Marshall Islands Social Security Administration

Published 4 May 2023

RMI Worker’s Compensation Program to finally kick-off on October 1, 2023

After several years of deferment, the Nitijela of the Marshall Islands has finally passed Bill 95ND1 on March 24, 2023, also known as the Workers’ Compensation (Amendment Act) 2023. The bill amended certain sections of the Workers’ Compensation Act 2019 based on recommendations from the RMI Worker’s Compensation Task Force, to improve the implementation of the country’s Workers’ Compensation Program.

The original Workers’ Compensation Bill was introduced by then Minister John Silk in 2012 under Bill No. 19. Most of the provisions and procedures were patterned on the CNMI Workers’ Compensation Program. But due to some mixed reactions from employers who are concerned with the affordability and practicability of the program, the bill was amended and reintroduced by Min. Silk in 2016.  However, it was only passed by the Nitijela on September 20, 2019 which then became P.L. 2019-107. The purpose of the law is to provide compensation and rehabilitation of workers in respect to work-related injuries resulting in disability or death. The designated administrator of this program is the Marshall Islands Social Security Administration (MISSA).

 

Workers of a local tuna loining plant on Majuro
Workers of a local tuna loining plant on Majuro

To give employers, workers, insurance companies and other stake-holders ample time to understand the program and allow MISSA to design its structure and establish its systems and procedures, its implementation was deferred by the Cabinet until September 2021.

Considering the scope of MISSA’s responsibility as its administrator and the current COVID-19 situation worldwide, the Administration requested that it be given at least one year to come up with a compensation program that would address several areas of concern that were not clarified to MISSA when the law was passed. Consequently, the Cabinet postponed again its implementation date to September 30, 2022.  During this period the Australian Government funded an Adviser to assist the Task Force in it s implementation.  After International search, Mr Adrian Nippress commenced the role as Adviser in late July 2022.

The main highlights of the workers’ compensation program:

  • It requires private employers to secure payment with insurance carriers, while Government Workers will have the RMI Government Self-Insurance Fund which will be established to secure public employees workers’ compensation. Government workers shall include employees appointed by the Public Service Commission, Public Schools System and may in the future include employees of public corporations and state-owned enterprise (SOE), elected officials of both the national and local governments, local government agencies whose operations are being funded in full by the RMI Government and subject to audit under the supervision of the National Government.
  • Coverage
    1. Death benefits of $1,200 for funeral expenses and $40,000 for workers who were fatally injured during the performance of their work.
    2. Disability (temporary and permanent) benefits due to injuries while at work.
    3. Medical/hospitalization benefits arising from injuries/accidents during work.
    4. Maximum coverage for disability wages is $40,000 per claim
  • MISSA was appointed by the Cabinet to Administer the Workers’ Compensation program and the MISSA Board shall become the Workers’ Compensation Board.

Based on the recommendations of the Task Force, following extensive consultation with RMI employers and the community, Bill 95ND1 was introduced to the Nitijela in January 2023 to amend the RMI Workers’ Compensation Act 2019:

  1. The following individuals may be exempted from the Workers’ Compensation Program:
    1. Marshallese workers in the U.S. Army Garrison-Kwajalein Atoll (USAG-KA) who opted to be covered under the Defense Base Act;
    2. Non-resident consultants working in or on behalf of the RMI;
    3. Non-resident or Marshallese workers who are not already covered and whose projects or job assignments are carried outside of the RMI (mostly constructions workers who are employed by local companies), other than RMI Government workers in RMI embassies, consulates, and other Government Offices overseas;
    4. Non-resident members of foreign or international diplomatic Corps who are assigned in the RMI, excluding Marshallese employees;
    5. Non-resident employees of regional or international organizations;
    6. Self-employed workers regardless of nationality who opted not to be covered and who have submitted a valid exemption to the Workers’ Compensation Administrator (MISSA Administrator);
    7. Local students under practicum training and interns; and
    8. Non-resident or local volunteers, or church missionaries
  2. An injury to an employee which arises out of or in the course of the employee’s employment may not be covered where the employee is on a journey between the employee’s home and place of employment, unless such injury results from the employee travelling as part of an approved travel arrangement.
  3. Small businesses whose annual gross revenue is not more than $25,000 may seek an exemption from the Administrator of MISSA to avoid purchasing insurance and provide coverage from their own funds;
  4. The Workers’ Compensation Board may consider, authorize and revoke applications from non-government employers to establish their own self-insurance fund sufficient to secure compensation and reimbursement payments in respect of all their employees, subject to the following considerations:
    • Whether the employer is able to meet its financial liabilities and can manager financial transactions necessary to make timely payments of compensation and reimbursements as required by the Act.
    • Establishing resources to manage claims and rehabilitate injured workers
    • Demonstrating good employment and safety practices in their workplaces.

