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Statute of Limitations Indiana

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Statute of Limitations Indiana document sample

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									                                                                   Indiana Workers Compensation Item Filings List
                                                                                  prepared by ICRB
                                                                                                                             Board
                                                    Effective                                                                         Assigned    AR     Received    Filed by
   Item #                Title of Filing                                            Brief Description                       Vote or                                              NCCI Circular
                                                      Date                                                                              Risk     count    at DOI       DOI
                                                                                                                              DOI
                                                                This item:
                                                                -Revises Experience Rating Plan Manual Rule 1-D-4 so
                Revision to Experience Rating                   employers can obtain their own experience rating
                                                                                                                            Board
   E-1401       Plan Manual Rule 1-D-4 Related      7/1/2011    modification worksheets electronically                                                                           CIF-2010-19
                                                                                                                            Vote
                to Worksheet Distribution                       -Creates or revises certain state exceptions to ERM Rule
                                                                1-D-4 regarding experience rating worksheet distribution
                                                                to the employer
                                                                This item amends the assigned risk deposit premium
                                                                rules located in the Basic Manual Rule 3-A-6 by:
                Revisions to Basic Manual Rule 3-               • Clarifying existing rules                                 Board                                                Plan-IN-2010-
RM-02-IN-2010                                       1/1/2011                                                                            yes       1
                A-6 Deposit Premium                             • Reducing the maximum number of permitted additional       Vote                                                       02
                                                                payments during the year for policies with an estimated
                                                                annual premium of at least $25,000
                                                                This item creates two Indiana state exceptions to NCCI’s
                                                                Assigned Carrier Performance Standards for:
                Revision to Assigned Carrier
                                                                • PS 3-C-2, regarding midterm policy changes resulting
                Performance Standards 3-                                                                                    Board                                                Plan-IN-2010-
RM-01-IN-2010                                       1/1/2011    from an employer-requested Waiver of Our Right                          yes       1      9/17/2010   9/22/2010
                Underwriting and 7-Billing and                                                                              Vote                                                       01
                                                                to Recover From Others Endorsement (WC 00 03 13),
                Collection of Premium
                                                                and
                                                                • PS 7-A-2, regarding billing statements
                Revisions to Basic Manual Part                  Clarify and enhance the Basic Manual by creating a
                                                                                                                            Board
   B-1421       Two-Classifications & Part Four-    1/1/2011    section to display classifications affected by transition                                8/12/2010   9/22/2010   CIF-2010-17
                                                                                                                            Vote
                Classifications Pending                         programs.

                                                                This item:
                Revisions to Basic Manual Rule 2-
                                                                -Revises the procedure for determining the premium
                E-1-B-Executive Officers Premium
                                                                basis for partners & sole proprietors                       Board
   B-1420       Determination, 2-E-3-Partners &     1/1/2011                                                                                             8/12/2010   8/20/2010   CIF-2010-14
                                                                -Revises the average weekly minimum individual payroll      Vote
                Sole Proprietors & Creation of
                                                                limitation for executive officers
                Appendix F
                                                                -Creates Basic Manual Appendix F

                                                                Filed concurrently with RM-W-8036 to correspond with
                Enhancements to LSRP
                                                                rule enhancements. Summary:
                Endorsements WC 00 04 17 A
                                                                - WC 00 04 17 B merges WC 00 04 17 A with WC 00 04
 RM-W-8036      and WC 00 04 18 E and               1/1/2011                                                                 DOI        yes       1      7/1/2010    7/9/2010    Plan-2010-03
                                                                23 A
                Withdrawal of LSRP Endorsement
                                                                - WC 00 04 18 F updates WC 00 04 18 E
                WC 00 04 23 A
                                                                - WC 00 04 23 A withdrawn
                                                                Enhances the current national assigned risk LSRP (see
                                                                RM-W-8028). Filed concurrently with RM-W-8036.
                                                                Summary of IN exceptions:
                Workers Compensation Insurance
                                                                - Indiana threshold is $100,000, not $200,000
                Plan (WCIP) Loss Sensitive
 RM-W-8035                                          1/1/2011    - Upon renewal, servicing carrier must notify employer       DOI        yes       1      7/1/2010    7/8/2010    Plan-2010-03
                Rating Plan (LSRP) Basic Manual
                                                                with premium of $50,000 or more of possible application
                Rule 4-C Enhancement
                                                                of LSRP
                                                                - Servicing carrier only holds the contingency deposit
                                                                and return premium from a final audit until the first
                                                                valuation

       11/18/2010                                                                               1                                          1f4cc652-8371-454e-9dce-450abf69c40b.xls
                                                                                                                               Board
                                                 Effective                                                                              Assigned    AR     Received    Filed by
 Item #              Title of Filing                                                Brief Description                         Vote or                                              NCCI Circular
                                                   Date                                                                                   Risk     count    at DOI       DOI
                                                                                                                                DOI
                                                                Five industries: 1) Banking & Check Cashing Stores 2)
            Revisions to Basic Manual                           Insurance Operations 3) Oil or Gas Lease, Well & Drilling     Board
 B-1419                                          1/1/2012                                                                                                  1/27/2010   1/28/2010   CIF-2009-48
            Classifications and Appendix E                      4) Property & Building Management 5) Country Clubs.           Vote
                                                                Classifications to be clarified, created, or discontinued.
                                                                Revise the General Information section as follows:
                                                                update the format to be more consistent with other NCCI
            Revisions to Forms Manual of         7/1/2011       manuals; remove references to Advisory Forms; expand          Board                                                CIF-2009-65
 P-1408     Workers Compensation and            (changed from                                                                                              1/27/2010   1/28/2010
                                                                the numbering for carrier specific                            Vote                                                 CIF-2009-67
            Employers Liability Insurance         7/1/2010)
                                                                endorsements; revise several national and state specific
                                                                endorsements
                                                                Three industries: 1) Construction Yard 2) Wallboard
            Revisions to Basic Manual                           installation and plastering 3) Painting. Classifications to   Board
 B-1417                                          1/1/2011                                                                                                  9/16/2009   9/17/2009   CIF-2009-48
            Classifications and Rules                           be modernized, consolidated, created, discontinued,           Vote
                                                                and/or clarified.
            Revisions to Basic Manual
                                                                Establish new ―Code 7402—Aviation—Air Traffic
            Classifications for Air Traffic
 B-1418                                          1/1/2010       Controllers Under Contract with the FAA.‖ Reassign             DOI                         9/2/2009    9/10/2009   CIF-2009-45
            Controllers Under Contract With
                                                                payroll for these entities from Code 7403.
            the FAA
            2009 Update to Retrospective
            Rating Plan Parameters–State
                                                                Updates the State Hazard Group Relativities in Retro
            Hazard Group Relativities
 R-1401                                          1/1/2010       Manual; Discontinues alternative four-hazard-group             DOI                         9/2/2009    9/10/2009    CIF 2009-38
            –Revision to Retrospective Rating
                                                                option.
            Plan Manual Rule 3F –Revision to
            Basic Manual Appendix E
            2009 Update to Retrospective
                                                                Update Expected Loss Ranges and ELFs. Last update was
 R-1400     Rating Plan Parameters–Excess        1/1/2010                                                                      DOI                         9/2/2009    9/10/2009    CIF 2009-37
                                                                in R-1397.
            Loss Factors
                                                                Creates a national residual market TOC Program in Basic
            Establishment of Basic Manual
                                                                Manual Rule 4F; eliminates state specific TOC rules in        Board
RM-W-8034   Rule 4-F - Takeout Credit            1/1/2010                                                                                 yes       1      9/16/2009   9/17/2009   Plan 2009-04
                                                                Assigned Risk Miscellaneous Rules of Basic Manual;            Vote
            Program
                                                                establishes state rule exceptions as necessary.
            Revisions to Basic Manual Rule 3-                   Provide carriers option to cancel a policy other than short
                                                                                                                              Board
 B-1416     A-3-b – Cancellation Provisions      1/1/2010       rate if they file and receive approval for a different                                     9/16/2009   9/17/2009   CIF-2009-27
                                                                                                                              Vote
            Table 4                                             method.
                                                                Carpentry industry: delete code 5651 & reassign
            Revisions to Basic Manual
                                                                exposure to 5645; update cross reference phraseologies;       Board
 B-1415     Classifications and Appendix E       1/1/2011                                                                                                  8/5/2009    8/6/2009    CIF-2009-08
                                                                apply 3 year transition program; revise phraseology for       Vote
            Classifications by Hazard Group
                                                                codes 5102 & 5610
                                                                Multiple changes to Basic Manual Rule 3-A "Rating
                                                                Definitions & Application of Premium Elements" to
                                                                enhance understanding; "Explanation & Application"
            Revisions to Basic Manual                           Rules affected: ARD, Cancellation, Combination of Legal
                                                                                                                              Board
 B-1414     Classifications and Appendix E       1/1/2010       Entities, Disease Loading, Estimated Annual Premium,                                       8/5/2009    8/27/2009   CIF-2009-01
                                                                                                                              Vote
            Classifications by Hazard Group                     Expense Constant, Coal Mine disease charge, Limits of
                                                                Liability, Majority Interest, Minimum Premium,
                                                                Nonratable Element, Other States Insurance, Premium
                                                                Discount, States Added, and Waiver of Subrogation.

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                                                                                                                          Board
                                                Effective                                                                          Assigned    AR     Received    Filed by
 Item #              Title of Filing                                           Brief Description                         Vote or                                              NCCI Circular
                                                  Date                                                                               Risk     count    at DOI       DOI
                                                                                                                           DOI
                                                            Two industries: 1) Fiber optics industry - new codes
            Revisions to Basic Manual
                                                            4109, 4110, 4149; discontinue codes 4112 & 4150; 2)          Board
 B-1413     Classifications and Appendix E      1/1/2011                                                                                              3/30/2009   4/17/2009   CIF-2008-47
                                                            Telecommunications - discontinue codes 7601, 7611,           Vote
            Classifications by Hazard Group
                                                            7612, 7613 and reassign to 7600.
                                                            Three industries: 1) Film 2) Varnish Mfg 3) Superstores
            Revisions to Basic Manual                       & Warehouse Clubs. Create new Code 8037 Store -
                                                                                                                         Board
 B-1412     Classifications and Appendix E      1/1/2011    Superstores and Warehouse Clubs. Classifications to be                                    3/25/2009   3/27/2009   CIF-2008-44
                                                                                                                         Vote
            Classifications by Hazard Group                 modernized, consolidated, created, discontinued, and/or
                                                            clarified.
                                                            Two industries: 1) Carpentry: delete codes 2812 & 2792;
            Revisions to Basic Manual
                                                            2) Manufactured homes. Classifications to be                 Board
 B-1410     Classifications and Appendix E      1/1/2011                                                                                              2/2/2009    2/26/2009   CIF-2008-33
                                                            modernized, consolidated, created, discontinued, and/or      Vote
            Classifications by Hazard Group
                                                            clarified as shown.
                                                            Changes for the bakery industry to:
            Revisions to Basic Manual                       • Revise the phraseology of Codes 2003 & 6504
                                                                                                                         Board
 B-1409     Classifications and Appendix E      1/1/2011    • Create new Code 6503—Potato Chip, Popcorn & Snack                                       2/2/2009    2/26/2009   CIF-2008-19
                                                                                                                         Vote
            Classifications by Hazard Group                 Chip Mfg. NOC.
                                                            • Modernize, consolidate, and clarify other codes
            2009 Edition of the Retrospective
                                                            Rewrite of manual in plain language without changing
            Rating Plan Manual for Workers                                                                               Board
R -1399                                         1/1/2010    substance and intent of rules. Manual last rewritten in                                   6/25/2009   7/22/2009   CIF-2009-03
            Compensation and Employers                                                                                   Vote
                                                            1984. For endorsement filing, see P-1407(A).
            Liability Insurance
                                                            Amends Retro endorsements to coincide with the 2009
            Revised Retrospective Rating Plan                                                                            Board
P-1407(A)                                       1/1/2010    Retro Manual. See R-1399. Replaces filing P-1407 which                                    6/25/2009   7/22/2009   CIF-2009-14
            Endorsements                                                                                                 Vote
                                                            was never filed in Indiana.
                                                            Three industries: 1) Child Day Care, 2) Engineering and
            Revisions to Basic Manual                       Research, and 3) Inventory Counters. Classifications to      Board
 B-1408                                         1/1/2010                                                                                              1/15/2009   2/4/2009    CIF-2008-09
            Classifications and Rules                       be modernized, consolidated, created, discontinued,          Vote
                                                            and/or clarified as shown.
                                                            Four industries: 1) Horticulture, 2) Fruit Farms, 3) Sugar
            Revisions to Basic Manual                       Manufacturing, 4) Tobacco Mfg. Classifications to be         Board
 B-1406                                         1/1/2010                                                                                              2/2/2009    2/26/2009   CIF-2008-03
            Classifications and Rules                       modernized, consolidated, created, discontinued, and/or      Vote
                                                            clarified as shown.
                                                            • Introduction—clarify language that NCCI, and in
                                                            Indiana that ICRB, has authority to determine class
            Revisions to Basic Manual
                                                            assignments and application of Basic Manual rules.
            Introduction - Application of                                                                                Board
 B-1411                                         4/1/2009    • Part Two—Classifications—more user friendly and                                         1/26/2009   2/13/2009   CIF-2008-40
            Manual Rules & Part Two                                                                                      Vote
                                                            easier to understand
            Classifications
                                                            • Part Four—Classifications Pending—create this new
                                                            section to assist with pending classification changes
            2008 Update to Retrospective
                                                            Update Expected Loss Ranges and ELFs. Last update was
 R-1397     Rating Plan Parameters –            1/1/2009                                                                  DOI                           blank     7/29/2008   CIF-2008-10
                                                            in R-1396.
            Excess Loss Factors
            2008 Update to Retrospective
                                                            Update State Hazard Group Relativities. Last update was
 R-1398     Rating Plan Parameters –            1/1/2009                                                                  DOI                           blank     7/29/2008   CIF-2008-11
                                                            in R-1396.
            State Hazard Group Relativities




