Source: http://docplayer.net/1536398-State-of-nevada-december-12-2011-industrial-insurance-ncci-revisions-to-statistical-plan-for-workers-compensation-and-employers-liability-insurance.html
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Matched Legal Cases: ['ART 1', 'ART 1', 'ART 1', 'ART 1', 'ART 1', 'ART 1', 'ART 1', 'ART 1', 'ART 1', 'ART 2', 'ART 2', 'ART 2', 'ART 2', 'ART 3', 'ART 3', 'ART-129755512', 'ART-129755512', 'ART-125929339']

STATE OF NEVADA. December 12, Industrial Insurance NCCI Revisions to Statistical Plan for Workers Compensation and Employers Liability Insurance - PDF
STATE OF NEVADA. December 12, Industrial Insurance NCCI Revisions to Statistical Plan for Workers Compensation and Employers Liability Insurance
Download "STATE OF NEVADA. December 12, 2011. Industrial Insurance NCCI Revisions to Statistical Plan for Workers Compensation and Employers Liability Insurance"
1 BRIAN SANDOVAL Governor STATE OF NEVADA TERRY JOHNSON Director SCOTT J. KIPPER Commissioner DEPARTMENT OF BUSINESS AND INDUSTRY DIVISION OF INSURANCE 1818 East College Pkwy., Suite 103 Carson City, Nevada (775) Fax (775) Website: doi.nv.gov December 12, 2011 Lorne Malkiewich Director State of Nevada Legislative Counsel Bureau Legislative Building 401 S. Carson Street Carson City, NV Via Re: Industrial Insurance NCCI Revisions to Statistical Plan for Workers Compensation and Employers Liability Insurance Dear Director Malkiewich: Pursuant to NRS 686B.177, we are required to report any changes in rates or in the Uniform Plan for Rating Experience, the Uniform Statistical Plan or the Uniform System of Classification to you. Enclosed, please find a PDF copy of the entirety of the recently approved filing made by the National Council on Compensation Insurance, Inc. ( NCCI ), with NCCI tracking number U-1398 and Nevada State tracking number This filing contains a variety of rule revisions, within the following six categories: 1. Revision of Noncompensable and Fraudulent Claims Reporting 2. Revision of Permanent Partial Injury Type 3. Elimination of Hard-Copy Reporting 4. Elimination of Medical-Only Group Claim Reporting 5. Addition of Cause-of-Injury Code 6. Reporting Clarifications2 These rule revisions will not result in an impact on insureds premiums or on NCCI s approach to experience rating. NCCI intends the rules to enhance the understanding of the rules in the Statistical Plan and provide further direction for reporting unit statistical data. These revisions will affect the manner in which insurers report data to NCCI. Furthermore, the extent of workers compensation coverage available to protect employees is prescribed by Nevada statutes and will not be affected by this filing. If you have any questions or desire additional information, please feel free to contact me via at Sincerely, Mr. Gennady Stolyarov II, CPCU, ARe, AIS, AIE Actuary I Property and Casualty Section Nevada Division of Insurance cc: Scott J. Kipper, Commissioner of Insurance Marie Holt, Chief Examiner, Property & Casualty Section3 SERFF Tracking Number: NCCI State: Nevada Filing Company: NCCI State Tracking Number: Company Tracking Number: U-1398 (LW) TOI: 16.0 Workers Compensation Sub-TOI: Standard WC Product Name: U-1398 Revisions to Statistical Plan for Workers Compensation and Employers Liability Insurance Project Name/Number: / Filing at a Glance Company: NCCI Product Name: U-1398 Revisions to Statistical SERFF Tr Num: NCCI State: Nevada Plan for Workers Compensation and Employers Liability Insurance TOI: 16.0 Workers Compensation SERFF Status: Closed-Approved State Tr Num: Sub-TOI: Standard WC Co Tr Num: U-1398 (LW) State Status: Approved Filing Type: Rule Reviewer(s): Mr. Gennady Stolyarov II Authors: Lesley O'Brien, Alison Disposition Date: 12/12/2011 Herwig, Frank Gnolfo, Maggie Karpuk, karin Steger, Robert Dalton Date Submitted: 10/27/2011 Disposition Status: Approved Effective Date Requested (New): 01/01/2013 Effective Date (New): Effective Date Requested (Renewal): 01/01/2013 Effective Date (Renewal): State Filing Description: General Information Project Name: Status of Filing in Domicile: Project Number: Domicile Status Comments: Reference Organization: Reference Number: Reference Title: Advisory Org. Circular: Filing Status Changed: 12/12/2011 State Status Changed: 12/12/2011 Deemer Date: Created By: Frank Gnolfo Submitted By: Frank Gnolfo Corresponding Filing Tracking Number: State TOI: 16.0 Workers Compensation State Sub-TOI: Standard WC Filing Description: The purpose of this item is to clarify and enhance the rules of NCCI s Statistical Plan for Workers Compensation and Employers Liability Insurance (Statistical Plan). In addition, this item includes clarification in NCCI s Experience Rating Plan Manual for Workers Compensation and Employers Liability Insurance (Experience Rating Plan) to support these changes. Company and Contact PDF Pipeline for SERFF Tracking Number NCCI Generated 12/12/ :15 AM4 SERFF Tracking Number: NCCI State: Nevada Filing Company: NCCI State Tracking Number: Company Tracking Number: U-1398 (LW) TOI: 16.0 Workers Compensation Sub-TOI: Standard WC Product Name: U-1398 Revisions to Statistical Plan for Workers Compensation and Employers Liability Insurance Project Name/Number: / Filing Contact Information Maggie Karpuk, State Relations Executive Agoura Road, Suite [Phone] Agoura Hills, CA [FAX] Filing Company Information NCCI CoCode: State of Domicile: Florida 901 Peninsula Corporate Circle Group Code: Company Type: Boca Raton, FL Group Name: State ID Number: (561) ext. [Phone] FEIN Number: Filing Fees Fee Required? Yes Fee Amount: $25.00 Retaliatory? No Fee Explanation: Rule Per Company: Yes COMPANY AMOUNT DATE PROCESSED TRANSACTION # NCCI $ /27/ PDF Pipeline for SERFF Tracking Number NCCI Generated 12/12/ :15 AM5 SERFF Tracking Number: NCCI State: Nevada Filing Company: NCCI State Tracking Number: Company Tracking Number: U-1398 (LW) TOI: 16.0 Workers Compensation Sub-TOI: Standard WC Product Name: U-1398 Revisions to Statistical Plan for Workers Compensation and Employers Liability Insurance Project Name/Number: / Correspondence Summary Dispositions Status Created By Created On Date Submitted Approved Mr. Gennady Stolyarov II 12/12/ /12/2011 Objection Letters and Response Letters Objection Letters Response Letters Status Created By Created On Date Submitted Responded By Created On Date Submitted Pending Industry Response Mr. Gennady Stolyarov II 11/04/ /04/2011 Robert Dalton 12/12/ /12/2011 PDF Pipeline for SERFF Tracking Number NCCI Generated 12/12/ :15 AM6 SERFF Tracking Number: NCCI State: Nevada Filing Company: NCCI State Tracking Number: Company Tracking Number: U-1398 (LW) TOI: 16.0 Workers Compensation Sub-TOI: Standard WC Product Name: U-1398 Revisions to Statistical Plan for Workers Compensation and Employers Liability Insurance Project Name/Number: / Disposition Disposition Date: 12/12/2011 Effective Date (New): Effective Date (Renewal): Status: Approved Comment: Rate data does NOT apply to filing. PDF Pipeline for SERFF Tracking Number NCCI Generated 12/12/ :15 AM7 SERFF Tracking Number: NCCI State: Nevada Filing Company: NCCI State Tracking Number: Company Tracking Number: U-1398 (LW) TOI: 16.0 Workers Compensation Sub-TOI: Standard WC Product Name: U-1398 Revisions to Statistical Plan for Workers Compensation and Employers Liability Insurance Project Name/Number: / Schedule Schedule Item Schedule Item Status Public Access Supporting Document Authorization Letter Yes Supporting Document Filing Fees Yes Supporting Document Filing Memorandum Yes Supporting Document Workers' Compensation Rate Filing/Loss Yes Costs Expense Worksheet Supporting Document Response to Objection Yes Rate Exhibit 1 Yes Rate Exhibit 2 Yes Rate Exhibit 3 Yes Rate Exhibit 4 Yes Rate Exhibit 5 Yes Rate Exhibit 6 Yes Rate (revised) Exhibit 