CompClues Topics

204 topics found.
24-Hour Coverage
24-hour coverage or Integrated Disability Management (IDM) is any combination of traditional health and workers compensation insurance which together strives to eliminate the boundaries between occupational and nonoccupational coverage.;
Algorithm for Premium
The method and steps for calculating Indiana workers compensation insurance premium. 4 Resources
Alternate Employer Endorsement
Wording and explanation of the Alternate Employer Endorsement, WC 00 03 01 A
Americans with Disabilities Act
Overview of the Americans with Disabilities Act of 1990. It is designed to "remove work place barriers to an individual with a handicap."
Amish _ Workers Compensation
Discussion of the exclusion of Amish workers in several states WC systems. 10 Resources
ARAP & SARAP
Definition for Assigned Risk Adjustment Program and Simplified ARAP.
A-Rate Elimination
All A-rated (average-rated) codes in Indiana were discontinued effective 5/1/95 per item filing B-1323.;
Articles of Agreement in WCIP
The Articles of Agreement are included in the Workers Compensation Insurance Plan (WCIP).;
Assigned Risk - Premium Installments
Describes procedure to require payment in full after second notice of non-pay. 1 Resources
Assigned Risk: ACORD Forms
ACORD Forms 130 & 133, with instructions, for submitting assigned risk applications.
Assigned Risk: Agent Commission
Assigned risk commission table, commissions paid within 30 days, and commission includes premium from assigned risk surcharge.; 2 Resources
Assigned Risk: Binder Date
We can bind coverage the day after postmark or proof of courier pickup. If no proof, then we bind the day after bank deposits check.;
Assigned Risk: Deposit
Deposits of 100%, 75%, 50%, or 25% required, based on estimated annual premium size; where to mail applications.; 2 Resources
Assigned Risk: Eligibility FAQ's
This document answers frequently answered questions about eligibility for the assigned risk market and discusses situations that disqualify an employer for assigned risk coverage. 3 Resources
Assigned Risk: Files Open
Bureau assigned risk records "shall be open to any bureau member or its authorized representative.";
Assigned Risk: Indiana Pool
Information about the "Indiana Assigned Risk Reinsurance Pool" effective 1/1/05. The article contains these sections: Assigned Risk 101, Indiana Pool, Indiana Pool Pros & Cons, Multistate Assigned Risk Policies, and For More Information.; 3 Resources
Assigned Risk: Players and Documents
Explains how the assigned risk market works in terms of who the players are and what documents are involved.; 1 Resources
Assigned Risk: Recent Developments
An overview on the recent results in the assigned risk market. 2 Resources
Assigned Risk: Surcharge
Explanation of the Indiana assigned risk surcharge of 25%.
Assigned Risk: Transfer of Policy - Ownership Change
The standard WC policy permits a transfer with the carrier's approval. There are several reasons why a transfer may not be a good idea.
Assigned Risk: VCAP
Explanation of the NCCI Voluntary Coverage Assistance Program (VCAP® Service), not used in Indiana.
Assigned Risk_ Reasonable Offer
Rule on offer of regular (or voluntary) coverage with a premium greater than the assigned risk premium.
Attorney Involvement
Indiana among lowest state with incidence of attorney involvement in workers compensation, based on 2017 WCRI report.; 1 Resources
Audit
Carrier or the ICRB may audit the insured's records within 3 years after the policy period ends.; 1 Resources
Balance Billing
The practice of providers billing employees and employers for unpaid balances is prohibited.
Bars to Compensation
Some employee activities prohibit an injury to be covered by workers compensation.
Benefit Levels - Indiana WC Law
Information on Indiana workers compensation benefit increases.; 4 Resources
Board Forms
PDF files for several of the Workers Compensation Board of Indiana forms.; 8 Resources
Business Entity Types
Discussion of the types of business entities: sole proprietorship, partnership, corporation, S-corporation, limited liability company (LLC), nonprofit corporation, limited partnership, limited liability partnership (LLP). 1 Resources
Cancellation
Laws and rules regarding cancellation of workers compensation policies; Pro rata and short term examples.; 6 Resources
Capacity - Capital - Supply - Surplus - & Equity
Capacity, capital, supply, surplus, & equity are all basically about how much surplus an insurance company has (the cash cushion used to pay claims) -- and the resulting amount of premium it can write.
