Workers’ Comp E-Mod Factor (part 3 of 3)

2016 05-May 31 (10)

Every year each insurance organization receives an annual report from National Council on Compensation Insurance (NCCI). The report is usually a letter with a link to a website to get the actual report. Every WC policy is evaluated every year to determine if the number of claims was above or below the anticipated amount. The insurance company uses formulas to pre-determine what they expect each policy to have in annual claims.

 

The number of claims and the dollar amount of the claims affects the experience modification factor or E-Mod Factor.” The Mod Factor is the figure which is multiplied against the total premium to get the final premium. Mod Factors range from about 0.80 to 1.49 with the average being 1.00.

 

The report from NCCI will list the org’s most recent Mod Factor. If the Mod Factor is below 1.00 then the original premium will be discounted. If the Mod Factor is above 1.00 then there is an extra amount to be paid in the WC premium. Of course, if the Mod Factor is exactly 1.00 then there isn’t a discount or a surcharge.

 

Organizations want to have Mod Factors under 1.00 in order to get discounts. However, do not jeopardize the safety of your employees nor hurt them when there is an accident and they need WC coverage. Mod Factors are on a three-year rotation. Accidents and claims that happened four years ago are no longer reflected on the Mod Factor.

 

Bottom line: use WC appropriately, try to keep the Mod Factor low by having a safe work environment, pay the premiums each year, and always know your Mod Factor.

 

Lead On!

Steve