7 Yes Rate Exhibit 7 Yes Rate Exhibit 8 Yes PDF Pipeline for SERFF Tracking Number NCCI Generated 12/12/ :15 AM8 SERFF Tracking Number: NCCI State: Nevada Filing Company: NCCI State Tracking Number: Company Tracking Number: U-1398 (LW) TOI: 16.0 Workers Compensation Sub-TOI: Standard WC Product Name: U-1398 Revisions to Statistical Plan for Workers Compensation and Employers Liability Insurance Project Name/Number: / Objection Letter Objection Letter Status Pending Industry Response Objection Letter Date 11/04/2011 Submitted Date 11/04/2011 Respond By Date 01/04/2012 Dear Maggie Karpuk, Thank you for your filing submission. This filing has been assigned to me today, and I have had the opportunity to review it. I have one item of concern, and this filing is hereby disapproved, pending NCCI's response. Please feel free to contact me if you would like any clarification regarding the inquiry below. Objection 1 - Filing Memorandum (Supporting Document) - Exhibit 4, Loss & Expense Information (Rate) - Exhibit 6, Coding Values (Rate) Comment: Please explain the rationale for removing the category of "partially fraudulent" claims. According to the prior definition (including the Nevada-specific clarification in Exhibit 6, page 16), the ruling of a court, authorized workers' compensation agency, or other authorized adjudicator is determinative with respect to whether or not a claim is fully fraudulent or partially fraudulent. It still appears to be possible that one of the entities above would define a claim as partially fraudulent. Furthermore, it still appears possible to have a claim where an actual injury occurred, so some of the costs associated with that injury are legitimate, while others of the costs claimed have been found invalid, unnecessary, or excessive. Is NCCI making the assumption that a "partially fraudulent" determination will not be made in any jurisdiction? I would appreciate a clarification of the thinking that led to this particular proposal. This filing will be closed if no response is received within 60 days. If you have any questions, please feel free to contact me by phone or . Sincerely, Mr. Gennady Stolyarov II PDF Pipeline for SERFF Tracking Number NCCI Generated 12/12/ :15 AM9 SERFF Tracking Number: NCCI State: Nevada Filing Company: NCCI State Tracking Number: Company Tracking Number: U-1398 (LW) TOI: 16.0 Workers Compensation Sub-TOI: Standard WC Product Name: U-1398 Revisions to Statistical Plan for Workers Compensation and Employers Liability Insurance Project Name/Number: / Response Letter Response Letter Status Submitted to State Response Letter Date 12/12/2011 Submitted Date 12/12/2011 Dear Mr. Gennady Stolyarov II, Comments: Response 1 Comments: Attached is the repsonse to the Objection and the revised exhibit 7. Related Objection 1 Applies To: - Filing Memorandum (Supporting Document) - Exhibit 4, Loss & Expense Information (Rate) - Exhibit 6, Coding Values (Rate) Comment: Please explain the rationale for removing the category of "partially fraudulent" claims. According to the prior definition (including the Nevada-specific clarification in Exhibit 6, page 16), the ruling of a court, authorized workers' compensation agency, or other authorized adjudicator is determinative with respect to whether or not a claim is fully fraudulent or partially fraudulent. It still appears to be possible that one of the entities above would define a claim as partially fraudulent. Furthermore, it still appears possible to have a claim where an actual injury occurred, so some of the costs associated with that injury are legitimate, while others of the costs claimed have been found invalid, unnecessary, or excessive. Is NCCI making the assumption that a "partially fraudulent" determination will not be made in any jurisdiction? I would appreciate a clarification of the thinking that led to this particular proposal. Changed Items: Supporting Document Schedule Item Changes Satisfied -Name: Response to Objection Comment: PDF Pipeline for SERFF Tracking Number NCCI Generated 12/12/ :15 AM10 SERFF Tracking Number: NCCI State: Nevada Filing Company: NCCI State Tracking Number: Company Tracking Number: U-1398 (LW) TOI: 16.0 Workers Compensation Sub-TOI: Standard WC Product Name: U-1398 Revisions to Statistical Plan for Workers Compensation and Employers Liability Insurance Project Name/Number: / No Form Schedule items changed. Rate/Rule Schedule Item Changes Exhibit Name Rule # or Page # Rate Action Previous State Filing # Exhibit 7 State Special New Previous Version Exhibit 7 State Special New Sincerely, Alison Herwig, Frank Gnolfo, Lesley O'Brien, Maggie Karpuk, Robert Dalton, karin Steger Rate/Rule Schedule Schedule Item Exhibit Name: Rule # or Page Rate Action Previous State Filing Attachments Status: #: Number: Exhibit 1 General Rules Replacement U-1397 U Exhibit 1.pdf Exhibit 2 Header/Policy Information Replacement U-1397 U Exhibit 2.pdf Exhibit 3 Exposure Information Replacement U-1397 U Exhibit 3.pdf Exhibit 4 Loss & Expense Replacement U-1397 U Exhibit 4.pdf Information Exhibit 5 Correction Infomation Replacement U-1397 U Exhibit 5.pdf Exhibit 6 Coding Values Replacement U-1397 U Exhibit 6.pdf Exhibit 7 State Special New Amended Nevada PDF Pipeline for SERFF Tracking Number NCCI Generated 12/12/ :15 AM11 SERFF Tracking Number: NCCI State: Nevada Filing Company: NCCI State Tracking Number: Company Tracking Number: U-1398 (LW) TOI: 16.0 Workers Compensation Sub-TOI: Standard WC Product Name: U-1398 Revisions to Statistical Plan for Workers Compensation and Employers Liability Insurance Project Name/Number: / Exception Pages- Exhibit 7.pdf Exhibit 8 General Explanations Replacement E-1400 U Exhibit 8.pdf PDF Pipeline for SERFF Tracking Number NCCI Generated 12/12/ :15 AM12 PAGE 6 EXHIBIT 1 PART 1 GENERAL RULES B. PREPARATION AND COMPLETION OF UNIT STATISTICAL REPORTS Summarized exposure, premium, and loss data for each workers compensation policy is required under Item F of this part. N C C I s t r o n g l y e n c o u r a g e s d a t a p r o v i d e r s t o Data providers must report data in the electronic format for unit statistical data received on and after January 1, Refer to NCCI's Electronic Transmission User's Guide for additional information regarding electronic reporting. W h e n e l e c t r o n i c r e p o r t i n g i s n o t f e a s i b l e, N C C I p e r m i t s s t a t i s t i c a l d a t a t o b e r e p o r t e d o n h a r d c o p y f o r m s.13 PAGE 7 EXHIBIT 1 (CONT'D) PART 1 GENERAL RULES C. T R A N S M I T T A L L E T T E R S APPLICATION OF MANUAL RULES T h e fi l i n g o f s t a t i s t i c a l d a t a o n m e d i a, o t h e r t h a n e l e c t r o n i c d a t a t r a n s f e r r e d t h r o u g h t h e I n t e r n e t, m u s t b e a c c o m p a n i e d b y t r a n s m i t t a l l e t t e r s s h o w i n g s u m m a r y t o t a l s. Rules apply separately to each unit report, including its associated exposure and corresponding claims The effective date of a rule or a change in any rule is the date approved for use by the insurance department NCCI s Unit Statistical Reporting Guidebook provides supplemental information and examples for reporting accurate and timely unit statistical data to NCCI The application of payroll and losses used to calculate a risk s experience modification is in accordance with NCCI s Experience Rating Plan Manual Classification code assignment and basis of premium are determined in accordance with NCCI s Basic Manual14 PAGE 8 F. FILING REQUIREMENT EXHIBIT 1 (CONT'D) PART 1 GENERAL RULES Exposure, premium, and loss data must be filed for every policy governed under the scope of this Plan. Statistical data must not be reported for the following types of policies: Employers liability insurance on residence and farm employees provided in conjunction with other