Carrier Filings Report
Rate guide - a list of carrier advisory rate and loss cost filings 18 Resources
Catastrophe: How Treated in WC Rules
Rules that deal with catastrophe.
Chemical Codes 4828 & 4829
Chemical and Dyestuff Rating Plan eliminated effective 7/1/96. The 48 codes in the Plan were replaced by 2 codes.;
Claim Data
The latest national data from the Bureau of Labor Statistics (BLS) and Indiana data from the Indiana Department of Labor. 16 Resources
Claim Dispute or Appeal
The Worker's Compensation Board of Indiana can informally assist parties to resolve claim disputes or formally hear a disputed case before a hearing officer.
Class Code Changes and Additions
Listing of new class codes and class updates introduced in recent years.; 6 Resources
Classification Assignment
Summary of rules and when changes take effect.; 1 Resources
Classification Code List
Links to websites that contains rates, classification code lists by alphabet and numeric, and manuals.
Classification System: Sample Explanation
Explains the system and the process when a new code is being considered.;
Coal Exposure, But Not a Coal Mine
The extra premium charge for this disease exposure is reported under Code 0164.
Combined Ratio
Combined ratio definition; countrywide and Indiana state results.; 1 Resources
Commission or Fee
Licensed producer may charge a fee on a commercial transaction in which he or she also receives a commission if the provisions of Indiana Code 27-1-15.6-24 are followed. 2 Resources
Competitive Rating in Indiana
Effect of competitive rating in Indiana broken out by three types of rate departures: policyholder dividends, schedule rating, and carrier deviations.; 14 Resources
Consent-to-Rate Filing
Rules summary for when a carrier is charging a rate in excess of what's already on file with the DOI.;
Contingent Workers Compensation
Explains contingent or "if needed" coverage for workers compensation, mostly for homeowners.
Contracting Classification Premium Adjustment Program
Some states (not Indiana) have a Contracting Classification Premium Adjustment Program (CCPAP). It provides discounts to contractors who pay higher than average wages.;
Correction
Explains rules regarding the correction of class codes and experience ratings, and their effect on premium.;
Data Collection
Description of data collected from ICRB members for the Bureau to carry out its functions. 2 Resources
Deductible and Coinsurance
Effective 1/1/92, Indiana law permits deductible and coinsurance options for workers compensation policies; examples given.; 6 Resources
Disease Loading
Discussion on the Basic Manual Disease Loading rule with special attention to Indiana limestone.
Dispute Resolution
The ICRB has a process for addressing disputes through its Dispute Resolution Committee ("DRC") and assigned risk rules. 2 Resources
Dividends
A dividend is a distribution of surplus or profit to a stockholder of a corporation and not normally considered remuneration.; 1 Resources
Elected or Appointed Official
Elected or appointed official can be covered for workers compensation; sites law and how to do it.;
Employee Leasing & PEOs
Discussion on employee leasing, PEOs; laws, rules for classification and experience rating, assigned risk rules.; 13 Resources
Employee vs. Independent Contractor
Discussion on the legal issue; laws, rules, pros and cons, IRS forms.; 27 Resources
Employer Must Carry Insurance
IC-22-3-2-2 requires employers (with some exceptions) to carry workers compensation coverage.;
Employers Liability
The other part of the standard workers compensation policy - employers liability insurance provides coverage for damages because of bodily injury to an employee; standard and increased limits, statistical codes.; 1 Resources
Employers Liability - Stop Gap
A gap exists in employers liability insurance coverage for an employer who has operations in a monopolistic state fund state. There are ways to stop or "fill" the gap.;
Excess Loss Factor (ELF)
Classes are placed into hazard groups based on their excess ratios
Excluded Workers
List of employees who are exempt from the Indiana WC Act or who may elect optional coverage.; 2 Resources
Exclusive Remedy
When a worker is injured, there is only one (or exclusive) solution (or remedy) - he or she receives workers compensation benefits.;
Executive Officer
Discussion on the laws, types of officers, rules, classification, and premium determination. 7 Resources
Ex-medical Coverage
Coverage that excludes medical benefits, meaning the employer would be responsible for paying the medical portion.;
Experience Rating Adjustment (ERA)
Effective 7/1/98, the Experience Rating Plan was adjusted to allow a 70% discount for medical only claims.; Paying small claims; 1 Resources
Experience Rating Overview
The Experience Rating Plan tailors, or modifies, the price of insurance and provides an incentive for safety. 4 Resources
Experience Rating: Explaining Mods
Explanations on how one large loss affects the rating, that the ICRB makes no judgements on losses reported to us by carriers, and that experience continues even if employer changes operations. 6 Resources
Experience Rating: Maximum Mods
Experience rating modifications have maximum limits based on a formula.; 2 Resources
Experience Rating: Noncompensable Claims
Explains impact to the experience modification resulting from a ruling a claim is noncompensable.