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                                                                                                                             Board
                                                    Effective                                                                         Assigned    AR     Received     Filed by
   Item #                Title of Filing                                           Brief Description                        Vote or                                               NCCI Circular
                                                      Date                                                                              Risk     count    at DOI        DOI
                                                                                                                              DOI
                                                                Replace the current 2002 standards (RM-01-IN-02)
                Assigned Carrier Performance                    effective 4/1/02, which were updated in 2007 (RM-02-IN- Board
 RM-W-8031                                          1/1/2009                                                                            yes       1      3/25/2008    4/21/2008   Plan 2008-07
                Standards                                       2006), with this 2009 edition. Adds several Indiana state Vote
                                                                exceptions to document existing procedures.
                                                                Clarifies the Indiana state exception which requires the
                Revision to Basic Manual Rule 4-                assigned carrier return any unused portion of the LSRP      Board                                                 Plan IN 2008-
RM-01-IN-2008                                       10/1/2008                                                                           yes       1      8/19/2008    8/21/2008
                C Loss Sensitive Rating Plan                    contingency deposit premium not needed after the first      Vote                                                        01
                                                                valuation.
                                                                Revise endorsements so that both foreign and domestic
                Withdrawal of Endorsement WC
                                                                terrorism are included in the same endorsement; as
                00 01 13 A and Revisions to
   P-1406                                           9/1/2008    result of Terrorism Risk Insurance Program                   DOI                         7/3/2008     7/17/2008   CIF-2008-04
                Endorsements WC 00 04 21 B
                                                                Reauthorization Act of 2007 (TRIPRA). In conjunction
                and WC 00 04 22
                                                                with Item B-1407.
                Catastrophe Provisions                          Revise values, wording, and premium algorithm as result
   B-1407       Miscellaneous Values, Rules and     9/1/2008    of Terrorism Risk Insurance Program Reauthorization Act      DOI                         7/3/2008     7/17/2008   CIF-2008-05
                Statistical Codes                               of 2007 (TRIPRA). In conjunction with Item P-1406.
                2008 Statistical Plan for Workers               Statistical Plan enhancements include: reformat, update
                                                                                                                            Board
   U-1397       Compensation and Employers          9/1/2008    code values, rule clarification, reorganization of loss &                                6/26/2008    7/17/2008   Units 2008-01
                                                                                                                            Vote
                Liability Insurance                             expense information.
                                                                Revise two endorsements with technical clarifications: AR                                1/25/2008
                                                                                                                            Board
 RM-W-8030      Revision to Forms Manual            1/1/2008    LSRP Endorsement WC 00 04 18 D and AR LSRP                              yes       1      (mailed on   1/25/2008   Plan 2007-07
                                                                                                                            Vote
                                                                Notification Endorsement WC 00 04 23 A                                                    12/5/07)

                Terrorism Risk Insurance                        Revise Rule 3-A-24-a of the Basic Manual to remove
   B-1405       Program Reauthorization Act of      1/1/2008    12/31/05 expiration date & replace with "and any             DOI                         1/3/2008     1/3/2008    CIF-2007-09
                2007                                            amendments thereto enacted by Congress."
                                                                1. Revise Terrorism Risk Insurance Extension Act
                Terrorism Risk Insurance                        Endorsement (old: WC 00 01 13; new: WC 00 01 13 A)
   P-1405       Program Reauthorization Act of      1/1/2008    2. Revise Domestic Terrorism, Earthquakes, and               DOI                         1/3/2008     1/3/2008    CIF-2007-10
                2007 Endorsements                               Catastrophic Industrial Accidents Premium End (old: WC
                                                                00 04 21 A; new: WC 00 04 21 B)

                Elimination of the Manual of the                Discontinue Coal Mine Manual. Make Code 1016 a state
RM-01-IN-2007                                       1/1/2008                                                                 DOI                         9/28/2007 10/17/2007         none
                Underground Coal Mine Rules                     special. Establish premium transition program.

                2007 Update to Retrospective                    Update Expected Loss Ranges, State Hazard Group
   R-1396                                           1/1/2008                                                                 DOI                         no stamp     9/17/2007   CIF-2007-05
                Rating Plan Parameters                          Relativities, and ELFs. Last update was in B-1403.
                                                                Improve format of Appendix E: 1) Add column titled
                Basic Manual Revision to                        ―Discontinued in‖ showing the state(s) and
                                                                                                                            Board
   B-1404       Appendix E - Table of               1/1/2008    discontinuation date in which each class code is no                                      8/28/2007    9/17/2007   CIF-2007-06
                                                                                                                            Vote
                Classifications by Hazard Group                 longer applicable; 2) Add effective date in the ―Applies
                                                                in‖ and ―Discontinued in‖ columns
                                                                Change hazard group exhibits in B-1397 to reflect new
                                                                hazard group labels due to B-1403 (appendix in Basic
                Revision to Basic Manual
   B-1397                                                       Manual). Added 3 class codes (3069, 5535, 7705) that
                Classifications and Rules -         7/1/2007                                                                 DOI                         no stamp     9/17/2007    IN-2007-05
 Amendment                                                      were inadvertently omitted from the hazard group
                Amendment
                                                                exhibit. Updated Servicing Carrier Performance
                                                                Standards to reflect class code changes in Item B-1397.


       11/18/2010                                                                              4                                           1f4cc652-8371-454e-9dce-450abf69c40b.xls
                                                                                                                              Board
                                                   Effective                                                                           Assigned    AR     Received    Filed by
   Item #                 Title of Filing                                          Brief Description                         Vote or                                              NCCI Circular
                                                     Date                                                                                Risk     count    at DOI       DOI
                                                                                                                               DOI
                                                               Eight industries impacted: Ambulance and Emergency
                                                               Medical Services, Athletic Team Sports and Parks,
                Revision to Basic Manual                                                                                     Board
   B-1397                                          7/1/2007    Cleaning Services and Pet Sitting, Domestics, Firefighting                                 3/15/2007   3/26/2007   CIF-2006-08
                Classifications and Rules                                                                                    Vote
                                                               Including Volunteer Firefighters, Logging, Mailing
                                                               Companies, Sheet Metal
                                                               Effective for ER mods from 5/27/02 through 6/12/07.
                                                               Filing provides a new catastrophe loss code 87 to be
                Exclusion of Catastrophe Losses                                                                              Board
   E-1400                                          3/8/2007    used to report disease losses attributable to the terrorist                                2/28/2007   3/8/2007
                From Experience Rating                                                                                       Vote
                                                               attacks on the World Trade Center. Such losses will be
                                                               excluded from the mod.
                Revision to 2002 Servicing                     Revise performance standards to be consistent with 2006
RM-02-IN-2006                                      1/1/2007                                                                   DOI        yes       1      10/19/2006 10/23/2006
                Carrier Performance Standards                  Assigned Risk Supplement
                Revisions to Basic Manual and                  Revise Hazard Groups, update Expected Loss Ranges,
   B-1403       Retrospective Rating Plan Manual   1/1/2007    and update State Hazard Group Relativities. Number of          DOI                         9/27/2006   9/27/2006
                / 2006 Update to Hazard Groups                 hazard groups increased from 4 to 7.
                                                               Clarify, eliminate or combine classifications in the Basic
                Revision to Basic Manual                       Manual for the aviation industry. Majority of aviation
   B-1399       Classifications for Aviation       1/1/2007    risks will be reclassified from Code 7422 to Code 7425,        DOI                         9/27/2006   9/27/2006
                Industry                                       which results in rate decrease. Transition program
                                                               implemented over several years.
                                                               Create national LSRP rule in Basic Manual, Rule 4-C and
                                                               apply Indiana state rule exceptions where appropriate
                                                               (Exhibit 5 of filing). Summary of IN exceptions:

                Rule 4C - Assigned Risk                        - Indiana threshold is $100,000, not $200,000
                                                                                                                             Board
 RM-W-8028      Mandatory Loss Sensitive Rating    7/1/2006    - Upon renewal, servicing carrier must notify employer                    yes       1       6/5/2006   6/6/2006    Plan 2007-07
                                                                                                                             Vote
                Plan (LSRP)                                    with premium of $50,000 or more of possible application
                                                               of LSRP
                                                               - Servicing carrier only holds the contingency deposit
                                                               and return premium from a final audit until the first
                                                               valuation

                                                               Create, amend, and withdraw as applicable,
                                                               endorsements contained in previously filed Items B-
                                                               1383, B-1393, and P-1392 as summarized below.

                                                               - Replace the TRIA Endorsement (WC 00 04 20) with
                                                               new TRIA Endorsement (WC 00 01 13), used with the
                Terrorism Risk Insurance
   P-1404                                          1/1/2006    Foreign Terrorism Prem Endorsement (WC 00 04 22)               DOI                         1/26/2006   2/2/2006
                Extension Act of 2005
                                                               - Amend the DTEC Industrial Accidents Premium
                                                               Endorsement (WC 00 04 21) to reflect a revised
                                                               definition of Domestic Terrorism
                                                               - Withdraw the TRIA Endorsement (WC 00 04 20)
                                                               - Withdraw the Notification Endorsement of Pending Law
                                                               Change to TRIA of 2002 (WC 00 01 12)
                                                               Change the name of the endorsement from Rural
                Revision of the Rural
                                                               Electrification Administration Endorsement to Rural           Board
   P-1401       Electrification Administration     1/1/2006                                                                                               12/16/2005 12/27/2005
                                                               Utilities Service (WC 00 03 09 B) to reflect name change      Vote
                Endorsement
                                                               of the agency.

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                                                                                                                            Board
                                               Effective                                                                             Assigned    AR     Received     Filed by
 Item #              Title of Filing                                           Brief Description                           Vote or                                               NCCI Circular
                                                 Date                                                                                  Risk     count    at DOI        DOI
                                                                                                                             DOI
                                                           Update coding specs for deductible type, injury
                                                           description code, and loss conditions codes; remove
            URE Workers Compensation                                                                                       Board
 U-1396                                        1/1/2006    social security number data element; reference new USR                                       12/12/2005 12/19/2005
            Statistical Plan Update                                                                                        Vote
                                                           Guidebook; update class code & correction reports
                                                           instructions
            Revisions to Basic Manual
                                                           Clarify or eliminate classification codes and rules in the
            Classifications and Rules,                                                                                     Board
 B-1394                                        1/1/2006    Basic Manual to reflect current business and industry                                        12/14/2005 12/19/2005
            Addendum to Filings B-1387 and                                                                                 Vote
                                                           needs. 15 codes impacted.
            B-1391
                                                           Revise assigned risk rules for employee leasing
            Professional Employer                          arrangements. Creates a national rule in Basic Manual,          Board
RM-W-8027                                      1/1/2006                                                                                yes       1      11/23/2005 12/5/2005
            Organization (PEO) Arrangements                Rule 4-B. Replaces "labor contractor" wording with              Vote
                                                           "PEO."
                                                           Continues & re-lables catastrophe provisions to address
            Miscellaneous Values For Foreign               the risk of foreign terrorism on workers compensation           Board
 B-1398                                        1/1/2006                                                                                                 11/10/2005 11/18/2005
            Terrorism                                      policies. Replaces "TRIA" wording with "Foreign                 Vote
                                                           Terrorism" wording.
                                                           Item B-1403 did not include hazard group labels for the
                                                           two new charitable codes, 8842 and 8864. This update
  B-1387    Update to Hazard Groups for                    provides a technical amendment to page 6 in Item B-
                                               1/1/2006                                                                     DOI                          4/26/2007    5/3/2007
Amendment   Codes 8842 & 8864                              1387, which reflects the change in hazard group labels.
                                                           The labels for Codes 8842 and 8864 will be ―C-2‖, same
                                                           as the codes they replace, 8861 and 9110.
                                                           Amend the classification treatment of several business
            Revisions of Basic Manual                      types through a three-year transition program.                  Board
 B-1387                                        1/1/2006                                                                                                  2/28/2005    3/8/2005
            Classifications                                (Charitable Welfare Organizations & Group Homes and             Vote
                                                           Bottling Operations).
                                                           Eliminate or enhance selected Basic Manual
                                                           classifications & Basic Manual classification advisory
                                                           notes to reflect current business & industry needs
                                                           relative to these items. (Bag or Sack Manufacturing,
            Revision to Basic Manual                                                                                       Board
 B-1391                                        1/1/2006    Linotype Printing, Ice Mfg., Five-&-Dime Stores,                                              2/28/2005    3/8/2005
            Classifications                                                                                                Vote
                                                           Restaurant, Real Estate Appraisal & Agency, Commercial
                                                           Restaurant Equipment Installation, Auto Dismantling &
                                                           Recycling, Book or Record Stores and Heating,
                                                           Ventilation, Air-Conditioning & Refrigeration).