liability insurance. Workers compensation on domestic workers provided in conjunction with homeowners insurance. Policies providing coverage under the National Defense Projects Rating Plan. Policies providing coverage on Nuclear Regulatory Commission projects. Policies providing excess coverage.15 PAGE 9 G. FILING OF STATISTICAL DATA EXHIBIT 1 (CONT'D) PART 1 GENERAL RULES Electronic reports or transmissions must be submitted to NCCI. Refer to NCCI's Electronic Transmission User's Guide for further information i n s t r u c t i o n. E x p o s u r e, p r e m i u m, a n d l o s s d a t a s u b m i t t e d o n h a r d c o p y f o r m s m u s t b e fi l e d d i r e c t l y w i t h t h e k e y i n g v e n d o r a c c o r d i n g t o t h e p r o c e d u r e s i n N C C I ' s U n i t S t a t i s t i c a l R e p o r t i n g G u i d e b o o k. A l l r e p o r t s, l a b e l s, a n d t r a n s m i t t a l s m u s t b e t y p e d o r c l e a r l y p r i n t e d w i t h b l u e o r b l a c k i n k.16 PAGE 10 EXHIBIT 1 (CONT'D) PART 1 GENERAL RULES H. STATE FILING REQUIREMENTS F O R M U L T I S T A T E P O L I C I E S D a t a m u s t b e fi l e d f o r e a c h s t a t e o f a m u l t i s t a t e p o l i c y i n a c c o r d a n c e w i t h t h e s c o p e o f t h i s P l a n. A r e p o r t m u s t b e fi l e d f o r e a c h s t a t e o n a p o l i c y w i t h e s t i m a t e d e x p o s u r e, i n c l u d i n g t h o s e f o r w h i c h n o e x p o s u r e w a s d e v e l o p e d. H o w e v e r, i f a s t a t e w a s w r i t t e n o n a n I f A n y b a s i s, a r e p o r t i s n o t r e q u i r e d p r o v i d e d n o e x p o s u r e d e v e l o p e d f o r t h a t s t a t e. 1. Single-State Policy Unit statistical data is required to be reported for a single-state policy when any of the following apply: Developed exposure at audit Not yet been audited (estimated exposure) Developed no exposure at audit a. Policy With No Exposure Developed For a policy that developed no exposure at audit, report Statistical Code 1111 No Exposure Developed, along with the applicable expense constant and balance to minimum premium. 2. Multistate Policy Unit statistical data is required to be reported for any state on the policy when any of the following apply: Developed exposure at audit Not yet been audited (estimated exposure) Developed no exposure at audit after estimated exposure was reported on the policy Developed exposure, after being written on an if any basis a. If Any State on Policy With No Exposure Developed Unit statistical data is not reported for a state when all of the following apply: Written on an If Any basis the policy was issued with no exposure in that state No exposure developed at audit The applicable expense constant does not apply in that state The applicable policy minimum premium does not apply in that state17 PAGE 11 EXHIBIT 1 (CONT'D) PART 1 GENERAL RULES L. COAL MINE AND BLACK LUNG DISEASE EXPERIENCE T h e f o l l o w i n g s p e c i a l r e p o r t i n g r e q u i r e m e n t s a p p l y t o c o a l m i n e e x p e r i e n c e : Experience incurred for underground and surface coal mine operators, which are classified in accordance with the Basic Manual, and any risks exposed to Black Lung Disease (also known as Coal Workers Pneumoconiosis) must be filed according to the rules of this Plan. 1. U n d e r g r o u n d C o a l M i n e R i s k s Reporting of Classification Code and Corresponding Statistical Code E x p e r i e n c e i n c u r r e d f o r u n d e r g r o u n d c o a l m i n e p o l i c i e s, w h i c h a r e c l a s s i fi e d i n a c c o r d a n c e w i t h t h e B a s i c M a n u a l f o r W o r k e r s C o m p e n s a t i o n a n d E m p l o y e r s L i a b i l i t y I n s u r a n c e ( B a s i c M a n u a l ), m u s t b e fi l e d a c c o r d i n g t o t h e r u l e s o f t h i s P l a n. T h i s i n c l u d e s a l l i n s u r e d u n d e r g r o u n d c o a l m i n e o p e r a t i o n s, i n c i d e n t a l o p e r a t i o n s, a n d o p e r a t i o n s o t h e r t h a n u n d e r g r o u n d c o a l m i n i n g o f a n y o n e e m p l o y e r. Experience for traumatic and occupational disease, other than Black Lung Disease, must be reported with the applicable classification code. Black Lung Disease experience for state and/or federal acts must be reported separately from the classification code under the corresponding statistical code. Following are the classification codes along with their corresponding statistical codes for Black Lung Disease: Classification Code 1016 Coal Mining NOC 1005 Coal Mining Surface and Drivers Any non-coal mining classification code Statistical Code 0158 Black Lung Disease Experience in Connection With Code Black Lung Disease Experience in Connection With Code Black Lung Disease Experience in Connection With Any Classification Other Than Coal Mine Code a. A d v a n c e R e p o r t s ( I n c l u d i n g S i x - M o n t h E x p e r i e n c e ) T o c o m p l e t e a n a d v a n c e e x p e r i e n c e r a t i n g f o r a n u n d e r g r o u n d c o a l m i n e p o l i c y, a n a d v a n c e r e p o r t o f t h e fi r s t s i x m o n t h s ' e x p e r i e n c e o f t h e c u r r e n t p o l i c y m u s t b e fi l e d d i r e c t l y w i t h N C C I ' s C u s t o m e r S e r v i c e E x p e r i e n c e R a t i n g D e p a r t m e n t. S u c h a d v a n c e r e p o r t i n g m u s t b e fi l e d n o l a t e r t h a n 7 5 d a y s p r i o r t o t h e a n n i v e r s a r y r a t i n g d a t e. E x p o s u r e a n d i n c u r r e d l o s s e s f o r t h e fi r s t s i x m o n t h s o n l y o f t h e c u r r e n t p o l i c y m u s t b e i n c l u d e d i n t h i s a d v a n c e r e p o r t, a n d l o s s e s m u s t b e v a l u e d t h r e e m o n t h s p r i o r t o t h e a n n i v e r s a r y r a t i n g d a t e. T h e s e a d v a n c e r e p o r t i n g s a r e e n t i r e l y i n d e p e n d e n t o f N C C I ' s S t a t i s t i c a l P l a n fi l i n g s, a n d t h e e x p e r i e n c e m u s t b e r e p o r t e d w h e n d u e u n d e r t h e r e q u i r e m e n t s o f t h i s P l a n. b. T r a u m a t i c I f t h e t r a u m a t i c r a t e f o r t h e u n d e r g r o u n d c o a l m i n e c l a s s c o d e c o n t a i n s a c a t a s t r o p h e l o a d i n g t h a t i s n o t s u b j e c t t o e x p e r i e n c e m o d i fi c a t i o n, t h e n r e p o r t t h e a u t h o r i z e d r a t e a f t e r a d j u s t i n g f o r t h e n o n r a t a b l e c a t a s t r o p h e l o a d i n g p r i o r t o e x p e r i e n c e m o d i fi c a t i o n. T h e f o l l o w i n g f o r m u l a s h o u l d b e u s e d t o o b t a i n t h e a d j u s t e d a u t h o r i z e d r a t e : S u b j e c t R a t e = T r a u m a t i c R a t e C a t a s t r o p h e R a t e18 PAGE 12 EXHIBIT 1 (CONT'D) PART 1 GENERAL RULES A u t h o r i z e d R a t e = S u b j e c t R a t e x E x p e r i e n c e M o d i fi c a t i o n + C a t a s t r o p h e R a t e R e f e r t o N C C I ' s U n i t S t a t i s t i c a l R e p o r t i n g G u i d e b o o k f o r a d d i t i o n a l i n f o r m a t i o n. 2. D i s e a s e E x p e r i e n c e f o r C o a l M i n e R i s k s Reporting of Experience for Federal Act Only R e p o r t t h e p r e m i u m f o r d i s e a s e a f t e r t h e a p p l i c a t i o n o f t h e e x p e r i e n c e m o d i fi c a t i o n f a c t o r w i t h t h e a p p r o p r i a t e e x p o s u r e c o v e r a g e c o d e. R e f e r t o P a r t 3, I t e m D E x p o s u r e C o v e r a g e C o d e f o r t h e d e fi n i t i o n o f e x p o s u r e c o v e r a g e c o d e. D i s e a s e e x p e r i e n c e m u s t b e r e p o r t e d f o r d i s e a s e i n c o n n e c t i o n w i t h a n y c o a l m i n e c l a s s i fi c a t i o n i n a c c o r d a n c e w i t h t h e B a s i c M a n u a l o r f o r a n y c l a s s c o d e o t h e r t h a n c o a l m i n i n g w h e r e t h e r e i s l i a b i l i t y u n d e r t h e F e d e r a l C o a l M i n e H e a l t h a n d S a f e t y A c t. If Black Lung Disease coverage has been provided under the Federal Coal Mine Health and Safety Act only without state act coverage, experience for the Black Lung Disease must be reported under Statistical Code 0164 (Black Lung Disease Experience for Federal Benefits Only). Exposure Act/Exposure Coverage Code 03 and Loss Condition Act Code 03 (Coverage Under the Federal Coal Mine Health and Safety Act Only) must also be used when reporting the exposure, premium, and corresponding losses. 