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  • MWCIA - Circular 05-1471 - New Minnesota Employee Leasing Rules and Endorsements

    Information Page Endorsement — Class, Rate, Other Change • WC 22 06 16 Minnesota Policy Information Page Endorsement — Interim Adjustment of Premium • WC 22 06 17 Minnesota Policy Information
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  • MWCIA - Circular 05-1468 - Amended Note on the Policy Termination/Cancelation/Reinstatement Notice (WC 89 06 09 B)

    Name/NCCI Carrier Code Insured’s Name Federal ID No. Insured’s Address Policy Number Policy Effective Date Policy Expiration Date Termination/Cancelation/Nonrenewal... (For NCCI use only): Notes: 1. If a member of a carrier group, report the name of the specific carrier within the group providing the coverage and the NCCI carrier code identifying
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  • MWCIA - Circular 05-1467 - Revision of the Minnesota Cancellation and Nonrenewal Endorsement (WC 22 06 01 B)

    this endorsement shall be in writing and shall be sent by first class mail or delivered to you and any agent, to the last mailing addresses known to us. A cancellation notice for nonpayment... by first class mail, or delivered to you and any agent, to the last mailing addresses known to us, at least 60 days before the expiration date. We need not mail or deliver this nonrenewal notice
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  • MWCIA Circular 05-1463 - Joint Announcement from the Minnesota Department of Commerce and MWCIA on Enhancements to the Rate Filing Application

    : Carriers may now attach their own Excel, Word and PDF files to a Workers’ Compensation rate filing. • Increased number of class deviations allowed: The RFA will now allow up to thirty class code... submission of filings that require actuarial or analyst review, such as filings with more than ten classification code deviations, rate increases in excess of 10%, and those containing attachments
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  • MWCIA Circular 05-1458 - 2006 Ratemaking Report

    (separately) $150 (unmodified class data, pure premium exhibits) Data Disk (separately) $25 (Microsoft Excel spreadsheet of 1-1-2006 pure premium base rates and rating values by class code; IBM-PC
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  • MWCIA Circular 05-1449 - New MN Endorsement – Third Degree of Kindred Exclusion (WC 22 03 03)

    Information Page Endorsement– Class, Rate, Other Change • WC 22 06 16 Minnesota Policy Information Page Endorsement– Interim Adjustment of Premium • WC 22 06 17 Minnesota Policy Information
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  • MWCIA Circular 05-1448 - NCCI Item B-1391 – Revision to Basic Manual Classifications

    will be the change illustrated in Exhibit X. It is recommended that the rate for Code 5537 be derived by using a credibility weighted average of the indicated and present on rate level pure premiums for Code 5536 until Code 5537 is able to develop enough data to create its own rate. The rate impact for employers affected by Exhibit X, therefore, will depend on the contracting code they were previously
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  • MWCIA Circular 05-1447 - NCCI Item B-1387 – Revision of Basic Manual Classifications

    , a cross-reference will be added to an existing class code to clarify the inclusion of certain operations previously classified under Codes 8861/9110. BOTTLING OPERATIONS The second section of Item... B-1387 involves reclassification of the group home/shelter industry. Employees currently classified under Code 8861—Charitable or Welfare Organization- Professional Employees & Clerical and Code 9110
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  • MWCIA - Circular 05-1444 - ACCCT Announces an Online PEEP WebEx Training Session

    complete separate forms. PRIMARY REGISTRANT INFORMATION Registrant Name Title Organization Name Address City: State Postal Code Phone # Fax # E-mail Address
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  • Microsoft Word - Circular 04-1428.doc

    ) Volume II (separately) $100 (unmodified class data, pure premium exhibits) Data Disk (separately) $20 (Microsoft Excel spreadsheet of 1-1-2005 pure premium base rates and rating values by class code; IBM-PC compatible, Windows 95 or higher) Complete Report (Volumes I, II and Data Disk) $200 Please direct any questions you may have to our Actuarial Services Department
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  • Microsoft Word - Circular 04-1441.doc

    Class Assigned Minimum Class Assigned Minimum Class Assigned Minimum Code Risk Rate Premium Code Risk Rate Premium Code Risk Rate Premium 0005 7.80 355 1860 5.75 304 2503 3.80 255 0006 9.85 406... 4/1/2005 4/1/2005 4/1/2005 Class Assigned Minimum Class Assigned Minimum Class Assigned Minimum Code Risk Rate Premium Code Risk Rate Premium Code Risk Rate Premium 3064 12.50 473 3507 7.55 349
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  • MWCIA Circular 04-1440 Enhancement of Class Loss Development Beyond 5th Reports [NCCI Item U-1390 - Unit Statistical Reporting Instruction Enhancements]