Experience Rating: Range of Mods
Chart showing the range of Indiana intrastate experience ratings for the most recent available year. 1 Resources
Experience Rating: Split Point
Explanation of change to primary/excess split point 7 Resources
Extra-Territorial Guidelines
Suggestions on where to assign payroll for multi-state exposures.;
F Classes
The "F" class contains both federal and state elements within its rate.;
Family & Medical Leave Act (FMLA)
Overview of FMLA and relationship to workers compensation. 1 Resources
Federal Acts
Summaries of LHWCA, FECA, FCMHSA, Jones Act, FELA, MSAWPA;
Fee Schedule
Indiana will have a workers compensation medical fee schedule beginning 07/01/14. A billing review service must adhere to IC § 22-3-3-5.2. 8 Resources
FEIN Registration
Where to register for a Federal Employer Identification Number (abbreviated as FEIN or EIN).;
Filings List
List of item filings made in Indiana. 193 Resources
Filings List Archive
List of item filings from 1989 through 2004 2 Resources
Filings Open to Public
ICRB rate filings and item filings are open to the public.; 1 Resources
Foreign Coverage
Discussion of foreign country exposures and how coverage is provided.; 4 Resources
Glossary
Definitions of frequently asked insurance terms in alphabetical order.
Governing Rules
Summary of rules for governing class, governing state, and governing policy.
Gramm-Leach-Bliley Act
Overview of the Financial Services Modernization Act (S. 900) also known as the Gramm-Leach-Bliley Act.
Hazard Groups
Hazard Groups differentiate the degree of hazard for classifications from the least hazardous (group A) to the most hazardous (group G). 2 Resources
Health Insurance Portability and Accountability Act (HIPAA)
Federal regulations give people the right to find out who's looking in their records and for what purpose.; 1 Resources
History of Workers Compensation
Links to descriptions of workers compensation: history and market conditions
Hot Topics
Quick news and other interesting items. 27 Resources
ICRB Assessment & Reapportionment
Explanation of the ICRB assessment and reapportionment process.; 1 Resources
ICRB Authority
The Bureau is granted authority from three sources to exercise its enforcement responsibility.; 1 Resources
ICRB Circulars
List of circulars and PDF files containing their contents. 153 Resources
ICRB Governing Board Members
List of current Governing Board members from September to September. 15 Resources
ICRB History
Lists of the bureau names, addresses, and managers since 1935.;
ICRB Map & Directions
Picture and Word document with map and directions. 2 Resources
ICRB Meeting Agendas
List of meeting agendas and PDF files containing their contents. 18 Resources
ICRB Members
Sections on: ICRB membership count, state ranking by insurance company count, statute references that create bureau members, ICRB $250 minimum assessment, and list of members.; 14 Resources
Illegal Aliens
Discussion if illegal aliens (undocumented workers) are entitled to workers compensation benefits and summary of IRCA. 4 Resources
Indiana Code - Organizational Structure
An explanation of the hierarchy of the Indiana Code (Title, Article, Chapter, Section). 1 Resources
Indiana Department of Insurance
IDOI address, phone numbers, website, mission, copies of filings, and complaint contact.