3. Reporting of Traumatic and Occupational Disease Experience (Other Than Black Lung Disease) a. Exposure and losses for traumatic and occupational disease experience, other than Black Lung Disease, must be reported under the applicable classification code. The appropriate Exposure Act/Exposure Coverage and Loss Condition Act codes must also be reported for the classification code. Note: Exposure Act/Exposure Coverage Codes 03 and 04 are not valid. Note: Assignment of Injury Description Code Nature of Injury that represents the traumatic or Non-Black Lung Disease claim must also be reported appropriately. Nature of Injury Code 62 Black Lung is not valid for these claims. 4. Reporting of Black Lung Disease (Coal Workers Pneumoconiosis) Experience Black Lung Disease experience reporting requirements are as follows: a. Exposure and Premium Exposure and premium charged for Black Lung Disease coverage under State Act and/or Federal Coal Mine Health and Safety Act are reported separately from the classification code(s) manual premium. Black Lung Disease premium is not subject to experience rating, premium discounts, or retrospective rating, and it is not included in the Standard Premium. Black Lung Disease exposure and premium must be reported under the appropriate statistical code as follows, based on the following coverage provided on the policy: State Act only coverage Use Exposure Act/Exposure Coverage Code (01) State Act or Federal Act Excluding USL&HW and Federal Coal Mine Health and Safety Act19 PAGE 13 EXHIBIT 1 (CONT'D) PART 1 GENERAL RULES Federal Act only coverage Use Exposure Act/Exposure Coverage Code (03) Coverage Under the Federal Coal Mine Health and Safety Act Only Federal and State Act coverage Use Exposure Act/Exposure Coverage Code (04) Coverage Under the Federal Coal Mine Health and Safety Act and the State Act b. Losses Losses resulting from Black Lung Disease coverage under State Act and/or Federal Coal Mine Health and Safety Act are reported separately from the classification code. Black Lung Disease losses must be reported under the appropriate statistical code as follows, based on the following benefits paid or payable under the policy: State Act only benefits Use Loss Condition Act Code (01) State Act or Federal Act Excluding USL&HW and Federal Coal Mine Health and Safety Act Federal Act only benefits Use Loss Condition Act Code (03) Coverage Under the Federal Coal Mine Health and Safety Act Only Federal and State Act benefits Use Loss Condition Act Code (04) Coverage Under the Federal Coal Mine Health and Safety Act and the State Act Note: Assignment of Injury Description Code Nature of Injury that represents the Black Lung Disease claim must also be reported appropriately.20 PAGE 14 R. EXCESS POLICIES EXHIBIT 1 (CONT'D) PART 1 GENERAL RULES Exposure and losses for excess policies must not be reported.21 PAGE 15 D. REPLACEMENT REPORT CODE EXHIBIT 2 PART 2 HEADER/POLICY INFORMATION Identify reports being submitted to replace a report that was previously submitted. The replacement indicator may only be submitted for the first reporting of exposure, premium, and loss data valued 18 months after the policy effective date. Refer to Item Q Original Administration Number IdentifierP e n d i n g F i l e N u m b e r in this part for Replacement Report processing information. Refer to NCCI's Unit Statistical Reporting Guidebook for additional information.22 PAGE 16 EXHIBIT 2 (CONT'D) PART 2 HEADER/POLICY INFORMATION L. P A G E N U M B E R ( H A R D C O P Y O N L Y ) LINK DATA FIELDS R e p o r t t h e p a g e n u m b e r o f m u l t i p a g e h a r d c o p y r e p o r t s ( e. g., p a g e 1 o f X ). N o t r e q u i r e d o n s i n g l e - p a g e h a r d c o p y r e p o r t s. Link data fields must be the same on all corresponding records for each unit report. The link data fields are Carrier Code, Policy Number, Exposure State Code, Report Number, and Correction Sequence Number.23 PAGE 17 EXHIBIT 2 (CONT'D) PART 2 HEADER/POLICY INFORMATION M. L A S T P A G E N U M B E R ( H A R D C O P Y O N L Y ) KEY FIELDS R e p o r t t h e l a s t p a g e n u m b e r o f m u l t i p a g e h a r d c o p y r e p o r t s ( e. g., p a g e X o f 5 ). N o t r e q u i r e d o n s i n g l e - p a g e h a r d c o p y r e p o r t s. For each state on a policy, the key fields must be the same across all report levels including corresponding corrections. Key fields are Carrier Code, Policy Number Identifier, Policy Effective Date, and Exposure State Code. If any key fields require corrections, they must be applied as follows: For Carrier Code, Policy Number Identifier, and/or Policy Effective Date, report a correction to the 1st report only. Report the revised key field(s) being corrected and the previous reported value (Previous Carrier Code, Previous Policy Number Identifier, and Previous Policy Effective Date). For Exposure State Code only or in combination with other key fields, report a correction to remove all exposure and losses at every report level, and report new original unit report(s) with the correct values.24 PAGE 18 EXHIBIT 2 (CONT'D) PART 2 HEADER/POLICY INFORMATION Q. P E N D I N G F I L E N U M B E R ORIGINAL ADMINISTRATION NUMBER IDENTIFIER Report the p e n d i n g fi l e n u m b e r original administration number identifier assigned by NCCI when submitting a replacement report to NCCI.25 PAGE 19 EXHIBIT 3 PART 3 EXPOSURE INFORMATION H. SPLIT PERIOD CODE ( E L E C T R O N I C R E P O R T I N G O N L Y ) Report when indicating changes in rates or experience modification during a policy period. Valid values are 0 9, where 0 is reported for the first effective period, 1 is reported for the second effective period, and so on through the ninth effective period (if applicable). This field is zero-filled for policies with no changes in rates or experience modification.26 PAGE 20 S. EXPENSE CONSTANT A M O U N T EXHIBIT 3 (CONT'D) PART 3 EXPOSURE INFORMATION R e p o r t t h e a p p r o v e d e x p e n s e c o n s t a n t s e p a r a t e l y f r o m c l a s s i fi c a t i o n c o d e e x p o s u r e s a n d p r e m i u m s u n d e r t h e d e s i g n a t e d s t a t i s t i c a l c o d e. T h i s p r e m i u m m u s t n o t b e i n c l u d e d i n t h e s t a n d a r d p r e m i u m. The expense constant applicable to a single or multistate policy is reported under Statistical Code 0900 and reported separately from the classification code(s) manual premium and any Balance to Minimum Premium. The expense constant amount is not included in the Standard Premium. The expense constant on a multistate policy must be allocated to the state with the highest expense constant applicable. If two or more states included on the policy have the same highest expense constant, the expense constant must be reported for the state with the highest expense constant and largest amount of standard premium. Refer to NCCI's Basic Manual for additional rules. View more
BRIAN SANDOVAL Governor STATE OF NEVADA TERRY JOHNSON Director SCOTT J. KIPPER Commissioner DEPARTMENT OF BUSINESS AND INDUSTRY DIVISION OF INSURANCE 1818 East College Pkwy., Suite 103 Carson City, Nevada More information SERFF Tracking #: NCCI-129233158 State Tracking #: 112 Company Tracking #: U-1399 (LW)
