FAQS About Workers Compensation – Good to Know!
Q: How are my premiums determined?
A: Premiums are derived by a few different factors that include annual payrolls,
job classifications, and a numerical modifier called an “Experience Modification
Factor” or an (ex-mod), it is much like a credit score it’s calculated
by your “loss history”. A loss history includes the total incurred
costs for the claims in a policy period.
Q: Are Ex-Mod’s always correct?
A: No. It is estimated that approximately 20% of ex-mods contain
Q: Do all of the claims filed against my policy affect my
A: No. “take-nothings” which are proven “claim denials” that
have incurred costs but have been determined by a judge to be non-compensable
are not included in unit stat reports. (Unit stat reports are reported to the
state who then calculates your ex-mod).
Q: How long can
a claimant receive temporary disability benefits?
A: Beginning in '04 there is a 104 week cap, with very strict exceptions.
Q: What are the exceptions to work injuries
being workers comp claims?
A: These are the employer’s exceptions to compensation:
intentionally self inflicted, or if the injured is the initial aggressor
in an altercation,
or if the injury results while committing a felony for which he is convicted,
if injury results from a non-condoned recreational activity, alcohol intoxication
or a controlled substance – although difficult to apply.