Employers’ Health Fringe
Benefit Spending
Table of Contents
Summary
Costs Covered by Employers
Costs Beyond the Company
Employers’ Health Spending
Traffic Safety Programs Savings
Employer Costs by State
Employer Costs by Industry
Conclusions
Appendix
References
  Motor vehicle crashes imposed over an $18 billion health fringe benefit bill on employers. Employer health care (medical) spending on crash injuries was nearly $9 billion.2 The importance of off-the-job injuries to employers interested in achieving health-related cost savings is illustrated in Table 3. Off-the-job crash injuries cost over $14 billion, 78% of motor vehicle crash health fringe benefit costs. Off-the-job crash injuries comprised an even larger share of total employer health care spending on crash injuries (88%). Motor vehicle crashes accounted for 5% of employers’ health fringe benefit spending (Figure 1).

Table 3
Employers' Crash-Related Fringe Benefit Costs
(M = Millions, $ = 9/95 Dollars)
  CRASH INJURIES
  On-the-job Off-the-job All
Workers' Compensation $2,550 M $0 M $2,550 M
    Medical 820 M 0 M 820 M
    Disability 1,730 M 0 M 1,730 M
Health Insurance & Self-Pay 210 M 7,890 M 8,100 M
Disability Insurance 70 M 500 M 570 M
Life Insurance 50 M 530 M 580 M
Insurance Administration 360 M 750 M 1,110 M
Insurance Overhead 180 M 1,150 M 1,330 M
Social Security Disability 120 M 1,440 M 1,560 M
Sick Leave 500 M 2,180 M 2,680 M
TOTAL $4,040 M $14,440 M $18,480 M


Traffic Safety Programs Can Produce Savings

Employer costs per on-the-job crash, per on-the-job crash injury, and per million vehicle miles of travel enable employers to estimate their injury burden and the potential savings of traffic safety programs. Employers can estimate their cost burden by multiplying the costs in Table 4 by either their total crashes, crash injuries, or millions of vehicle miles of travel.


2 Employer health care spending is estimated as the sum of the “Workers’ Compensation Medical” and “Health Insurance & Self-Pay” categories.


Table 4
Costs to Employers per On-the-Job Highway Crash
and Injury per Million Vehicle Miles of Travel
(M VMT)
  Per Crash Per Injury Per M VMT
Heatlh Fringe Costs $12,700 $62,500 $54,700
TOTAL $15,200 $74,800 $65,500
Wage-Risk Premium $7,200 $35,600 $31,300

On-the-job highway crashes cost employers $22,000 per crash, $97,000 per million vehicle miles of travel (M VMT), and $110,000 per injury. NHTSA reports that safety elements effective in reducing losses associated with motor vehicle crashes include top-level management commit-ment to traffic safety programs, mandatory safety belt policies, alcohol and drug non-use policies, Employee Assistance Pro-grams, and safety outreach, extending safety efforts beyond the company door.

A previous Network of Employers for Traffic Safety (NETS) report includes case studies of the savings from traffic safety programs (Miller, 1992). For every million miles of company travel, a safety program can save the company $50,000.

Employers can also save from programs to prevent off-the-job injury. Family- related interventions can lower health fringe benefit costs. Benefits include a savings of $85 for each child safety seat (Miller et al., 1993) and $30 for every bicycle helmet (Miller et al., 1994).

To produce profits equal to employer costs of motor vehicle-related injury, employers would need $547 billion in sales—over four times the annual growth in the U.S. economy from 1987 to 1994 net of inflation (Figure 2). (This computation assumes that a 10% profit margin is typical of most firms.)


Employer Costs of Crashes by State

Table 5 details employer costs of motor vehicle crash injuries by state. The methods for calculating state costs are documented in the Appendix. Costs per employee vary widely by state. Cost comparisons between states are inadvisable. Critically, our methods ignore differences in non-fatal injury severity between states. This weakness probably produces cost estimates that are too low in rural states relative to urban states, which typically have lower average speeds and consequently less severe injuries. Differences between states also may result from differing completeness of reporting of occupational or crash injuries rather than actual differences in injury rates. Cost differences between states may reflect price and income variations more than differ-ences in safety. Finally, differences in labor force participation rates and family size between states could cause employer costs per employee to vary even if safety levels and prices were equal.


