Late last week NCCI Holdings released its annual “State of the Line” workers compensation market analysis showing that the 2006 calendar year combined ratio was 96.5 percent, the best underwriting result in at least 30 years and the first underwriting profit for the line since 1995. Although the underwriting results are the best in decades, NCCI did flag some critical issues that continue to face the sector in the long-term. Among them, skyrocketing medical costs, low investment returns, a changing political landscape and the projection that the underwriting cycle is likely at its peak. On a day in which illnesses suffered by Ground Zero workers have again made the headlines, weÃ¢â‚¬â„¢d like to flag another emerging issue — the latent illnesses and disease among first responders to the September 11, 2001 terrorist attack. New York City officials estimate the treatment costs for those suffering respiratory illnesses is already in the hundreds of millions of dollars and that other illnesses such as cancer may eventually be linked to the disaster. For more information on workers compensation check out I.I.I.’s update.