SERFF Tracking #: NCCI-129233158 State Tracking #: 112 Company Tracking #: U-1399 (LW) State: Missouri Filing Company: NCCI TOI/Sub-TOI: 16.0 Workers Compensation/16.0004 Standard WC Product Name: U-1399 More information SERFF Tracking #: NCCI-127176855 State Tracking #: Company Tracking #: B-1423 (MJ)
SERFF Tracking #: NCCI-127176855 State Tracking #: Company Tracking #: B-1423 (MJ) State: Missouri Filing Company: NCCI TOI/Sub-TOI: 16.0 Workers Compensation/16.0004 Standard WC Product Name: B-1423 Elimination More information B U L L E T I N. December 10, 2012 R.C. 2321. To the Members of the Board. New York Workers Compensation Statistical Plan 2013 Edition
B U L L E T I N 733 Third Avenue New York, New York 10017 Tel: (212) 697-3535 www.nycirb.org December 10, 2012 Contact: Ziv Kimmel, VP & Actuary Ext. 117, zkimmel@nycirb.org R.C. 2321 To the Members of More information Nevada Approval of Item 01-NV-2011 Nevada Employee Leasing Arrangements
REGULATORY SERVICES Circular MARCH 14, 2012 ITEM FILING APPROVAL NV-2012-01 Nevada Approval of Item Nevada Employee Leasing Arrangements ACTION NEEDED Please review the proposed changes outlined in this More information SERFF Tracking #: SMPJ-129807620 State Tracking #: Company Tracking #: 14-IR-WC-9018R
Product Name: Employers Liability WC Filing at a Glance Company: Product Name: State: TOI: Sub-TOI: Filing Type: Sompo Japan Insurance Company of America Employers Liability WC District of Columbia 16.0 More information WORKER S COMPENSATION AND EMPLOYERS LIABILITY INSURANCE
WCRB Wisconsin Compensation Rating Bureau WISCONSIN WORKERS COMPENSATION STATISTICAL PLAN MANUAL WORKER S COMPENSATION AND EMPLOYERS LIABILITY INSURANCE Effective April 17, 2012 SUMMARY OF CHANGES issued More information SERFF Tracking Number: ULCC-125284734 State: Arkansas Filing Company: Ulico Casualty Company State Tracking Number: AR-PC-07-026039
SERFF Tracking Number: ULCC-125284734 State: Arkansas Filing Company: Ulico Casualty Company State Tracking Number: AR-PC-07-026039 Company Tracking Number: UCC-2007-AR-WC-03 TOI: 16.0 Workers Compensation More information DECEMBER 28, 2007 ANNOUNCEMENT FL 2007 13 Florida Item 04 FL 2007 Terrorism Risk Insurance Program Reauthorization Act of 2007
STATE RELATIONS REGULATORY SERVICES Circular DECEMBER 28, ANNOUNCEMENT FL 13 Florida Item 04 FL Terrorism Risk Insurance Program Reauthorization Act of ACTION NEEDED BACKGROUND IMPACT NCCI ACTION PERSON More information July 12, 2012. Circular Letter No. 12-1616
Minnesota Workers Compensation Insurers Association, Inc. 7701 France Avenue South Suite 450 Minneapolis, MN 55435-3200 July 12, 2012 ALL ASSOCIATION MEMBERS Circular Letter No. 12-1616 RE: NCCI Item B-1425 More information CIRCULAR LETTER NO. 2224. Revisions to the Massachusetts Workers Compensation Statistical Plan
August 30, 2013 CIRCULAR LETTER NO. 2224 To All Members and Subscribers of the WCRIBMA: Revisions to the Massachusetts Workers Compensation Statistical Plan On August 14, 2013, the Massachusetts Division More information SERFF Tracking Number: AGNY-125606356 State: District of Columbia National Union Fire Insurance Company of. State Tracking Number: Pittsburgh, Pa.
SERFF Tracking Number: AGNY-125606356 State: District of Columbia Filing Company: National Union Fire Insurance Company of State Tracking Number: Pittsburgh, Pa. Company Tracking Number: AIC-08-EO-05 TOI: More information Unit Statistical Data Loss and Claim Conditions
NCCI S Unit Statistical Data Loss and Claim Conditions January 26 29, 2016 Palm Beach County Convention Center West Palm Beach, FL Unit Statistical Data Loss and Claim Conditions Presented by: Richard More information TOI: 33.0 Other Lines of Business Sub-TOI: 33.0001 Other Personal Lines
SERFF Tracking Number: ARKS-125405735 State: Arkansas Filing Company: 00006 - INSURANCE SERVICES OFFICE, INC. State Tracking Number: #104612 $300 Company Tracking Number: EC 2007-OTRL1 TOI: 33.0 Other More information Frequently Asked Questions
West Virginia Offices of the Insurance Commissioner Workers Compensation Carrier Forum Frequently Asked Questions 1) When can workers compensation carriers begin submitting filings with West Virginia s More information B-1429 PAGE 1 FILING MEMORANDUM ITEM B-1429 ESTABLISHMENT OF AUDIT NONCOMPLIANCE CHARGE PURPOSE BACKGROUND
NATIONAL COUNCIL ON COMPENSATION INSURANCE, INC. (Applies in: AK, AL, AR, AZ, CO, CT, DC, DE, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MD, ME, MO, MS, MT, NC, NE, NH, NJ, NM, NV, OK, OR, RI, SC, SD, TN, More information Company Tracking Number: P#08254 TOI: 16.0 Workers Compensation Sub-TOI: 16.0002 Employers Liability WC
SERFF Tracking Number: CMPX-125952579 State: Arkansas Filing : Companion Property & Casualty Insurance State Tracking Number: EFT $50 Tracking Number: P#08254 TOI: 16.0 Workers Compensation Sub-TOI: 16.0002 More information SERFF Tracking Number: PPIC-126954632 State: District of Columbia Filing Company: Preferred Professional Insurance Company State Tracking Number:
Project Name/Number: Rule Manual Revision/ Filing at a Glance Company: Preferred Professional Insurance Company Physicians & Surgeons SERFF Tr Num: PPIC-126954632 State: District of Columbia Professional More information TOI: 05.0 CMP Liability and Non-Liability Sub-TOI: 05.0002 Businessowners
Submission of / Filing at a Glance Company: United States Liability Insurance Company SERFF Tr Num: WESA-126058265 State: Wisconsin TOI: 05.0 CMP Liability and Non-Liability SERFF Status: Closed State More information SERFF Tracking Number: PHAR-125833359 State: District of Columbia Filing Company: Pharmacists Mutual Insurance Company State Tracking Number:
SERFF Tracking Number: PHAR-125833359 State: District of Columbia Filing Company: Pharmacists Mutual Insurance Company State Tracking Number: Company Tracking Number: DC-PHL/CSP-01-09-R TOI: 11.2 Medical More information Minnesota Experience Rating Plan Manual
Minnesota Experience Rating Plan Manual TABLE OF CONTENTS 1 PREFACE TO THE MINNESOTA EXPERIENCE RATING PLAN MANUAL...P1 A. JURISDICTION WHERE MANUAL APPLIES...P1 B. JURISDICTIONS WHERE MANUAL DOES NOT More information TOI: 17.0 Other Liability-Occ/Claims Made Sub-TOI: 17.0001 Commercial General Liability
Care, Custody or Control- Self Storage Items- 97307 (2/08)/ Filing at a Glance Companies: American Home Assurance Company, American International South Insurance Company, AIG Casualty Company, Commerce More information TOI: 16.0 Workers Compensation Sub-TOI: 16.0000 WC Sub-TOI Combinations
TOI: 16.0 Sub-TOI: 16.0000 WC Sub-TOI Combinations Terrorism Risk Ins Program Reauthorization Act of 2007/ Filing at a Glance Companies: Great American Alliance Insurance Company, Great American Assurance More information TOI: 19.0 Personal Auto Sub-TOI: 19.0001 Private Passenger Auto (PPA)
/ Filing at a Glance Company: National General Insurance Company SERFF Tr Num: GMMX- State: Wisconsin G127107534 TOI: 19.0 Personal Auto SERFF Status: Closed-Filed State Tr Num: Sub-TOI: 19.0001 Private More information Filing at a Glance. General Information
/ Filing at a Glance Companies: American Zurich Insurance Company, American Guarantee and Liability Insurance Company, Zurich American Insurance Company of Illinois, Zurich American Insurance Company Contractor/ More information TOI: 17.2 Other Liability-Occ Only SERFF Status: Closed State Tr Num: Sub-TOI: 17.2020 Commercial Umbrella & Co Tr Num: NWIES0707
Project Name/Number: /NWES0707 Filing at a Glance Companies: American Automobile Insurance Company, Associated Indemnity Corporation, Fireman's Fund Insurance Company, National Surety Corporation, The More information TOI: 09.0 Inland Marine Sub-TOI: 09.0004 Pet Insurance Plans
