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National Council on Compensation Insurance Regulatory Services

JUNE 3, 2016 IF-2016-06-01

STATUS OF ITEM FILINGS

ACTION NEEDED

Review changes in the Status of Item Filings for impact on your company’s system.

BACKGROUND This circular contains national item and state filing approvals, disapprovals, withdrawals, etc., that have been filed with the regulators as of the date of this circular. It is updated on a weekly basis and is labeled so that readers can understand what version of the circular they are reviewing.

For example, the first circular released in the month of July 2015 is labeled IF-2015-07-01. The 01 symbolizes the first update for the month of July. The second through fourth weeks of the month are labeled 02–04, respectively.

For item filing details, please refer to the announcement circular identified for each item filing. States with statuses that have changed are boldfaced and shaded.

IMPACT See the following chart for a list of changes by state.

Arkansas law does not permit NCCI to file rules and rates on its members’ behalf. Therefore, insurance carriers must make an independent filing with the Arkansas Insurance Department electing to adopt, or not adopt, an item filing filed by NCCI and subsequently approved by the Department. When such a filing is made with the Department, make sure that the NCCI item filing number (not the NCCI circular number) is referenced.

NCCI ACTION NCCI will continue to monitor and issue updates. Additionally, for all item filings that contain a Form that will be published in NCCI’s Forms Manual of Workers Compensation and

Employers Liability Insurance, NCCI will provide a downloadable link to this Form upon

receipt of approval from the regulatory authority.

To purchase or request further information regarding the distribution of this circular,

state-specific filing/approval circulars, and manual pages, contact the Customer Service Center at 800-NCCI-123.

PERSON TO CONTACT

For memorandum and manual page distribution, call 800-NCCI-123.

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Glossary of Terms: Purpose—Intent of filing.

Impacted Industries in This Item—Identifies the impacted industries for national class item filings only. Effective Date—The date that the item is proposed to be effective.

Announcement Circular—The circular number and date of the NCCI circular detailing the content of the indicated item filing.

Technical Contact—The person to be contacted for information relating to the content of the item filing.

Pending—The insurance regulatory authority in the jurisdiction shown has not taken formal action to approve or disapprove the item filing.

Recommended—NCCI provided a copy of the item filing to the independent rating bureau for consideration. Subscribers should contact the independent rating bureau for further details and status.

Effective—The insurance regulatory authority in the jurisdiction shown has approved the item filing.

Not Applicable—The change(s) contained in the item filing is not accepted or recognized in the jurisdiction shown below.

Not Filed—The item filing was not filed with the insurance regulatory authority in the jurisdiction shown because the change(s) contained in the item filing is either already in place or the jurisdiction is a monopolistic state in which NCCI does not submit item filings. This term also applies to all states that are pending committee review or regulator prefiling review.

Disapproved—The insurance regulatory authority in the jurisdiction shown has taken action to disapprove the item filing.

Withdrawn—The rating organization has taken action to withdraw the filing made with the insurance regulatory authority in the jurisdiction shown.

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ITEM B-1429—ESTABLISHMENT OF AUDIT NONCOMPLIANCE CHARGE

PURPOSE This item establishes an Audit Noncompliance Charge (ANC) rule, endorsement, and statistical code to enable a carrier to apply an ANC to employers that do not allow the carrier to examine and audit their records in NCCI’s Basic Manual for Workers Compensation and Employers

Liability Insurance, Statistical Plan for Workers Compensation and Employers Liability Insurance, Forms Manual of Workers Compensation and Employers Liability Insurance, and Assigned Carrier Performance Standards.

EFFECTIVE DATE January 1, 2017

ANNOUNCEMENT CIRCULAR CIF-2015-12

TECHNICAL CONTACT Miriam Jereda 561-893-3192

PENDING NONE

RECOMMENDED CA, MA, MI, MN, NJ, NY

EFFECTIVE AL(2), AR(1), AZ(4), CO(7), CT(4), DC(4), DE(17), FL(12), GA(2), HI(10), IA(2), ID(1), IL(11), KS(12), KY(1), LA(4), MD(5), ME(1), MN(20), MO(7), MS(6), MT(16),NC(15), NE(5), NH(9), NM(4), NV(13), OK(3), OR(14), PA(18), RI(12), SC(8), SD(1), TN(4), UT(2), VA(6), VT(5), WI(19), WV(5) TOTAL NUMBER OF STATES

APPROVED

39

NOT APPLICABLE IN

NOT FILED ND, OH, WA, WY

DISAPPROVED AK, TX

WITHDRAWN NONE

FORM DOWNLOADABLE, IF APPLICABLE

WC 00 04 24, WC 24 06 04 B, WC 25 04 01 A MANUAL PUBLICATION(S) Published by October 2016.

