Transcription of WORKERS COMPENSATION EXPERIENCE RATING
1 StateWtSRPExp ExcessLossesExpectedLossesExp PrimLossesAct Exc LossesBallastAct Inc LossesAct PrimLossesIL0101,412117,88116,469052, (A)Wt(B)(C) Exp ExcessLosses (D - E)(D) ExpectedLosses(E) Exp PrimLosses(F) Act ExcLosses (H - I)(G) Ballast(H) Act IncLosses(I) Act ,412117,88116,469052,80000 SARAPARAP (J).84 (J) / (K)Exp Mod170,681 Primary LossesStabilizing ValueRatable ,469144,07110,141(I)C * (1 - A) + G (A) * (F) (K) (A) * (C)C * (1 - A) + G(E)Factors144,071 Actual0144,0710 MAARAPRisk ID:121467062CT MECHANICAL LLC WORKERS COMPENSATION EXPERIENCE RATINGS tate: RATING Effective Date:Production Date: ILLINOIS 02/22/201309/26/2012 Risk Name:Copyright 1993-2012, All rights reserved.
2 This EXPERIENCE modification factor is comprised of compilations and information which are the proprietary and exclusive property of the National Council on COMPENSATION Insurance, Inc. (NCCI). No further use, dissemination, sale, transfer, assignment or disposition of this EXPERIENCE RATING modification factor or any part thereof may be used without the written consent of NCCI. NCCI makes no representation or warranty, expressed or implied, as to any matter whatsoever including but not limited to the accuracy of any information, product or service furnished hereunder and, as to NCCI, recipient of this EXPERIENCE RATING modification factor subscribes to and utilizes the information service as is.
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