                                                         Update the Expected Los Ranges & State Hazard Group
            2005 Update to Retrospective
 R-1395                                        10/1/2005 Relativities in the Retrospective Rating Plan Manual for           DOI                           5/2/2005    5/4/2005
            Rating Plan Parameters
                                                         Workers Compensation & Employers Liability Insurance.
                                                           Enhance reporting requirements to the URE Workers
                                                           Compensation Statistical Plan by adding 6th - 10th unit
            Unit Statistical Reporting                                                                                     Board
 U-1390                                        7/1/2005    statistical report levels (claims) & improving the clarity of                                10/18/2004   12/6/2004
            Instruction Enhancements                                                                                       Vote
                                                           the definition & reporting instructions for fraudulent
                                                           claims.




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                                                                                                                              Board
                                                     Effective                                                                         Assigned    AR     Received     Filed by
   Item #                 Title of Filing                                           Brief Description                        Vote or                                               NCCI Circular
                                                       Date                                                                              Risk     count    at DOI        DOI
                                                                                                                               DOI
                                                                 Due to understated payroll detected after the 1/1/05 rate
                                                                 filing, loss costs and advisory rates for eight codes are
                 Revision of Rates for Eight Class
                                                     1/1/2005    reduced (1655, 3085, 3365, 5472, 5473, 7601, 7720, &         DOI                          9/21/2005   9/21/2005
                 Codes
                                                                 8107). Reference NCCI Circular IN-2006-01 dated
                                                                 2/6/06.
                                                                 Addresses uncertainties in having to issue new,
                                                                 outstanding or renewal policies for periods effective
                                                                 January 1, 2005 & thereafter without knowing if
                 Notification Endorsement of                     Congress will extend the Terrorism Risk Insurance Act
                 Pending Law Change to Terrorism                 (TRIA) beyond December 31, 2005. Additionally, this         Board
   P-1392                                            1/1/2005                                                                                             10/18/2004 11/29/2004
                 Risk Insurance Act of 2002 (WC                  item will be used to clarify for policyholders that a       Vote
                 00 01 12)                                       premium charge for foreign terrorism may either
                                                                 continue to be applied, or changed from the amount
                                                                 currently applied, following the possible expiration of
                                                                 TRIA.
                 Miscellaneous Values For
                                                                 Produce catastrophe provisions, by state, to address
                 Domestic Terrorism, Earthquakes
   B-1393                                            1/1/2005    losses resulting from domestic terrorism, earthquakes &      DOI                         10/18/2004 11/19/2004
                 and Catastrophic Industrial
                                                                 catastrophic industrial accidents.
                 Accidents
                                                                 Establish a stand-alone Indiana pooling mechanism to
                 Indiana Workers Compensation                                                                                Board
None                                                 1/1/2005    replace our current arrangement with the National                       yes       1      10/13/2004 11/16/2004
                 Reinsurance Pool Filing                                                                                     Vote
                                                                 Workers Compensation Reinsurance Pool.
                 Revision of the Employers                     Remove the exclusion for bodily injury to any member of
                 Liability Coverage Endorsement                the flying crew of any aircraft from the Employers
                                                                                                                             Board
P-1389           (WC 00 03 03B) and Federal          10/1/2004 Liability Coverage Endorsement (WC 00 03 03B), & to                                          8/6/2004   8/10/2004
                                                                                                                             Vote
                 Employers' Liability Act Coverage             clarify the use of the Federal Employers' Liability Act
                 Endorsement (WC 00 01 04)                     Coverage Endorsement (WC 00 01 04).

                                                                 Update the Expected Loss Ranges & State Hazard Group
                 2004 Update to Retrospective
R-1388                                               7/1/2004    Relativities in the Retrospective Rating Plan Manual for     DOI                          2/19/2004   3/15/2004
                 Rating Plan Parameters
                                                                 Workers Compensation & Employers Liability Insurance.

                                                                 Subsequent to filing Item U-1386, several administrative
                                                                 errors were identified that minimally impact certain
                 URE WCSP Pension Table
U-1386A                                              1/1/2004    information in selected tables. The necessary corrections    DOI                          2/19/2004   3/15/2004
                 Revisions (1999 Mortality)
                                                                 have been made & a complete replacement to the 2004
                                                                 Pension Tables is included in this item filing.
                                                                 Update the pension tables contained in the URE Workers
                                                                 Compensation Statistical Plan (Part 8) using data from
                 URE WCSP Pension Table                                                                                      Board
U-1386                                               1/1/2004    the 1999 United States Life Tables & data contained in                                    9/11/2003   9/17/2003
                 Revisions (1999 Mortality)                                                                                  Vote
                                                                 the 1980 United State Railroad Retirement Board
                                                                 Remarriage Table.
                 2003 Experience Rating Plan                     Introduce a new Experience Rating Plan Manual for           Board
E-1379                                                                                                                                                     12/2/2003   2/10/2004
                 Manual                                          Workers Compensation & Employers Liability Insurance.       Vote

                                                               Update the Expected Loss Ranges & State Hazard Group
                 2003 Update to Retrospective
R-1385                                               12/1/2003 Relativities in the Retrospective Rating Plan Manual for       DOI                          7/15/2003   8/28/2003
                 Rating Plan Parameters
                                                               Workers Compensation & Employers Liability Insurance.



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                                                                                                                               Board
                                                  Effective                                                                             Assigned    AR     Received     Filed by
   Item #                Title of Filing                                          Brief Description                           Vote or                                               NCCI Circular
                                                    Date                                                                                  Risk     count    at DOI        DOI
                                                                                                                                DOI
                                                                                                                               Board
RM-W-03-IN-02 Assigned Risk Deposit Premiums       5/1/2003   Revise the assigned risk deposit premium requirements.                      yes       1       1/31/2003    2/4/2003
                                                                                                                                Vote
                Elimination of Code 0917 -                    Eliminate Code 0917-Domestic Service Contractor-Inside
                                                                                                                              Board
01-IN-02        Domestic Service Contractor -      1/1/2003   and reassign these operations to Code 9014-Buildings-                                         12/4/2002   12/6/2002
                                                                                                                              Vote
                Inside                                        Operation by Contractors.
                Catastrophe Provision-Certified
                                                             Establish catastrophe provisions by state that address
                Terrorism Losses (as defined in
B-1383                                            12/20/2002 certified terrorism losses as defined in the Terrorism Risk       DOI                         12/27/2002    1/7/2002
                Terrorism Risk Insurance Act of
                                                             Insurance Act of 2002.
                2002)
                Amended Assigned Risk
                                                              Change the eligibility threshold for the Assigned Risk          Board
RM-02-IN-02     Mandatory Loss Sensitive Rating   12/1/2002                                                                                                 7/18/2002   7/22/2002
                                                              Mandatory Loss Sensitive Rating Plan (LSRP) in Indiana.         Vote
                Plan (LSRP)
                                                            Clarify reporting rules for Expense Constant and
                                                            Minimum Premium on mulit-state policies. Clarify
                                                            verbiage regarding fraud recoveries, which implied the
                URE Workers Compensation                    recovery was fraudulent instead of the claim being                Board
U-1380                                            11/1/2002                                                                                                 6/28/2002    7/3/2002
                Statistical Plan Update                     fraudulent. Update "Workers Compensation Appeals                  Vote
                                                            Board" to a more general term. Reformat the Injury
                                                            Description Codes in Part 7, similar to the format in Part
                                                            4.
                                                            Improve the clarity of various rules contained in Basic
                Basic Manual Rules                                                                                            Board
B-1373                                             7/1/2002 Manual for Workers Compensation & Employers Liability                                            3/1/2002    3/5/2002
                Enhancements                                                                                                  Vote
                                                            Insurance.
                2002 Update to Retrospective                Update the State and Hazard Group Severity Relativities
R-1378                                             7/1/2002                                                                    DOI                           2/1/2002    2/6/2002
                Rating Plan Parameters                      of the Retrospective Rating Plan.
                                                            Claims directly attributable to the terrorist acts of
                Exclusion of Terrorism Losses                                                                                 Board
E-1376                                            5/27/2002 September 11, 2001, be excluded from experience rating                                          2/20/2002   2/26/2002
                From Experience Rating                                                                                        Vote
                                                            calculations for ratings effective 5/27/02 to 6/14/06.
                2002 Servicing Carrier                        Revise & update the current Indiana servicing carrier
                Performance Standards & 2002                  performance standards that were approved effective
                                                                                                                              Board
RM-01-IN-02     Servicing Carrier Performance      4/1/2002   1/1/2000; and Indiana servicing carrier performance                         yes       1       5/23/2002   5/20/2002
                                                                                                                              Vote
                Standards for Coal Mine                       standards for coal mine occupational disease, that were
                Occupational Disease (CMOD)                   approved effective 1/1/2001.
                                                              Modifies the WC Insurance Plan (WCIP/Plan). It
                                                              addresses 3 objectives concerning the Nat'l WC
                                                              Reinsurance Pool's (the "Pool") authority related to the
                                                              Plans. It reinsures the activities of the Plan Admin for
                Modified Workers Compensation                 such Plans, in an effort to provide the Pool Board with a       Board
RM-W-8021                                          1/1/2002                                                                               yes       1       1/22/2002   3/12/2002
                Insurance Plan (WCIP)                         more appropriate framework within which to discharge            Vote
                                                              its fiduciary duties, provide the Pool members a greater
                                                              voice in matters that directly affect the financial interests
                                                              of the Pool participants, and assist the Regulator with
                                                              Plan expense oversight.




         11/18/2010                                                                           8                                              1f4cc652-8371-454e-9dce-450abf69c40b.xls
                                                                                                                             Board
                                                  Effective                                                                           Assigned    AR     Received     Filed by
   Item #                Title of Filing                                          Brief Description                         Vote or                                               NCCI Circular
                                                    Date                                                                                Risk     count    at DOI        DOI
                                                                                                                              DOI
                                                              Changes to the NWCRP provide for a Pool financial credit
                Workers Compensation Insurance
                                                              policy to protect the NWCRP participants from credit risk
                Plan (WCIP) - Proposed
                                                              of insolvent Pool members, provides the NWCRP Board of
                Amendments to the National                                                                                  Board
RM-W-8024                                         1/1/2002    Governors with the ability to commute historical claims                   yes       1      12/11/2001   1/23/2002
                Workers Compensation                                                                                        Vote
                                                              or losses when it is in the best interest of the NWCRP
                Reinsurance Pool (NWCRP)
                                                              participants, and makes several housekeeping
                Articles of Agreement
                                                              amendments to the Articles of Agreement.
                                                          Amend rules related to reporting of the Fraudulent Claim
                Reporting of Fraudulent Claim                                                                               Board
U-1374                                            1/1/2002Code as they appear in Unit Report Expansion (URE)                                             12/17/2001    1/9/2002
                Code                                                                                                        Vote
                                                          Workers Compensation Plan.
                                                          Provides additional direction for endorsing or changing
                Issuing Agency/Producer Office
                                                          the "Issuing Agency/Producer Office Address                       Board
U-1372          Address Endorsement - WC 89 06 11/16/2001                                                                                                10/31/2001   11/6/2001
                                                          Endorsement (WC 89 06 25)" be added to the Policy                 Vote
                25
                                                          Information Page Endorsement.
                                                          Amend the current rule regarding employee leasing in
ER-IN-2000-01   Employee Leasing                8/1/2001                                                                     DOI                          7/19/2000   7/31/2000
                                                          the Experience Rating Plan Manual.
                                                              Introduce a new Basic Manual for Workers Compensation
                                                              & Employers Liab. Ins. The manual has been revised
                2001 Basic Manual for Workers                 with particular emphasis on increasing the ability of
                                                                                                                            Board
B-1369          Compensation                      7/1/2001    users to quickly find the information they need in an                                                    6/8/2001
                                                                                                                            Vote
                & Employers Liability Insurance               electronic environment. In addition, we expanded our
                                                              plain language approach & changed the appearance of
                                                              the manual to better meet our customers needs.
                                                              Update the Expected Loss Rangers and State and Hazard
                2001 Update to Retrospective
R-1371                                            7/1/2001    Group Severity Relativities of the Retrospective Rating        DOI                          4/16/2001   4/24/2001
                Rating Plan Parameters
                                                              Plan.
                                                              Is to introduce Premium Due Date Endorsement WC 00
                                                              04 XX. This endorsement will comply with the National         Board
P-1370          Premium Due Date Endorsement      1/1/2001                                                                                                 1/5/2001   1/29/2001
                                                              Association of Insurance Commissioners (NAIC)                 Vote
                                                              Statement of Statutory Accounting Principles No. 6.

