WCIRB Quick Reference Guide 2015

Transcription

1 2015 WCIRB Quick Reference Guide 2015 A Quick Reference of Approved Changes to the Uniform Statistical Reporting Plan and Experience Rating Plan The WCIRB Quick Reference Guide (Guide) summarizes changes to the California Workers Compensation Uniform Statistical Reporting Plan 1995 (Uniform Statistical Reporting Plan) and the California Workers Compensation Experience Rating Plan 1995 (Experience Rating Plan) approved by the Insurance Commissioner to be effective January 1, This Guide was created by the WCIRB as a convenience for its members, agents and brokers, policyholders and others. It does not bear the official approval of the California Department of Insurance and is not a regulation. This Guide may not contain a full description of all approved changes to the Uniform Statistical Reporting Plan or Experience Rating Plan. To view, download or print a copy of these publications, please visit Uniform Statistical Reporting Plan Effective January 1, 2015 In addition to the following changes, there were a number of changes throughout the Plan for clarity and consistency. For a complete list of all proposed changes, please see the WCIRB s January 1, 2015 Regulatory Filing in the Publications and Filings section of the website ( Part 2, Policy Document Filing Requirements Amended to provide greater clarity, create effi ciencies and ensure consistency with national data reporting standards. (These changes were approved as part of the WCIRB s January 1, 2014 Pure Premium Rate Filing.) Table of Contents 1 Uniform Statistical Reporting Plan 2 Payroll Min/Max Changes, Dual Wage Thresholds, New and Eliminated Classifi cations 3 Standard Classifi cation Changes 5 Experience Rating Plan Changes Part 3, Standard Classification System Section VI, Administration of Classifi cation System, Rule 2, Notifi cation of Standard Classifi cation Assignment, was amended to facilitate the electronic distribution of classifi cation inspection reports. Section VI, Rule 4, Audit of Payroll, was amended to increase the physical audit threshold from $10,000 to $13,000 and to reference California Insurance Code Section 11665(a) regarding the audit of C-39 license holders. Workers Compensation Insurance Rating Bureau of California WCIRBCalifornia Objective.Trusted.Integral.

2 Wage Threshold Changes for Dual Wage Classifications There were no changes to the wage thresholds for dual wage classifi cations. Payroll Minimum and Maximum Changes Code Phraseology Payroll Minimum Payroll Maximum 7365 Taxicab Operations $31,300 N/A 7610 Radio / Television Stations N/A $111, Theaters music ensembles N/A $111, Theaters dance / opera N/A $111, Athletic Teams / Parks N/A $111, Motion Pictures production N/A $111,800 N/A Executive Offi cers $44,200 $111,800 Eliminated Classifications 7721(3), Watchpersons or Guards 8103, Wiping Cloth or Rag Dealers New Classifications 8387(2), Automobile or Truck Oil and Fluid Replacement Service Facilities 8387(3), Automobile or Truck Washing Facilities 8264(4), Wiping Cloth or Rag Dealers including all laundry operations New Industry Group An Industry Group for the Automotive Industry was established and the associated classifi cations were amended to clarify the intended application and, for some classifi cations, to provide direction as to how related operations should be classified and/or remove the general restriction on division of payroll: 2797(2), Automobile Body Mfg. 2797(3), Recreational Vehicle Mfg. 3805(2), Automobile or Automobile Truck Engine Mfg. 3808, Automobile or Motorcycle Mfg. or Assembling 3815(1), Automobile Truck or Automobile Truck Trailer Mfg. or Assembling 3815(2), Automobile Body Mfg. truck, trailer or bus bodies 3821, Automobile or Automobile Truck Dismantling 3828, Automobile or Automobile Truck Parts Rebuilding 3840, Automobile, Automobile Truck or Motorcycle Parts Mfg. 7227, Automobile or Automobile Truck Towing, Roadside Assistance or Freeway Repair 8046, Stores automobile or truck parts or accessories 8324, Automobile Gasoline Stations 8387, Automobile or Automobile Truck Service Stations 8387(2), Automobile or Truck Oil and Fluid Replacement Service Facilities 8387(3), Automobile or Truck Washing Facilities 8388, Rubber Tire Dealers 8389, Automobile or Automobile Truck Repair Shops or Garages 8390, Automobile Van Conversion or Customizing 8391, Automobile or Automobile Truck Dealers 8392, Automobile or Automobile Truck Storage Garages or Parking Stations or Lots Workers Compensation Insurance Rating Bureau of California 2

