have been working diligently to avoid paying UI premiums â not to mention Social Security taxes, health insurance, retirement benefits, and so on â by claiming that their employees are âreallyâ independent contractors. So workersâ comp payroll is 20% below UI payroll, but UI payroll is probably 5-10% below true payroll, for employers who report. And let us not forget the cash economy, where wages go completely unreported, there is no workersâ comp coverage, and benefits arenât even an issue.

The employer fraud story doesnât end there. Workersâ comp premiums are based not only on payroll but on occupation. So classifying a construction worker as a clerk can have a very salutary effect on workersâ comp costs.

Finally, employers can pressure injured workers not to file claims, can deny claims that are filed, and can underpay benefits for accepted claims. They can, and they frequently do. State of California audits (see p. 73) found underpayments in well over 10% of workersâ comp claims, with an average underpayment of $1,252 in 2005.

For those of you who donât yet know how much youâll miss Confined Space, you may want to read â or re-read â Jordan Barabâs series on âCooking the Booksâ.

Les Boden, PhD, is Professor and Associate Chair of the Department of Environmental Health, Boston University School of Public Health. Dr. Boden is a member of the National Academy of Social Insurance and has been an active member of Federal advisory committees for both the Centers for Disease Control and the Department of Energy.

More like this

By David Michaels Yesterdayâs post by Les Boden on workersâ compensation fraud by employers brings up an important question: How much fraud is there in the comp system and who is responsible? Insurers and employers have worked diligently to convince the public that the workersâ compensation rolls…
by Les Boden Iâm going to answer this question. But before I do, Iâm going to have to explain a few things about (ugh!) insurance. If something bad happens to an insured person or company, the insurer is supposed to help soften the financial blow. You need a $50,000 operation and your medical…
Today there is a terrific post by economist Les Boden of Boston University School of Public Health over at The Pump Handle. It's about something many people here probably aren't interested in -- workers compensation. But the underlying issue should be of interest to everyone in the US and many…
by Les Boden For the past several years, Nevada employers and insurers could avoid paying workersâ compensation benefits to workers who had positive drug tests. According to an article in Occupational Hazards, this led to the denial of 10%-12% of claims filed in Nevada. But thereâs a loophole that…

My employer withheld about 80% of my wages for a month payroll. It claimed that I did not have leave balances to cover for 2 weeks of sick leave due to my job accident. After over a year now, my Employer not only has withheld my wages but later demoted me to a lower title and with it reduced my wages further as well. I think my employer is committing Worker Compensation fraud.

My Government employer has denied valid worker's comp cases. As well as denying others of valid claims. Also has taken 2 years retirement from me because of being injured on the job. Who oversee's this?