(1) Refer to Approval Circular CIF-2015-13. (2) Refer to Approval Circular CIF-2015-14. (3) Refer to Approval Circular CIF-2015-15. (4) Refer to Approval Circular CIF-2015-16. (5) Refer to Approval Circular CIF-2015-18. (6) Refer to Approval Circular CIF-2015-21. (7) Refer to Approval Circular CIF-2015-23. (8) Refer to Approval Circular CIF-2015-26. (9) Refer to Approval Circular CIF-2015-29. (10) Refer to Approval Circular CIF-2015-30. (11) Refer to Approval Circular CIF-2015-34. (12) Refer to Approval Circular CIF-2015-38. (13) Refer to Approval Circular CIF-2015-42. (14) Refer to Approval Circular CIF-2015-49.

(15) Refer to the North Carolina Rate Bureau Circular Letter # C-15-21, dated November 5, 2015. (16) Refer to Approval Circular CIF-2015-58.

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(19) Refer to WCRB Circular #3134, dated March 18, 2016.

(20) Refer to MWCIA Circular Letter # 16-1688, dated May 5, 2016.

ITEM B-1430—ELIMINATION OF ANNIVERSARY RATING DATE (ARD)

PURPOSE This item eliminates or revises rules and endorsements that reference anniversary rating date (ARD) in NCCI’s Basic Manual for Workers

Compensation and Employers Liability Insurance, Experience Rating Plan Manual for Workers Compensation and Employers Liability Insurance, Statistical Plan for Workers Compensation and Employers Liability Insurance, and Forms Manual of Workers Compensation and Employers Liability Insurance.

EFFECTIVE DATE May 1, 2017

ANNOUNCEMENT CIRCULAR CIF-2015-25

TECHNICAL CONTACT Linda Bello 803-356-8050

PENDING TX

RECOMMENDED CA, MA, MN, NJ, NY, WI

EFFECTIVE AK(3), AL(2), AR(1), AZ(1), CO(8), CT(1), DC(2), DE(11), FL(9), GA(1), HI(2), IA(1), ID(1), IL(3), IN(6), KS(6), KY(1), LA(5), MD(3), ME(1), MI(10), MO(4), MS(1), MT(6), NC(7), NE(4), NH(2), NM(2), NV(1), OK(1), OR(4), PA(12), RI(3), SC(2), SD(2), TN(1), UT(1), VA(6), VT(2), WV(4) TOTAL NUMBER OF STATES

APPROVED

40

NOT APPLICABLE NONE

NOT FILED ND, OH, WA, WY

DISAPPROVED NONE

WITHDRAWN NONE

FORM DOWNLOADABLE, IF APPLICABLE

Form 19-1D, Form 45-3D, Form NC-5000 B, WC 02 03 01 A, WC 09 04 02 A, WC 15 03 03 B, WC 16 03 02 B, WC 17 06 01 G, WC 25 03 01 A, WC 26 03 01 A, WC 26 03 02 A, WC 26 04 01 A, WC 27 03 01 C, WC 36 04 04 A, and WC 43 03 02 A

Notes:

1. Information Page Notes (WC 00 00 01 C) includes information related to completing the Information Page; there is no form downloadable for WC 00 00 01 C.

2. State-specific endorsements are provided for states that have approved Item B-1430.

MANUAL PUBLICATION(S) Published by February 2017. (1) Refer to Approval Circular CIF-2015-31.

(2) Refer to Approval Circular CIF-2015-35. (3) Refer to Approval Circular CIF-2015-39. (4) Refer to Approval Circular CIF-2015-43. (5) Refer to Approval Circular CIF-2015-46. (6) Refer to Approval Circular CIF-2015-47.

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(10) Refer to Michigan Workers’ Compensation Placement Facility Center Letter #268, dated March 24, 2016. (11) Refer to Delaware Compensation Rating Bureau Circular No. 916, dated May 25, 2016.