                                                              Revise and update the current Coal Mine Occupational
                                                                                                                            Board
RM-02-IN-00     Coal Mine Occupational Disease    1/1/2001    Disease performance standards for Indiana servicing                       yes       1      12/20/2000   1/17/2001
                                                                                                                            Vote
                                                              carriers in the areas of claims and loss control.
                                                              Clarify the language in URE Workers Comp. Statistical
                                                              Plan and provide further direction for reporting unit
                                                              statistical data. In addition, this filing contains changes
                URE Workers Compensation
                                                              to the following two rules for reporting unit statistical
U-1368          Statistical Plan                  1/1/2001                                                                   DOI                                       6/4/2001
                                                              data. ~Establish guidelines for reporting Fraud Amount
                Revision
                                                              on claims that have been determined as fraudulent.
                                                              ~Discontinue use of the ERM-6 form by affiliate self-
                                                              insurers.
                Workers Compensation Premium                  Established a state algorithm in the Basic Manual to          Board
B-1351                                            07/01/00                                                                                                8/31/1998    9/2/1998
                Algorithm                                     provide guidance for premium computation.                     Vote
                                                              Permitted the assignment of yard employees of roofing
                Code 5551 - Roofing - Amended
B-1362                                            07/01/00    contractors to Code 8227, eliminating the requirement          DOI                          2/14/2000   2/22/2000
                Phraseology
                                                              that they be classified to Code 5551.


         11/18/2010                                                                           9                                            1f4cc652-8371-454e-9dce-450abf69c40b.xls
                                                                                                                                 Board
                                                      Effective                                                                           Assigned    AR     Received    Filed by
   Item #                 Title of Filing                                             Brief Description                         Vote or                                              NCCI Circular
                                                        Date                                                                                Risk     count    at DOI       DOI
                                                                                                                                  DOI
                                                                  Amends classification phraseologies for Codes 7403 -
                                                                  Aircraft or Helicopter Operation: Air Carrier - Scheduled
                                                                  or Supplemental: All Other Employees & Drivers; 7405 -
                                                                  Aircraft or Helicopter Operation: Air Carrier - Scheduled
                Codes 7603, 7405, 7423, and
                                                                  or Supplemental: Flying Crew; 7423 - Aircraft or          Board
B-1363          7431 - Air Carrier Classification -   07/01/00                                                                                               2/10/2000   2/16/2000
                                                                  Helicopter Operation: Air Carrier - Commuter; All Other   Vote
                Amended Phraseologies
                                                                  Employees & Drivers; & 7431 - Aircraft or Helicopter
                                                                  Operation: Air Carrier - Commuter: Flying Crew to
                                                                  maintain the proper classification assignments of these
                                                                  codes.
                Basic Manual Rule IV-D.4:
                                                                  Clarify the intent of Basic Manual Rule IV-D.4.               Board
B-1364          Assignment of Additional Basic        07/01/00                                                                                               2/10/2000   2/16/2000
                                                                  Assignment of Additional Basic Classification.                Vote
                Classifications
                                                                  1) Is to increase the standard limit of liab under Part 2
                                                                  Employers' Liab Ins for Admiralty Law (Maritime) of FELA
                                                                  Ins to Bodily Injury by Accident, $100,000 ea accident &
                                                                  Bodily Injury by Disease, $100,000 aggregate. 2) Is to
                Revision to Admiralty and Federal
                                                                  modify the ratemaking methodology for the admiralty
B-1366          Employers' Liability Act              07/01/00                                                                   DOI                         3/30/2000    4/5/2000
                                                                  classifications so that the assigned risk rates & voluntary
                Classifications
                                                                  loss cost/advisory rates for these classifications are
                                                                  based upon their own experience. 3) To eliminate "A"
                                                                  rate or average rate indicator in the Basic Manual rate
                                                                  pages for FELA classifications.
                                                                  Update the Expected Loss Rangers and State and Hazard
                2000 Update to Retrospective
R-1365                                                07/01/00    Group Severity Relativities of the Retrospective Rating        DOI                         1/19/2000   1/26/2000
                Rating Plan Parameters
                                                                  Plan.
                Indiana Residual Market Workers
                                                                  Amended RM-W-8022 to clarify that the assigned risk
RM-01-IN-00     Compensation Premium                  07/01/00                                                                   DOI        yes       1      7/19/2000   6/16/2000
                                                                  surcharge is part of standard premium.
                Algorithm Amendment
                Residual Market Workers
                                                                  Establish a state premium algorithm in the Basic Manual       Board
RM-W-8022       Compensation Premium                  07/01/00                                                                              yes       1      8/31/1998    9/2/1998
                                                                  to provide guidance for premium computation.                  Vote
                Algorithm
                Elimination or Enhancement of                     Eliminated or enhanced selected Basic Manual
                Selected Basic Manual                             classifications & advisory notes to reflect current           Board
B-1359                                                01/01/00                                                                                               8/12/1999   8/23/1999
                Classifications and Basic Manual                  business needs. Eliminated codes: 1470, 7323F & 8710.         Vote
                Classification Advisory Notes                     Clarified codes: 2114, 3581, 4432, 4611, 4825 & 3400.




         11/18/2010                                                                              10                                            1f4cc652-8371-454e-9dce-450abf69c40b.xls
                                                                                                                                  Board
                                                        Effective                                                                          Assigned    AR     Received    Filed by
   Item #                  Title of Filing                                              Brief Description                        Vote or                                              NCCI Circular
                                                          Date                                                                               Risk     count    at DOI       DOI
                                                                                                                                   DOI
                                                                    Enhanced various Basic Manual rules & references as
                                                                    outlined:
                                                                    ~Further defined store & farm classification assignment
                                                                    procedures.
                                                                    ~Identified classifications within the construction,
                                                                    farming & store industry groups.
                                                                    ~Omitted references to specific premium discount
                                                                    schedules.
                 Basic Manual Updates of Selected                                                                                Board
B-1361                                                  01/01/00    ~Added examples of premium discount calculations for                                      8/25/1999   8/27/1999
                 Rules and References                                                                                            Vote
                                                                    multi-state policies.
                                                                    ~Further defined minimum premium calculations for
                                                                    multi-state policies & cancelled policies.
                                                                    ~Clarified the two methods (factor or percentage) for
                                                                    calculating short rate premium.
                                                                    ~Reference explaining the ICRB or NCCI cannot provide
                                                                    legal advice regarding application of various state &
                                                                    federal laws pertaining to coverage issues.
                                                                    Updates to the deductible & coinsurance percentages on
                 Indiana Advisory Voluntary &                       the Miscellaneous Values pages of the 1/1/00 advisory
None             Assigned Risk Rates -                  01/01/00    voluntary & assigned risk rate filings & inclusion of Loss    DOI
                 Miscellaneous Values Update                        Sensitive Rating Plan factors on the assigned risk
                                                                    Miscellaneous Values page.
                 2000 Servicing Carrier                             Established 2000 Servicing Carrier Performance               Board
None                                                    01/01/00                                                                             yes       1      7/15/1999    8/2/1999
                 Performance Standards                              Standards.                                                   Vote
                                                                    Updated the pension tables contained the Workers
                                                                    Compensation Statistical Plan (Part XII) and the 1996
                 WCSP Pension Table Revisions                       Workers Compensation Statistical Plan (Part 7) using         Board
U-1355                                                  01/01/00                                                                             yes       1      4/29/1999   5/13/1999
                 (89-91 Mortality)                                  data from the 1989-1991 U.S. Decennial Life Tables. In       Vote
                                                                    addition, four examples contained in the Pension Table
                                                                    Guide were modified to reflect this new data.

                                                                    Established the URE Workers Compensation Statistical
                                                                    Plan as a replacement of the 1996 Workers
                 URE Workers Compensation                           Compensation Statistical Plan. No changes were made to       Board
U-1360                                                  01/01/00                                                                             yes       1      7/27/1999    8/9/1999
                 Statistical Plan                                   the rules, however, a number of enhancements were            Vote
                                                                    made. For example, coding specifications & statistical
                                                                    codes are new to the manual.
                                                                    Adjusts the initial Item U-1360 previously filed &
                                                                    approved on 8/8/99. The manual is national in scope
                 URE Workers Compensation                           and used in many states. The majority of changes in          Board
U-1360A                                                 01/01/00                                                                             yes       1      1/10/2000   1/12/2000
                 Statistical Plan (Addendum)                        this filing addressed state exceptions for states other      Vote
                                                                    than Indiana. There are no exceptions required for
                                                                    Indiana.
                 NOT FILED
                                                                    Amend the affiliate and non-affiliate ERM-6 forms to
                 Experience Rating for Self-
E-1357                                                  10/01/99    accommodate the recent changes to the Experience
                 Insureds - Affiliate & Non-Affiliate
                                                                    Rating Plan Manual rules.
                 ERM-6 Forms



          11/18/2010                                                                               11                                           1f4cc652-8371-454e-9dce-450abf69c40b.xls
                                                                                                                                Board
                                                   Effective                                                                             Assigned    AR     Received    Filed by
   Item #                 Title of Filing                                          Brief Description                           Vote or                                              NCCI Circular
                                                     Date                                                                                  Risk     count    at DOI       DOI
                                                                                                                                 DOI
                                                               Amended the Basic Manual rule XII.D. to clarify that the
                                                               rates for certain Admiralty/FELA classification codes
                U.S. Longshore and Harbor                      include premium for coverage under the USL&HW Act.
                                                                                                                               Board
B-1354          Workers' Compensation Act -        07/01/99    Accordingly, the rates for these class codes should not be                                   4/29/1999   5/13/1999
                                                                                                                               Vote
                Classifications and Rates.                     increased by the state USL&HW percentage increase
                                                               even though such codes are not followed by the letter
                                                               "F" indicating federal act coverage.

                                                               Updated the State and Hazard Group Severity Relativities
                                                               and the USL&HW Excess Loss Pure Premium Factors of
                1999 Update to Retrospective                                                                                   Board
B-1356                                             07/01/99    the Retrospective Rating Plan. Also, a rule will be                                          4/19/1999   5/13/1999
                Rating Plan Parameters and Rules                                                                               Vote
                                                               introduced regarding the use of deductible or
                                                               coinsurance programs with retrospectively rated policies.

                                                               Added an eighth characteristic to the Indiana Schedule
ER-IN-01        Drug Free Workplace Program        07/01/99    Rating Table to allow a credit or debit up to 5% for an          DOI                          6/9/1999   7/29/1999
                                                               employer with a Drug Free Workplace Program.
                                                               Assigns Statistical Code 0935 - Second Injury Fund
                                                               Surcharge as a method for tracking this assessment.
                                                               Pursuant of House Enrolled Act 2085, this surcharge is          Board
None            Second Injury Fund Surcharge       7/1/1999
                                                               not premium; however, each insurance company must               Vote
                                                               show the assessment on the policy as "a surcharge based
                                                               on the employer's premium".
                                                               Amended rules related to submission of losses as they
                                                               appear in the 1996 Workers Comp Statistical Plan, Part          Board
U-1358          Claim Grouping Option              07/01/99                                                                                                 4/29/1999   5/12/1999
                                                               4, Section 2, and in the Pre-URE Workers Compensation           Vote
                                                               Statistical Plan, Part IV, Section 2.
                                                               Enhanced classification phraseologies & footnotes for
                                                               Codes 4583-Fertilizer Mfg. & Drivers, 8215-Hay, Grain or
                Fertilizer Dealers and                                                                                         Board
B-1352                                             01/01/99    Feed Dealer & Local Managers, Drivers & 0050-Farm                                            8/31/1998    9/2/1998
                Manufacturers                                                                                                  Vote
                                                               Machinery Operation-By Contractor & Drivers to facilitate
                                                               the proper classification assignments of these codes.
                1999 Servicing Carrier                         Established 1999 Servicing Carrier Performance                  Board
None                                               01/01/99                                                                                yes       1
                Performance Standards                          Standards.                                                      Vote
                                                               Modifies the WC Insurance Plan (WCIP/Plan). It
                                                               addresses 3 objectives concerning the Nat'l WC
                                                               Reinsurance Pool's (the "Pool") authority related to the
                                                               Plans. In reinsures the activities of the Plan Admin for
                Modified Workers Compensation                  such Plans, in an effort to provide the Pool Board with a       Board
RM-W-8021                                          01/01/99                                                                                yes       1      1/22/2002   3/12/2002
                Insurance Plan (WCIP)                          more appropriate framework within which to discharge            Vote
                                                               its fiduciary duties, provide the Pool members a greater
                                                               voice in matters that directly affect the financial interests
                                                               of the Pool participants, and assist the Regulator with
                                                               Plan expense oversight.
                                                               Provided an updated Table of Insurance Charges and
                                                               State & Hazard Group Relativities for the exclusive use         Board
R-1350          Table of Insurance Changes         11/01/98                                                                                                 8/31/1998    9/2/1998
                                                               by companies affiliated with NCCI for Large Account             Vote
                                                               License, Service, & Maintenance.