Indiana Insurance Guaranty Association
An organization to guarantee payment of claims if a carrier goes bankrupt.
Indiana Public Employers Plan (IPEP)
IPEP is a group self-funded workers compensation program for Indiana public employers.
Indiana Self-Insurers Association
An alliance of self-insured businesses and third party administrators.
Industry Groups
Five categories of classification codes used in ratemaking.; 1 Resources
Injury and Loss Codes
Brief description of Injury Type code and Loss Condition code for unit statistical reporting.;
INSafe Assessment
Description of the Indiana In Safe Assessment
Insurance Basics
Three basic principles.;
Interested Persons List
Indiana law requires someone who is making a rate filing to notify anyone who has asked to be placed on the interested persons list.;
Interstate Rating
List of states (11) not part of the interstate rating program, and rules on intra to inter.;
Joint Underwriting Association
Type of insurance mechanism established in a state to act as the market of last resort.;
Joint Venture
Summary of experience rating rules for joint ventures
Limited Liability Company
Discussion of a relatively new type of business entity. LLC members treated like partners in Indiana WC.
Longshore Authorization
Authorization requirements of the USDOL to write LHWCA insurance.;
Loss Adjustment Expense
Explanation of ALAE and ULAE
Loss History Report
IDOI expects property and casualty carriers to cooperate in providing loss history reports (loss runs) to insureds.;
Loss Sensitive Rating Plan
Mandatory assigned risk retrospective rating program for employers having residual market premium of $250,000 or more ($100,000 before 1/01/2012). 3 Resources
Losses: Likely to Develop or Unlikely
Breakdown of losses into Likely to Develop or Not Likely to Develop categories in the annual rate filing.;
M Classifications
Explanation of "M" classes which previously were "A" rated, but now have a rate.
Managing General Agent (MGA)
MGAs and MGUs provide special expertise and management to insurance and reinsurance companies that ordinarily would not be able to assume certain types of risks without their assistance.
Maritime or Admiralty Coverages
Summarized information from the US Department of Labor, Office of Administrative Law Judges Law Library, Judges' Benchbook: Longshore and Harbor Workers' Compensation Act.; 4 Resources
Medicare and Workers Comp
A discussion of the interaction between Medicare benefits and workers compensation benefits. 1 Resources
Milestones
Listing of dates of importance and special interest to the ICRB.; 1 Resources
Minimum Premium
Minimum premium rule, recent minimum premiums by year, minimum premium formula.;
Minor Employees
Discussion of the requirement to provide workers compensation to minor employees.
Multi-state Employer
Discussion of the issues facing multiple state employers. 5 Resources
National Workers Compensation Reinsurance Association
Explanation of the National Workers Compensation Reinsurance Association (NWCRA). NOTE: Indiana withdrew from the NWCRP effective January 1, 2005. 3 Resources
New Members Information
Bullet items to inform new members about Indiana workers compensation.;
Nonratable Disease Element
A nonratable disease element is that portion of an advisory rate that accounts for the disease being covered (black lung, asbestosis, silicosis, etc.).;
Ohio Forms C-110 & C-112
Ohio permits a worker to accept Ohio's act (Form C-110) or another state's act (Form C-112) 5 Resources
OSHA Ergonomics Program
OSHA CFR 29 - Ergonomics Program: "What Must I do if Temporary Work Restrictions or Removal From Work are Needed?";
OSHA Reporting
Summary of employer types who are required to report to OSHA.