(12) Refer to Pennsylvania Compensation Rating Bureau Circular No. 1659, dated May 25, 2016.

B-1431—REVISIONS TO BASIC MANUAL CLASSIFICATIONS AND APPENDIX E—CLASSIFICATIONS BY HAZARD GROUP PURPOSE This item revises, establishes, and eliminates certain classifications in

NCCI’s Basic Manual for Workers Compensation and Employers Liability

Insurance (Basic Manual).

IMPACTED INDUSTRIES IN THIS ITEM

National Classifications With Low Credibility to Be Eliminated; State Special Classifications With Low Credibility to Be Eliminated; Classifications to Be Reformatted

EFFECTIVE DATE This item will become effective concurrently with each state’s approved rate/loss cost filing on and after October 1, 2016. Refer to the filing

memorandum, which can be found as an attachment in Circular CIF-2015-56, for state-specific effective dates.

ANNOUNCEMENT CIRCULAR CIF-2015-56, OR-2016-05

TECHNICAL CONTACT Veruschka Zachtshinsky (561) 893-3198

PENDING TX

RECOMMENDED CA, DE, MA, MI, MN, NC, NJ, NY, PA

EFFECTIVE AK(10), AL(2), AR(1), AZ(1), CO(4), CT(5,6), DC(3), FL(8), GA(5), HI(3), IA(1), ID(4), IL(1), IN(3), KS(2), KY(1), LA(2), MD(1), ME(1), MO(4), MS(1), NE(3), NH(2), NM(1), NV(3), OK(2), OR(7), RI(5), SC(6), SD(3), TN(3), UT(1), VA(6), VT(2), WI(9), WV(4)

TOTAL NUMBER OF STATES APPROVED

36

NOT APPLICABLE NONE

NOT FILED MT DISAPPROVED NONE WITHDRAWN NONE FORM DOWNLOADABLE, IF APPLICABLE 45-3C, 09-4D

MANUAL PUBLICATION(S) Published by September 2016. (1) Refer to Approval Circular CIF-2015-57.

(2) Refer to Approval Circular CIF-2015-59. (3) Refer to Approval Circular CIF-2015-60. (4) Refer to Approval Circular CIF-2015-63. (5) Refer to Approval Circular CIF-2016-02. (6) Refer to Approval Circular CIF-2016-05. (7) Refer to Approval Circular CIF-2016-06. (8) Refer to Approval Circular CIF-2016-08.

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ITEM E-1404—ESTABLISHMENT OF A METHODOLOGY TO CALCULATE EXPERIENCE RATING PREMIUM ELIGIBILITY AMOUNTS

PURPOSE This item establishes a methodology for NCCI to calculate and update the experience rating premium eligibility amounts. State-specific premium eligibility amounts will be calculated annually and indexed based on the year-to-year change in a state’s Average Weekly Wage, as estimated by the US Bureau of Labor Statistics Quarterly Census of Employment and Wages (QCEW). This item includes the first annual indexed calculation of each state’s premium eligibility amounts. Subsequent annual calculations will be included in a state’s loss cost/rate filing.

EFFECTIVE DATE This item becomes effective for risks with rating effective dates six months and later after a state’s loss cost/rate effective date, beginning with loss cost/rate effective dates on and after January 1, 2017.

ANNOUNCEMENT CIRCULAR CIF-2015-61

TECHNICAL CONTACT Bill Dodds 561-893-3182

PENDING MA, NC, TX, VA

RECOMMENDED CA, DE, MI, NJ, NY, PA, WI

EFFECTIVE AK(5), AL(2), AR(1), AZ(1), CO(7), CT(1), DC(4), FL(9), GA(5), HI(3), IA(2), ID(2), IL(2), IN(2), KS(4), KY(1), LA(1), MD(5), ME(1), MN(10), MO(6), MS(1), MT(2), NE(5), NH(2), NM(2), NV(1), OK(3), OR(2), RI(6), SC(2), SD(1), TN(1), UT(8), VT(3), WV(2)

TOTAL NUMBER OF STATES APPROVED

36

NOT APPLICABLE NONE

NOT FILED ND, OH, WA, WY

DISAPPROVED NONE

WITHDRAWN NONE

MANUAL PUBLICATION(S) Published by January 2017. (1) Refer to Approval Circular CIF-2015-62.