         11/18/2010                                                                            12                                             1f4cc652-8371-454e-9dce-450abf69c40b.xls
                                                                                                                                 Board
                                                      Effective                                                                           Assigned    AR     Received     Filed by
   Item #                Title of Filing                                              Brief Description                         Vote or                                               NCCI Circular
                                                        Date                                                                                Risk     count    at DOI        DOI
                                                                                                                                  DOI
                                                                  Combines the explosives manufacturing classification
                                                                  Codes 4770, 4773, 4774, 4775, 4776, 4779 and 4799
                Consolidation of Selected                                                                                       Board
B-1347                                                07/01/98    into classification Code 4771 and the non-ratable                                          11/13/1997 11/13/1997
                Explosives Manufacturing Codes                                                                                  Vote
                                                                  element (NRE) Codes 0770, 0773, 0774, 0775, 0776,
                                                                  0779 and 0799 into statistical Code 0771.
                                                                  Enhanced classification phraseologies, footnotes, and
                                                                  cross-references for Codes 8380-Gasoline Station-Retail
                                                                  & Drivers NOC, 8381-Gasoline Station-Retail-Self-
                Automobile Gasoline Stations and                  Service, and Code 8006-Grocery-Retail to facilitate the       Board
B-1348                                                07/01/98                                                                                                2/27/1998    3/2/1998
                Convenience Stores                                proper classification assignments to these codes.             Vote
                                                                  Further, this item eliminated Code 8061-Grocery-
                                                                  Convenience-Retail & combined these store operations
                                                                  with Code 8006.
                                                                  Added a new rule in the Basic Manual to clarify the use
                                                                  of the Waiver of Right to Recover From Others
                                                                  Endorsement. If the carrier decides to charge premium
                Waiver of Right to Recover From                   for the endorsement (even on a individual risk basis), it
                                                                                                                                Board
B-1349          Others & Limited Liability            07/01/98    must file that charge with the Indiana Department of                                       11/24/1997 11/26/1997
                                                                                                                                Vote
                Companies                                         Insurance. The ICRB has no charge (rate) filed on behalf
                                                                  of its members for the waiver. However, the standard
                                                                  endorsement is already filed & ready for use. If the
                                                                  carrier makes no charge, then no filing is necessary.

                                                                  Modifies the Revised Experience Rating Plan to
                                                                  substantially decrease the incentive for employers to pay
                                                                  their own claims. In addition, this filing served to
                                                                  maintain optimal performance of the experience rating
E-1339          Experience Rating Adjustment          07/01/98                                                                   DOI                          2/17/1998   2/18/1998
                                                                  plan. The three key changes were: -Reduce the weight
                                                                  on medical only losses. -Increase the weight on excess
                                                                  losses. -Make the split of actual losses between primary
                                                                  & excess to be inflation-sensitive.
                                                                  Clarify and enhance the Basic Manual for Workers
                Basic Manual Rule & Classification                                                                              Board
B-1343                                                01/01/98    Compensation and Employers Liability Insurance in the                                       8/20/1997   8/21/1997
                Enhancements                                                                                                    Vote
                                                                  rules & classification code sections.
                                                                  Remove carpet, linoleum, vinyl, asphalt, and rubber floor
                Carpet, Linoleum, Vinyl, Asphalt,                 tile installation operations from Classification Code 9521-
                                                                                                                                Board
B-1346          and Rubber Floor Tile Installation-   01/01/98    House Furnishings Installation NOC & Upholstering and                                       8/20/1997   8/21/1997
                                                                                                                                Vote
                Code 5478                                         reassigned these operations to newly established Code
                                                                  5478.
                                                                  Amended the Experience Rating Plan Manual rules
                                                                  related to recalculation of experience modifications when
                                                                  an insurance provider submits revised loss data. An
                Experience Modification                                                                                         Board
E-1332                                                12/01/97    accompanying filing, (U-1344-WC Statistical Plan;                                           10/9/1997 10/14/1997
                Recalculation Revision of Losses                                                                                Vote
                                                                  Special Fund & Subrogation Recoveries) provides the
                                                                  necessary changes to the Statistical Plan Manual as a
                                                                  result of Item E-1332.




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                                                                                                                               Board
                                                   Effective                                                                            Assigned    AR     Received     Filed by
   Item #                Title of Filing                                           Brief Description                          Vote or                                               NCCI Circular
                                                     Date                                                                                 Risk     count    at DOI        DOI
                                                                                                                                DOI
                                                               Amended the Statistical Plan Manual and the Revised
                                                               Statistical Plan rules related to submission of revised loss
                Workers Compensation Statistical
                                                               data. An accompanying filing, (E-1332-Experience               Board
U-1344          Plan - Special Fund and            12/01/97                                                                                                 10/9/1997 10/14/1997
                                                               Modification Recalculation-Revision of Losses) provides        Vote
                Subrogation Records
                                                               the proposed changes to the Experience Rating Plan
                                                               Manual which necessitates the filing of Item U-1344.
                                                               Remove wholesale automobile parts operation from Code
                Automobile Parts and Accessories               8010-Store Hardware and assign it to amended                   Board
B-1345                                             10/01/97                                                                                                  5/9/1997    5/8/1997
                Store Operation                                Classification Code 8046-Store: Automobile Parts and           Vote
                                                               Accessories NOC & Drivers.
                                                               Establish a new classification procedure for sign
                                                               manufacturing & installation operations by adding an
                                                               additional phraseology to Code 9521 - Advertising
                                                               display service & removing shop operations from Code
                                                               9521, Code 9549 - Advertising Co. & drivers, & Code
                                                               9552 - Sign Mfg. - erection, repair, or maintenance &     Board
                                                               shop, drivers. Provided a three-year rate/loss cost &    Vote on
                                                               rating value transition for Code 9545 - Bill posting &    Store
                Revisions of Basic Manual
B-1335                                             07/01/97    drivers, Code 9549 & Code 9552 involving a payroll        Ops -                             11/25/1996   12/2/1996
                Classification and Related Rules
                                                               weighted average of all three codes. Eliminated Codes    DOI on
                                                               9545, 9549 & 9552 effective 7/1/2000 & combined these      sign
                                                               classification codes into a newly created Code 9554.       mfg
                                                               Also established two new classification codes, one for
                                                               retail drugstores & the other for retail book, record,
                                                               compact disc, software, video & audio cassette stores.
                                                               These businesses are presently classified to Code 8017 -
                                                               Store Retail NOC.

                                                               Update the present percentages & factors that apply
                                                               when increasing the limits of employers liability on a
                                                               workers compensation and employers liability policy or a
                                                               policy with Admiralty/FELA coverage. Also contemplates
                                                               the creation of Appendix E in the Basic Manual, which
                                                               will contain expanded tables for limits of employers
                                                               liability & Admiralty/FELA coverage as well as provide for
                Employers Liability and                        corresponding minimum premium values. Further, this
B-1337                                             07/01/97                                                                    DOI                          3/10/1997   3/11/1997
                Admiralty/FELA Increased Limits                item was intended to clarify the application of the
                                                               minimum premium for increased limits. It as also
                                                               intended to provide the proper sequence for the
                                                               application of the increased limits percentages to reflect
                                                               the calculation of premium gross of merit rating
                                                               modification or deductible credits in those states where it
                                                               is permissible to provide workers compensation coverage
                                                               on a deductible basis.




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                                                                                                                              Board
                                                     Effective                                                                         Assigned    AR     Received     Filed by
   Item #                 Title of Filing                                           Brief Description                        Vote or                                               NCCI Circular
                                                       Date                                                                              Risk     count    at DOI        DOI
                                                                                                                               DOI
                                                                 Amended Rule V of the Basic Manual for Workers Comp.
                                                                 & Employers Liab. Ins. to exclude from the definition of
                 Davis-Bacon Wages Placed By An
                                                                 remuneration, payments made by an employer into a           Board
B-1340           Employer Into Third-Party           07/01/97                                                                                               3/6/1997    3/7/1997
                                                                 third-party pension trusts for the Davis-Bacon Act or a     Vote
                 Pension Trust
                                                                 similar wage law, provided the pension trust is qualified
                                                                 under IRC Sections 401(a) & 501(a).
                                                                 Amended the Basic Manual to include a general
                                                                 explanation of "wrap-up" & provide more information
                                                                 regarding the proper issuance of policies under the wrap-   Board
B-1342           Wrap-Up Construction Projects       07/01/97                                                                                              2/26/1997   2/27/1997
                                                                 up option. Also added rules to the Experience Rating        Vote
                                                                 Plan Manual regarding the definition & administration of
                                                                 Wrap-Up Construction Projects.
                                                                 Eliminated state special classification Code 3075-
                 Elimination of Code 3075                                                                                    Board
O1-IN-97                                             07/01/97    Coppersmith Shop & reassigned these operations to Code                                    4/23/1997    5/7/1997
                 Coppersmith Shop                                                                                            Vote
                                                                 3315-Brass or Copper Goods Mfg.
                 1997 Update to Retrospective                    Update the State and Hazard Group Severity Relativities
R-1341                                               07/01/97                                                                 DOI                          1/24/1997   1/30/1997
                 Rating Plan Parameters                          of the Retrospective Rating Plan for each state.
                                                                 Revise the Articles of Agreement of the National Workers
                                                                 Compensation Reinsurance Pool. The intent of this
                 Proposed Revisions to Articles of
                                                                 revision is to enable increased flexibility of the
RM-W-8020        Agreement of the NWCRP              03/05/97                                                                 DOI
                                                                 reinsurance mechanism. This will allow variations of the
                 (Withdrawn)
                                                                 current program, based on the local environment needs
                                                                 & as changes occur.
                                                                 Amend the original filing of Item R-1301 and provide
                                                                 Hazard Group assignments for the admiralty                  Board
R-1301(A)        Hazard Group Assignments            03/01/97                                                                                              1/23/1997   1/27/1997
                                                                 classifications which previously did not have               Vote
                                                                 assignments.
                                                                 Repeal the provisions of RM-W-8015(A) related to Other
                                                                 States Insurance and in its place require all assigned
                                                                 carriers to attach the Residual Market Limited Other
                 Residual Market Limited Other                   States Insurance endorsement to all new and renewal         Board
P-35                                                 02/01/97                                                                            yes       1       10/4/1996   10/8/1996
                 States Insurance Endorsement                    assigned risk policies. This endorsement replaced Part      Vote
                                                                 Three-Other States Insurance of the Workers
                                                                 Compensation & Employers Liability Policy with the
                                                                 language contained in the endorsement.
                                                                 Revise the previously filed Item P-35-Residual Market
                 Residual Market Limited Other
                                                                 Limited Other States Insurance Endorsement. This item       Board
P-35(A)          States Insurance Endorsement        02/01/97                                                                            yes       1      12/31/1996    1/8/1997
                                                                 supersedes the Item P-35 filing which was previously        Vote
                 (Amended)
                                                                 submitted.
                                                                 Amend the Other States Insurance provision under the
                                                                 Workers Compensation Insurance Plan Supplement -
                 Residual Market Limited Other                                                                               Board
RM-W-8018                                            02/01/97    Additional Coverage's Under the WCIP. This filing is                    yes       1       10/4/1996   10/8/1996
                 States                                                                                                      Vote
                                                                 made in conjunction with Item P-35-Residual Market
                                                                 Limited Other States Insurance Endorsement.




