Workers Compensation and the Experience Modifier
What this clause says
Employers Liability Limits: $1,000,000 each Accident / $1,000,000 disease each Employee / $1,000,000 disease policy limit. Waiver of subrogation in favor of Landlord where required by written contract.
What this actually means
Workers compensation pays medical costs and lost wages for employees injured at work, on a no-fault basis. Employers liability, the second half of the policy, responds to injury claims that fall outside the compensation system. The experience modifier is a factor comparing your loss history to the class average, and it multiplies your premium up or down.
What it means for an operator
Resident handling is the dominant injury driver in senior care: lifting, transferring, and repositioning residents produces back and shoulder injuries at a rate few industries match. Because those injuries are frequent rather than catastrophic, the experience modifier responds strongly to them, which means workers compensation cost is more controllable here than most operators assume. A safe resident handling program with mechanical lifts and documented training moves the modifier, and the modifier moves premium for three years at a time. Watch the third-party over action as well: an injured employee sues an equipment manufacturer, which then brings you in, and that claim lands on employers liability rather than on the compensation side.
How this evaluates
The Policy Checker applies these rules in order; the first match wins.
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Common questions about this clause
- How does a senior care operator lower its workers compensation experience modifier?
- How is senior care liability insurance priced?
- What covers a generator or chiller failure at a senior living community?
- How long after a resident dies can the family still sue?
- Does our general liability cover a visitor who falls in the lobby?