# IN Bulletin 10: Workers Comp derivation filings

> Indiana · Agency guidance · In force

URL: https://www.frixlaw.com/law-library/statutes/IN_INS_B_10

## Section

- **Citation:** IN Bulletin 10
- **Heading:** Workers Comp derivation filings
- **Jurisdiction:** Indiana
- **Kind:** Agency guidance
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** 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

## Nearby sections

- [IN Bulletin 1 Credit life/accident/health agents' examinations](https://www.frixlaw.com/law-library/statutes/IN_INS_B_1.md)
- [IN Bulletin 2 Auto Insurance Rate Classifications](https://www.frixlaw.com/law-library/statutes/IN_INS_B_2.md)
- [IN Bulletin 3 Accident/sickness insurance guaranteed renewable restrictions](https://www.frixlaw.com/law-library/statutes/IN_INS_B_3.md)
- [IN Bulletin 4 Countersignature law - retaliatory application to commissions](https://www.frixlaw.com/law-library/statutes/IN_INS_B_4.md)
- [IN Bulletin 5 Life insurance commissions - taking assignment/transfer by life agent](https://www.frixlaw.com/law-library/statutes/IN_INS_B_5.md)
- [IN Bulletin 6 Life insurance selling methods and materials - prohibited practices](https://www.frixlaw.com/law-library/statutes/IN_INS_B_6.md)
- [IN Bulletin 7 "Profit sharing" and coupon contracts prohibited practices](https://www.frixlaw.com/law-library/statutes/IN_INS_B_7.md)
- [IN Bulletin 8 Credit life/accident and maximum amount of insurance](https://www.frixlaw.com/law-library/statutes/IN_INS_B_8.md)
- [IN Bulletin 9 Asset value of data processing equipment for Annual Statements](https://www.frixlaw.com/law-library/statutes/IN_INS_B_9.md)
- [IN Bulletin 10 Workers Comp derivation filings](https://www.frixlaw.com/law-library/statutes/IN_INS_B_10.md)
- [IN Bulletin 11 Prohibition on group life dependents coverage](https://www.frixlaw.com/law-library/statutes/IN_INS_B_11.md)
- [IN Bulletin 12 Credit Life and Credit Accident and Health Insurance-Accidental dismemberment Coverage](https://www.frixlaw.com/law-library/statutes/IN_INS_B_12.md)
- [IN Bulletin 13 Assessment plan insurance - health prohibition](https://www.frixlaw.com/law-library/statutes/IN_INS_B_13.md)
- [IN Bulletin 14 Assessment plan Annual Statements - Reserves](https://www.frixlaw.com/law-library/statutes/IN_INS_B_14.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/IN_INS_B_10. Check the current official text before relying on it. Not legal advice.