Other States Insurance
Discussion on Other States Insurance coverage: why needed, what's covered, and assigned risk rules.; 9 Resources
Ownership Rule: Sample Explanation
In-depth, generic explanation of why workers compensation experience follows the business owner.; 2 Resources
Ownership Rules
In-depth, generic explanation of why workers compensation experience follows the business owner.; 2 Resources
Ownership: Partnership Split
When a partnership dissolves, we may not be able to transfer the previous experience to one partner.;
Ownership: Recalculate Rating
Rule on recalculating a rating: within and after 90 days of change.; 2 Resources
Participating and Non-participating Companies
Participating company offers a dividend on its policies, and a non-participating company does not.
Passenger Seat Surcharge
Passenger Seat Surcharge eliminated effective 01/01/2015
Payroll - Limited vs Unlimited Payrolls
Total payroll is the most equitable measure of distributing the cost of job related injuries among similar employers.; 1 Resources
Payroll Deductions for WC Impermissible
Employers are not permitted to take payroll deductions to pay for worker's compensation insurance.;
Payroll: Group Insurance
Generally, payments by an employer to group insurance or pension plans are excluded.;
Payroll: Inclusions & Exclusions
Review of Basic Manual Rule 2.B. regarding what items are included and excluded to determine payroll for workers compensation insurance. 1 Resources
Penalty For No Insurance
An employer is required to carry insurance or self-insure. If not, it commits a Class A infraction. An insurance company that violates the workers compensation statute commits a Class C infraction.;
PERF (Pension Fund)
Explanation of the Public Employees Retirement Fund (PERF) for police and firefighters.; 2 Resources
Plan vs. Pool Explanation
Brief description of the distinction between the assigned risk plan and pool.;
Police Reserve Officers
Police reserve officers may be covered by WC medical and burial benefits.
Policy Coverage: No Limits, Presumed to Cover All
Workers compensation policy is "presumed to cover all the employees...of the insured.";
Policy Forms
The ICRB files all standard forms with the IDOI on behalf of all members for their use.; 2 Resources
Policy Year vs. Accident Year vs. Calendar Year
Explanation of the differences among these type of data for workers compensation insurance.;
Poor Relief Recipient
A poor relief recipient is covered for only medical treatment and burial expenses benefits under the Workers Compensation Act.; 1 Resources
Premium Discount Examples
Examples for multi-state, mutli-table; and different anniversary rating dates.;
Premium Discount Program 1/1/96
Premium Discount is optional for a carrier to apply to each insured in Indiana and mandatory in most other states.; 1 Resources
Premium Discount: Combination of Policies
Combination of policies for premium discount is permissable; anniversary rating date rule is a factor.;
Premium Tax
Indiana premium tax is based on a percent of gross premiums received on policies covering risks during the preceding calendar year less reinsurance, returned premiums and cancellations, dividends paid or credited to insureds, and unearned premiums. ;
Premium Totals & Definitions
Annual premium amounts, premium level changes, and various premium definitions.; 7 Resources
Pricing Components of WC Policy
Several rating and pricing programs (e.g. schedule rating, premium discount, dividends) offer significant premium swings.;
Proof of Coverage
Explanation of the proof of coverage program used by the WC Board since 1/1/98.; 4 Resources
Rate Change Endorsement
When to use the Rate Change Endorsement.;
Rate Filing
Discussion of the rate filing process, advisory rates, assigned risk rates, loss costs, and carrier choices.; 13 Resources
Rate Filing: Law Only
Explanation of the "law only" advisory rate filings recently filed with July effective dates.; 1 Resources
Rate Filing: Medical/Indemnity Split
In each rate filing, exhibits show the split between medical and indemnity losses, expressed as a percent.; 1 Resources
Rate Level vs. Premium Level Change
Explanation of the difference between rate level change and premium level change.; 1 Resources
Reference Sources
As we research questions and issues about workers compensation, we have found these references helpful.
Regularly & Frequently
Discussion on applying the "regularly & frequently" rule for executive officers.;
Reinsurance
Discussion of reinsurance basics.
Reserves
Explanation of reserves, IBNR, and impact on employers.;
Residual Market Results & Burden
The burden measures to what extent insurance companies who participate in the assigned risk pool must subsidize the losses in the assigned risk market. 1 Resources
Residual Market Summary
Summary of Bureau responsibilities, assigned risk plan, pooling mechanism, and pool financing.;
Retrospective Rating Plan
Explanation of retrospective rating concept, operation, and formula.;
Return to Work
Summary of return to work programs. 4 Resources
Sarbanes-Oxley Act
Summary of the Act which protects investors and reforms accounting practices.