3 Automotive Industry Group (Continued) 8393, Automobile or Automobile Truck Body and Fender Repairing and Painting 8397, Automobile or Automobile Truck Transmission Repairing and Rebuilding 8748, Automobile or Automobile Truck Dealers 9516(2), Automobile Radio and Telephone Installation, Service or Repair 9501(3), Painting automobile or automobile truck bodies 9522(3), Automobile Body Upholstering Part 3, Standard Classification System, Section VII As part of a three-year project, the WCIRB is reviewing all of the standard classifi cation phraseologies contained in the Uniform Statistical Reporting Plan and enhancing many of the phraseologies with clarifying information. There are amendments to over 120 classifi cations effective January 1, 2015 to clarify the intended application and, for some classifi cations, to provide direction as to how related operations are classifi ed and/or to remove the general restriction on the division of payroll. For additional information, please refer to Part 3, Standard Classifi cation System, Section VII, Standard Classifi cations of the Uniform Statistical Reporting Plan available in the Publications and Filings section of the WCIRB website ( 1122, Mining surface 1624(1), Quarries 1624(2), Excavation rock 2585, Laundries N.O.C. 2589(1), Dry Cleaning or Laundry 2797(1), Mobile Home Mfg. 3066(1), Sheet Metal Products Mfg. 3066(3), Aluminum Ware Mfg. 3066(4), Coppersmithing 3099, Tool Mfg. N.O.C. 3146(1), Hardware Mfg. 3146(2), Heat Treating 3152(1), Nail, Tack or Rivet Mfg. 3152(2), Nut, Bolt or Screw Mfg. 3152(3), Screw Machine Products Mfg. 3179, Electrical Apparatus Mfg. 3560(1), Machinery Mfg. commercial food processing equipment 3560(2), Machinery Mfg. industrial 3560(3), Machinery Mfg. material handling equipment 3570, Electric Appliance Mfg. 3612, Pump or Hydraulic Apparatus Mfg. or Repair 3632, Machine Shops 3634, Valve Mfg. 3724(1), Millwright Work 3724(2), Electrical Machinery or Auxiliary Apparatus 3805(1), Aircraft Engine Mfg. or Rebuilding 4244, Corrugated or Fibre Board Container Mfg. 4250(1), Paper Coating or Laminating 4297(1), Electronic Prepress 4297(2), Graphic Design 4511, Analytical or Testing Laboratories 4512, Biomedical Research Laboratories 4611, Drug, Medicine or Pharmaceutical Preparations Mfg. 4692, Dental Laboratories 4740(1), Oil Refi ning 4740(2), Asphalt or Tar Distilling or Refi ning 4740(3), Gasoline Recovery 5146(1), Cabinet or Fixtures 5146(2), Sign Installation or Repair 5190/5140, Electrical Wiring 5195, Communications Cabling 5214, Concrete or Cement Work 5225, Reinforcing Steel Installation 5403/5432, Carpentry 5552/5553, Roofi ng 5606, Contractors 5951, Serum, Anti-Toxin or Virus Mfg. 6325, Conduit Construction 7198(1), Parcel Delivery Companies 7198(2), Armored Car Services 7219(1), Trucking Firms 7219(2), Express Companies 7332, Ambulance Services 7605(1), Burglar Alarm and Security Alarm Systems Installation, Service or Repair 7721(1), Detective or Patrol Agencies 7721(2), Patrol or Guard Services Workers Compensation Insurance Rating Bureau of California 3

