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Workers’ Compensation Services

Workers’ Compensation Risk Management Programs

Business owners, supervisors, and managers are well aware of the repercussions that come when Workers’ Compensation costs take a wrong turn.
GCG Risk Management’s risk management programs help the client breathe easier when faced with Workers’ Compensation insurance issues.

We provide New York business owners with programs designed to make handling claims as easy as possible. With GCG’s commitment to simplifying Workers’ Compensation insurance, businesses won’t have to worry.

Our company offers a full range of Workers’ Compensation services. This includes insurance programs, claims management, and workplace health & safety training. For each client we work with, we offer a unique resource and individualized approach for dealing with the issues they are facing.

Get started today by requesting a quote of our Workers’ Compensation program.

Our Workers’ Compensation Programs Include:
• Guaranteed Cost Programs
• Safety Group Programs
• Loss Sensitive Programs
• Self-Insurance
• NYS Statutory Disability and Paid Family Leave Benefits

Guaranteed Cost Programs

Guaranteed Cost Programs are available for those employers who seek a fixed cost for their Workers’ Compensation insurance. The policyholder receives an advance premium discount, which guarantees that, regardless of the insured’s experience in a policy year, the premium will remain at a fixed cost for the policy period. There are generally no dividends available under this plan. GCG Risk Management, Inc. acts as the policyholder representative for accounts in the General Group of the New York State Insurance Fund. GCG provides Workers’ Compensation insurance, claims, and safety services for its clients. GCG usually charges a fixed annual fee, billed monthly to the employer.

GCG will provide a quote for these programs under “Request a Proposal.”

Value-Added Services

    Audit & Classification Review
    • Experience Rating Review
    • Payroll Audit & Code Classification
    • Negotiate Reclassification of Payroll
    • Claims Audit and Reserve Review

    Workers’ Comp Law & Regulation
    • Integration with FMLA/ADA Downloadable (PDF & doc)
    • Cost Change Updates for Budgetary Planning
    • “Reviewed Cost” Newsletter

    Claims Services for Insurance Plans
    • FROI – First Report of Injury
    • Claims Processing
    • Claims Monitoring
    • Review Loss Reserves
    • Interface with Carrier Claims Dept. & Rating Board

    Safety Group Programs

    Safety Group programs are available for groups of employers within the same industry. Each policyholder generally receives an advance premium discount. Approximately nine months after the conclusion of the policy period, each insured receives its share of the group dividend, regardless of each insured’s individual experience.

    GCG Risk Management, Inc. manages several State Insurance Fund Safety Groups. As the Safety Group Manager of these groups, GCG provides insurance, claims, and safety services for its group clients (Workers’ Compensation Services). Members are charged a fee as a percentage of their premium. This fee is all-inclusive, entitling the member to receive all group services. Certain groups require separate membership in a sponsoring association with separate association dues.

    GCG will provide a quote for these programs under “Request a Proposal.“

    Our consulting firm, Gnesin, Cates & Grimm, provides insurance, claims, and safety services to other Brokers/Group Managers, on retainer, with respect to their safety group programs.

    Value-Added Services

      Audit & Classification Review
      • Experience Rating Review
      • Payroll Audit & Code Classification
      • Negotiate Reclassification of Payroll
      • Claims Audit and Reserve Review

      Workers’ Comp Law & Regulation
      • Integration with FMLA/ADA Downloadable (PDF & doc)
      • Cost Change Updates for Budgetary Planning
      • “Reviewed Cost” Newsletter

      Claims Services for Insurance Plans
      • FROI – First Report of Injury
      • Claims Processing
      • Claims Monitoring
      • Review Loss Reserves
      • Interface with Carrier Claims Dept. & Rating Board

      Loss Sensitive Programs

      Loss sensitive programs, generally offered by commercial carriers, may include dividend plans, retrospective rating plans, or large deductible plans. Policies may have a minimum and maximum premium, such that the insured effectively pays for its losses dollar-for-dollar. The individual losses of the insured determine the final premium. Maximum premiums may be considerably greater than those in other plans, but potential savings are also greater.

      All of these programs are generally recommended for very large employers (e.g. premiums exceeding $500,000.). Some collateral may be required by the insurance carrier. GCG Risk Management, Inc. acts as the Third-Party Administrator, usually providing its services for a fixed annual fee, billed monthly. GCG Risk Management, Inc. is licensed by the New York State Insurance Department both as a broker and as a casualty adjuster.

      GCG will provide a quote for these programs under “Request a Proposal.”

      Value-Added Services

        Audit & Classification Review
        • Experience Rating Review
        • Payroll Audit & Code Classification
        • Negotiate Reclassification of Payroll
        • Claims Audit and Reserve Review

        Workers’ Comp Law & Regulation
        • Integration with FMLA/ADA Downloadable (PDF & doc)
        • Cost Change Updates for Budgetary Planning
        • “Reviewed Cost” Newsletter

        Claims Services for Insurance Plans
        • FROI – First Report of Injury
        • Claims Processing
        • Claims Monitoring
        • Review Loss Reserves
        • Interface with Carrier Claims Dept. & Rating Board
        • Third Party Claims Administration

        Self-Insurance

        Requiring approval of the Workers’ Compensation Board, and usually the posting of financial security, self-insurance offers the employer the opportunity to hire its own claims and safety Third-Party Administrator. Self-insurance is generally recommended for very large employers, or public entities.

        GCG Risk Management, Inc. has been licensed by the Workers’ Compensation Board to represent self-insurers in New York State since 1977. Our staff of experienced claims examiners and attorneys permits us to provide a broad range of services to those employers who qualify for self-insurance Workers’ Compensation.

        GCG will provide a quote for self-insurance under “Request a Proposal.”

        Value-Added Services

          Self-Insurance Claims Administration
          • FROI – First Report of Injury
          • Claims Processing
          • Claims Investigation
          • Payment of Indemnity & Medical Claims
          • Medical Bill Review
          • Attendance at Administrative Hearings
          • Mandatory Claims Filing Requirements
          • Establish and Review Case Reserves
          • Claims Settlement
          • Claims Apportionment
          • Workers’ Compensation Board Required Filings

          Other Self-Insurance Services
          • Excess Workers’ Compensation Coverage
          • Surety & Security Requirements
          • Advice and Counsel on Administrative Changes

          NYS Statutory Disability & Paid Family Leave Benefits

          New York State law requires employers to provide statutory non-occupational Disability and Paid Family Leave Benefits for their employees. GCG Risk Management, Inc. will secure this coverage for an employer through its preferred markets. Generally, GCG can secure this mandatory coverage at the lowest available cost to the employer in the marketplace. Coordination of Disability and Paid Family Leave Benefits can prevent these claims from migrating into the Workers’ Compensation system.

          GCG will provide a quote for this coverage under “Request a Proposal.”