Workers' compensation insurance carriers (INSURER) in the voluntary market
have a minimum annual payroll and premium that an employer (INSURED) must
meet, in order for the risk to be considered by the insurer.
The average minimum annual payroll and premium differ for each carrier in
the voluntary market.
Average Minimum Annual Payroll: $150,000.00
Average Minimum Annual Premium: $10,00.00
A particular type of service (RISK) may also cause the carrier in the voluntary
market to not consider the employer for coverage.
In addition, a minimum of two to three years of prior continuing workers'
compensation coverage may be required, in order for the risk to be considered
by a carrier in the voluntary market. The carrier also takes into consideration
the employer's Payroll, Classification Codes and Experience Modification Rating,
also known as an Xmod.
Please refer to the link for additional details: http://www.wcirb.com/faq
If the employer does not meet the minimum requirements, then they must seek
coverage through their individual state fund or an assigned risk
plan.
Note: Employers that are based in a monopolistic state, must seek coverage
through their state.
Voluntary Market: A group of insurers that elect to write insurance
in a competitive environment retaining the right*- to accept and reject business
submitted. More specifically, the term also applies to the two types of mandatory
insurance: automobile liability and workers compensation. In these instances,
voluntary market refers to the insurers that provide coverage to desirable
risks while rejecting the less attractive risks, which must then be afforded
coverage through assigned risk markets.
Competitive State Funds: State-owned and operated facilities that compete
with commercial insurers in writing workers compensation insurance specific
solely to that state. The states with these funds are Arizona, California,
Colorado, Hawaii, Idaho, Kentucky, Louisiana, Maine, Maryland, Minnesota,
Missouri, Montana, New Mexico, New York, Oklahoma, Oregon, Pennsylvania, Rhode
Island, Texas, Utah, and West Virginia.
Assigned Risk Plan: A method of providing insurance required by state
insurance codes for those risks that are unacceptable in the normal insurance
market. Every state, with the exception of those that are monopolistic,
has a workers compensation assigned risk plan, which is either a stand-alone
entity or part of the competitive state fund. All insurers writing workers
compensation coverage in the voluntary insurance market must also participate
in the plan. Refer to: National
Council on Compensation Insurance
Monopolistic State Funds: Jurisdictions where an employer must obtain
workers compensation insurance from a compulsory state fund or qualify as
a self-insurer (as is allowed in two of the jurisdictions). Such insurance
is not subject to any of the procedures or programs of the National Council
on Compensation Insurance (NCCI). Instead, each jurisdiction has its own rules
and regulations that govern the placement and administration of workers compensation
insurance. The following states/jurisdictions are monopolistic fund states:
North Dakota, Ohio, Washington, Wyoming, Puerto Rico, and the U.S. Virgin
Islands.
Professional Employer Organization (PEO): A Professional Employer Organization
(PEO) is defined as an organization that provides an integrated and cost effective
approach to the management and administration of the human resources and employer
risk of its clients, by contractually assuming substantial employer responsibilities
and risk, through the establishment and maintenance of a co-employer relationship
with the client's employees.
In co-employment, the PEO becomes the employer of record for tax purposes,
filing paperwork under its own tax identification numbers. The client company
continues to direct the employees' day-to-day activities. PEOs charge a service
fee for taking over the human resources and payroll functions of the client
company: typically, this is from 3 to 15% of total gross payroll.
This fee is in addition to the normal employee overhead costs, such as the
employer's share of FICA, Medicare, and unemployment insurance withholding.
One key service usually provided by a PEO is to secure workers' compensation
insurance coverage at a lower cost than client companies can obtain on an
individual basis.
Essentially, a PEO obtains workers' compensation coverage for its clients
by negotiating insurance coverage that covers not just the PEO, but also the
client companies. This is allowed because legally the PEO is the co-employer
of the workers at the client companies. PEOs can also offer basic levels of
background & drug screening.
Please refer to the California Department of Industrial Relations link regarding
Professional Employer Organizations: http://www.dir.ca.gov/peo.html
Click on the state to be directed to their State Fund's website:
Alabama
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Alaska
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Nebraska
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Nevada
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Arkansas
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New Hampshire
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*California
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Connecticut
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Georgia
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Illinois
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Iowa
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Kansas
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South Dakota
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Vermont
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Virginia
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West Virginia
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Mississippi
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* DCI is an appointed broker for the CA State Compensation Insurance Fund