Employer Costs of Crashes by Industry

Employer costs of on-the-job motor vehicle crashes by industry are shown in Table 6. As expected, costs per employee are higher for industries where motor vehicles are used intensively. The highest costs per employee are in agriculture and forestry, land transportation, mining, heavy construction, and automotive sales and repair. Costs were assigned by vehicle type involved in the crash. Heavier vehicles have smaller fatal costs but higher property damage costs. The SOII obtained reports on less than 30% of occupational crash survivors with work loss. We used the reported cases to infer the distribution of unreported cases. Thus, cost variations between industries should be compared cautiously. They may result from differing completeness of reporting.


Conclusions

In balancing the goals of competitiveness and goodwill to employees, alternative strategies to cost-cutting become attractive. Employer health care (medical) spending for motor vehicle crashes neared $9 billion in 1994. Another $9 billion was spent on sick leave and life and disability insurance for crash victims. Traffic safety programs are an alternative to reduce these costs without reducing the benefits offered to employees. Savings are potentially as high as $50,000 per million vehicle miles of travel. Protecting employees from motor vehicle crash injury can be a profitable investment of time and resources.

Table 5
Annual Employer Costs of Motor Vehicle Crash Injuries by Expense Category by State
(in Millions of 9/95 Dollars)
  EXPENSE CATEGORY       EXPENSE CATEGORY    
State Health Fringe Non-Fringe TOTAL Per Employee State Health Fringe Non-Fringe TOTAL Per Employee
USA $18,300 $24,800 $43,100 $350 MS $151 $248 $399 $340
AK $40 $41 $81 $290 MT $46 $58 $104 $250
AL 210 297 507 270 NC 548 748 1,296 380
AR 157 216 373 330 ND 26 42 68 210
AZ 301 317 618 330 NE 103 137 240 280
CA 1,793 2,214 4,007 280 NH 50 58 108 180
CO 227 359 586 310 NJ 780 995 1,775 480
CT 259 380 639 390 NM 126 154 280 390
DC 57 46 103 360 NV 128 210 338 460
DE 43 52 95 260 NY 2,124 2,907 5,031 630
FL 1,013 1,336 2,349 370 OH 835 1,059 1,894 360
GA 545 852 1,397 410 OK 213 339 551 380
HI 70 53 123 220 OR 169 222 391 250
IA 155 195 350 230 PA 617 912 1,529 280
ID 67 121 188 340 RI 59 59 118 250
IL 702 885 1,587 280 SC 222 259 481 280
IN 371 704 1,075 370 SD 39 58 97 270
KS 167 343 510 400 TN 317 408 725 290
KY 273 440 713 410 TX 1,408 2,001 3,404 390
LA 329 445 774 440 UT 129 239 368 390
MA 526 514 1,040 350 VA 391 619 1,010 310
MD 341 411 752 290 VT 22 22 44 140
ME 82 91 173 310 WA 427 530 957 380
MI 679 834 1,513 340 WI 287 406 693 260
MN 238 361 599 240 WV 112 137 249 350
MO 344 461 805 310 WY 35 72 107 450


