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HCDB Exhibit Four

Dalam dokumen HCDB Standard Report 2020 2 (Halaman 60-69)

Claimants by Reported Injury Grouping

The Reported Injury Grouping (RIG) classification system categorizes claimants based on several factors of the injury; including the type of injury, tissues involved, injury management and resource utilization. This classification is mutually exclusive, as the claimant falls into the group with the highest reported injury code. The RIG’s were developed for the purpose of this exhibit and do not reflect the definitions in the Statutory Accident Benefits Schedule.

RIG Class Definition Description

Muscle strains; and/or Joint/ligament sprains; and/or WAD I/WAD II Excludes muscle/ligament laceration and/or rupture (RIG C)

Peripheral nerve injury; and/or Spinal nerve root injury; and/or Injury impacting peripheral nerves;

and/or WAD III; and/or Intervertebral disc injury

Excludes peripheral nerve laceration (RIG C), spinal nerve root laceration (RIG D2) and cranial nerve injury (RIG D1)

Bone fracture; and/or Joint dislocation; and/or Muscle/tendon laceration ; and/or Ligament rupture;

and/or Peripheral nerve/nerve plexus laceration; and/or Skin avulsion

Excludes cranial nerve injury (RIG D1), spinal fracture and/or dislocation (RIG D2) and spinal nerve root laceration (RIG D2)

D1 Acquired Brain Injury and/or

Cranial Nerve Damage Intracranial injury (including concussion); and/or Cranial nerve injury; and/or Cranial blood vessel injury D2 Spinal Injury and/or Spinal

Cord Injury Spinal fracture; and/or spinal dislocation; and/or spinal cord injury; and/or nerve root laceration D3 Internal and/or Extensive

Injuries

Injury to internal organs; and/or Crush injuries; and/or Traumatic amputations; and/or Burns; and/or Corrosive injuries

Multiple injuries consisting of more than one injury from at least two of RIGs D1 and/or D2 and/or D3; i.e.

D1+D2 or D2+D3 or D1+D3 or D1+D2+D3

E.g., Concussion + Fracture of C5-C7 vertebrae; or Fracture of C5-C7 vertebrae + Laceration and puncture of lung; or Concussion + Laceration and puncture of lung; or Concussion + Fracture of C5-C7 vertebrae + Laceration and puncture of lung.

Does not apply to multiple injuries from any one RIG

F Other Diseases, condition and/or symptoms not specified or unspecified Fractures, Dislocations and/or

Extensive Soft Tissue Injury C

E Multiple Major Injury

RIG Classification System

Injury with Peripheral Nerve Involvement Strains and/or Sprains A

B

Percentage of Claimants having Treatments by Reported Injury Grouping Based on claim transactions between the Accident Date and December 31, 2020

70.9%

Accidents between January 1 - December 31, 2013

Total Number of Claimants with Treatments 58,475 6.1% 6.6% 7.0%

12.0% 70.5%

6.3% 6.4% 8.0%

Accidents between January 1 - December 31, 2014

Total Number of Claimants with Treatments 59,460 6.3% 6.4%

Accidents between January 1 - December 31, 2015

Total Number of Claimants with Treatments 65,015 6.6% 6.3%

12.0% 68.7%

6.5% 6.2%

Accidents between January 1 - December 31, 2016

Total Number of Claimants with Treatments 69,176 6.5% 6.2%

1455 1518 1981 1698 2101 2419 2846

1307

Accidents between January 1 - June 30, 2018

A. Sprain/Strains only B. PNI C. Fract/Disloc/Ext STI D1. ABI/CNI D2. Spinal Inj/SCI D3. Ext/Int Inj E. Multi Mj Inju F. Other

RIG Class *Pl ease refer to the first page of HCDB Report for the definition of the RIG Cl ass

Percentage of Claimants having Treatments by Reported Injury Grouping Based on claim transactions between the Accident Date and December 31, 2020

69.9%

Accidents between January 1 - December 31, 2017

Total Number of Claimants with Treatments 71,066 5.5% 5.9%

12.0% 70.3%

5.2% 5.6%

Accidents between January 1 - December 31, 2018

Total Number of Claimants with Treatments 70,764 5.2% 5.6%

Accidents between January 1 - December 31, 2019

Total Number of Claimants with Treatments 70,311 4.5% 5.3%

12.0% 70.0%

3.9% 6.1%

Accidents between January 1 - December 31, 2020

Total Number of Claimants with Treatments 28,442 3.9%

1455 1518 1981 1698 2101 2419 2846

1307

Accidents between January 1 - June 30, 2018

A. Sprain/Strains only B. PNI C. Fract/Disloc/Ext STI D1. ABI/CNI D2. Spinal Inj/SCI D3. Ext/Int Inj E. Multi Mj Inju F. Other

RIG Class *Pl ease refer to the first page of HCDB Report for the definition of the RIG Cl ass

Average Amount Paid per Claimant having Treatments by Reported Injury Grouping Based on claim transactions between the Accident Date and December 31, 2020