Filing at a Glance Company: Central States Indemnity Co. of Omaha SERFF Tr Num: CSIN-126257827 State: Wisconsin TOI: 09.0 Inland Marine SERFF Status: Closed State Tr Num: Sub-TOI: 09.0004 Pet Insurance More information PENNSYLVANIA COAL MINE WORKERS COMPENSATION MANUAL STATISTICAL PLAN
PENNSYLVANIA COAL MINE WORKERS COMPENSATION MANUAL STATISTICAL PLAN WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE COAL MINE COMPENSATION RATING BUREAU OF PENNSYLVANIA STATISTICAL PLAN INFORMATION More information Filing at a Glance. General Information. Company and Contact. Company: 13565 - Arkansas Mutual Insurance Company
SERFF Tracking Number: ARKS-126116216 State: Arkansas Filing Company: 13565 - Arkansas Mutual Insurance Company State Tracking Number: #1426 $25 Company Tracking Number: 2009-01 TOI: 11.2 Med Mal-Claims More information SERFF Tracking #: HART-129755512 State Tracking #: Company Tracking #: FN.09.076025.2015.01
SERFF Tracking #: HART-129755512 State Tracking #: Company Tracking #: FN.09.076025.2015.01 State: District of Columbia Filing Company: Hartford Casualty Insurance Company TOI/Sub-TOI: 17.2 Other Liability-Claims More information Massachusetts Statistical Accepted with Errors Edit List
Massachusetts Statistical Accepted Edit List 000058 Exposure Class Code - Codes 0063 and 0064 should not be on the same policy. Premium discount class codes 0063 and 0064 should not be on the same policy. More information TOI: 20.0 Commercial Auto Sub-TOI: 20.0000 Commercial Auto Combinations
/ Filing at a Glance Company: Star Insurance Company Star-General-Auto-Composite SERFF Tr Num: MEAD-126985694 State: Wisconsin Per Unit-0111 TOI: 20.0 Commercial Auto SERFF Status: Closed-Filed State Tr More information WISCONSIN EXPERIENCE RATING PLAN MANUAL
WISCONSIN EXPERIENCE RATING PLAN MANUAL Effective January 1, 2005 issued by: 20700 Swenson Drive, Suite 100 Waukesha, WI 53186 Contains Materials Copyrighted by the National Council on Compensation Insurance, More information Comparison of Multiple (Cross) Data Types
NCCI S Comparison of Multiple (Cross) Data Types January 26 29, 2016 Palm Beach County Convention Center West Palm Beach, FL Comparison of Multiple (Cross) Data Types Presented by: Julie Gonzalez and More information Project Name: AR Commericial Crime and Fidelity Form Filing Status of Filing in Domicile: Pending
SERFF Tracking Number: VANL-125693961 State: Arkansas Filing Company: Vanliner Insurance Company State Tracking Number: EFT $50 Company Tracking Number: AR CRM FORM 0708 TOI: 26.0 Burglary & Theft Sub-TOI: More information Department of Consumer & Business Services Oregon Insurance Division 5 350 Winter St. NE Salem, Oregon 97301-3883 Phone (503) 947-7983
Department of Consumer & Business Services Oregon Insurance Division 5 350 Winter St. NE Salem, Oregon 97301-3883 Phone (503) 947-7983 WORKERS COMPENSATION FORMS RATES FOR ADVISORY LOSS COST MODIFICATION More information TOI: 11.2 Med Mal-Claims Made Only Sub-TOI: 11.2003 Chiropractic
Project Name/Number: / Filing at a Glance Company: Philadelphia Indemnity Insurance Company SERFF Tr Num: PHLX- State: Wisconsin G128466269 TOI: 11.2 Med Mal-Claims Made Only SERFF Status: Closed-Filed More information MINNESOTA AGGREGATE FINANCIAL DATA REPORTING GUIDEBOOK. Annual Calls for Experience Valued as of December 31, 2015
MINNESOTA AGGREGATE FINANCIAL DATA REPORTING GUIDEBOOK Annual Calls for Experience Valued as of December 31, 2015 11/5/2015 ANNUAL CALLS FOR EXPERIENCE As the licensed Data Service Organization in Minnesota, More information SERFF Tracking #: SMPJ-130229500 State Tracking #: Company Tracking #: 15-I-GL-9011
SERFF Tracking #: SMPJ-130229500 State Tracking #: Company Tracking #: 15-I-GL-9011 State: District of Columbia Filing Company: Sompo Japan Insurance Company of America TOI/Sub-TOI: 17.0 Other Liability-Occ/Claims More information Filing Status Changed: 12/09/2010 State Status Changed: Deemer Date: 01/07/2011
n Filing/ Filing at a Glance Companies: Great American Insurance Company, Great American Assurance Company, Great American Insurance Company of New York, Great American Alliance Insurance Company Alt Mkts More information TOI: 16.0 Workers Compensation Sub-TOI: 16.0000 WC Sub-TOI Combinations
/ Filing at a Glance Company: FirstComp Insurance Company SERFF Tr Num: FICI-125830891 State: Arkansas TOI: 16.0 Workers Compensation SERFF Status: Closed State Tr Num: EFT $50 Sub-TOI: 16.0000 WC Sub-TOI More information The requested effective date is 7/03/08. However, AAIC prefers an earlier effective date coincident with the date of your
Filing at a Glance Company: American Alternative Insurance Corp Pet Health Policies, SERFF Tr Num: FRCS-125722242 State: Arkansas Supplemental Forms and Rating TOI: 09.0 Inland Marine SERFF Status: Closed More information SERFF Tracking #: ADIN-130177690 State Tracking #: Company Tracking #: AIC-DC-CG/CU-HAB/REST-FO- 1015
SERFF Tracking #: ADIN-130177690 State Tracking #: Company Tracking #: AIC-DC-CG/CU-HAB/REST-FO- 1015 Filing at a Glance Company: State: TOI: Sub-TOI: Filing Type: Admiral Indemnity Company District of More information EXHIBIT A WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 20 01 01 Original Printing Effective January 1, 2008 Standard MASSACHUSETTS TERRORISM RISK INSURANCE PROGRAM REAUTHORIZATION ACT More information SERFF Tracking #: MEAM-128778084 State Tracking #: Company Tracking #: DC FC ACTUARIAL ADDENDUM_DISCOUNTS
SERFF Tracking #: MEAM-128778084 State Tracking #: Company Tracking #: DC FC ACTUARIAL ADDENDUM_DISCOUNTS State: District of Columbia Filing Company: MedAmerica Insurance Company TOI/Sub-TOI: LTC06 Long More information SERFF Tracking #: HNVX-G129898950 State Tracking #: Company Tracking #: DC150350100010
Product Name: *MPL- Miscellaneous Professional Liability Filing at a Glance Company: Product Name: State: TOI: Sub-TOI: Filing Type: The Hanover Insurance Company *MPL- Miscellaneous Professional Liability More information Filing at a Glance. General Information. Company and Contact
Filing at a Glance Companies: Great American Alliance Insurance Company, Great American Assurance Company, Great American Insurance Company, Great American Insurance Company of New York SERFF Tr Num: GRTA-125667912 More information Filing at a Glance. General Information. Company and Contact
11.0 - Claims Filing at a Glance Company: 00006 - INSURANCE SERVICES OFFICE, INC. SERFF Tr Num: ARKS-125411752 State: Arkansas 11.0 - Claims SERFF Status: Closed State Tr Num: #104677 $250 11.0000 Med More information Filing at a Glance. General Information
InnKeepers Liability Coverage Endorsement (Bailment Coverage) 64002 (6/08)/ Filing at a Glance Companies: American Home Assurance Company, American International South Insurance Company, AIG Casualty Company, More information SERFF Tracking #: USAA-130216478 State Tracking #: Company Tracking #: PA1520097
State: Pennsylvania First Filing Company: Garrison Property and Casualty Insurance Company,... Filing at a Glance Companies: State: TOI: Sub-TOI: Filing Type: Garrison Property and Casualty Insurance Company More information REVISED PROPOSED REGULATION OF THE ADMINISTRATOR OF THE DIVISION OF INDUSTRIAL RELATIONS OF THE DEPARTMENT OF BUSINESS AND INDUSTRY
REVISED PROPOSED REGULATION OF THE ADMINISTRATOR OF THE DIVISION OF INDUSTRIAL RELATIONS OF THE DEPARTMENT OF BUSINESS AND INDUSTRY LCB File No. R130-14 September 25, 2015 EXPLANATION Matter in italics More information SERFF Tracking #: AMMH-130365716 State Tracking #: Company Tracking #: 20151208-05
Product Name: Filing at a Glance Company: Product Name: State: TOI: Sub-TOI: Filing Type: American Modern Home Insurance Company District of Columbia 09.0 Inland Marine 09.0004 Pet Insurance Plans Rule More information MARCH 9, 2015. Referred to Committee on Commerce, Labor and Energy. SUMMARY Makes various changes relating to workers compensation.