 

Actuarial study

Part of the challenge in delivering the implementation of the Workers’ Compensation Act 2019 in a timely manner, requires the setting of a financially viable scheme based on affordable premiums for employers. Thus, the Task Force deemed it necessary to have an actuarial study conducted first before the program is implemented.  MISSA secured additional funding to complete the actuarial study.

In September 2022, the Workers’ Compensation Task Force appointed an evaluation team comprised of Task Force Chairman & Acting MISSA Administrator Bryan Edejer, Adviser Adrian Nippress and Ave Gimao Jr. of MISSA to conduct a procurement process via a selective tender, one that went to a select market of highly qualified and experienced actuaries in Australia and the United States of America. The methodology used to seek and assess the tender responses has been in accordance with MISAA and relevant RMI government policies and procedures. 

A number of respondents has shown interest to the tender. After a thorough evaluation and screening was concluded, Deloitte Australia was unanimously chosen to perform the actuarial study.

The actuarial study was expected to be completed by December 2022. However, there were challenges encountered. Health related data, more particularly cases of work related injuries that were treated in Majuro and Ebeye Hospitals, as well as health referrals to the Philippines that were promised to be provided by the Ministry of Health were not fully made available as expected, resulting to delays and added actuarial cost. As an alternative, related data were provided by Century Insurance and Moylan’s Insurance in Guam, as well as by the CNMI Workers’ Compensation Commissioner. It is expected that the final actuarial report will be submitted by early May 2023.

Workers’ Compensation Regulations

To provide for the procedures and criteria for the effective implementation of the Workers’ Compensation Act 2019, the 14-member Workers’ Compensation Task, together with its Workers’ Compensation Adviser Adrian Nippress and Legal Counsel Divine Waiti, will soon present to the Cabinet the Workers’ Compensation Regulations 2023 for approval.

Highlights of the proposed Regulations:

  1. Any member of the Workers’ Compensation Board (MISSA Board) who is related to any party by consanguinity or affinity within the third degree in a proceeding (i.e. formal hearing on a denied claim) shall recuse himself/herself from participating in the deliberation to avoid conflict of interest;
  2. Employers shall keep posted a compensation notice (proof that the business have secured a workers’ compensation insurance for its employees) in a conspicuous place where employees can easily see such notice;
  3. The Administrator is required to publish in the local print media and annual report of the names and owners of businesses who fail to comply with the workers’ compensation program;
  4. Non-Government employers seeking to become self-insured must complete an application and cooperate fully with any investigation conducted into their application or review initiated to determine whether the approval should be revoked and comply with the conditions set by the Board;. 
  5. For newly opened businesses, the coverage shall take effect on the first day of operations. Furthermore, employees, regardless of work status or citizenship, shall also be covered on their first day of work;
  6. Small businesses seeking exemption from purchasing insurance must submit their last two annual Gross Receipts Tax Returns filed with the Revenue & Taxation Office to support their application;
  7. In the event of a life threatening work-related injury of a worker where treatment if not available in the RMI, the employers, in close coordination with their insurance carrier, shall consider an implement all available remedies to medically evacuate the injured worker to the nearest available hospital in another country where the recommended treatment is available;
  8. A claim for compensation shall be filed with the Administrator in accordance with the prescribed form, at any time after the first four days following the injury, or at any time after death. Within 10 days after such claim is filed, the Administrator shall notify the employer or any other person (other than the claimant), whom the Administrator considered an interested party, that a claim has been filed;
  9. The employer or insurance carrier may file an objection contesting acceptance to the claim;
  10. The Administrator shall not accept any claim for compensation that is filed more than a year after the injury or death;
  11. Where the claimant voluntarily elects a lump sum payment, he or she shall file an application to the Administrator. The Administrator shall approve a lump sum payment based on the following indicators:
    • The lump sum payment must be equal to the present value of future compensation payments commuted, computed at 4% true discount compounded annually;
    • The probability of death of such injured worker before the expiration of the period during which he or she is entitled to disability benefits;
    • The capability of the claimant to make a decision in his or her best interest, devoid of any coercion from others, including family members;

