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  • AR Application

    Registration Program – Warning Notice 2025 Hardcopy Assigned Risk Application 2026 Hardcopy Assigned Risk Application Class Code Search Assigned Risk Quote/Premium Calculator AR Contacts

  • : ________________________________________________________________________ City: ___________________________ State: _________ ZIP Code: ____________ Signature: _______________________________________ Date: _______________________ Name (print

  • MWCIA 1/1/2025 Assigned Risk Application

    to Insurance Company Audit Class Code Describe by Location the Duties or Employees of Classification USLHW No. of Employees Total Payroll Rate Premium Factor Manual Premium Increased Limits Experience.... ____________ ___________________________ ____________ Federal Employer ID # (FEIN 9-digit number) Unemployment Account No. (UI Code) 4a

  • Attestation_Form.pdf

    ): ___________________________________________________ Employer Address: ________________________________________________________________________ City: ___________________________ State: _________ ZIP Code: ____________ Signature

  • ): ___________________________________________________ Employer Address: ________________________________________________________________________ City: ___________________________ State: _________ ZIP Code

  • 3rd Qtr 2025 Newsletter

    -to-use online tool for quickly estimating workers' compensation premiums for assigned risk policies. Users just enter coverage dates, class codes, and payroll, and the calculator provides real-time

  • – 4:00 p.m. Central Time Assigned Risk Plan Rates Effective New and Renewal January 1, 2026 1/1/2026 1/1/2026 1/1/2026 Class Assigned Minimum Class Assigned Minimum Class Assigned Minimum Code Risk... Minimum Class Assigned Minimum Code Risk Rate Premium Code Risk Rate Premium Code Risk Rate Premium MINNESOTA WORKERS' COMPENSATION 3372 3.874 287 4114 3.414 275 4693 1.264 222 3373 5.076 317 4130

  • Minnesota_Basic_Manual.pdf

    by a • immediately following the code number. Each distinct type of construction, erection, or oil and gas field operation must be assigned to the class that specifically describes the operation only if separate... or Drafting Employees NOC (Code 8810) Clerical Office or Drafting Telecommuter Employees (Code 8810) The above classifications are assigned when all the following conditions are met: • The basic classification

  • 25-1865.pdf

    October 1, 2025 Minnesota Basic Manual Rule 3 - Rating Definitions and Application of Premium Elements Rule D EXHIBIT 1 2. Classifications a. Workers Under Section 256B.0659: Code 8835 must be assigned for coverage provided by a personal care assistance provider agency. b. Workers Under Section 256B.85: i. If employed by an agency-provider: Code 8835 must be assigned

  • by class, complete the following: the multiplier is: the expense constant is: the largest rate increase for any class is: the smallest rate change for any class is: If the company rounds... class is: the smallest rate change for any class is: The company must attach • The Class Deviation Filing Form DOC-WC-2(a) • The Average Effective Multiplier Calculation DOC-WC-2(b

  • MWCIA 1/1/2025 Assigned Risk Application

    to Insurance Company Audit Class Code Describe by Location the Duties or Employees of Classification USLHW No. of Employees Total Payroll Rate Premium Factor Manual Premium Increased Limits Experience.... ____________ ___________________________ ____________ Federal Employer ID # (FEIN 9-digit number) Unemployment Account No. (UI Code) 4a

  • 25-1862.pdf

    are Present Policies that include construction class codes with a reported total estimated exposure amount of zero are now classified as public data. This information will be viewable through

  • blank. Proposed NCCI’s Medical Data Call Reporting Guidebook New Content (underlined): Provider Postal (ZIP+4) Code Field(s): 29 Position(s): 315-323 Class: Alphanumeric (AN)—Field contains alphabetic... Guidebook. Classification Code Record Type Quarterly Field(s) 38 Position(s) 195-198 Class N Bytes 4 Format N 4 Definition : A code used to identify the classification assigned to the insured

  • 2nd Qtr 2025 Newsletter

    for class(es) or industry group(s) for desired policy year and reports. Further, data can be viewed on a zip code, regional, or statewide basis. Information can further be parsed by premium ranges... ranges. Average Experience Mod: View average experience mods by rating year, governing class code(s) or industry group(s). Further, data can be viewed on a zip code, regional, or statewide basis

  • to 952-897-6495 or email to: underwriting@mwcia.org Employer Information Employer Name: Association File Number or FEIN: Contact name: Address: City, State, Zip Code: Phone Number: Email: Requester Information Requestor Name: Contact Name: Requestor Address: City, State, Zip Code: Phone: Email: Please indicate your status: ☐Carrier ☐ Agent ☐ Employer Reason For Requesting Survey:

  • MWCIA_Annual_Report_2024.pdf

    from the Minnesota Department of Commerce. CLASSIFICATION CODE SEARCH This application allows the user to search for class codes and descriptions within the Minnesota Classification Index. PRODUCTS, SERVICES, COMMUNICATION & EDUCATION HOME | NEXT DATA QUALITY22 DLI INSURANCE VERIFICATION SYSTEM MWCIA maintains the DLI Insurance Verification (coverage lookup) system for the Minnesota

