How to Get Your Experience Mod Worksheet

NCCI-States-Map-2014Your Experience Modification Worksheet provides critical calculation info for underwriters. The worksheet allows them to get a quick glance at the riskiness of your organization.

NCCI (the National Council on Compensation Insurance) manages the Workers Compensation details in most states. A few states (see map) operate their own independent bureau. And then, four states, WA, WY, ND, & OH operate the only Workers Compensation option in the state.

For Employers in NCCI States

NCCI provides a letter with 9-digit Risk ID, a “PIN” number and instructions for downloading the Experience Modification Factor Worksheet (aka: Experience Mod Worksheet) directly through their website.

In case you can not locate the letter, you may be able to find the 9-digit Risk ID on your existing policy or a prior worksheet. Alternately, you may call NCCI at 800-622-4123 and then dial option “4”, where you can receive your pin over the phone.

Experience Rating Worksheet For California Employers

If you do not have a copy of your Experience Rating Worksheet, you can request it for free from the WCIRB by filling out this form.

Jon Barron

Jon Barron

Few people seek friendship with a car salesman... but that's neither the reason I entered nor exited the car business. Today, many people refer to me by a number of titles, one of which is insurance salesman, but the title only covers one small aspect of my roles. I hope I'm able to bring honor to each role I fulfill – husband, father, elder, teacher, facilitator, mentor, woodworker, fisherman, and more.

Expertise. For over 30 years, I've been blessed with diverse experience and many opportunities to listen and develop solutions to meet my clients' goals. I enjoy serving non-profit organizations as a risk management consultant and insurance broker.

Partnership. Partnership with our clients is founded on award-winning service, eduction and solid risk management expertise. Many clients think of our team as an extension of their own staff, providing insight, guidance and insurance brokerage services. It is a privilege to be recognized as a valued partner in helping our partner-clients achieve their risk management and financial goals.

Education. I’m fortunate to interact with great leaders as I teach about insurance and risk management... a normally-tedious topic which we seek to liven up through interactivity, discussion, and real-life examples. We bring a national perspective to the discussion to ensure relevance and practical application. In our seminars and discussions, we promote a wholistic risk management philosophy with practical steps for each person to take back and implement.

I welcome any questions you might have. I would enjoy the opportunity to chat on the phone about your goals, speak with your board about their role in risk management, facilitate staff workshop, or explore whether it might make sense for the Merriam Agency to be your insurance broker.

Specialties:
• Insurance for Non-Profit and Social Service Organizations
• Cyber, D&O, & Employment Practices Liability
• Professional Liability & Medical Malpractice
• Unique & Hard-To-Insure Risks

Branch Manager:
Colorado Springs, CO

(719) 488-3206 Direct



Jon Barron

About Jon Barron

Few people seek friendship with a car salesman... but that's neither the reason I entered nor exited the car business. Today, many people refer to me by a number of titles, one of which is insurance salesman, but the title only covers one small aspect of my roles. I hope I'm able to bring honor to each role I fulfill – husband, father, elder, teacher, facilitator, mentor, woodworker, fisherman, and more.

Expertise. For over 30 years, I've been blessed with diverse experience and many opportunities to listen and develop solutions to meet my clients' goals. I enjoy serving non-profit organizations as a risk management consultant and insurance broker.

Partnership. Partnership with our clients is founded on award-winning service, eduction and solid risk management expertise. Many clients think of our team as an extension of their own staff, providing insight, guidance and insurance brokerage services. It is a privilege to be recognized as a valued partner in helping our partner-clients achieve their risk management and financial goals.

Education. I’m fortunate to interact with great leaders as I teach about insurance and risk management... a normally-tedious topic which we seek to liven up through interactivity, discussion, and real-life examples. We bring a national perspective to the discussion to ensure relevance and practical application. In our seminars and discussions, we promote a wholistic risk management philosophy with practical steps for each person to take back and implement.

I welcome any questions you might have. I would enjoy the opportunity to chat on the phone about your goals, speak with your board about their role in risk management, facilitate staff workshop, or explore whether it might make sense for the Merriam Agency to be your insurance broker.

Specialties:
• Insurance for Non-Profit and Social Service Organizations
• Cyber, D&O, & Employment Practices Liability
• Professional Liability & Medical Malpractice
• Unique & Hard-To-Insure Risks

Branch Manager:
Colorado Springs, CO

(719) 488-3206 Direct