Economy
According to Stephen Cooper, Executive Director & Senior Economist for NCCI, the U.S. economy was in a position of exceptional strength leading into 2025, having grown 13% larger than it was coming out of the pandemic and outperforming its developed market peers, including Canada and the EU. However, since the tariff increases in April, the narrative has been one of economic uncertainty, including increased fears of a recession. Economic forecasts for 2025 are declining and the economists survey based probability of a recession increased in April to a 46% average compared to a 23% average in January. This contrasts with the current level of consumer spending, which has been stable. Cooper believes that if this indication remains positive, a recession may be avoided.
Based on data presented by Cooper regarding past recessions, short and mild ones do not have much impact on Workers’ Comp. Longer and deeper ones do not appear to impact severity; however, frequency may spike during the recovery as employers bring on new employees.
Labor Market
While employment growth has become more volatile, the labor market appears strong. Although there was a mid-summer dip in job gains in 2024, there was a strong recovery at year-end with over 200,000 new jobs each month. The start of 2025 has been solid in this area as well. While Cooper states there have been no warning signs in the labor market, he adds that it is a lagging indicator and only once the economy is in a recession will signs of stress appear and a notable decline in employment.
Payroll growth also remains solid, although the most gains have been concentrated in Construction, Healthcare and Leisure and Hospitality. In 2025 year-to-date growth data, Transportation and Warehousing is also showing large gains. As Cooper states, payroll growth does not usually decline unless there is a longer and deeper recession, however, there are concerns as to whether the trend in wage growth is sustainable considering the current economic uncertainty.
At a more macro level, it has been estimated by the Congressional Budget Office that deaths may begin to exceed births in the U.S. as early as 2033. As such, absent any immigration, the U.S. population would start to decline at that time. Cooper indicated that while foreign-born workers represent a smaller share (approx. 20%) of the U.S. workforce, they make up over half of the labor market growth that we have experienced since 2009. Economic growth needs labor market growth. Hazardous occupations, such as construction/extraction, farming, maintenance, healthcare support and food preparation are most reliant on foreign-born workers. As such, Cooper states that any reduction in labor supply or tightening of the labor market in these high hazard industries could have a negative impact on claim frequency.
Inflation
The status of the tariffs keeps changing as there appear to be new developments and announcements on a weekly basis. While the ultimate impact on inflation is uncertain, Cooper believes prices on goods will increase due to tariffs, whether we see increased inflation or not.
NCCI measures the rate of Workers’ Comp medical price increases via the Workers’ Compensation Weighted Medical Price Index (WCWMI) which adjusts to specifically Workers’ Comp related medical costs. This index reflects medical inflation to be currently back to pre-pandemic levels which is around 2% after spiking to 3% last year.
The two components of the medical cost distribution that would likely to be directly impacted by tariffs are drugs and medical supplies. Cooper believes that a realistic estimated cost increase for these components would raise the WCWMI from its current 2% rate to approximately 3% to 3.5%, which is what it was in early 2024. However, the Trump Administration, via recent Executive Order, is potentially linking drug prices to the foreign rate which is typically lower. As such, any increase in medical costs via tariffs could potentially be offset by lower drug prices. Overall, NCCI believes that any medical price impacts are likely to be manageable.
Workers’ Comp Weighted Medical Price Index (WCWMI)