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                                                                                                                                 Board
                                                    Effective                                                                             Assigned    AR     Received    Filed by
   Item #                Title of Filing                                            Brief Description                           Vote or                                              NCCI Circular
                                                      Date                                                                                  Risk     count    at DOI       DOI
                                                                                                                                  DOI
                                                                Eliminated certain admiralty classifications & their
                                                                phraseologies be continued as cross-references with
                Revisions of Basic Manual                       other admiralty classifications that will not be eliminated.    Board
B-1333                                              01/01/97                                                                                                 8/19/1996   8/21/1996
                Classifications and Related Rules               This filing also established new Basic Manual Rule IV-D-        Vote
                                                                13 to clarify the classification procedure for recycling
                                                                operations.
                                                                Revise the Workers Compensation Insurance Plan (WCIP)
                Workers Compensation Insurance                                                                                  Board
RM-W-8019                                           01/01/97    to establish a procedure for securing an effective date                     yes       1      1/16/1997   1/23/1997
                Plan - Securing an Effective Date                                                                               Vote
                                                                based upon the mail submission option.
                                                                Amends the schedule rating rules in the Experience
02-IN-96        Schedule Rating                     12/01/96
                                                                Rating Plan Manual.
                                                                Removal of Roller-Skating Rink Operation from Code
                                                                9016-Amusement Park or Exhibition Operation & Drivers
                                                                and assign it to Code 9093-Bowling Lane; amended Basic
                Revisions of Basic Manual                       Manual Rule V-B.2.p. to clarify the collection of               Board
B-1331                                              10/01/96                                                                                                             6/17/1996
                Classifications and Related Rules               remuneration under this rule & established two new              Vote
                                                                classifications for trucking operations, which will
                                                                eliminate & replace Code 7219 - Trucking - NOC - all
                                                                employees & drivers.
                                                                Established two new classifications for child day care
                                                                center operations & non-specialty child day camp
                                                                operations, established three new classifications for
                                                                contractors engaged in telephone or cable TV line
                                                                installation, established a new Standard Exception
                Revisions of Basic Manual                       classification, Clerical Telecommuter Employees &               Board
B-1330                                              07/01/96                                                                                                 10/3/1995   3/15/1996
                Classifications & Related Rules                 amended Basic Manual Rule IV-E-2, Interchange of                Vote
                                                                Labor, to address the treatment of the new code. Also,
                                                                established a new professional employees classification
                                                                for buildings operation & amended the current
                                                                classification phraseologies of Code 9015 & established
                                                                two new classifications for casino gambling operations.
                Elimination of Chemical and                     Eliminate the Chemical and Dyestuff Rating Plan (CDRP)
                Dyestuff Rating Plan (CDRP) -                   and in its place establish two classifications for risks        Board
B-1334                                              07/01/96                                                                                                  3/8/1996    3/8/1996
                Establishment of Two                            engaged in chemical operations which are not otherwise          Vote
                Replacement Classifications                     classified in the Basic Manual.
                                                                Update the (Revised) Retrospective Rating Plan for the
                1996 Update to Retrospective                    effect of loss size inflation, which varies by state. This is   Board
R-1329                                              07/01/96                                                                                                 1/24/1996   3/22/1996
                Rating Plan Parameters                          accomplished by update of the State and Hazard Group            Vote
                                                                Severity Relativities.
                                                                Endorsement permits an insurer to provide coverage in
                Residual Market Multiple                                                                                        Board
P-29                                                06/01/96    additional states through companies within the same                         yes       1       2/2/1996    2/5/1996
                Company Endorsement                                                                                             Vote
                                                                carrier group, either at policy issuance or mid-term.
                                                                Simplify and modernize the Basic Manual for Workers
                Revised Basic Manual for Workers
                                                                Compensation and Employers Liability Insurance.                 Board
B-1327          Compensation and Employers          04/01/96                                                                                                  7/3/1995   7/17/1995
                                                                Several rule changes have been incorporated in this             Vote
                Liability Insurance
                                                                filing.
                                                                Amend Sections II and III of the Indiana Workers
RM-01-IN-96     Amendments to Indiana WCIP          04/01/96                                                                     DOI        yes       1      5/21/1996   5/21/1996
                                                                Compensation Insurance Plan.

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                                                                                                                                  Board
                                                    Effective                                                                              Assigned    AR     Received     Filed by
   Item #                Title of Filing                                             Brief Description                           Vote or                                               NCCI Circular
                                                      Date                                                                                   Risk     count    at DOI        DOI
                                                                                                                                   DOI
                                                                Revise the WCIP to support the new Residual Market
                                                                Application Processing System (RMAPS) & clarified items
                                                                previously established in Item RM-W-8017. Upon receipt
                Revised Workers Compensation                                                                                     Board
RM-02-IN-95                                         04/01/96    of the deposit monies within the requested time frames,                      yes       1      12/14/1995 12/15/1995
                Insurance Plan (Amended)                                                                                         Vote
                                                                coverage may be bound no earlier than 12:01 a.m. on
                                                                date following receipt of the completed signed
                                                                application.
                                                                Effective concurrently with Item RM-W-8017: Revised
                Indiana Workers Compensation
                                                                Workers Compensation Insurance Plan. Revised ACORD               Board
RM-03-IN-95     Insurance Plan - Revised ACORD      04/01/96                                                                                 yes       1      11/20/1995 11/27/1995
                                                                133 assigned risk application form & eliminated the              Vote
                133 Application
                                                                Supplemental Truckers Application.
                                                                Revise the Workers Compensation Insurance Plan (WCIP
                                                                or Plan) to support a new application processing
                Revised Workers Compensation                                                                                     Board
RM-W-8017                                           04/01/96    workflow as well as to clarify items previously                              yes       1       6/13/1995   6/16/1995
                Insurance Plan                                                                                                   Vote
                                                                established in the Restructured Workers Compensation
                                                                Insurance Plan (Item W-8014).
                                                                Revise the explanatory wording to Indiana state special
                                                                                                                                 Board
O1-IN-96        Revised Wording for Code 7699       02/14/96    Code 7699, Firefighters-Medical Only & Drivers to include                                      2/14/1996   2/14/1996
                                                                                                                                 Vote
                                                                reference to volunteer firefighters.
                                                                Updates the premium discount program which tailors
                                                                manual premium to reflect equitable expense provisions
                Revised Premium Discount                        by size of policy. The last premium discount update was          Board
B-1318                                              01/01/96                                                                                                    2/7/1995   8/15/1995
                Program                                         based on calendar year 1982 expenses and premiums by             Vote
                                                                size of policy. This filing is based on data from calendar
                                                                year 1991.
                                                                Create three separate classifications for restaurant
                                                                                                                                 Board
B-1328          Restaurant Classifications          01/01/96    operations which will replace and eliminate Code 9079.                                        10/23/1995 10/26/1995
                                                                                                                                 Vote
                                                                (Codes 9082, 9083 & 9084).
                                                                Item B-1318 (Revised Premium Discount Program) was
                                                                recently approved in Indiana. The Premium Discount
                                                                Endorsement is intended to reflect the revised premium           Board
None            Premium Discount Endorsement        01/01/96                                                                                                  11/29/1995 11/30/1995
                                                                discount schedule & to inform policyholders of their             Vote
                                                                eligibility for premium discounts under the revised
                                                                program.
                Workers Compensation Statistical                Establish the revised procedures for the reporting of            Board
U-1336                                              01/01/96                                                                                                   3/22/1996   3/29/1996
                Plan Revisions                                  Workers Compensation Statistical Plan data elements.             Vote

                Workers Compensation Insurance                  Amend Part Three - Other States Insurance of the                 Board
P-33                                                10/01/95                                                                                 yes       1       8/16/1995   8/21/1995
                Plan - Other States Endorsement                 Workers Compensation and Employers Liability Policy.             Vote

                Real Estate Appraisal Companies-                Establish Code 8721, a new classification for real estate        Board
B-1325                                              07/01/95                                                                                                   5/16/1995   5/22/1995
                Outside Employees-Code 8721                     companies.                                                       Vote

                1995 Update to Expected Loss
                                                                Update the (Revised) Retrospective Rating Plan for the
                Size Ranges for Entry into the
                                                                effect of loss size inflation. Size inflation varies by state,   Board
R-1316          Table of Insurance Charges &        07/01/95                                                                                                  12/15/1994   5/31/1995
                                                                and this is reflected in the update of the State and             Vote
                Update to Retrospective Rating
                                                                Hazard Group Severity Relativities.
                State & Hazard Group Relativities
                                                                Manually rate six A-rated Codes and discontinue one              Board
B-1323          A-Rate Procedure Elimination        05/01/95                                                                                                   3/28/1995   3/28/1995
                                                                code.                                                            Vote

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                                                                                                                                 Board
                                                    Effective                                                                             Assigned    AR     Received     Filed by
   Item #                Title of Filing                                            Brief Description                           Vote or                                               NCCI Circular
                                                      Date                                                                                  Risk     count    at DOI        DOI
                                                                                                                                  DOI
                                                                Adds new classification wording or amends wording of
                                                                various classifications. Facilitate the proper classification
                                                                of risks, correct inconsistencies in the inclusion or
                Changes in the Basic Manual                     exclusion of drivers in various cross-reference                 Board
B-1321                                              04/01/95                                                                                                  2/14/1995   2/16/1995
                Classifications and Footnotes                   phraseologies under the same class code, & discontinue          Vote
                                                                the requirement in certain classification wordings that
                                                                the code be authorized by the rating organization before
                                                                being used.
                                                                Eliminate certain classifications of WC business which are
                Revision of Basic Manual                                                                                        Board
B-1322                                              04/01/95    too small to develop meaningful data for ratemaking                                           1/19/1995   1/23/1995
                Classifications                                                                                                 Vote
                                                                purposes.
                                                                By withdrawing Item E-1324, simple one rule applies in
                Withdrawal of Item E-1324
                                                                Indiana: an employer may allow access to the experience
                Experience Rating Plan -
E-1324                                              03/01/95    rating worksheet by submitting a letter of authority to          DOI                         12/18/1995 12/19/1995
                Distribution of Experience Rating
                                                                the ICRB. This withdrawal filing eliminated the
                Worksheet
                                                                distribution of rating worksheets annually to employers.

                Quick Printing-Copying or
                                                                Introduce Code 8015, a new separate and distinct                Board
B-1320          Duplicating Service-All Employees   02/01/95                                                                                                 11/17/1994 11/28/1994
                                                                classification for the quick printing industry.                 Vote
                & Clerical, Salespersons, Drivers
                                                                Revise Hazard Group assignments for certain
                                                                classifications and provide Hazard Group assignments for
R-1301          Hazard Group Assignments            01/01/95                                                                     DOI                          6/10/1994   6/13/1994
                                                                some classifications, which previously did not have an
                                                                assignment.
                                                                State special Basic Manual rule be established to provide
                                                                for the inclusion of coverage for eligible members or
                Members of a Limited Liability
O3-IN-94                                            11/01/94    managers of limited liability companies. Also, that the          DOI                          9/29/1994   10/3/1994
                Company (LLC)
                                                                payroll limitations applicable to partners or sole
                                                                proprietors appearing in the state
                                                                Establish the additional coverage's that will be made
                                                                available under the Workers Compensation Insurance
                Additional Coverage's Under The                 Plan (Plan) in accordance with part (c) of the definition
W-8015          Workers Compensation Insurance      10/01/94    for "workers compensation insurance" found in Section I          DOI        yes       1       6/22/1994   6/29/1994
                Plan                                            of the Plan. Additionally, this filing established a
                                                                standard charge for waiver of subrogation under the
                                                                Plan.
                                                                Amendment to the original item's language regarding
                                                                "Other States Insurance". The amendment makes
                                                                provision of this coverage, where requested, a
                                                                requirement on the assigned carrier in those Plan states
                Amended - Additional Coverage's
                                                                where the amended language is approved. Further, this
W-8015 (A)      Under The Workers                   10/01/94                                                                     DOI        yes       1       9/29/1994   3/15/1995
                                                                amendment provides that any payment under Other
                Compensation Insurance Plan
                                                                States Insurance be in the nature of indemnification, i.e.,
                                                                as indemnity against loss rather than against liability;
                                                                therefore, carrier licensure should not be an obstacle to
                                                                provision of this coverage.




