| Experience Rating Frequently Asked Questions | ||
Will the new experience rating plan push more firms to factors above 1.0 in 2007 from experience factors below 1.0 2006?
No. We estimate that more firms would have seen their experience factors move above 1.0 in 2007 from below 1.0 in 2006 under the prior plan. In a recent study of firms with compensable claims the proposed 2007 experience factors were compared to the 2007 experience factors using the prior experience rating plan (updated to 2007 cost levels). Of the firms with experience factors under 1.0 in 2006, it is estimated that 3,146 have a factor over 1.0 using the proposed 2007 plan while 3,613 would have a 2007 factor over 1.0 using the prior plan.
A worker died as the result of a workplace injury. They had no survivors, so the claim cost was small. Why is the firm charged the cost of the average fatal claim instead of the cost of their actual fatal claim for purposes of experience rating?
The actual cost of a death claim varies greatly depending on the number and ages of the survivors, not the hazards of the workplace. In order to improve the prediction of future expected losses, the actual fatal claim cost is replaced with the average fatal claim cost in the experience rating calculation. The average is computed over all Washington State Fund death claims during the three year experience period. By using the average death claim cost, all firms with death claims are charged an amount reflecting the seriousness of these injuries. This is also done in other jurisdictions, such as California.
Why do we use a three year period ending 18 months before the rating year as the experience period?
There are three criteria that should be considered in selecting the experience period:
The selected experience period is a compromise between the three criteria above. Three years is long enough to provide sufficient claim data in the calculation. The period is old enough that the costs of individual claims can be estimated, but the data still reflect the recent activity of the firm.
This is also the common practice used in other states.
Where can I go to find my firm's experience modification factor, or to see the calculation of my firm's experience modification factor?
Your account manager can provide you with the calculation of your experience modification factor. Your account manager's phone number is on your quarterly report. You can also call 360‑902‑4817 for general information or to be directed to your account manager.
What is the effect of the new experience rating plan on the return premiums for retrospectively rated firms?
The actuaries estimate that the new experience rating plan will not have a significant impact on the overall retro refunds. This is based on an actuarial study of rating years 2000 through 2004 that showed the new plan would have reduced retro loss ratios by approximately 0.3% in aggregate, which is statistically insignificant. However individual retro associations may see some offsetting impacts depending on the specific sizes and loss histories of their enrolled firms.
Why are the experience factors increasing for large firms with good claim experience?
In actuarial studies of Washington data we observed that large firms with low experience factors had larger loss ratios (the ratios of incurred claim costs to assessed premiums) than large firms with high experience factors. By lowering the weight, or credibility, given to the actual claim experience of large firms the experience factors for those with better claim experience will increase and the factors for those with worse claim experience will decrease. With this change the assessed rates should be more proportional to the expected claim costs for large firms, bringing the subsequent loss ratios into balance, and making the plan more fair.
My firm has been compensable claim free for over ten years. Why doesn't my Experience Factor get better each year?
Currently we only consider three years of experience in the calculation of the Experience Modification Factor. In order to give firms credit for more than three years of compensable-claim-free experience we would need to consider more than three years of experience in the Experience Rating Plan. We may change the plan in the future to consider additional years of experience.
My firm has no compensable claims and many employees. Why isn't my Experience Factor smaller?
The compensable-claim-free discount is based upon a firm's Expected Losses, not the number of employees. For Experience Rating it is standard industry practice among workers' compensation insurers to use a firm's Expected Losses to determine the weight assigned to the firm's past actual claim experience. A firm may have many employees, but these employees may be classified in low hazard occupations. In such a case the Expected Losses for the firm would still be low, so less weight would be given to their good loss experience when calculating their premium rates.
L&I encourages firms to keep injured workers on salary to avoid losing the compensable-claim-free discount. Why can't I pay the Permanent Partial Disability (PPD) awards for my employees as well, to avoid losing my firm's compensable-claim-free discount?
One of the purposes of the Experience Rating Plan is to use a firm's past actual losses to help estimate their future claim costs. Studies show that firms that have had larger compensable claims in the past are likely to have larger claim costs in the future. Permanent Partial Disability, and other larger compensable claims, are included in the Experience Rating Calculation to improve the accuracy, and therefore the fairness, of the rates. A more accurate rating system is more fair because the premiums assessed for each firm will reflect the future costs that firm is expected to bring to the workers' compensation system.
Why are we changing the Experience Rating calculation?
The proposed 2007 changes to the Experience Rating Plan will accomplish three things:
What is the $1,510 deduction used for non-compensable claims?
For rating year 2007 we are proposing to reduce the cost of non-compensable claims in the Experience Factor calculation by the lesser of $1,510 or the cost of the claim. The deduction of $1,510 is twice the average cost of a non-compensable claim. This change will help to ensure that small claims entering the recent claims experience cause small increases to the Experience Factor.
The use of this deduction will remove approximately 70% of the non-compensable claim costs from the Experience Rating calculation.
What is Credibility?
Credibility is the weight assigned to a firm's Actual Losses and (100% minus Credibility) is the weight assigned to a firm's Expected Losses when calculating the firm's Credible Actual Losses. The greater the Credibility, the more weight is given to the firm's Actual Losses in the calculation of the Experience Modification Factor.
How many firms would get a higher or lower Experience Modification Factor using the proposed 2007 Experience Rating Plan?
Each year, approximately 80% of the firms have compensable-claim-free experience and these firms will have no significant change to their experience rating calculation. Of the remaining 20% of firms that are not compensable-claim free, applying the new Experience Factor Calculation to historical data for firms with compensable claims, approximately 41% of these firms would have a larger Experience Factor under the new plan and approximately 41% would have a smaller Experience Factor under the new plan and the remaining 18% would have the same factor under either plan based upon a study of rating year 2007 data. So approximately 41% of 20% = 8% of all firms will have a larger factor as a result of the changing of the plans.
Note that based on a study of rating years 2000 through 2004, it was previously estimated that of the remaining 20% of the firms that are not compensable claim-free, 44% of the firms would have larger factors, 39% would have smaller factors and 17% would have the same experience factor using the new plan.
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