(2) Refer to Approval Circular CIF-2015-64. (3) Refer to Approval Circular CIF-2016-01. (4) Refer to Approval Circular CIF-2016-03. (5) Refer to Approval Circular CIF-2016-04. (6) Refer to Approval Circular CIF-2016-07. (7) Refer to Approval Circular CIF-2016-09. (8) Refer to Approval Circular CIF-2016-10. (9) Refer to Approval Circular CIF-2016-11.

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STATUS OF STATE ITEM FILINGS State Item Announcement Circular Approval Circular Effective Date Status Form

Downloadab-le, if Applicable Technical Contact AK

01-AK-2016—Es-tablishment of Alaska Exceptions to Rules 2-B-1-P and 2-B-2-H in NCCI’s Basic Man-ual

AK-2016-03 AK-2016-04 7/1/16 Approved Veruschka Zachtshinsky 561-893-3198 FL 01-FL-2016—Es-tablishment of the Florida Workers Compensation In-surance Guaranty Association Sur-charge Notifica-tion Endorsement (WC 09 06 07)

FL-2016-02 7/1/16 Pending Pending Veruschka Zachtshinsky 561-893-3198 GA 02-GA-2015—Es-tablishment of a Georgia Work-Based Learn-ing Program Pre-mium Credit

GA-2015-03 GA-2016-01 7/1/16 Approved Veruschka Zachtshinsky 561-893-3198 MD 01-MD-2016—Es-tablishment of Maryland Special Classification for Governmental Oc-cupations

MD-2016-01 MD-2016-02 1/1/17 Approved Bill Dodds 561-893-3182 MT 02-MT-2015—Revisions to the Montana Experience Rating Subject Premium Eligibility Amounts

N/A MT-2015-07 7/1/16 Approved Miriam Jereda

561-893-3192 MT 03-MT-2015—Revisions to Basic Manual Classifications and Appendix E—Classifications by Hazard Group

N/A MT-2015-09 7/1/16 Approved Miriam Jereda

561-893-3192 MT 04-MT-2015—Revisions to Montana Cancelation and Nonrenewal Endorsement (WC 25 06 01 A)

MT-2015-10 MT-2015-11 4/1/16 Approved WC 25 06 01 B Bill Dodds 561-893-3182

MT

01-MT-2016—Revisions to Basic Manual Rules and Classifications

MT-2016-01 MT-2016-04 7/1/16 Approved Bill Dodds 561-893-3182 MT 02-MT-2016—Montana Construction Executive Supervisors

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STATUS OF STATE ITEM FILINGS (Cont'd) State Item Announcement Circular Approval Circular Effective Date Status Form

Downloadab-le, if Applicable Technical Contact MT 03-MT-2016—Montana Occupational Safety and Health Regulatory Assessment Surcharge

N/A MT-2016-08 7/1/16 Approved Linda Bello

803-356-8050 NH 01-NH-2016—Revisions to Basic Manual Classifications and Appendix E—Classifications by Hazard Group for Homemaker Service Workers

NH-2016-01 NH-2016-02 4/1/16 Approved Linda Bello 803-356-8050 OR 01-OR-2016—Revisions to Oregon Premium Algorithms to Clarify the Balance to Minimum Premium Calculation

OR-2016-01 OR-2016-03 4/1/16 Approved Bill Dodds 561-893-3182 OR 02-OR-2016—Es-tablishment of Ore-gon Amendatory Endorsement (WC 36 06 04)

OR-2016-06 OR-2016-07 1/1/17 Approved WC 36 06 04 Bill Dodds 561-893-3182

OR

03-OR-2016—Revisions to Basic Manual Classifications for Solar Panel and Solar Roofing Tile Installation or Repair

OR-2016-02 OR-2016-04 7/1/16 Approved Bill Dodds 561-893-3182 SC 01-SC-2016—Revision to South Carolina Schedule Rating Plan

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STATUS OF STATE ITEM FILINGS (Cont'd) State Item Announcement Circular Approval Circular Effective Date Status Form

Downloadab-le, if Applicable Technical Contact TX

02-TX-2015—Revisions to Basic Manual Rule 3-A-24-c—Terrorism and the Texas Workers Compensation Premium Algorithm

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