S.B. SENATE BILL NO. COMMITTEE ON COMMERCE, LABOR AND ENERGY MARCH, 0 Referred to Committee on Commerce, Labor and Energy SUMMARY Makes various changes relating to workers compensation. (BDR -) FISCAL More information SERFF Tracking #: DDPA-129574186 State Tracking #: Company Tracking #: DIC, O15HCR GRP PPO DC, RATES
SERFF Tracking #: DDPA-129574186 State Tracking #: Company Tracking #: DIC, O15HCR GRP PPO DC, RATES State: District of Columbia Filing Company: Dentegra Insurance Company TOI/Sub-TOI: Product Name: H10G More information Workers Compensation Insurance Overview
Workers Compensation Insurance Overview Presented by Laura Backus Hall, CPCU State Relations Executive February 18, 2015 Overview of Presentation What is Workers Compensation Insurance? Workers Compensation More information Filing at a Glance. The Guardian Life Insurance Company of America. Product Name: DC 3/5/14 CI Filing
SERFF Tracking #: GARD-129444557 State Tracking #: Company Tracking #: State: District of Columbia Filing Company: The Guardian Life Insurance Company of America TOI/Sub-TOI: H07G Group Health - Specified More information WORKERS COMPENSATION GLOSSARY
WORKERS COMPENSATION GLOSSARY ACCIDENT An unplanned and unexpected event which occurs suddenly and at a definite place resulting in injury and/or damage. ACCIDENT FREQUENCY The rate of the occurrence of More information Federal Coverages & Niche Programs Policy Rules & Reporting Requirements. Presented by: Julie Gonzalez and Shani Oulton. Objective
Federal Coverages & Niche Programs Policy Rules & Reporting Requirements Presented by: Julie Gonzalez and Shani Oulton Copyright 2015 National Council on on Compensation Insurance, Inc. Inc. All All Rights More information CIRCULAR LETTER NO. 2233
January 31, 2014 CIRCULAR LETTER NO. 2233 To All Members and Subscribers of the WCRIBMA: ADOPTION OF NCCI s ITEM FILING P-1411 REVISIONS TO FORMS MANUAL OF WORKERS COMPENSATION AND EMPLOYERS LIABILITY More information AR-MEDAMERICA DENIED CLAIMS, LAPSE/REPLACEMENT AND SUITABILITY REPORTS
TOI: LTC6 Long Term Care - Other Sub-TOI: LTC6. Long Term Care - Other AR-MedAmerica Denied Claims, Lapse/Replacement AR- MedAmerica Denied Claims, Lapse/Replacement /AR- MedAmerica Denied Claims, Lapse/Replacement More information SERFF Tracking #: MRTN-130013987 State Tracking #: Company Tracking #: CL DC008230200009
Product Name: Cover Pro Miscellaneous Professional Liability Short Renewal Application Filing at a Glance Company: Product Name: State: TOI: Sub-TOI: Filing Type: Philadelphia Indemnity Insurance Company More information Michigan Review Pending
SERFF Tracking Number: MULF-127027120 State: Michigan Filing Company: John Hancock Life Insurance Company (USA) State Tracking Number: Company Tracking Number: 2010 INFORCE RATE INCREASE - JH CCII07 TOI: More information Reporting of Deductible Programs
Reporting of SUMMARY OF REPORTING OF DEDUCTIBLE PROGRAMS These instructions and requirements for the Reporting of is a centralized resource that provides you with details on the following: Overview of More information Nebraska Filing Requirements for Workers Compensation Large Deductibles
Page 1 of 7 Nebraska Filing Requirements for Workers Compensation Large Deductibles Except as specifically noted, these approval standards and other requirements apply only to so-called large deductibles, More information Date Submitted: 08/04/2008 Disposition Status: Non-Adoption Effective Date Requested (New): 10/01/2008 Effective Date (New): 10/01/2008
Filing at a Glance Companies: Athena Assurance Company, St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, St. Paul Protective Insurance More information CHAPTER 1. Wyoming Workers Compensation. Workers Compensation Programs Benefit Injured Workers and Employers
CHAPTER 1 Wyoming Workers Compensation Workers Compensation Programs Benefit Injured Workers and Employers Injured workers receive medical and lost wage benefits, regardless of fault. Employers receive More information Filing at a Glance. General Information. Company and Contact
05.0 Commercial Multi-Peril - & Non- Sub- Filing at a Glance Company: American Modern Home Insurance Company SERFF Tr Num: AMMH-125647073 State: Arkansas 05.0 Commercial Multi-Peril - & SERFF Status: Closed More information Filing at a Glance. General Information
Filing at a Glance Company: Florists' Mutual Insurance Company Product Name: AR WC Item U-1397 Adoption SERFF Tr Num: FLWR-125609090 State: Arkansas 7-1-08 TOI: 16.0 Workers Compensation SERFF Status: More information TOI: 20.0 Commercial Auto SERFF Status: Closed State Tr Num: #? $50 Co Tr Num: AR-CA-010709-BHHC- State Status: Fees verified
Filing at a Glance Companies: Cypress Insurance Company, Cornhusker Casualty Company SERFF Tr Num: CORN-125933535 State: Arkansas TOI: 20.0 SERFF Status: Closed State Tr Num: #? $50 Sub-TOI: 20.0002 Garage More information TOI: 01.0 Property SERFF Status: Closed State Tr Num: EFT $100 Sub-TOI: 01.0001 Commercial Property (Fire and Allied Lines)
Project Name/Number: /20080107-08 Filing at a Glance Company: American Modern Home Insurance Company SERFF Tr Num: AMMH-125583707 State: Arkansas TOI: 01.0 Property SERFF Status: Closed State Tr Num: EFT More information TOI: 04.0 Homeowners Sub-TOI: 04.0000 Homeowners Sub-TOI Combinations Revised Rule 521 Water Sewer Backup for HCIC
Project Name/Number: Homeowners Multi Peril/ Filing at a Glance Company: Hartford Casualty Insurance Company Revised Rule 521 Water Sewer SERFF Tr Num: HART-125929339 State: Arkansas Backup for HCIC TOI: More information TOI: 16.0 Workers Compensation Sub-TOI: 16.0004 Standard WC
SERFF Tracking Number: QBCL-125829164 State: Arkansas First Filing Company: Southern Guaranty Insurance Company,... State Tracking Number: EFT $50 Company Tracking Number: 010109 11202S TOI: 16.0 Workers More information Filing at a Glance. Date Submitted: 01/21/2016. State Tr Num: State Status: Co Tr Num: /01/2016
SERFF Tracking #: ZURC-130296830 State Tracking #: Company Tracking #: 38643 State: District of Columbia Filing Company: Zurich American Insurance Company TOI/Sub-TOI: 17.1 Other Liability-Occ Only/17.1023 More information Indemnity Payment at 30 Months Maturity
2013 Workers Compensation Insurance Oversight Report INTRODUCTION: Revisions to the Illinois Workers Compensation Act (820 ILCS 305/29) in the summer of 2011 require the Department of Insurance (Department) More information Workers Compensation Basics
Workers Compensation Basics Coverage Comparisons Bare Employer responsible No planned benefits for injured worker or their family members Employer subject to loss as large as jury awards Occupational/Accident More information SERFF Tracking #: MUTM-130516859 State Tracking #: Company Tracking #: KELLY KRUMWIED
SERFF Tracking #: MUTM-130516859 State Tracking #: Company Tracking #: KELLY KRUMWIED State: District of Columbia Filing Company: Mutual of Omaha Insurance Company TOI/Sub-TOI: MS08I Individual Medicare More information SERFF Tracking Number: CNAC-125272315 State: Arkansas First Filing Company: Continental Casualty Company,... State Tracking Number: AR-PC-07-025885
