- Although workers' compensation programs work well, they are limited by the reliance on the legislative process in each state
- Option programs are flexible, nimble and better able to incorporate rapid marketplace changes for the betterment of injured workers
- Many employers want to pay better benefits than Workers' Compensation for legitimately injured workers. The Option allows easy program customization rather than being limited to one size fits all workers' compensation mandate approach
What's more, the simplicity & efficiency of Option programs has another benefit, it's a friendly environment for quality medical doctors!
Option Group Health
Two Easy Ways to Execute:
- Employer may voluntarily elect, or insurance carrier/TPA may implement by employer individually or across all employer clients
- Implement / Communicate
Impact Example:
Closed Formulary
Widespread use for over 15 years
Workers' Comp
Seven Challenging Steps to Execute:
- Common process: Proposed legislation drafted state by state & House vs. Senate
- Committee discusses & votes
- Revised bills
- Vote by House & Senate Separately
- Governor Signature
- Rules Adopted
- Implement / Communicate
Same Impact Example:
Closed Formulary
As of 1/1/16 23 States still do not have a drug formulary*
*According to WCRI 2016 Annual Report, page 6.
Easier for Employees
Experienced Option Program Professional
Why Choose the Option?
R.N., Occupational Health Manager
Regional Hospital System, Option Employer since 1991