Nebraska Workers’ Compensation
Insurance Plan
 
 
MISCELLANEOUS VALUES
Effective February 1, 2007
APPLICABLE TO ASSIGNED RISK POLICIES ONLY
 
Basis of Premium - applicable in accordance with the footnote instructions for Code 7370 - Taxicab Co.:
     
Employee operated vehicles ........................................................................... $48,476  
Leased or rented vehicles ................................................................................ $32,317  
     
Expense Constant - applicable in accordance with Basic Manual Rule VI-D.3.    ……………………………………………….                      $210
   
Domestic Terrorism, Eartquakes and Catastrophic Industrial Accidents (rate per $100 payroll) ……………………………….. 0.03  
  Terrorism Risk Insurance Act of 2002  (rate per $100 payroll)    ………………………...…………………………………………….. …………………..                                                   0.05  
 
     
Maximum Remuneration - applicable in accordance with Basic Manual Rule IX-A.4.b.:
     
Executive Officers ......................................................................................... $2,500  
 
     
Minimum Remuneration - applicable in accordance with Basic Manual Rule IX-A.4.b.:
     
Executive Officers ......................................................................................... $311  
 
     
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 IX-B.5. .................................................. $32,300  
 
     
United States Longshore and Harbor Workers Compensation Coverage Percentage
     
applicable only in connection with Rule XII-D.3. - U.S. Longshore and Harbor Workers' Compensation Act of the Basic Manual ............ 92%  
 
(Multiply a Non-F classification by a factor of 1.92)    
 
     
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 5.7% 4.5% 3.8% 3.1% 2.6% 1.7% 1.3%  
    $1,000 8.3% 6.7% 5.7% 4.7% 4.0% 2.7% 2.1%  
    $1,500 10.1% 8.2% 7.0% 5.9% 4.9% 3.5% 2.7%  
$2,000 11.5% 9.3% 8.1% 6.8% 5.7% 4.1% 3.2%  
$2,500 12.6% 10.3% 9.0% 7.6% 6.4% 4.6% 3.6%  
     
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.                                                                                                 11/17/2006
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