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47°ea DEPARTMENT OF FINANCE
AND ADMINISTRATION
PHONE (970) 356-4000, Ext. 4218
FAX: (970) 352-0242
P. O. BOX 758
O GREELEY, COLORADO 80632
•
COLORADO
October 22, 2002
Ty Pixler
Senior Account Manager
Arthur J. Gallagher & Co.
7900 East Union Avenue, Suite 200
Denver, CO 80237
RE: Weld County Workers' Comp
Dear Ty:
Enclosed is a letter from the State indicating our NCCI rating should take into account the new
$5,000 deductible policy. Could you make sure that NCCI is aware of this change when they do
Weld County's NCCI rating for 2003. Thanks for your help.
If you have questions or need additional information, please do not hesitate to contact me at
(970) 356-4000, Extension 4218.
Ve ruly!yours,
o d D. Warden, Director
Finance and Administration
Ddw/ch
261
RILLCWENS DEPARTMENT OF LABOR AND EMPLOYMENT
Governor
DIVISION OF WORKERS'COMPENSATION
F'CO
VICKIE J.ARMSTRONG 1-.
<O,P EMPLOYER SERVICES
Executive Director
p Two Park Central,Suite 600
JEFFREY M.WELLS 1515 Arapahoe Street
Deputy Executive Director 4, Denver Colorado 80202-2117
,,F 1876 * (303)318-8640
MARY ANN WHITESIDE (303)318-8651 FAX
Director
October 11, 2002
Donald Warden
Weld County
Director Finance & Administration
P.O. Box 758
Greeley, CO 80632
As you may have noticed, the calculation procedure for your State
of Colorado Workers' Compensation surcharge report has changed. The
calculation includes a hazard group discount that is based on a $5, 000
deductible. This means your surcharge is based on a premium equivalent
to a policy with a $5, 000 deductible.
Your surcharge calculation is also based on your workers' compensation
experience rating, as developed by the National Council on Compensation
Insurance (NCCI) . This rating is derived from an evaluation of the
frequency and severity of your workers' compensation losses . Although
all workers' compensation claims and costs must be reported by you to
NCCI for this evaluation, Colorado regulations require that NCCI only
consider those loss costs and claims above $5, 000 if the experience
rating is developed using only Colorado payroll and claim information.
If your company has no operations in other states, or if your company
receives an NCCI mod for Colorado employees only, you may request NCCI
to calculate your mod based on a $5, 000 deductible policy. If your
company has its mod calculated using states in addition to Colorado you
will have to contact NCCI at 1-800-622-4123 to determine if you can
benefit from having your experience mod based on a $5, 000 deductible
policy.
Sincerely,
Bill Loften
Revenue Assessment Officer
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