SERFF Tracking Number: CNAC-125272315 State: Arkansas First Filing Company: Continental Casualty Company,... State Tracking Number: AR-PC-07-025885 Company Tracking Number: 07-F2181-UMB TOI: 17.0 Other More information TOI: 11.2 Med Mal-Claims Made Only Sub-TOI: 11.2003 Chiropractic
SERFF Tracking Number: PHLX-G128051941 State: Illinois Filing Company: State Tracking Number: PHLX-G128051941 Company Tracking Number: IL003380200050 TOI: 11.2 Med Mal-Claims Made Only Sub-TOI: 11.2003 More information NEW JERSEY COMPENSATION RATING & INSPECTION BUREAU EXPLORING THE COST OF A WORKERS COMPENSATION INSURANCE POLICY
NEW JERSEY COMPENSATION RATING & INSPECTION BUREAU EXPLORING THE COST OF A WORKERS COMPENSATION INSURANCE POLICY 2007 INTRODUCTION This booklet provides a basic explanation of how the cost of a New Jersey More information TOI: L07I Individual Life - Whole SERFF Status: Closed State Tr Num: 41167 Sub-TOI: L07I.101 Fixed/Indeterminate Co Tr Num:
Filing Company: Security National Insurance Company State Tracking Number: 41167 TOI: L07I Individual - Whole Sub-TOI: L07I.101 Fixed/Indeterminate Premium - Single Filing at a Glance Company: Security More information Company Tracking Number: 00-T1 TOI: L04I Individual Life - Term Sub-TOI: L04I.003 Single Life - Single Premium
Project Name/Number: /00-T1 Filing at a Glance Company: SERFF Tr Num: GARD-126615290 State: Arkansas TOI: L04I Individual Life - Term SERFF Status: Closed-Filed- State Tr Num: 45745 Closed Sub-TOI: L04I.003 More information TOI: 35.0 Interline Filings Sub-TOI: 35.0002 Commercial Interline Filings
SERFF Tracking Number: WAUS-125566396 State: Arkansas First Filing Company: Employers Insurance Company of Wausau,... State Tracking Number: EFT $50 Company Tracking Number: MSF-CW-004-08 TOI: 35.0 Interline More information May 17, 2012. Circular Letter No. 12-1614
Minnesota Workers Compensation Insurers Association, Inc. 7701 France Avenue South Suite 450 Minneapolis, MN 55435-3200 May 17, 2012 ALL ASSOCIATION MEMBERS Circular Letter No. 12-1614 RE: NCCI Item E-1402 More information Worker's Compensation Insurance in Wisconsin THE SYSTEM, THE BENEFITS, THE COSTS A REFERENCE GUIDE FOR EMPLOYERS
Worker's Compensation Insurance in Wisconsin THE SYSTEM, THE BENEFITS, THE COSTS A REFERENCE GUIDE FOR EMPLOYERS This guide is intended to provide a general, non-technical explanation to help employers More information TOI: 35.0 Interline Filings Sub-TOI: 35.0002 Commercial Interline Filings
Filing at a Glance Companies: American Home Assurance Company, AIU Insurance Company, American International South Insurance Company, AIG Casualty Company, Commerce and Industry Insurance Company, Granite More information Virginia Workers Compensation Commission Frequently Asked Insurance Questions for Employers
Virginia Workers Compensation Commission Frequently Asked Insurance Questions for Employers The information contained below is general in nature and is not intended and may not be considered as providing More information SERFF Tracking Number: AGNY-126887843 State: District of Columbia National Union Fire Insurance Company of. State Tracking Number: Pittsburgh, Pa.
SERFF Tracking Number: AGNY-126887843 State: District of Columbia Filing Company: National Union Fire Insurance Company of State Tracking Number: Pittsburgh, Pa. Company Tracking Number: CHS-10-EO-22 TOI: More information Employers Liability Coverage Endorsement WC 00 03 03 B Federal Employers Liability Act Coverage WC 01 01 04
TO: FROM: Pennsylvania Classification & Rating Committee Betty Ann Campbell Director Rating Rules & Policy Reporting DATE: December 8, 2004 RE: Employers Liability Coverage Endorsement WC 00 03 03 B Federal More information Project Name/Number: Non-Trucking Application and Renewal Questionnaire/DISC072007AP 08 07/DISC072007RQ 08 07
Project Name/Number: /DISC072007AP 08 07/DISC072007RQ 08 07 Filing at a Glance Company: Vanliner Insurance Company Non-Trucking Application and SERFF Tr Num: VANL-125349478 State: Arkansas Renewal Questionnaire More information Title 24-A: MAINE INSURANCE CODE
Maine Revised Statutes Title 24-A: MAINE INSURANCE CODE Chapter 26: THE WORKERS' COMPENSATION RESIDUAL MARKET DEFICIT RESOLUTION AND RECOVERY ACT HEADING: PL 1995, c. 289, 11 (new) 2392. DEFINITIONS As More information TOI: 09.0 Inland Marine Sub-TOI: 09.0005 Other Commercial Inland Marine Product Name: Transportation Rate Filing 2007
Project Name/Number: / Filing at a Glance Company: Maxum Casualty Insurance Company SERFF Tr Num: MXCC-125344646 State: Arkansas TOI: 09.0 Inland Marine SERFF Status: Closed State Tr Num: Sub-TOI: 09.0005 More information TOI: 17.2 Other Liability-Occ Only Sub-TOI: 17.2001 Commercial General Liability
/ Filing at a Glance Company: Great American Spirit Insurance Company SERFF Tr Num: GRTA-125596599 State: Wisconsin TOI: 17.2 Other Liability-Occ Only SERFF Status: Closed State Tr Num: Sub-TOI: 17.2001 More information SERFF Tracking #: FHLA-129477086 State Tracking #: Company Tracking #: DCL6RATES
SERFF Tracking #: FHLA-129477086 State Tracking #: Company Tracking #: DCL6RATES State: District of Columbia Filing Company: Family Heritage Life Insurance Company of America TOI/Sub-TOI: Product Name: More information Strategies for Reducing Workers Compensation Expenses
Strategies for Reducing Workers Compensation Expenses Workers Compensation is the Prime Employee Benefit 100% Paid by Employer Every Employer Must Provide 100% Paid by Employer Employee Benefits Require More information TOI: L08 Life - Other Sub-TOI: L08.000 Life - Other AR Replacement Face page filing/ar 2010 RPL
SERFF Tracking Number: FNWW-126312498 State: Arkansas Filing Company: State Tracking Number: 43552 Company Tracking Number: AR 2010 RPL TOI: L08 Life - Other Sub-TOI: L08.000 Life - Other Product Name: More information November 2, 2005. Circular Letter 05-1471. New Minnesota Employee Leasing Rules and Endorsements
Minnesota Workers Compensation Insurers Association, Inc. 7701 France Avenue South Suite 450 Minneapolis, MN 55435-3200 November 2, 2005 ALL ASSOCIATION MEMBERS Circular Letter 05-1471 RE: New Minnesota More information TOI: L07I Individual Life - Whole SERFF Status: Closed State Tr Num: Sub-TOI: L07I.121 Graded Premium - Single Co Tr Num: 11778
/11778 Filing at a Glance Company: CSI Life Insurance Company Graded Death Benefit Whole SERFF Tr Num: CSIN-125750219 State: Wisconsin Life Insurance TOI: L07I Individual Life - Whole SERFF Status: Closed More information TOI: 17.2 Other Liability - Occurrence Only Sub-TOI: Veterinarian
SERFF Tracking Number: PHLX-125331483 State: Arkansas Filing Company: Philadelphia Indemnity Insurance Company State Tracking Number: AR-PC-07-026508 Company Tracking Number: PR AR0031102R01 TOI: 17.2 More information State Status Changed: 04/28/2010 Created By: Exselsa Cartwright
Project Name/Number: SUSA/91/91 Filing at a Glance Company: S.USA Life Insurance Company, Inc. SERFF Tr Num: FRCS-126602189 State: Arkansas TOI: L07I Individual Life - Whole SERFF Status: Closed-Approved- More information 2017 © DocPlayer.net Privacy Policy | Terms of Service | Feedback