Workers Comp derivation filings
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Indiana Department of Insurance Bulletins › Workers Comp derivation filings
Text
Bulletin 10
WORKMEN'S COMPENSATION INSURANCE -- DEVIATION FILINGS
November 25, 1963
In view of the increase of payrolls and premiums over the past several years, effective January 1,
1964 this Department will not permit individual deviations on Workmen's Compensation risks unless an
average annual premium of at least $500.00 for each year of the three year period is developed.
A deviation filing submitted to the Department must be accompanied by:
1.
Experience rating data as promulgated by the Indiana Workmen's Compensation Rating
Bureau.
2.
Affidavit setting out the actual paid premiums and losses for 3 years if risk does not
qualify for experience rating.
The actual credit or debit applied for must be used on the risk.
Deviation filings that apply to Premium Discounts only may be made in duplicate instead of
quadruplicate.
Please advise your Indiana Branch Offices of the contents of this letter.
Harry E. McClain
Insurance Commissioner
This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.