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                                                                                                                                   Board
                                                     Effective                                                                              Assigned    AR     Received     Filed by
   Item #                Title of Filing                                              Brief Description                           Vote or                                               NCCI Circular
                                                       Date                                                                                   Risk     count    at DOI        DOI
                                                                                                                                    DOI
                Workers Compensation Insurance
                                                                 Revised ACORD 133 form and instructions will replace
None            Plan - Revised ACORD 133             09/06/94                                                                      DOI        yes       1        9/6/1994
                                                                 the ACORD 133 form and instructions currently in use.
                Application and Instructions
                                                                 Create a mandatory assigned risk retrospective rating
                                                                 program for employers having residual market premium
                Assigned Risk Mandatory Loss                     equal to or exceeding $200,000. This rating program,
O2-IN-94                                             09/01/94                                                                      DOI        yes       1       2/25/1994    4/4/1994
                Sensitive Rating Plan (LSRP)                     the Loss Sensitive Rating Plan (LSRP), is designed to
                                                                 depopulate the residual market, and to promote safety &
                                                                 loss control, & provide fairness.
                                                                 A new classification Code 5536-Heating and Air
                Heating and Air Conditioning
                                                                 Conditioning Duct Work-Shop and Outside-& Drivers, be
B-1313          Duct Work - Shop and Outside --      07/01/94                                                                      DOI                          4/14/1994   4/15/1994
                                                                 erected for all types of air conditioning/heating duct work
                & Drivers
                                                                 fabrication and installation.
                1994 Update to Expected Loss
                                                                 Update the (Revised) Retrospective Rating Plan for the
                Size Ranges for Entry into the
                                                                 effect of loss size inflation. Size inflation varies by state,
R-1304          Table of Insurance Charges &         07/01/94                                                                      DOI                         11/19/1993    2/8/1994
                                                                 and this is reflected in a concomitant update in the State
                Update To Retrospective Rating
                                                                 and Hazard Group Severity Relativities.
                State & Hazard Group Relativities
                Revised USL&HW Excess Loss
R-1310                                               07/01/94    Update the current USL&HW Excess Loss Factors.                    DOI                          1/25/1994   1/25/1994
                Pure Premium Factors
                                                                 Amend Basic Manual Rule VI-F-5 to reflect that the
                Minimum Premium Charges                          minimum premium for Code 8810 is the premium to be
B-1308          Applicable To Which No Exposure      04/01/94    charged for a policy where no remuneration or other               DOI                           2/3/1994    2/3/1994
                Is Developed                                     basis of premium is developed during the term of the
                                                                 policy.
                                                                 Basic Manual Rule VIII-F, be amended to provide for
                                                                 additional flexibility in writing this type of business. No
B-1312          Wrap-Up Construction Projects        04/01/94    specific premium requirement for risks; multiple                  DOI                          2/17/1994   2/22/1994
                                                                 locations and projects; and no project duration
                                                                 requirement would be permitted.
                Filing Program - Extension of
                Endorsement Effective Period -                   Extension of the effective period of Amendatory                  Board
P-28                                                 04/01/94                                                                                                   3/23/1993   3/23/1993
                Amendatory Endorsement - WC                      Endorsement - WC 00 03 18                                        Vote
                00 03 18
                                                                 Classification Code 5223 be amended to remove "All
                                                                 Operations" from the phraseology & to allow a division of
                Swimming Pool                                    payroll between Codes 5223 & 9014 for one entity. This
B-1307          Construction/Maintenance             03/01/94    would require that the operations described by                    DOI                           2/3/1994    2/3/1994
                Operations                                       Classification Codes 5223 & 9014 are conducted by
                                                                 separate crews with no interchange of labor & separate
                                                                 payroll records are maintained.
                Special Indiana Classification For               Provide an Indiana special classification and rate for
O1-IN-94                                             03/01/94                                                                      DOI                          2/14/1994   2/14/1994
                Roistered Volunteers                             "Rostered Volunteers".
                                                                 Clarify the instructions for the reporting of corrections
                Procedures for Reporting                         when subrogation recoveries are received and when
U-1306          Subrogation and Special Fund         02/01/94    special fund recoveries are anticipated or received. The          DOI                          8/19/1994 11/15/1994
                Recoveries                                       change ensured a more consistent reporting of statistical
                                                                 data.


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                                                                                                                              Board
                                                    Effective                                                                          Assigned    AR     Received     Filed by
   Item #                Title of Filing                                            Brief Description                        Vote or                                               NCCI Circular
                                                      Date                                                                               Risk     count    at DOI        DOI
                                                                                                                               DOI
                Indiana Workers Compensation                    Initial premium is determined by taking a percentage of
O1-IN-93        Insurance Plan - Initial Premium    01/01/94    the estimated annual premium. This percentage varies          DOI        yes       1       11/9/1993 11/10/1993
                Requirements                                    with the amount of the estimated annual premium.

                                                                Add greater flexibility to the Retrospective Rating Plan,
                                                                while retaining the principles of actuarial balance. The
                Retrospective Rating Filing
R-1293                                              10/01/93    major change is the addition of an alternate allocated        DOI                           4/7/1993   5/17/1993
                Flexibilities
                                                                loss adjustment expense option (ALAE Option) allowing
                                                                inclusion of actual ALAE with loss.

                Workers Compensation Insurance                  Replace the current state-specific WCIP application form
A-8016          Plan - Implementation of ACORD      07/16/93    with generic ACORD application forms - 130 and 133 in         DOI        yes       1        7/1/1993   7/19/1993
                Application Forms                               this state.

                                                                Establish a new classification Code 9516 (Electronic
                Electronic Entertainment Devices -              Entertainment Devices) be erected for the installation,
B-1298                                             07/01/93                                                                   DOI                           3/8/1993   3/11/1993
                Installation, Service or Repair                 service or repair of electronic entertainment devices
                                                                including radio, television, video and audio equipment.
                                                                Basic Manual Rule VII-E-1 be revised to clarify the
                                                                original intent of the combination of policies for premium
                                                                discount. Under the proposed rule change, multiple
                Premium Discount - Combination                  policies issued to the same insured by one or more
B-1299                                              07/01/93                                                                  DOI                           3/8/1993   3/11/1993
                of Policies                                     insurance carriers under the same management shall be
                                                                combined for the purpose of computing the premium
                                                                discount for the subject insured unless the insured
                                                                instructs the carrier to the contrary.
                                                                Basic Manual Rule V-B be revised to consolidate all
                Premium Basis - Revision to Basic               remuneration inclusion and exclusion schedules found in
B-1300                                              07/01/93                                                                  DOI                           3/8/1993   3/11/1993
                Manual Rule V                                   both the Premium Audit Reference Book and in the Basic
                                                                Manual to provide more uniformity of language.
                1993 Update to Expected Loss
                Size Ranges for Entry into the
                                                                Update the (Revised) Retrospective Rating Plan for the
R-1294          Table of Charges and Update to      07/01/93                                                                  DOI                         10/21/1992    3/4/1993
                                                                effect of loss size inflation.
                Retrospective Rating State and
                Hazard Group Relativities
                                                                Establish a restructured Workers Compensation
                                                                Insurance Plan (WCIP or Plan) which (1) provides greater
                                                                regulatory oversight and scrutiny for Plan activities
                Restructured Workers                            including the reinsurance aspects of the Plan; (2)
W-8014                                              02/01/93                                                                  DOI        yes       1       1/22/1993   1/29/1993
                Compensation Insurance Plan                     strengthens the monitoring & enforcement of servicing
                                                                carrier performance of maximize efficiencies in the
                                                                operation of the assigned risk plan; & (3) provides for a
                                                                self-funded residual market.
                                                                Expansion of the Large Risk Alternative Rating Option to
                                                                include multiple line rating plans. This includes any
                Large Risk Alternative Rating
R-1295                                              01/01/93    combination of workers compensation, general liability,       DOI                          11/6/1992   12/1/1992
                Option/Multiple Lines
                                                                hospital professional liability, automobile physical
                                                                damage, crime and glass coverage.


         11/18/2010                                                                           20                                            1f4cc652-8371-454e-9dce-450abf69c40b.xls
                                                                                                                                  Board
                                                    Effective                                                                              Assigned    AR     Received     Filed by
   Item #                 Title of Filing                                           Brief Description                            Vote or                                               NCCI Circular
                                                      Date                                                                                   Risk     count    at DOI        DOI
                                                                                                                                   DOI
                                                                Establish the proposed definition of allocated loss
                                                                adjustment expenses (ALAE), which emphasizes the
                Definition of Allocated Loss
U-1292                                              01/01/93    function of claims adjusting irrespective of who performs         DOI                         11/30/1992   12/4/1992
                Adjustment Expenses
                                                                the function (the carrier or an outside vendor). Refer to
                                                                WC Statistical Plan Part IV, page 21 through 24.

                                                                Amend the rules of the Retrospective Rating Plan Manual
                Retrospective Rating Filing                     which provide for the filing of individual risk
R-1291                                              12/01/92                                                                      DOI
                Requirement - Revised Procedure                 retrospective rating plan values for approval by the
                                                                rating organization, but on a specific-request basis only.

                                                                New code classifications necessitates this amendment to
                                                                incorporate these codes into the Deductible Hazard Table
                Deductible Program Amendment
None                                                11/30/92    found in the Indiana State Special pages of the Basic             DOI
                Hazard Tables Update
                                                                Manual for Workers Compensation and Employers
                                                                Liability. Codes 5472, 5473 and 7232.

                                                                Establish Basic Manual rules designed to afford equitable
                Basic Manual Changes or
B-1289                                              10/01/92    treatment for insureds in the addition or deletion of             DOI
                Corrections In Classifications
                                                                classifications to a policy after the inception of the policy.
                                                                Establish Basic Manual and Experience Rating Plan
                Migrant and Seasonal Agricultural
B-1290                                              10/01/92    Manual rules for providing Migrant and Seasonal                   DOI
                Worker Protection Act Coverage
                                                                Agricultural Worker Protection Act coverage.
                Update to Retrospective Rating                  Update the State and Hazard Group Relativities of the
                                                                                                                                 Board
R-1279          State and Hazard Group              10/01/92    (Revised) Retrospective Rating Plan, in those states that
                                                                                                                                 Vote
                Relativities                                    have approved Item R-1259(A).
                                                                Amended, eliminated & added classification
                                                                phraseologies in the "C" section, & amended Rule IV-B-2-
                Phraseology Modernization -                                                                                      Board
B-1285                                              09/01/92    c in the Basic Manual for WC & Employers Liability
                Basic Manual                                                                                                     Vote
                                                                Insurance be added to identify modern business
                                                                operations found today.
                                                                Discontinue the $1.00 per day premium charge for strike
                Detective or Patrol Agency                      duty as presently stipulated in the footnote under
B-1287                                              09/01/92                                                                      DOI
                Changes for Strike Duty                         Classification Code 7720 in the Basic Manual for Workers
                                                                Compensation and Employers Liability Insurance.
                                                                Discontinue the current Workers Compensation
                Strike Duty Premium & Loss                      Statistical Plan procedures for reporting the strike duty
U-1288                                              09/01/92                                                                      DOI
                Reporting Instructions                          premium charge under Statistical Code 0111 for
                                                                Classification Code 7720.
                Asbestos Removal Operations                     Code number for Asbestos Contractor-Pipe and Boiler
B-1280                                              07/01/92                                                                      DOI
                (Amended)                                       Work Exclusively be changed from 5184 to 5472.
                Division of Single Employee's
                                                                Basic Manual Rule IV-E-2 be amended to delete the
                Payroll Between
                                                                restrictive word "such" from this rule. Further, that Rule
                Construction/Erection
B-1281                                              07/01/92    IV-E-2 be amended to indicate that Code 8810 (Clerical)           DOI
                Classifications and Non-
                                                                and Code 8742 (Outside Salespersons) are not available
                Construction/Erection
                                                                for division of payroll under this rule.
                Classifications



         11/18/2010                                                                             21                                              1f4cc652-8371-454e-9dce-450abf69c40b.xls
                                                                                                                              Board
                                                    Effective                                                                          Assigned    AR     Received   Filed by
   Item #                Title of Filing                                           Brief Description                         Vote or                                            NCCI Circular
                                                      Date                                                                               Risk     count    at DOI      DOI
                                                                                                                               DOI
                                                                Eliminate present inconsistencies in Code 0042 and Code
                Code 0042-Landscape Gardening                   9102 footnotes in regard to division of payroll for
                & Drivers vs. Code 9102-Lawn                    insureds engaged in both landscaping and lawn                Board
B-1284                                              07/01/92
                Maintenance-Commercial or                       maintenance operations and to permit division of a single    Vote
                Domestic & Drivers                              employee's payroll between such classifications provided
                                                                proper payroll records are maintained.
                                                                Numerous classification changes have been made since
None            Deductible Program Amendment        07/01/92    the inception of the Deductible Program necessitating a       DOI
                                                                change in the classification schedule.
                Filing Program - Revised Policy
                and Endorsement Forms -                         Endorsement used to permit insureds to purchase
P-27            Migrant and Seasonal Agricultural   07/01/92    coverage for damages payable under the Migrant and            DOI
                Worker Protection Act Coverage                  Seasonal Agricultural Worker Protection Act (MSAWPA).
                Endorsement - WC 00 01 11
                1992 update to Expected Loss
                                                                Update the Retrospective Rating Plan for the effect of       Board
R-1274          Size Ranges For Entry Into The      07/01/92
                                                                loss size inflation since the last such filing.              Vote
                Table of Insurance Charges
                                                                Add rules and four endorsements for employee leasing
B-1276          Employee Leasing Arrangements       04/01/92    arrangements. Adds rules to ER Plan Manual, Basic             DOI
                                                                Manual, & Policy Forms Manual.
                Assigned Risk Cancellation
                                                                Basic Manual be amended to reflect the assigned risk
                Premium Determination
                                                                cancellation premium determination exception with            Board
B-1278          Exception-Insured Obtains           04/01/92                                                                             yes       1
                                                                respect to cancellation for reasons of securing coverage     Vote
                Coverage Through the Voluntary
                                                                through the voluntary market.
                Market
                Basic Manual Changes to
                                                                Implement changes made in the WC & Employers Liab
                Accommodate Revisions in the
                                                                Insurance Policy & related policy forms endorsements as
B-1286          Workers Compensation and            04/01/92                                                                  DOI
                                                                provided for in Item filing P-28 (WC & Employers Liab
                Employers Liability Insurance
                                                                Ins Policy - WC 00 00 00 A).
                Policy
                                                                Codes 8824 (Retirement Living Centers: Health Care
                                                                Employees), 8825 (Retirement Living Centers: Food
                                                                                                                             Board
B-1268          Retirement Living Centers           01/01/92    Service Employees) and 8826 (Retirement Living
                                                                                                                             Vote
                                                                Centers: All Other Employees & Salespersons, Drivers)
                                                                be established.
                                                                Footnote to Code 8755 (Labor Union - All Employees) be
                Labor Unions Charges For Strike                 amended to remove references to additional premium for       Board
B-1272                                              01/01/92
                Duty                                            strike duty as well as eliminate parameters defining a       Vote
                                                                strike period.
                                                                Provides a revised procedure for determining short rate
                Short Rate Cancellation                         premiums. Alternative short rate cancellation table          Board
B-1273                                              01/01/92
                Basic Manual Rule X-D                           Appendix D of the Basic Manual limited to policies written   Vote
                                                                for a one-year period.
                                                                Developed to encourage insurance carriers to take an
None            Take Out Credit Program             01/01/92                                                                  DOI        yes       1
                                                                active role in depopulating the residual market.
                                                                Not a change in Plan language. The Plan will be in both
                Workers Compensation Insurance
                                                                the Basic Manual for Workers Compensation and
None            Plan (WCIP) - Inclusion in the      01/01/92                                                                  DOI        yes       1
                                                                Employers Liability Insurance and the National Pool
                Basic Manual
                                                                Handbook.