4 Part 3, Standard Classification System, Section VII (Continued) 8264(1), Paper Stock Dealers secondhand 8264(2), Bottle Dealers secondhand 8264(3), Rubber Stock Dealers secondhand 8265(2), Junk Dealers N.O.C. 8292, Warehouses general merchandise 8350, Gasoline or Oil Dealers 8740(2), Building Operation commercial properties property management supervisors 8741, Real Estate Agencies 8800, Mailing or Addressing Companies 8810(3), Libraries librarians or professional assistants 8810(4), Libraries public librarians or professional assistants 8823, Residential Care Facilities for Children 8827(1), Homemaker Services 8827(2), Public Health Nursing Associations 8831(1), Hospitals veterinary 8831(3), Kennels 8834, Physicians 8838, Museums 8839, Dentists and Dental Surgeons 8840, Churches clergy, professional assistants, organists, or members of choir 8847, Beverage Container Collection or Redemption 8852, Home Infusion Therapists 8859(1), Computer Programming or Software Development 8859(2), Internet or Web-Based Application Development or Operation 8868, Colleges or Schools private not automobile schools 8875(1), Public Colleges or Schools 9007, Apartment or Condominium Complex Operation for Seniors 9008, Janitorial Services 9009, Building Operation commercial properties all other employees 9010, Mobile Home Park Operation 9011, Apartment or Condominium Complex Operation 9015(1), Building Operation N.O.C. all other employees 9015(4), Churches all employees other than clergy, professional assistants, organists, members of choir or Clerical Offi ce Employees 9015(5), Libraries all employees other than librarians, professional assistants or Clerical Offi ce Employees 9031, Pest Control 9059, Day Care Centers 9079(1), Restaurants or Taverns 9085, Residential Care Facilities for the Developmentally Disabled 9096, Residential Cleaning Services 9101, Colleges or Schools private 9403(1), Garbage, Ashes or Refuse Collecting 9424, Garbage, Ashes or Refuse Dump Operations 9501(1), Painting shop only 9586, Barber Shops or Beauty Parlors Part 4, Unit Statistical Report Filing Requirements Section II, Defi nitions, Rule 29, Open or Open Claim, and Rule 34, Resolved or Resolved Claim, were amended to remove Resolved Claim for consistency with the national reporting standards. Section V, Loss Information, Rule B, Loss Data Elements, Subrule 6, Type of Settlement, was amended for consistency with national reporting standards and to provide for the submission of a statement when a noncompensable claim meets the requirements of Labor Code Section Workers Compensation Insurance Rating Bureau of California 4

5 Experience Rating Plan Revisions Approved Effective January 1, 2015 Section VII, Rating Procedure Rule 8, Experience Modifi cation Formula, was amended to limit experience modifi cations for employers with only a single claim in the experience period to be no more than 25 percentage points above the experience modifi cation the employer would have received if loss free during the experience period, with the exception of experience modifi cations computed excluding unaudited payroll pursuant to Section III, Rule 3(g). (These changes were approved as part of the WCIRB s January 1, 2014 Pure Premium Rate Filing.) January 1, 2015 Pure Premium Rate Filing The WCIRB submitted a January 1, 2015 Pure Premium Rate Filing to the California Department of Insurance on August 19, The Filing contains proposed expected loss rates, credibility values, experience rating eligibility threshold, and advisory pure premium rates. Once the Insurance Commissioner has issued a decision on the Filing, the WCIRB will publish this information on its website in the Publications and Filings section and will issue a revised WCIRB Quick Reference Guide Workers Compensation Insurance Rating Bureau of California. All rights reserved. No part of this work may be reproduced or transmitted in any form or by any means, electronic or mechanical, including, without limitation, photocopying and recording, or by any information storage or retrieval system without the prior written permission of the Workers Compensation Insurance Rating Bureau of California (WCIRB), unless such copying is expressly permitted in this copyright notice or by federal copyright law. No copyright is claimed in the text of statutes and regulations quoted within this work. Copies may be made and distributed for the purpose of facilitating the transaction of workers compensation insurance in California, provided that all copyright and other proprietary notices are kept intact. To seek permission to use any of the WCIRB Marks or any copyrighted material, please contact the Workers Compensation Insurance Rating Bureau of California, 525 Market Street, Suite 800, San Francisco, California MC Workers Compensation Insurance Rating Bureau of California 5