Schedule Rating
Explanation of the only schedule rating plan available in Indiana.; 4 Resources
Schedule Z Data
Summary description of Schedule Z data.
Search Tips
Tips on performing searches in this database.;
Second Injury Fund
Explanation of covered benefits and assessments payable.; 19 Resources
Self-Insurance
Self-insured employers in Indiana are regulated by the Workers Compensation Board of Indiana; contact information.;
Self-Insurance - Group
Similar employers join together to insure themselves.; 2 Resources
Servicing Carrier Allowance
History and amounts of allowances since 1991. 6 Resources
Servicing Carrier Contacts
Servicing carrier toll free telephone numbers and general email addresses. 2 Resources
Servicing Carrier On-Site Audit
Explanation of the on-site servcing carrier audit process. 3 Resources
Servicing Carrier Standards
Summary of servicing carrier standards in effect for Indiana. 5 Resources
Short Term Policy
Short term policies are permitted in Indiana as of July 1, 2013 2 Resources
State Abbreviations
Table of state alpha and numeric abbreviations.;
State Agencies and Bureaus
Listings of state agencies and bureaus (rating organizations) that are responsible for workers compensation in their respective states; and assigned risk administrators (where to send applications). 2 Resources
State Comparisons
List of studies that compare workers compensation rates and benefit costs among the states, as well as some economic comparisions. 22 Resources
State Funds
Explanation of state funds (operated by a state) that issue workers compensation policies, just like an insurance company.;
Statutory Accounting Principles (SAP)
The regulatory requirements insurance companies must follow in reporting their financial status.;
Subrogation (and Waiver)
Explanation of the legal concept of subrogation and its presence in workers compensation rules.; 2 Resources
Swing Limits
The annual rate filing process calculates a maximum deviation or "swing limit" to prevent severe changes in advisory rate from year to year. 2 Resources
Take-Out Credit Program
A program to encourage carriers to remove (or take out) employers from the residual market.; 23 Resources
Terrorism
News bits and observations about the impact of terrorism on the insurance industry. 22 Resources
Trucking
Discussion of law, rules, and guidelines; coverage issues arise due to the interstate operations of the industry.; 4 Resources
Unemployment Compensation
The employer's Unemployment ID Number is a field requested (not required) on the IAIABC EDI POC reporting format.;
Unicover WC Pool
Simple explanation of the Unicover workers compensation reinsurance pool which collapsed in 1999.;
Unpaid Interns
Discussion of coverage applicability to unpaid interns
USP Reporting Due Dates
Chart showing Unit Statistical Plan reporting requirements by month. 2 Resources
Volunteer Firefighters
Explanation of the volunteer fire company "book of business" and coverage requirements.; 5 Resources
Volunteers
There are three groups of volunteers in Indiana that are each covered in a different manner.; 1 Resources
Waiver of WC Rights Invalid
Agreement by an employee to waive his rights under the WC Act is invalid.;
Work Release Programs
Are offenders in work release jobs eligible for Indiana workers compensation benefits?
Wrap-Up Construction Projects
Explanation of rules, features, and benefits of Wrap-Up Construction Projects.; 1 Resources

Introduction

Introduction

Welcome to "Comp Clues"! You are about to enter a full text search document library. We created the library over the years as we encountered everyday questions about workers compensation.

We have color-coded text in the documents to make it easier to digest. Here's the scheme:
Blue - Hotlinks to other web pages sites; just click on the blue text to take you there
 
Red - Rules; quotes from rules from various workers compensation manuals
 
Green - Laws; quotes from various laws, mostly the Indiana Workers Compensation Act

Please understand that the material in this database has been prepared and shared for informational purposes only and should not be relied upon as legal advice on any particular situation.
*********************************************