Manual Premium Exp. Mod. Discount/Surcharge Modified Premium
$62,106 .73 $16,769 Discount $45,337 $62,106 1.00 No Impact $62,106 $62,106 1.43 $26,706 Surcharge $88,812
Example #1 Hypothetical Account
Claims Policy Yr Actual Primary Under $2,000 01 5,660 5,660 Under $2,000 02 5,303 5,303 Under $2,000 03 3,018 3,018 #51261701 01 3,267 3,267 Lost Time Claim BJM3976 03 72,848 5,000 Lost Time Claim BJM9986 03 4,708 4,708 Lost Time …
Premium Calculation
Class Code 3628 8742 8810 Mod. Adj. Prem. Est. Payroll 1,000,000 100,000 1,400,000 Divide/100 10,000 1,000 14,000 Prem. Rate 3.50 0.75 0.36 Premium $35,000 $750 $5,040 40,790 1.275 $52,007
Anatomy of a misunderstanding: Is Texas a direct-action state?
One of the hallmarks of Texas insurance law is that Texas, unlike Louisiana and a handful of other states, is not a “direct-action” state. This simply means that a third-party claimant/plaintiff cannot bring a lawsuit against the insurance company of …
Choosing a workers’ compensation network that fits
The new legislation includes a shift to a more proactive approach to workers’ compensation claims management to reduce over-utilization of medical services provided to injured workers. In 2005 the Texas Legislature passed a sweeping reform of the workers’ compensation system. …
Editor’s Note: Consumer education still needed
An education isn’t how much you have committed to memory, or even how much you know. It’s being able to differentiate between what you do know and what you don’t. — Anatole France (1844 – 1924) Apparently, when it comes …
People
Louisiana Workers’ Compensation Corp. (LWCC) hired David T. White as director of internal audit. White will be responsible for providing overall direction for the internal audit function. He was previously audit unit manager for General Reinsurance’s North America and Australia …
Example #3
What IF instead of three lost-time injuries, there was only one lost time injury with the same total loss amount? Premium Mod. Adj. Prem. Example #1 $40,790 1.275 $52,007 Example #2 $40,790 .80 $32,632 Example #3 $40,790 1.120 $45,684
What IF there had been no Lost Time Claims?
Example #2 Premium Mod. Adj. Prem. Example #1 $40,790 1.275 $52,007 Example #2 $40,790 .80 $32,632
Improving experience modifiers lowers workers’ comp premiums
Experience rating is the interaction of claims management and insurance pricing. An organization that controls its losses also controls its experience modifier and ultimately is responsible for higher or lower premiums. With so many areas of workers’ compensation out of …
