Program Description

Manages and regulates all aspects of workers insurance, including the processing of claims, administrative functions and support service. The Program is composed by the Offices of the Administrator, Internal Audit, Contract Management, Corporate Security and Public Information; as well as the Areas of Administration, Finances, Information Systems, Actuarial Affairs, and the Legal Department.

Statistical Data	2011	2012	2013
Active cases	48,417	48,800	48,671
Cases filed	58,227	57,835	57,265
Cases in arrears	47,889	48,417	48,800
Cases in employment	33,007	33,330	33,242
Cases not working	15,410	15,470	15,429
Closed cases	65,579	65,218	65,046
Complaints investigated	10,182	10,144	10,044
Disability benefit payments ($)	182,200	170,000	169,000
New policies formalized	39,960	40,525	39,850
New policies imposition	37,897	36,478	35,870
Reopen cases	7,880	7,766	7,653
Research and investigations	13,294	13,244	13,114

The statistical data was provided by the Agency during the Fiscal Year 2012-2013 budget formulation process.

Customers

All the employers and workers that file a claim as a consequence of some work related accident whether the employer is insured or not.

Program Description

Offers medical examination services to injured workers, ambulatory medical treatment, physical rehabilitation, hospitalization, surgery and social services. Also, it provides rehabilitation services through the Department of the Family.

Statistical Data	2011	2012	2013
Admissions	2,308	2,285	2,263
Assessment service to patients in clinics	496,060	495,805	495,549
Average stay	9	9	9
Daily Average Census	57	56	56
Days/Patient	20,737	20,549	20,363
Deaths and Discharges	2,319	2,303	2,287
Hospitalization services to patients in industrial hospital	150,587	145,665	140,904
Number of beds	108	108	108
Occupancy rate	53	52	52

The statistical data was provided by the Agency during the Fiscal Year 2012-2013 budget formulation process.

Workers injured by some accident or occupational injury

FISCAL YEAR 2012-2013 ADOPTED BUDGET

The adopted consolidated budget for Fiscal Year 2012-2013 amounts to $508,718,000 from Internal Sources generated from private and public employers insurance premiums, as established by Act 45 of April 18, 1935, as amended, known as the Workers Compensation Act.

The Revenues from Internal Sources are distributed as follows: $474,600,000 for operational expenses; $34,118,000 for capital improvements, of which $23,706,000 are for renovation work at the Industrial Hospital and $10,412,000 to refurbish facilities at the central and regional offices.

The Capital Improvement fund reflects a decrease of $19,795,000. This amount was part of the approved 2011-2012 budget for the purchase of two buildings to transfer the Industrial Hospital and the Central Offices.

The adopted budget will allow the Corporation to focus on the quality and effectiveness of the services provided; specifically the physical and mental rehabilitation of injured workers. Resources will be assigned to the following areas: medical evaluations by rehabilitation specialists, hospitalization, surgery, prescriptions, x-rays, and laboratories.

These resources will help the Corporation meet its goals and programmatic commitments; standardization of policies, increase revenues from premiums, faster recoveries and to provide additional services to the Industrial Hospital and other areas of the community. They will also allow the Corporation to comply withits Organic Act and promote the well-being of workers by guaranteeing worker's right to receive quick and efficient medical attention, appropriate compensation and to guarantee an effective administration of the Worker's Insurance Fund.

SUMMARY OF AVAILABLE RESOURCES