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Experience Rating

  • How can I learn more about MWCIA's Web Experience Mod History product?

    FAQ

    You can access the Web Experience Mod History circular and Frequently Asked Questions by clicking here.


  • Where can I find information regarding the experience rating split point changes?

    FAQ

    Please review the Frequently Asked Questions Circular No. 12-1620 found here.  For additional questions, please contact MWCIA's Actuarial Department at (952) 897-1737, option 3, or email at actuarial@mwcia.org.


  • What is Experience Rating?

    FAQ

    It is a credit or debit factor based on your business' loss and payroll history.


  • Who is eligible?

    FAQ

    The insured must be in business at least 2 years and meet one of the following premium criteria:

    • $11,000 unmodified premium in the 1st year of the experience rating period or,
    • An average of $11,000 unmodified premium in the first 2 years of the experience rating period or, 
    • If an insured has more than 2 years of experience, they must develop an average annual unmodified premium of $5,500 in the experience rating period.


  • How do Experience Mods affect my premium?

    FAQ

    Credit factors will decrease your premium and debit factors will increase your premium.

    • .80 = 20% premium credit
    • 1.20 = 20% premium debit


  • What are the elements in the Experience rating plan formula?

    FAQ

    Elements of the Experience rating plan formula

    • ACTUAL LOSS = Total value of claim including reserves.
    • PRIMARY LOSS = Reduced amount of claim used in formula.
    • EXPECTED LOSS = Amount of claim your business is expected to have based on your business type (class codes) and size (payroll).
    • FORMULA FACTORS
      • EXPECTED LOSS RATE = Factor used to determine the amount of losses by class code expected by the formula.
      • D RATIO = Discounts the expected loss total to arrive at the expected primary loss.
      • WEIGHT FACTOR = Percentage of actual losses used in formula.
      • BALLAST FACTOR = Stabilizing element that limits modification fluctuation in the formula.


    • What policy data do you use?

      FAQ

      Three complete years of experience ending one year prior to the effective date of experience rating.

      Click here to see the example.


    • Tips for keeping Mods low:

      FAQ

      Contact Carrier 60 days prior to valuation date to review status of all open claims. A change in policy effective dates can impact the experience used in future modifications Review audit information - Payroll and Class codes Use carrier loss control and safety programs to help reduce overall losses.


    • How can I get my modification revised?

      FAQ

      Mods are revised only when corrected data is submitted by the carrier.


    • How low can my Mod factor go?

      FAQ

      If you are loss free, your mod factor is as low as it can get for your industry type and size.


    • Does claim severity affect Mods more than frequency?

      FAQ

      Generally claim frequency has a larger impact. Multiple claims that total $10,000 will have a larger impact on your mod than a single $10,000 loss.


    • Are Mods revised if a claim closes?

      FAQ

      Modifications are typically calculated once a year and any changes to a claim during the year are included in the next experience rating year.


    • How do ownership changes affect my Mod?

      FAQ

      Loss history follows a business in most cases whether the business was sold or just the assets. Businesses that share more than 50% common ownership are subject to a single modification factor based on their combined data.


    • What if I have questions?

      FAQ

      For questions concerning open claims:

      1. Contact your agent
      2. Contact the carrier's claim department

      For questions about class codes and payrolls:

      1. Contact your agent
      2. Contact carrier's audit department

      For questions about the rating formula:

      1. Email MWCIA at info@mwcia.org
      2. MWCIA 952.897.1737


    • How do we get the electronic version of an Experience Rating?

      FAQ

      The electronic version of an Experience Rating is available on the CDX web site. Please note that CDX web site is for only registered carriers. You may also access electronic experience ratings through the Web Experience Mod product located on our website.


    • Merit Rating Plan

      FAQ

      1. Non-Experience Rated Employers
        1. Non-experience rated employers will receive a credit or debit depending on
          1. the number of years they have been insured with the Assigned Risk Plan, and
          2. the number of lost time claims they have had within the applicable rating period.
        2. Depending on the above criteria, the following credits/debits will apply
          1. Non-experience rated employers who have been insured with the Assigned Risk Plan for the last three consecutive years will be subject to the following schedule based on lost time claims during the applicable rating period:
               0  lost time claims — 33% credit
               1  lost time claim — no credit or debit
               2  or more lost time claims — 10% debit
          2. Non-experience rated employers who have not been insured with the Assigned Risk Plan for the last three consecutive years will be subject to the following schedule based on lost time claims during the applicable rating period:
               0  lost time claims — 10% credit
               1  lost time claim — no credit or debit
               2  or more lost time — claims 10% debit
      2. Experience Rated Employers
        • Will not be subject to Merit Rating.


    • How do I obtain an experience modification when moving from a self-insured program to the voluntary market?

      FAQ

      Experience of self-insurers may be included in an experience rating. The data must be submitted to MWCIA in an approved format (ERM-6). Refer to the ERM-6 form found under CARRIERS, AGENTS, or TOOLS and selecting "Forms", at https://www.mwcia.org for instructions and along with a copy of this form.


    • If I change the effective date of my policy, what impact may it have on my future experience modifications?

      FAQ

      An employer's rating effective date determines its experience period and generally consists of three completed years of experience ending one year prior to the effective date of the modification. Experience for each of an employer's policies is included if the policy effective date is:

      (1) Not less than 21 months before the rating effective date, and

      (2) Not more than 57 months before the rating effective date.

      An employer's experience period cannot contain more than 45 months (3 3/4 years) of data. The 45 month limitation is a maximum period of time between the expiration date of the most recent policy and the effective date of the oldest policy.

      The Experience Period Reference Table displays the policy effective date ranges that will be included in the new experience modification effective date. Click here to view the table.


    • Whom may I speak with about a risk's experience modification factor or experience modifications (mods) in general?

      FAQ

      Questions about Experience Modifications can be discussed with any member of our Underwriting staff by dialing (952) 897-1737 and selecting Option 1 (Underwriting).


    • What are the State Per Claim Accident Limitation amounts for 2016, 2017, and 2018 experience modifications?

      FAQ

      • 2016--$216,000
      • 2017--$220,500
      • 2018--$221,500