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Title Type Number
Application for Group - Retrospective Rating

Used by organizations that want to form a retrospective rating group, or by established groups to modify their retro plan or maximum premium ratio.

Form F250-007-000
Application for Group Membership & Authorization for Release of Insurance Data

Used by employers who want to join a retrospective rating group; also, to authorize Labor & Industries to release the employers' insurance data to the retrospective rating group they want to join.

Form F250-016-000
Group Retrospective Rating Agreement

Used by organizations to set up an agreement with L&I authorizing their participation in retrospective rating.

Form F250-004-000
Individual Retrospective Rating Plan Agreement

Used by employers to set up an agreement between them and L&I authorizing their participation in retrospective rating.

Form F250-003-000
Retrospective Rating

Pamphlet: Provides information about how employers can enroll in a Retrospective Rating program to lower claim costs and reduce workers' compensation experience factor.

Publication F250-006-000
Your search for "retro" returned 5 documents.



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