The SISC I Workers’ Compensation JPA was established in 1978 and currently services 95 California school districts, covering over 46,000 employees in 13 counties. SISC I self-administers this program with an in house staff of 32 employees. This is the most effective arrangement to assure both quality care to injured employees and control over school district funds. The staff consists of 16 examiners, all of which are State certified by Self-Insurance plans, averaging 8 years of experience, 8 claims assistant, 2 safety and loss control specialists, a secretary, a contract review analyst, a claims supervisor, and a director of the program. There is no third party administrator. Member districts deal directly with SISC claims staff.
Our Philosophy – “Schools Helping Schools”
- By pooling resources, schools can provide each other with insurance coverage better than available through any other means. This can be achieved while also keeping millions of dollars in the classroom that would have otherwise been paid out in premiums.
- Our Board of Directors are elected by member districts. All Board Members are employees of school districts. This insures that SISC polices are set with the best interests of schools in mind.
- All SISC administrative personnel are employees of the school system. We do not make sales commissions. Our fiduciary responsibility is to our members……not a profit margin.
SISC I focuses on using managed care to treat employee’s injuries promptly and appropriately so the employee will return to work as soon as possible. We have created a customized Medical Provider Network (MPN), which was implemented on 10/1/07. We are partnered with the Kern Foundation and California Foundation for Medical Care, who acts as our MPN Coordinator, ensuring that any new physicians are properly credentialed and all existing MPN physicians fulfill their contractual obligations.
SISC I is a paperless operation, allowing for real time adjusting.
Our program also has many cost containment programs including Utilization Review and preferred providers for Nurse Case Management, Diagnostic Services, Investigation Services, and a Pharmacy Benefit Management program.
Each member district is fully covered for work related injuries sustained by district employees. Our JPA covers the first layer up to $1,000,000. Claims that exceed this retention level are then covered under our excess carrier, Star Insurance, up to 50 million per occurrence. Additionally, we have Statutory Limit coverage in excess of $50,000,000 through Safety National Insurance.
SISC I is able to secure our member districts with the best coverage at the best rates, due to the pooling of resources, our cost containment programs to include our MPN, and aggressive yet fair handling of losses by competent, well seasoned examiners, with manageable caseloads.