Table 6
Employer Costs of On-the Job Motor Vehicle Crashes by Industry
(in 9/95 dollars)
  EXPENSE CATEGORY      
Industry Health Fringe Non-Fringe Total Cost Per Employee Wage Premium
Agriculture, Forestry, & Fishing $337,639,000 $1,507,408,000 $1,845,046,000 $533 $1,360,381,000
Mining $39,673,000 $173,999,000 $213,672,000 $353 $168,510,000
    Metal Mining 4,284,000 19,529,000 23,813,000 467 17,401,000
    Coal Mining 3,448,000 15,718,000 19,166,000 168 14,006,000
    Oil & Gas Extraction 27,283,000 122,238,000 149,520,000 441 110,204,000
    Non-Metallic Minerals 3,439,000 15,679,000 19,119,000 189 13,971,000
Construction $278,016,000 $1,245,377,000 $1,523,393,000 $316 $998,150,000
    General Building Contractors 42,440,000 183,236,000 225,676,000 194 150,097,000
    Heavy Construction 91,483,000 385,926,000 477,410,000 661 357,376,000
    Special Trades Contractors 143,605,000 675,881,000 819,486,000 271 485,504,000
Manufacturing $257,858,000 $1,253,055,000 $1,510,913,000 $84 $806,742,000
    Food & Kindred Products 54,858,000 277,639,000 332,497,000 199 157,587,000
    Textile Mill Products 2,627,000 14,690,000 17,318,000 26 5,290,000
    Lumber & Wood Products 28,925,000 129,942,000 158,867,000 217 116,867,000
    Furniture & Fixtures 4,346,000 25,138,000 29,484,000 59 8,598,000
    Paper & Allied Products 4,476,000 21,660,000 26,136,000 38 14,467,000
    Printing & Publishing 54,296,000 271,866,000 326,161,000 213 141,094,000
    Chemicals & Allied Products 13,867,000 69,163,000 83,031,000 79 40,805,000
    Rubber & Misc. Plastics 5,124,000 24,931,000 30,055,000 32 15,559,000
    Stone, Clay, Glass, & Concrete 23,845,000 125,576,000 149,421,000 282 68,637,000
    Primary Metal Industries 7,241,000 30,754,000 37,995,000 55 27,385,000
    Fabricated Metal Products 12,244,000 53,257,000 65,500,000 48 44,465,000
    Industrial Machinery & Equip. 14,019,000 70,880,000 84,898,000 44 42,459,000
    Electronics 7,676,000 38,272,000 45,948,000 30 16,313,000
    Transportation Equipment 13,796,000 66,429,000 80,225,000 46 42,151,000
    Instruments & Related Products 4,162,000 22,282,000 26,443,000 31 8,576,000
    Miscellaneous Products 1,268,000 7,094,000 8,363,000 22 2,542,000
Transportation & Public Utilities $722,203,000 $3,674,012,000 $4,396,215,000 $752 $2,301,939,000
    Local & Interurban Trans. 124,927,000 762,879,000 887,807,000 2,294 281,269,000
    Trucking & Warehousing 442,782,000 2,156,445,000 2,599,227,000 1,486 1,564,058,000
    Water Transportation 6,963,000 41,264,000 48,227,000 291 13,551,000
    Transportation by Air 30,803,000 156,703,000 187,506,000 255 71,627,000
    Transportation Services 13,458,000 60,089,000 73,547,000 200 49,224,000
    Communications 48,071,000 241,389,000 289,460,000 231 121,425,000
    Electric, Gas, & Sanitary Services 51,413,000 252,651,000 304,064,000 330 160,640,000
Wholesale Trade $273,798,000 $1,379,002,000 $1,652,800,000 $273 $748,241,000
Retail Trade $404,473,000 $2,101,111,000 $2,505,584,000 $123 $1,038,360,000
    General Merchandise Stores 18,104,000 97,985,000 116,089,000 47 43,124,000
    Food Stores 43,962,000 236,582,000 280,544,000 86 112,383,000
    Automotive Dealers 131,939,000 682,239,000 814,178,000 379 319,235,000
    Apparel & Accessory Stores 10,672,000 60,382,000 71,054,000 62 21,150,000
    Furniture & Home Furnishings 22,085,000 114,144,000 136,229,000 152 54,615,000
    Eating & Drinking Places 35,643,000 17,655,000 53,299,000 8 108,379,000
Finance, Insurance, & Real Estate $136,458,000 $725,509,000 $861,967,000 $127 $325,618,000
Services $762,290,000 $4,022,570,000 $4,784,860,000 $150 $1,983,864,000
    Hotels 16,295,000 93,375,000 109,670,000 68 32,337,000
    Personal Services 29,988,000 166,833,000 196,821,000 173 67,857,000
    Business Services 152,205,000 775,613,000 927,818,000 144 434,106,000
    Automotive Repair 81,780,000 448,272,000 530,052,000 508 195,726,000
    Motion Pictures 1,698,000 9,825,000 11,523,000 24 3,340,000
    Amusement & Recreation Services 28,248,000 106,294,000 134,542,000 106 106,418,000
    Health Services 258,553,000 1,439,757,000 1,698,310,000 188 573,056,000
    Legal Services 15,108,000 86,390,000 101,499,000 108 29,921,000
    Educational Services 20,209,000 115,473,000 135,682,000 78 49,846,000
    Social Services 93,357,000 519,948,000 613,305,000 273 218,689,000
    Membership Organizations 10,625,000 46,957,000 57,582,000 28 42,834,000
    Engineering & Management 48,459,000 209,883,000 258,343,000 99 168,586,000
Government $729,664,000 $3,820,229,000 $4,549,893,000 $239 $1,885,813,000
    Federal Government 140,925,000 737,826,000 878,750,000 306 364,219,000
    State Government 190,172,000 995,663,000 1,185,835,000 261 491,498,000
    Local Government 391,916,000 2,051,919,000 2,443,835,000 210 1,012,907,000
TOTAL $3,942,070,000 $19,902,272,000 $23,844,342,000 $204 $11,617,618,000