Consultation with counterparts and stakeholders in Guam and CNMI (Saipan)

To gather information about how the Workers’ Compensation Program is being administered in Guam and Saipan, Adviser Adrian Nippress, Bill Joseph and Ave Gimao Jr. of MISSA were tasked to consult in person with the Workers’ Compensation and Insurance Commissioners of Guam and Saipan. It also gave the team the opportunity to meet with senior managers of Century Insurance (the main Insurance carrier of Marshalls Insurance Agency) and First Net Insurance/DB Insurance (main insurance carrier of Moylan’s Insurance Agency) in Majuro.

The week-long consultations enabled the RMI Workers’ Compensation team to gather immense information and inputs about the operational structure of Guam and Saipan’s Workers’ Compensation Programs, including insurance regulatory practices in the region. The visit and consultations confirmed that the RMI Workers’ Compensation Task Force had accurately identified the most effective amendments to the Act and the required Regulations and processes to address potential problems and challenges that may be encountered when the Workers’Compensation Progam in RMI kicks off on October 1, 2023 . This will give the Administration the head start to set–up preventive measures and check-points to mitigate the impact of these difficulties.

On behalf of the Workers’ Compensation Task Force, the team of Adrian, Bill and Ave wishes to express their heartfelt appreciation to the hospitality and support of the following individuals who have shared their expertise and provided invaluable information and inputs during their trips to Guam and Saipan:

  1. Commissioner Frank Cabrera of the CNMI Workers’ Compensation Commission
  2. Mr. Cesar Garcia, VP and CEO of FirstNet Insurance
  3. Honorable Joseph Rios, CNMI’s Secretary of Commerce
  4. Ms. Lanie Deliguin, Claims Manager of Century Insurance Guam
  5. Mr. Steven Surban, Operations Manager of Century Insurance Guam
  6. Commissioner Jo Annalynn Fullerton of Guam’s Workers’ Compensation Commission
  7. Mr. Manny Pablo, Claims Examiner of Guam’s Workers’ Compensation Commission
  8. Mr. Yonjo Choi, Branch Manager of DB Insurance Guam
  9. Mr. Troy Moylan, General Manager of NetCare Life & Health Insurance Company, Guam
  10. Ms. Nancy Ang Tan, Assistant Manager of First Net Insurance Co. Guam
  11. Mrs. Catherine Sablan Tenorio, General Manager of Moylan’s Insurance Underwriters, Inc., CNMI
  12. Ms. Mylen Campo, Operations Manager of Moylan’s Insurance Underwriters, Inc., Guam
  13. Ms. Michelle Santos, Banking and Insurance Commissioner of Guam
  14. Ms. Charlette Borja, Insurance Administrator of CNMI
With Troy Moylan, GM of NetCare Life & Health Insurance Co, Nancy Tan of First Net Insurance and Yonjo Choi, Branch Manager, DB Insurance, Guam.
Bill Joseph presents a mini RMI stick chart toHon. Joseph Rios, CNMI Secretary of Commerce (left) and a local turtle amimono (handicraft) to Troy Moylan, General Manager of NetCare Life & Health Insurance (right)
The RMI WorkComp team has met with Leilanie Deliguin (2nd from left), Claims Manager and Steven Surban (2nd from right), Operations Manager of Century Insurance, Guam to discuss how claims for workers’ compensation are processed. Ms. Deliguin has also provided Deloitte Australia, who is currently performing an actuarial study about the viability of the RMI’s WorkComp program, with significant data and statistics about claims for work related injuries and deaths that were filed with Century Insurance in Guam.
The RMI WorkComp team presents a replica of the “Walap”, the traditional Marshallese ocean-going outrigger canoe to WorComp Commissioner Frank Cabrera of CNMI (2nd from right) as a token of appreciation for his invaluable contributions and assistance to the RMI’s Workers’ Compensation Program.
With Alice Cruz (Guam’s Regulatory/Program Administrator), Michelle Santos, (Guam’s Banking and Insurance Commissioner) and Nancy Tan of FirstNet Insurance.
WorkComp Team with Hon. Joseph Rios (Secretary, CNMI Dept. of Commerce) and Charlette Borja (CNMI Insurance Administrator)

Stay Up-To-Date With News Near You