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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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  • 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
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  • 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
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  • 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
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  • 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
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  • 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
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  • 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
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  • 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
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  • 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
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  • 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
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  • 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
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  • 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
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  • 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
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  • NEW MWCIA WEB SITE AND APPLICATION PROCESS

    : E-Mail Address: Street Address: City: State: Phone Number: Zip Code: MWCIA’s database is privately owned and access is limited to current employees of insurance companies licensed to conduct...: Zip Code: MWCIA’s database is privately owned and access is limited to current employees of an insurance agency or those acting on behalf of an insurance company. MWCIA reserves the right to refuse
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  • Electronic Notice for Circular Letters and Newsletters

    Name: First Name: Last Name: E-Mail Address: Street Address: State: Zip Code: Phone Number: ****Please
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  • Minnesota Ratemaking Report 2002 Availability

    (separately) $100.00 (unmodified class data, pure premium exhibits) Data Disk (separately) $20.00 (Microsoft Excel and LOTUS 1-2-3 spreadsheets of 1-1-2002 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
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  • 2000 TEST AUDIT SUMMARY REPORT

    Payroll Number Company Payroll Audit Payroll Code Difference 158194 10243 695,812 679,048 J 16,764 182071 11037 1,497,804 1,497,804 None 148199 11495 296,658 296,658 None 794953 11495... Insurance Test Audit Company Total Payroll Number Company Payroll Audit Payroll Code Difference 234892 15865 261,523 261,523 None 257417 15865 144,121 146,579 G -2,458 174775 15873
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  • 4-1-2001 Assigned Risk Rates

    ' COMPENSATION Assigned Risk Plan Rates Effective New and Renewal April 1, 2001 4/1/01 4/1/01 4/1/01 Class Assigned Minimum Class Assigned Minimum Class Assigned Minimum Code Risk Rate Premium Code... 251 Page 2MINNESOTA WORKERS' COMPENSATION Assigned Risk Plan Rates Effective New and Renewal April 1, 2001 4/1/01 4/1/01 4/1/01 Class Assigned Minimum Class Assigned Minimum Class Assigned Minimum Code
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  • Code 9554 - Sign installation, maintenance, repair, removal, or replacement NOC - Away from shop & drivers

    ▪ www.mwcia.org 1 ATTENTION: UNDERWRITING & RATE FILING PERSONNEL December 7, 2000 ALL ASSOCIATION MEMBERS Circular Letter No. 00-1356 RE: Code 9554 — Sign installation..., and 9552 and reassigns these classifications to Code 9554. This action was approved by Minnesota’s Department of Commerce to take effect January 1, 2001, applicable to new and renewal business only
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  • MWCIA'S AREA CODE IS NOW 952

    55435-3200 Second Notification November 30, 2000 ALL ASSOCIATION MEMBERS Circular Letter No. 00-1355 MWCIA’S AREA CODE IS NOW MWCIA’S AREA CODE IS NOW MWCIA’S AREA CODE IS NOW MWCIA’S AREA CODE IS NOW 952 952 952 952 Circular Letter 00-1339, dated February 24, 2000, announced that Minnesota Workers’ Compensation Insurers Association’s area code would
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  • Elimination of Statistical Code 0997

    55435-3200 October 12, 2000 ALL ASSOCIATION MEMBERS Circular Letter No. 00-1352 RE: Elimination of Statistical Code 0997 The Minnesota Department of Commerce has approved the above filing effective 12:01 A.M., January 1, 2001, applicable to new and renewal business only. Statistical Code 0997 – Additional or Refund Premium Due to Change in Experience Modifications
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  • 2001 Minnesota Ratemaking Report

    (separately) $70.00 (unmodified class data, pure premium exhibits) Data Disk (separately) $10.00 (Microsoft Excel and LOTUS 1-2-3 spreadsheets of 1-1-2000 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) $130.00 Please feel free to contact us if you have any questions. Very truly yours
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  • MWCIA Website Enhancements

    cost $10.00 per ratesheet to offset the added expense of manual processing.  Minnesota Classification Index (MCI) The Class Code Search and Assigned Risk Rate Search programs are now available... SCHEDULE eff. 08/00  Employer Search - free  Assigned Risk Rate Search - free  Class Code Search (Minnesota Classification Index) - included with annual subscriber
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  • NCCI ITEM B-1364 - Basic Manual Rule IV.D.4 -Assignment of Additional Basic Classifications

    which more than one basic classification code may be assigned to a single employer. In reviewing this item, it should be noted that Minnesota already allows the division of a single employer’s
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  • NCCI ITEM B-1363 - Codes 7403, 7405, 7423, & 7431 - Air Carrier Classification - Amended Phraseologies

    are performed. Ticket sellers and information clerks away from airport locations to be separately rated as Code 8810─Clerical. Applies to commuter air carriers operating under Part 121, Part 127... locations to be separately rated as Code 8810─Clerical. FLYING CREW.............................................7431 FLYING CREW.............................................7431 Code 7453 shall
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  • NCCI ITEM B-1362 - Code 5551 - Roofing - Amended Phraseology

    ▪ www.mwcia.org June 20, 2000 To: ALL ASSOCIATION MEMBERS Circular Letter No. 00-1343 RE: NCCI ITEM B-1362 – Code 5551 – Roofing – Amended Phraseology The Minnesota Department of Commerce... that yard employees of roofing contractors be classified under Code 5551— Roofing - All Kinds & Yard Employees, Drivers. Periodically National Council reviews individual classification codes
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