3338 6489 8888

15580

12371 10778 54968

Accidents between January 1 - December 31, 2013

3538

6818 9163 15311

Accidents between January 1 - December 31, 2014

3778

7126 9550 14850

12034 11811 46849

Accidents between January 1 - December 31, 2015

3786 6725 9465 12690 11423 11409 42892

Accidents between January 1 - December 31, 2016

1455 1518 1981 1698 2101 2419 2846

1307

Accidents between January 1 - June 30, 2018

A. Sprain/Strains only B. PNI C. Fract/Disloc/Ext STI D1. ABI/CNI D2. Spinal Inj/SCI D3. Ext/Int Inj E. Multi Mj Inju F. Other

RIG Class *Pl ease refer to the first page of HCDB Report for the definition of the RIG Cl ass

Average Amount Paid per Claimant having Treatments by Reported Injury Grouping Based on claim transactions between the Accident Date and December 31, 2020

3653 5851

8934 10596 10122 11349 29725

Accidents between January 1 - December 31, 2017

3450 5582 8335 8853 9646 10124

23195

Accidents between January 1 - December 31, 2018

2915 4178 6406 6044 7362 7448

14548

Accidents between January 1 - December 31, 2019

1860 2226 3179 2939 3437 3478 5832

1670

Accidents between January 1 - December 31, 2020

1455 1518 1981 1698 2101 2419 2846

1307

Accidents between January 1 - June 30, 2018

A. Sprain/Strains only B. PNI C. Fract/Disloc/Ext STI D1. ABI/CNI D2. Spinal Inj/SCI D3. Ext/Int Inj E. Multi Mj Inju F. Other

RIG Class *Pl ease refer to the first page of HCDB Report for the definition of the RIG Cl ass

Treatments by Reported Injury Grouping and Accident Date

Based on claim transactions between the Accident Date and December 31, 2020 All Claimants

Reported Injury Grouping

Number of Claimants

Percent of Total Claimants

Insurer Paid

Percent of Total Insurer

Paid

Average Insurer Paid per Claimant

A. Sprain/Strains only 41,455 70.9% 138,361,739 40.6% 3,338

B. PNI 3,576 6.1% 23,204,888 6.8% 6,489

C. Fract/Disloc/Ext STI 3,887 6.6% 34,547,536 10.1% 8,888

D1. ABI/CNI 4,117 7.0% 64,142,200 18.8% 15,580

D2. Spinal Inj/SCI 754 1.3% 9,327,676 2.7% 12,371

D3. Ext/Int Inj 797 1.4% 8,590,145 2.5% 10,778

E. Multi Mj Inju 974 1.7% 53,539,263 15.7% 54,968

F. Other 2,915 5.0% 8,698,000 2.6% 2,984

Treatment - Subtotal 58,475 100.0% 340,411,448 100.0% 5,821

Accident dates January 1 - December 31, 2013

All Claimants

Reported Injury Grouping

Number of Claimants

Percent of Total Claimants

Insurer Paid

Percent of Total Insurer

Paid

Average Insurer Paid per Claimant A. Sprain/Strains only 41,919 70.5% 148,306,142 40.5% 3,538

B. PNI 3,729 6.3% 25,423,433 6.9% 6,818

C. Fract/Disloc/Ext STI 3,777 6.4% 34,608,047 9.4% 9,163

D1. ABI/CNI 4,765 8.0% 72,957,496 19.9% 15,311

D2. Spinal Inj/SCI 758 1.3% 9,572,647 2.6% 12,629

D3. Ext/Int Inj 651 1.1% 6,713,120 1.8% 10,312

E. Multi Mj Inju 1,076 1.8% 60,160,336 16.4% 55,911

F. Other 2,785 4.7% 8,788,946 2.4% 3,156

Treatment - Subtotal 59,460 100.0% 366,530,168 100.0% 6,164 Accident dates January 1 - December 31, 2014

Treatments by Reported Injury Grouping and Accident Date

Based on claim transactions between the Accident Date and December 31, 2020 All Claimants

