Current through Register Vol. 47, No. 17, September 10, 2024
2-1 SURCHARGE REQUIREMENTS FOR INSURANCE
CARRIERS
Pursuant to §
8-44-112(1),
insurance carriers must file semiannual surcharge returns based upon the
premium amounts for the periods July 1 through December 31 of each year and
January 1 through June 30 of each year.
(A) Insurance carriers must use either
Division Form WC 113 or the online surcharge application to file semiannual
surcharge returns.
(B) The
surcharge return must state the amount of premiums written for Colorado
workers' compensation insurance, including any policy expense constants,
membership fees, finance and service, or other administrative fees charged to
the policyholders with the issuance or renewal of policies during the
semiannual period covered by such return. These premiums are the same as the
premiums reported to the Colorado Division of Insurance (DOI) in accordance
with §
10-3-208, and regulations
promulgated thereunder.
(C)
Insurance carriers must verify the surcharge return by affidavits of at least
two chief officers or agents, such as president and secretary.
(D) For the semiannual assessment period July
1 through December 31, carriers must file verifications and pay no later than
the following January 31. For the semiannual assessment period January 1
through June 30, carriers must file verifications and pay no later than the
following July 31.
(E) Insurance
carriers may take a credit for actually refunded premiums as an offset against
surcharges due within one year of the date the premium was refunded. The
insurance carrier may not offset a credit of one subsidiary against the
surcharge owed by another subsidiary.
2-2 SURCHARGE REQUIREMENTS FOR SELF-INSURED
EMPLOYERS
Pursuant to §
8-44-112(3) every
self-insured employer must report its semiannual payroll to the Division
utilizing the division's online surcharge application.
(A) The filing must include the National
Council on Compensation Insurance (NCCI) class codes, job titles and payroll
for each employee, as instructed by the online surcharge application. The
Division may request further information to verify the reported payroll data.
The failure to report payroll timely or accurately may result in the
computation of surcharge without the otherwise applicable discounts.
(B) Self-insured employer surcharges must be
based on the manual premium, adjusted by Pinnacol Assurance discount applicable
for the covered surcharge assessment period and modified by the experience
rating factor as calculated by NCCI. No other rating factor shall be allowable.
If the self-insured employer is unable to develop the experience rating factor,
the employer may apply to the director for approval to use a 1.0 experience
rating factor for the following surcharge rating period.
(C) Self-insured employers must provide a
completed NCCI form setting forth all of the information and methodology used
in the calculation of the experience modification using the Division's online
surcharge application. For the semiannual assessment period July 1 through
December 31, self-insured employers must report payroll and pay no later than
January 31. For the semiannual assessment period January 1 through June 30,
self-insured employers must report payroll and pay no later than July
31.
(D) All filings must be
accompanied by an affidavit from a representative of the self-insured employer
attesting to the accuracy of the included information.
(E) The division may audit any self-insured
employer for purposes of ascertaining the correctness of the reported wage
expenditure, number of persons employed, accuracy of information upon which the
experience rating factor was calculated and such other information as may be
necessary.
(F) If it is determined
following an audit that the surcharge paid was incorrect as a result of
inaccurate data or calculations submitted to the division, the director may by
order retroactively adjust the surcharge to reflect accurate data or
calculations.
2-3
SURCHARGE REQUIREMENTS FOR SELF-INSURANCE POOLS
Effective for the semiannual assessment period July 1, 2021
through December 31, 2021 and continuing thereafter, every self-insurance pool
must report its semiannual payroll pursuant to §§
8-44-112(3) -204
and -205, using Division Form WC 112.
(A) The filing must include the National
Council on Compensation Insurance (NCCI) class codes, job titles, and
individual payroll for each employee of each pool member, as well as aggregate
total payroll for each class code in a spreadsheet format. The Division may
request further information to verify the reported payroll data. The failure to
report payroll timely or accurately may result in the computation of surcharge
without the otherwise applicable discounts.
(B) Each self-insurance pool member must
provide a completed NCCI form setting forth all of the information and
methodology used in the calculation of the experience modification. The pool
also must set forth the methodology used in calculating its weighted experience
rating factor. If any pool member is unable to develop the experience rating
factor, the pool may apply to the director for approval to use a 1.0 experience
rating factor for that member for the following surcharge rating
period.
(C) Self-insurance pool
surcharges must be based on the manual premiums of each pool member, adjusted
by Pinnacol Assurance discount applicable for the covered surcharge assessment
period and modified by the pool's weighted experience rating factor. No other
rating factor shall be allowable.
(D) For the semiannual assessment period July
1 through December 31, self-insurance pools must report payroll and pay no
later than January 31. For the semiannual assessment period January 1 through
June 30, pools must report payroll and pay no later than July 31.
(E) All filings must be accompanied by an
affidavit from a representative of the self-insurance pool attesting to the
accuracy of the included information.
(F) The Division may audit any self-insurance
pool for purposes of ascertaining correctness of the reported wage
expenditures, number of persons employed, accuracy of information and
methodology upon which the experience rating factors were calculated, and such
other information as may be necessary.
(G) If it is determined following an audit
that the surcharge paid was incorrect as a result of inaccurate data or
calculations submitted to the division, the director may by order retroactively
adjust the surcharge to reflect accurate data or calculations.
2-4 SURCHARGE RATES
The following surcharge rates shall apply for the period
beginning July 1 and continue indefinitely with periodic review by the
director:
(A) The workers'
compensation cash fund premium surcharge rate authorized by §
8-44-112(1)(a),
shall be 1.40 percent of the amount of all premiums written as defined in
section 2-1(b) or the premium equivalent amount established in section 2-2(b)
of this rule.
(B) The additional
assessment to fund the cost containment program authorized by §
8-44-112(1)(b)(i),
shall be 0.03 percent of all premiums written, as defined in section 2-1(b).
This assessment shall not be imposed on self-insured employers.
(C) The assessment to fund the subsequent
injury fund authorized by §
8-46-102(2)(a)(i),
and the major medical fund authorized by §
8-46-202 shall be 0.0 percent of
all premiums written as defined in section 2-1(b) or the premium equivalent
amount established in section 2-2(b) of this rule.