| Nebraska Workers Compensation Insurance Plan | |||||||||||
| MISCELLANEOUS VALUES | |||||||||||
| Effective February 1, 2010 | |||||||||||
| APPLICABLE TO ASSIGNED RISK POLICIES ONLY | |||||||||||
| Basis of Premium - applicable in accordance with the footnote instructions for Code 7370 - Taxicab Co.: | |||||||||||
| Employee operated vehicles ........................................................... | $55,124 | ||||||||||
| Leased or rented vehicles .................................................................. | $36,749 | ||||||||||
| Expense Constant - applicable in accordance with Basic Manual Rule 3-A-11 $240 | |||||||||||
| Catastrophe (other than Certified Acts of Terrorism) . 0.03 | |||||||||||
| Terrorism (rate per $100 payroll) . | . . 0.03 | ||||||||||
| Maximum Remuneration - applicable in accordance with Basic Manual Rule 2-E-1: | |||||||||||
| Executive Officers, Code 9178 - "Athletic Sports or Park: Non-Contact Sports," Code 9178 - "Athletic Sports or Park: Contact Sports," and Code 9186 - "Carnival - Traveling" ................................................. | $2,800 | ||||||||||
| Minimum Remuneration - applicable in accordance with Basic Manual Rule 2-E-1: | |||||||||||
| Executive Officers, Code 9178 - "Athletic Sports or Park: Non-Contact Sports," Code 9178 - "Athletic Sports or Park: Contact Sports," and Code 9186 - "Carnival - Traveling" ................................................. | $353 | ||||||||||
| Per Passenger Seat Surcharge - In accordance with the footnote instructions for Classification | |||||||||||
| Code 7421, the surcharge is ........................................... | $100 per passenger seat | ||||||||||
| Maximum surcharge per aircraft | $1,000 | ||||||||||
| Premium Determination for Partners and Sole Proprietors, and Members of a Limited Liability Company | |||||||||||
| in accordance with Basic Manual Rule 2-E .... ......................................... | $36,700 | ||||||||||
| United States Longshore and Harbor Workers Compensation Coverage Percentage | |||||||||||
| U.S. Longshore and Harbor Workers' Compensation Percentage applicable only in connection with Basic Manual Rule 3-A-4 . ............ | 78% | ||||||||||
| (Multiply a Non-F classification by a factor of 1.78) | |||||||||||
| Percentage Premium Reduction - the following reduction percentages are applicable by hazard group, for employers electing medical benefits per claims deductibles as designated below: | |||||||||||
| Deductible Amount | Hazard Groups | ||||||||||
| Medical Benefits | |||||||||||
| Per Claim | A | B | C | D | E | F | G | ||||
| $500 | 4.9% | 3.7% | 3.1% | 2.5% | 2.1% | 1.4% | 1.0% | ||||
| $1,000 | 7.5% | 5.9% | 5.0% | 4.1% | 3.4% | 2.3% | 1.7% | ||||
| $1,500 | 9.2% | 7.3% | 6.2% | 5.1% | 4.3% | 3.0% | 2.2% | ||||
| $2,000 | 10.5% | 8.3% | 7.1% | 6.0% | 5.0% | 3.5% | 2.6% | ||||
| $2,500 | 11.6% | 9.3% | 7.9% | 6.7% | 5.6% | 3.9% | 3.0% | ||||
| Premium Discount Percentages - the following premium discounts are applicable to Standard Premiums: | |||||||||||
| First | $5,000 | - | |||||||||
| Next | $95,000 | 10.9% | |||||||||
| Next | $400,000 | 12.6% | |||||||||
| Over | $500,000 | 14.4% | |||||||||
| Experience Rating Eligibility | |||||||||||
| A risk is eligible for intrastate experience rating when the payrolls or other exposures developed in the last year or last two years of the experience period produced a premium of at least $6,000. If more than two years, an average annual premium of at least $3,000 is required. | |||||||||||
| Filed on behalf of Travelers Indemnity Company. 12/17/2009 | |||||||||||
| NWCIP Home Page | |||||||||||