    UNIT REPORT DATA ELEMENTS CODING SPECIFICATIONS BYTES CLASS DATA ELEMENT EL HC EL HC SPECIFICATIONS HEADER RECORD Report Number 1 2 AN N Report the 2-digit numeric code that corresponds... – REPORTING INSTRUCTIONS— POLICY IDENTIFICATION DATA 1. Report Number Report the 2-digit numeric code that corresponds to the loss valuation date. Code Report Level Valuation Schedule Code
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  • MWCIA Circular 04-1438 - Actuarial Report Resource on the Web - ARROW

    data. Two report formats are currently available: summarized class experience and custom historical triangles. Summarized class experience queries provide access to class experience at various reporting levels for up to the latest 10 policy years. The data can be grouped by class/industry group, premium range and geographical region within the state of Minnesota. Custom historical
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  • MWCIA Circular 04-1435 - NCCI Item P-1392 - Notification Endorsement of Pending Law Change to Terrorism Risk Insurance Act of 2002 (WC 00 01 12)

    Information Page Endorsement Endorsement Numbers • WC 22 06 15 Minnesota Policy Information Page Endorsement Class, Rate, Other Change • WC 22 06 16 Minnesota Policy Information Page
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  • MWCIA Circular 04-1434 - New Minnesota Endorsements - Minnesota Compliance With Applicable Trade Sanction Laws (WC 22 03 01); Minnesota Independent Contractors Coverage Endorsement (WC 22 03 02); and Minnesota Entity Address Schedule (WC 22 06 20)

    . Additional premium is subject to PART FIVE (Premium) of this policy. SCHEDULE Independent Premium Minimum Estimated Contractor Class Description Basis Rate Premium Annual Premium... 22 06 14 Minnesota Policy Information Page Endorsement Endorsement Numbers • WC 22 06 15 Minnesota Policy Information Page Endorsement Class, Rate, Other Change • WC 22 06 16 Minnesota Policy
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  • Microsoft Word - Circular 04-1426.doc

    • WC 22 06 15 Minnesota Policy Information Page Endorsement Class, Rate, Other Change • WC 22 06 16 Minnesota Policy Information Page Endorsement Interim Adjustment of Premium • WC 22 06 17
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  • Microsoft Word - Circular 04-1425.doc

    the date the change was made. Please note that an unmarked change was made to the data element description for the Injury Description Code in WCESTAT. Contact the appropriate individual insurance
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  • MWCIA Circular 04-1422 - Revised Financial Call Incentive Plan

    : The date of receipt of the Calls governs when determining lateness except when the carrier has proof of first class mailing* (i.e., certified or registered mail receipt) one week prior... of the FCIP. EXCEPTION: The date of receipt of the Calls governs when determining lateness except when the carrier has proof of first class mailing* (i.e., certified or registered mail receipt) one week
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  • MWCIA Circular 04-1420 ACCCT Announces BEEP 3.0 - Update To Desktop BEEP & BEEP User Guide Addendum

    to the software. Some of the more notable are: • Improved "Copy" function • Improved "Calculate" function • Enhanced State Specific Edits • Updated State Specific Statistical/Classification Code Tables • Updated Part/Nature/Cause Code tables Instructions for downloading Desktop BEEP 3.0 are provided on the ACCCT Web site. We encourage you to use Web-Based BEEP 1.0, but we continue
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  • Microsoft Word - Circular Letter on Experience Rating Worksheet Lookup Prod.

    Lookup Product Attached please find the announcement from the American Cooperative Council on Compensation Technology (ACCCT), dated October 24, 2003, regarding the release of the Experience Rating Worksheet Lookup product. This product, now available to members of the Minnesota Workers’ Compensation Insurers Association, was specifically designed to provide access to Experience Rating
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  • MWCIA Circular 04-1417 -ACCCT Announces Release of Update to BEEP 2.5 - Desktop Version

    of BEEP. The attached notice discusses an update, or patch, that has been developed to allow you to update BEEP 2.5. The patch updates the Class Tables needed to allow you to create and submit... The patch updates the Class Table needed to allow you to create and submit all unit reports correctly. You will find the update on the ACCCT Web site at www.accct.org. Desktop BEEP
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  • MWCIA Circular 04-1415 - 2003 TEST AUDIT SUMMARY REPORT