  • 1st Qtr 2025 Newsletter

    precision will improve accuracy and stability. For example: Under two-decimal precision, a class code with a PPBR of 0.05 can only change by ±20%, either to 0.04 (-20%) or 0.06 (+20%). Under three-decimal... swift and informed responses, whether clarifying a classification code or ownership nuance, has made MWCIA a trusted partner in the industry. It’s a key reason why stakeholders rely on us to deliver

  • MWCIA Circular 25-1856 - 2024 Test Audit Summary Report

    - Test Audits Completed January 1, 2024 December 31, 2024 AFN Number Carrier ID Test Audit Payroll Company Audit Payroll Reason Code(s) Total Payroll Difference Quarter: 1 3756195 11037 138,275 138,275... Insurers Association Voluntary Market - Test Audits Completed January 1, 2024 December 31, 2024 AFN Number Carrier ID Test Audit Payroll Company Audit Payroll Reason Code(s) Total Payroll Difference

  • and a body system are idenfied for each claim based on the ICD-10 code, which is the 10th revision of the Internaonal Stascal Classificaon of Diseases and Related Health Problems. The ICD-10 code indicates the condion for which the care is provided. NCCI assigns an ICD-10 code to each workers compensaon claim based on the severity of the ICD-10 codes reported on bills by medical providers

  • MCPAP

    Application and Instructions MCPAP Contracting Class Codes/Credit Table Prior Year MCPAP Application and Instructions MCPAP Computer Based Training   All questions and requests for additional

  • operations or do not have at least one contracting code for which you paid $30.50 in average hourly wages, you are not eligible to apply. Please visit our website at https://www.mwcia.org/Pages/MCPAP... 1, 2024 and ending December 31, 2024. (1) WC CODE NUMBERS

  • 2026 MCPAP Contracting Class Codes/Credit Table

    Contracting Class Codes 0042 5160 5474 5705 6319 0050 5183 5478 6003 6325 1322 5188 5479 6204 6400 3365 5190 5480 6213 7538 3719 5213 5491 6216 7600 3724 5215 5506 6217 7601 3726 5221 5507 6229 7855 5020 5222 5537 6233 8227 5022 5348 5538 6235 9521 5037 5403 5551 6236 9534 5040 5437 5606 6237 9539 5057 5445 5645 6248 9554 5059 5462 5649 6251 5102 5472 5651 6252 5146 5473 5703 6306 Credit Table

  • operations or do not have at least one contracting code for which you paid $29.50 in average hourly wages, you are not eligible to apply. Please visit our website at https://www.mwcia.org/Pages/MCPAP..., 2023 and ending December 31, 2023. (1) WC CODE NUMBERS (2) MINNESOTA WAGES (3) MINNESOTA HOURS PAID DURING 2023 WORKED DURING 2023

  • How to Obtain Minnesota Experience and Merit Rating Information

    How to Obtain Minnesota Experience and Merit Rating Information 1 Products Who Can Use How to Access What Information is Available Employer Lookup  Anyone Access Employer Lookup product on MWCIA website.  Search for employer by name, street, zip, combo ID.  View all experience rating history, including Minnesota Contractors Premium Adjustment Program (MCPAP) factor, primary

  • Are claims associated with COVID-19 included in the Financial Calls?

    FAQ

    Claim experience associated with Extraordinary Loss Event (ELE) Catastrophe Code 12 must be included in all Calls.  Specifically, all COVID-19 claims greater than zero must be included in the Large Loss and Catastrophe Call—LL Call. Please follow the applicable date range for reporting Catastrophe 12 claims as detailed in Circulars 20-1768 (E-1407) and 23-1820 (E-1410).


  • MWCIA Circular 24-1853 - Decimal Extension of Pure Premium Base Rates & Expected Loss Rates

    and 193 for experience rating modification files that are issued and distributed as of July 1, 2025, and later  Examples: 1. The ELR for Classification Code 2735 is 1.24, effective January 1, 2025 • Experience rating modification files that are issued and distributed with Classification Code 2735 prior to July 1, 2025, will include the ELR as 0000124 • Experience rating

  • MWCIA 3rd Qtr 2024 Newsletter

    an hourly rate, then they are no longer eligible as a volunteer firefighter and those wages would be included in classification code 7706. Also, please remember that when there are both full-time... requirements and the MN Dept of Labor and Industry, specifically with proof of coverage reporting. It also ensures credible data for maintaining class rates and establishing overall rate indications

  • MWCIA 1/1/2025 Assigned Risk Application

    to Insurance Company Audit Class Code Describe by Location the Duties or Employees of Classification USLHW No. of Employees Total Payroll Rate Premium Factor Manual Premium Increased Limits Experience.... ____________ ___________________________ ____________ Federal Employer ID # (FEIN 9-digit number) Unemployment Account No. (UI Code) 4a

  • MWCIA Circular 24-1849 - 1-1-2025 Assigned Risk Rates

    to kathleen.peterson@mwcia.org. 1/1/2025 1/1/2025 1/1/2025 Class Assigned Minimum Class Assigned Minimum Class Assigned Minimum Code Risk Rate Premium Code Risk Rate Premium Code Risk Rate Premium 0005 3.68 282 2081 4.06... Minimum Class Assigned Minimum Class Assigned Minimum Code Risk Rate Premium Code Risk Rate Premium Code Risk Rate Premium MINNESOTA WORKERS' COMPENSATION 5537 5.35 324 7403 5.14 319 8058 3.23 271