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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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • Microsoft Word - SCF2.doc

    Code 0174 has been established for reporting purposes. This premium is not subject to experience modification and should be reported on Lines D, E or F of the unit statistical card. Refer

  • Microsoft Word - report2.doc

    (separately) $100.00 (unmodified class data, pure premium exhibits) Data Disk (separately) $20.00 (Microsoft Excel and LOTUS 1-2-3 spreadsheets of 1-1-2003 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) $200.00 Please feel free to contact us if you have any questions. Very truly

  • Microsoft Word - 02-1388.doc

    Date of Filing: ____________________________ STATE #1 ______________________ Classification Code(s) Approved Rate Per $100 of Payroll Payroll By Classification Code Total Premium by Classification Code...: ___________________________ Classification Code(s) Approved Rate Per $100 of Payroll Payroll By Classification Code (Minnesota only) Total Premium by Classification Code List individually, and clearly identify, all rating

  • Microsoft Word - Circular 02-1387.doc

    . Classifications Code Premium Basis Per Rate Estimated No. Total Estimated $100 of Annual Annual Remuneration Remuneration Premium Total Estimated Annual

  • 02-1386.pdf

    the ACCCT web site. The 2.5 release of BEEP includes enhancements and improvements to the software. Some of the more notable are: • DCO Specific Data Element Code Changes • An Additional "Create Submission File" Option • 3-Digit Class Code Placement In A 4-Byte Field • Data Element Placement On The Hard Copy Form • Non-Beep State Enhancements • Improved "Auto Calculate

  • Minnesota Test Audit Program

    of employers from a premium standpoint since open competition began. All unit statistical information, including payrolls, class codes and loss information, must be filed in accordance

  • Catastrophe Code 48

    28, 2002 ALL ASSOCIATION MEMBERS Circular Letter No.02-1382 RE: Catastrophe Code 48 The Minnesota Department of Commerce has approved the captioned filing to be effective April 1, 2002. This item establishes procedures for the reporting of claims arising out of the World Trade Center disaster of September 11, 2001. A new catastrophe code “48” has been established to identify all losses from

  • MEMORANDUM

    Total Payroll Difference Code(s) Company Audit Payroll Test Audit Payroll Insurance Company 646,620 0 10030 646,620 0326500 6,101,528 0 10030 6,101,528 0928577 6,101,528 0 10030 6,101,528 0928577... Difference Code(s) Company Audit Payroll Test Audit Payroll Insurance Company 1,990,738 0 12408 1,990,738 1275500 1,888,066 0 12416 1,888,066 0446700 1,150,200 0 12610 1,150,200 2201852 972,412 0 12688

  • 4-1-2002 Assigned Risk Rates

    Assigned Minimum Class Assigned Minimum Code Risk Rate Premium Code Risk Rate Premium Code Risk Rate Premium 3064 14.69 507 3507 6.91 313 4061 5.64 281 3066 9.17 369 3515 5.33 273 4062 5.64 281... Minimum Class Assigned Minimum Code Risk Rate Premium Code Risk Rate Premium Code Risk Rate Premium 4568 28.22 605 5213 18.96 605 6248 10.34 399 4581 2.33 198 5215 16.87 562 6251 26.69

  • class & stat code ref list correction cir.PDF

    and statistical codes applicable in Minnesota. Statistical Code 9823 incorrectly lists its increased limits as $1,000,000/$1,000,000/$1,000,000. Subscribers to National Council’s Basic Manual should be receiving corrected pages from NCCI. In the meantime, a copy of the corrected alpha exhibit indicating Code 9823 has increased limits of $100,000/$100,000/$1,000,000 is attached for your

  • Code 0174 - Minnesota Special Compensation Fund Assessment Premium

    • • • • www.mwcia.org November 20, 2001 ALL ASSOCIATION MEMBERS Circular Letter No. 01-1374 RE: Code 0174 — Minnesota Special Compensation Fund Assessment Premium The Minnesota Department of Commerce has approved the filing of the above statistical classification code effective January 1, 2002. Code 0174 — Minnesota Special Compensation Fund Assessment Premium was established to provide for carriers who

  • Workers Compensation and Employers Liability Insurance Policy- Policy Change Endorsement

    (WC 22 06 10) Item 3.A. States (WC 22 06 11) Item 3.B. Limits (WC 22 06 12) Item 3.C. States (WC 22 06 13) Item 3.D. Endorsement Numbers (WC 22 06 14) Item 4. * Class, Rate, Other (WC 22 06 15) Interim Adjustment of Premium (WC 22 06 16) Carrier Servicing Office (WC 22 06 17) Interstate/Intrastate Risk I.D. Number (WC 22 06 18) Carrier Number (WC 22 06 19) Description of Change *Item 4. Class