Reported Injury Grouping

Number of Claimants

Percent of Total Claimants

Insurer Paid

Percent of Total Insurer

Paid

Average Insurer Paid per Claimant

A. Sprain/Strains only 45,220 69.6% 170,863,478 41.5% 3,778

B. PNI 4,282 6.6% 30,512,626 7.4% 7,126

C. Fract/Disloc/Ext STI 4,120 6.3% 39,344,980 9.5% 9,550

D1. ABI/CNI 5,795 8.9% 86,054,911 20.9% 14,850

D2. Spinal Inj/SCI 932 1.4% 11,215,243 2.7% 12,034

D3. Ext/Int Inj 773 1.2% 9,129,959 2.2% 11,811

E. Multi Mj Inju 1,193 1.8% 55,890,350 13.6% 46,849

F. Other 2,700 4.2% 9,019,812 2.2% 3,341

Treatment - Subtotal 65,015 100.0% 412,031,359 100.0% 6,337

Accident dates January 1 - December 31, 2015

All Claimants

Reported Injury Grouping

Number of Claimants

Percent of Total Claimants

Insurer Paid

Percent of Total Insurer

Paid

Average Insurer Paid per Claimant

A. Sprain/Strains only 47,522 68.7% 179,917,780 42.4% 3,786

B. PNI 4,486 6.5% 30,166,421 7.1% 6,725

C. Fract/Disloc/Ext STI 4,259 6.2% 40,313,378 9.5% 9,465

D1. ABI/CNI 6,876 9.9% 87,256,502 20.6% 12,690

D2. Spinal Inj/SCI 1,072 1.5% 12,245,497 2.9% 11,423

D3. Ext/Int Inj 787 1.1% 8,978,512 2.1% 11,409

E. Multi Mj Inju 1,302 1.9% 55,845,537 13.2% 42,892

F. Other 2,872 4.2% 9,821,064 2.3% 3,420

Treatment - Subtotal 69,176 100.0% 424,544,692 100.0% 6,137

Accident dates January 1 - December 31, 2016

Treatments by Reported Injury Grouping and Accident Date

Based on claim transactions between the Accident Date and December 31, 2020 All Claimants

Reported Injury Grouping

Number of Claimants

Percent of Total Claimants

Insurer Paid

Percent of Total Insurer

Paid

Average Insurer Paid per Claimant

A. Sprain/Strains only 49,697 69.9% 181,529,218 46.8% 3,653

B. PNI 3,933 5.5% 23,012,119 5.9% 5,851

C. Fract/Disloc/Ext STI 4,224 5.9% 37,736,835 9.7% 8,934

D1. ABI/CNI 7,643 10.8% 80,982,320 20.9% 10,596

D2. Spinal Inj/SCI 943 1.3% 9,544,589 2.5% 10,122

D3. Ext/Int Inj 779 1.1% 8,840,670 2.3% 11,349

E. Multi Mj Inju 1,260 1.8% 37,453,155 9.7% 29,725

F. Other 2,587 3.6% 8,463,286 2.2% 3,271

Treatment - Subtotal 71,066 100.0% 387,562,193 100.0% 5,454

Accident dates January 1 - December 31, 2017

All Claimants

Reported Injury Grouping

Number of Claimants

Percent of Total Claimants

Insurer Paid

Percent of Total Insurer

Paid

Average Insurer Paid per Claimant

A. Sprain/Strains only 49,737 70.3% 171,611,552 49.2% 3,450

B. PNI 3,657 5.2% 20,412,665 5.8% 5,582

C. Fract/Disloc/Ext STI 3,997 5.6% 33,315,170 9.5% 8,335

D1. ABI/CNI 8,049 11.4% 71,257,851 20.4% 8,853

D2. Spinal Inj/SCI 873 1.2% 8,421,009 2.4% 9,646

D3. Ext/Int Inj 734 1.0% 7,431,095 2.1% 10,124

E. Multi Mj Inju 1,248 1.8% 28,947,199 8.3% 23,195

F. Other 2,469 3.5% 7,548,555 2.2% 3,057

Treatment - Subtotal 70,764 100.0% 348,945,095 100.0% 4,931

Accident dates January 1 - December 31, 2018

Treatments by Reported Injury Grouping and Accident Date

Based on claim transactions between the Accident Date and December 31, 2020 All Claimants

Reported Injury Grouping

Number of Claimants

Percent of Total Claimants

Insurer Paid

Percent of Total Insurer

Paid

Average Insurer Paid per Claimant

A. Sprain/Strains only 49,849 70.9% 145,288,607 54.0% 2,915

B. PNI 3,179 4.5% 13,282,928 4.9% 4,178

C. Fract/Disloc/Ext STI 3,727 5.3% 23,874,706 8.9% 6,406

D1. ABI/CNI 8,659 12.3% 52,337,912 19.5% 6,044

D2. Spinal Inj/SCI 821 1.2% 6,043,838 2.2% 7,362

D3. Ext/Int Inj 595 0.8% 4,431,518 1.6% 7,448

E. Multi Mj Inju 1,245 1.8% 18,112,481 6.7% 14,548

F. Other 2,236 3.2% 5,621,601 2.1% 2,514

Treatment - Subtotal 70,311 100.0% 268,993,592 100.0% 3,826

Accident dates January 1 - December 31, 2019

All Claimants

Reported Injury Grouping

Number of Claimants

Percent of Total Claimants

Insurer Paid

Percent of Total Insurer

Paid

Average Insurer Paid per Claimant

A. Sprain/Strains only 19,901 70.0% 37,016,659 59.0% 1,860

B. PNI 1,106 3.9% 2,461,445 3.9% 2,226

C. Fract/Disloc/Ext STI 1,747 6.1% 5,553,083 8.9% 3,179

D1. ABI/CNI 3,515 12.4% 10,331,224 16.5% 2,939

D2. Spinal Inj/SCI 384 1.4% 1,319,998 2.1% 3,437

D3. Ext/Int Inj 333 1.2% 1,158,162 1.8% 3,478

E. Multi Mj Inju 590 2.1% 3,440,830 5.5% 5,832

F. Other 866 3.0% 1,446,159 2.3% 1,670

Treatment - Subtotal 28,442 100.0% 62,727,558 100.0% 2,205

Accident dates January 1 - December 31, 2020

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