Filing Requirements

Workers' Compensation

1. Workers' Compensation Loss Cost Modification Factors



2. Other Workers' Compensation Rates, Plans, Rules, or Rating Values



3. Workers' Compensation Policy Forms or Endorsements

(Note: Forms or endorsements filed as an exemption to accommodate insurer approved rating plan or rating system deviation must submit filings under both 2 and 3 above. Insurers must use uniform statutory approved forms filed by a licensed workers' compensation rating organization.)