    . Reason Code(s) AFN Number Total Payroll Difference Company Audit Payroll Test Audit Payroll Carrier ID 0000795 21466 116,810 53,579 63,231 P6 1 Quarter: 0013072 12998 1,251,120 1,251,120 0... - December 31, 2003 MINNESOTA WORKERS' COMPENSATION INSURERS ASSOCIATION, INC. Reason Code(s) AFN Number Total Payroll Difference Company Audit Payroll Test Audit Payroll Carrier ID 0315354 21466 198,855
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  • MWCIA Circular Letter 04-1413 - Statistical Codes 9721, 9722, 9723, 9724

    for filing special credit/debit programs in Minnesota and should contact MWCIA prior to using Statistical Codes 9721, 9722, 9723, or 9724 to confirm that a different statistical code does not already... Filing—Premium applied Before Experience Modification Credit Code 9721 Debit Code 9723 B. Premium Not Subject to Experience Modification (Reported on Lines D, E or F) B. Premium
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  • MWCIA Circular 03-1410 4-1-2004 Assigned Risk Rates

    Class Assigned Minimum Class Assigned Minimum Class Assigned Minimum Code Risk Rate Premium Code Risk Rate Premium Code Risk Rate Premium 0005 6.43 311 1860 4.42 261 2503 3.96 249 0006 9.41 385..., 2004 4/1/2004 4/1/2004 4/1/2004 Class Assigned Minimum Class Assigned Minimum Class Assigned Minimum Code Risk Rate Premium Code Risk Rate Premium Code Risk Rate Premium 3064 13.10 478 3507 6.79 320
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  • MWCIA Circular 03-1405 - 2004 Ratemaking Report

    ) Volume II (separately) $100 (unmodified class data, pure premium exhibits) Data Disk (separately) $20 (Microsoft Excel spreadsheet of 1-1-2004 pure premium base rates and rating values by class code; IBM-PC compatible, Windows 95 or higher) Complete Report (Volumes I, II and Data Disk) $200 Association staff would like to draw membership’s attention to the section entitled
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  • Microsoft Word - 03-1401.DOC

    . • Item 7 Signature of authorized filer – Minnesota requires the signature of the authorized filer. • Item 11 State Specific Product code(s) – Minnesota does not have any State Specific Product codes... Filing information (see General Instructions for descriptions of these fields) 9. Type of Insurance (TOI) 10. Sub-Type of Insurance (Sub-TOI) 11. State Specific Product code(s
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  • 03-1400.pdf

    under Code 7421— Aircraft Operation—flying crew. 5. Premium developed by the occupational disease rates for risks subject to the Federal Coal Mine Health and Safety Act. For the purpose.... Determination of standard premium shall exclude: 1. Premium Discount. 2. The Expense Constant. 3. Premium developed by the passenger seat surcharge under Code 7421— Aircraft Operation—flying crew
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  • 2002 Terrorism Risk Insurance Act - Rate Filing and Unit Reporting

    respect. For Unit data reporting, the premium generated under the Act will be recorded under statistical code 9740, and posted on lines J, K, or L. On electronic submissions, the premium should
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  • 02-1395.pdf

    4/1/2003 4/1/2003 Class Assigned Minimum Class Assigned Minimum Class Assigned Minimum Code Risk Rate Premium Code Risk Rate Premium Code Risk Rate Premium 0005 6.95 319 1860 3.12 223 2503 3.78 240... and Renewal April 1, 2003 4/1/2003 4/1/2003 4/1/2003 Class Assigned Minimum Class Assigned Minimum Class Assigned Minimum Code Risk Rate Premium Code Risk Rate Premium Code Risk Rate Premium 3064 12.83 466
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  • MWCIA Circular 02-1394 1-1-2003 Assigned Risk Rates

    Assigned Minimum Class Assigned Minimum Code Risk Rate Premium Code Risk Rate Premium Code Risk Rate Premium 0005 8.49 352 1860 3.26 222 2503 3.72 233 0006 9.92 388 1924 5.21 270 2534 3.72... Class Assigned Minimum Class Assigned Minimum Class Assigned Minimum Code Risk Rate Premium Code Risk Rate Premium Code Risk Rate Premium 3064 13.46 477 3507 6.34 299 4061 5.17 269 3066 8.40
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