         11/18/2010                                                                           22                                            1f4cc652-8371-454e-9dce-450abf69c40b.xls
                                                                                                                              Board
                                                    Effective                                                                          Assigned    AR     Received   Filed by
   Item #                Title of Filing                                           Brief Description                         Vote or                                            NCCI Circular
                                                      Date                                                                               Risk     count    at DOI      DOI
                                                                                                                               DOI
                Amended Indiana Workers
None                                                01/01/92    Corrections made under Item 5, 6 and 9                        DOI        yes       1
                Compensation Insurance Plan
                                                                Rules and endorsements to implement the deductible
None            Deductible and Co-Insurance         01/01/92    and co-insurance program as approved by the Indiana           DOI
                                                                General Assembly.
                                                                Carriers will no longer collect or record the total
                Strike Duty Premium and Loss                    employee days (non payroll exposure), strike duty            Board
U-1275                                              01/01/92
                Reporting Instructions                          premium or corresponding losses on the unit report for       Vote
                                                                labor union members engaged in strike duty.
                                                                Equitably price retrospective rating when there are
                Retrospective Rating Severity                   differences in expected loss severity of individual          Board
R-1259(A)                                           12/01/91
                Adjustments                                     insureds selecting the plan. Secondly, introduce a new       Vote
                                                                retrospective rating option for large risks.
                                                                Basic Manual Rule IX-C.3 be amended to provide that the
                                                                additional premium charged on the policy of an insured
                                                                contractor for the operators provided with mobile
                Remuneration For Subcontractors-                                                                             Board
B-1267                                           09/01/91       equipment by an uninsured subcontractor, in the
                Mobile Equipment With Operators                                                                              Vote
                                                                absence of payroll records, be calculated utilizing a
                                                                payroll amount for the operators which shall not be less
                                                                than 33-1/3% of the subcontract price.
                Trucking: Mail, Parcel or Package
                Delivery-Under Contract With The                Introduce a new separate and distinct classification for     Board
B-1269                                              09/01/91
                U.S. Postal Service-All Employees               U.S. Postal Service contract mail haulers.                   Vote
                & Drivers (Code 7232)
                                                                Voluntary Compensation and Employers Liability
                                                                Coverage Endorsement - WC 00 03 11 A. The language
                Filing Program - Revised Policy &                                                                            Board
P-26                                                08/01/91    of the endorsement be changed to specifically reflect the
                Endorsements Forms                                                                                           Vote
                                                                intent of its originators and that the phrase "arising out
                                                                of and" be added to A.2.
                                                                Update Part Four-B of the Retrospective Rating Plan
                Update to Expected Loss Size
                                                                Manual, The Table of Expected Loss Ranges for entry into     Board
R-1266          Ranges for Entry Into The Table     07/01/91
                                                                the Table of Insurance Charges. The new ranges may be        Vote
                of Insurance Charges
                                                                found in Exhibit II.
                                                                General Information Page Notes - WC 00 00 01 A. The
                                                                General Information Page Notes have been amended to
                                                                include a note which permits carriers showing a renewal
                Filing Program - Revised Policy &               agreement statement on the Information Page or               Board
P-24                                                06/01/91
                Endorsements Forms                              entering into a renewal agreement not shown on the           Vote
                                                                Information Page to list any or all endorsements in Item
                                                                3.D, elsewhere on the Information Page, or in an
                                                                Information Page Schedule.

                                                                Migrant & Seasonal Agricultural Worker Protection Act
                Filing Program - Revised Policy &               Exclusion Endorsement-WC 00 01 00. An endorsement            Board
P-25                                                05/01/91
                Endorsements Forms                              be approved to explicitly exclude damages under the Act      Vote
                                                                from coverage under the policy.
                Transmittal Letter Reporting                    Revise and simplify the transmittal letter used to submit    Board
U-1270                                              05/01/91
                Instructions                                    hard copy unit reports.                                      Vote


         11/18/2010                                                                           23                                            1f4cc652-8371-454e-9dce-450abf69c40b.xls
                                                                                                                               Board
                                                    Effective                                                                           Assigned    AR     Received   Filed by
   Item #                 Title of Filing                                          Brief Description                          Vote or                                            NCCI Circular
                                                      Date                                                                                Risk     count    at DOI      DOI
                                                                                                                                DOI
                                                                Amends the Experience Rating Plan Manual to provide for
                Experience Rating Plan - Revision               recalculation of an experience modification if a revised
E-1264          of Losses Due to Special Fund       01/01/91    unit report is filed due to a carrier's paid or anticipated
                Reimbursement                                   recovery from a special fund as defined in the Statistical
                                                                Plan Manual.
                                                                Removal of additional medical coverage from Indiana
                Removal of Additional Medical
None                                                01/01/91    Special Classification due to change in the Indiana            DOI
                Charge
                                                                statutes.
                                                                Expand the use of the statistical code 9849 currently
                                                                used to designate the additional premium required to
                Revised Definition Statistical                                                                                Board
U-1262                                              01/01/91    balance the minimum premium for Admiralty and/or
                Code 9849                                                                                                     Vote
                                                                FELA coverage. This applies to both standard &
                                                                increased limits.
                                                                To document additional Workers Compensation
                Exposure and Premium Reporting                                                                                Board
U-1271                                              01/01/91    Statistical Plan reporting requirements for no exposure
                Instructions                                                                                                  Vote
                                                                unit reports, on hard copy or magnetic tape mediums.
                                                                Provide necessary review and audit information on
                WCIP Application - Supplemental
                                                                employee leasing assigned risks by requesting applicants
                Information and Rearrangement
A-8009                                              11/01/90    to declare their status as concerns which lease out            DOI        yes       1
                and Supplemental Employee
                                                                employees or which lease their employees from another
                Leasing Application
                                                                firm.
                Trucker Supplemental
None            Application, including Guide for    11/01/90                                                                              yes       1
                Completion
                                                                Update the pension tables contained in the Workers
                                                                Compensation Statistical Plan Manual using the 1979-
                Workers Compensation Statistical                1981 U.S. Decennial Life Tables. In addition, a Pension       Board
U-1260                                              10/01/90
                Plan Manual - Part XII Tables                   Table Guide was developed to assist carriers in locating      Vote
                                                                the proper table to use when reserving claims for
                                                                Survivorship Benefits.
                                                                Plan be amended to require the employer or his
                                                                representative to include with and as a part of the
                                                                application a copy of the employer's latest filed federal
                                                                                                                              Board
W-8002 (A)      WCIP - Payroll Verification         09/01/90    employer 941, 941E, 942 or 943 form or equivalent state                   yes       1
                                                                                                                              Vote
                                                                or federal-required verifiable current payroll record, or
                                                                notarized explanation as to why no such record is
                                                                available.
                                                                Plan be amended to specify that an offer of any
                                                                reasonable rating plan approved for use in this
                Workers Compensation Insurance                                                                                Board
W-8003 (A)                                          09/01/90    jurisdiction shall be deemed an offer of insurance in a                   yes       1
                Plan - Applicant Eligibility                                                                                  Vote
                                                                regular manner and that disputes arising thereunder
                                                                shall be resolved under the Plan.
                                                                The rules of the Experience Rating Plan Manual be
                                                                modified to provide, with limited exception, for the
                Change of Ownership                             continued use of experience of an entity undergoing an        Board
E-1261                                              07/01/90
                Rules/Transfer of Experience                    ownership change. The continued experience would              Vote
                                                                generally be transferred to the acquiring, surviving or
                                                                new entity.



         11/18/2010                                                                           24                                             1f4cc652-8371-454e-9dce-450abf69c40b.xls
                                                                                                                              Board
                                                   Effective                                                                           Assigned    AR     Received   Filed by
   Item #                Title of Filing                                           Brief Description                         Vote or                                            NCCI Circular
                                                     Date                                                                                Risk     count    at DOI      DOI
                                                                                                                               DOI
                                                               Updated Part Four-B of the Retrospective Rating Plan
                Update to Expected Loss Size
                                                               Manual, the Table of Expected Loss Ranges for entry into      Board
R-1257          Ranges For Entry Into The Table    07/01/90
                                                               the Table of Insurance Charges. The new ranges may be         Vote
                of Insurance Charges
                                                               found in Exhibit II.
                                                               Establish Loss Coverage Codes which will allow for the
                                                               identification of claims involving Workers Compensation
                                                                                                                             Board
U-1258          Revised Loss Coverage Coding       07/01/90    or Employers Liability benefits exclusively, as well as
                                                                                                                             Vote
                                                               those claims which contain both Workers Compensation
                                                               and Employers Liability benefits.
                Revision To The Workers
None            Compensation Insurance Plan In     05/01/90    Rule 13 was changed and Rule 14 was deleted.                              yes       1
                The State of Indiana
                Amended Indiana Application For                WCIP Application amended to include the 25% surcharge
None                                               01/03/90                                                                   DOI        yes       1
                Workers Compensation Insurance                 on risks with premium in excess of $2,000.


                                                               Establish rules restricting the application of increases in
                Application of Late Experience                 experience modifications issued after the rating effective
                                                                                                                             Board
E-1255          Modifications/Contingent           01/01/90    date. It also establishes rules for the calculation of
                                                                                                                             Vote
                Modifications                                  experience rating modifications using the available
                                                               portion of the data currently used.


                Statistical Codes 0133 & 0179
                                                               Establish two unique statistical codes for reporting
                For Reporting Supplemental
                                                               supplemental disease experience in connection with
                Disease Experience in Connection                                                                             Board
U-1246                                             01/01/90    asbestos exposure and supplemental disease experience
                with Asbestos Exposure and                                                                                   Vote
                                                               in connection with exposures not otherwise classified
                Exposures Not Otherwise
                                                               (NOC).
                Classified - (NOC)
                                                               Classification footnote phraseology for Code 8039 be
                Store: Department - Retail (Code               updated to increase the minimum payroll requirement to        Board
B-1252                                             12/01/89
                8039)                                          reflect inflationary trends, and to amend the types of        Vote
                                                               merchandise handled.
                                                               Establish a new classification Code 8061 (Store: Grocery-
                Store: Grocery-Convenience-
                                                               Convenience-Retail) and to amend the classification           Board
B-1253          Retail (Code 8061) and Store:      12/01/89
                                                               footnote phraseology for Code 8006 (Store: Grocery-           Vote
                Grocery-Retail (Code 8006)
                                                               Retail).
                                                               Proposed that Basic Manual Rule IV-B.4. be amended to
                Employer Operated Day Care                                                                                   Board
B-1254                                             12/01/89    indicate that employer operated day care services are
                Services - General Exclusions                                                                                Vote
                                                               general exclusions.
                                                               The following wording was added to the WCIP: The
                Revision To The Workers                        Indiana Governing Committee shall have jurisdiction over
None            Compensation Insurance Plan In     10/01/89    appeals from insureds and carriers on Plan matters.            DOI        yes       1
                The State of Indiana                           Such Committee shall also review and prescribe
                                                               operating rules and amendments for this Plan.
                                                               Schedule Rating Table filed in accordance with Senate
None            Schedule Rating Table              09/01/89                                                                   DOI
                                                               Bill 542.




         11/18/2010                                                                           25                                            1f4cc652-8371-454e-9dce-450abf69c40b.xls
                                                                                                                               Board
                                                      Effective                                                                          Assigned    AR     Received   Filed by
    Item #                 Title of Filing                                            Brief Description                       Vote or                                             NCCI Circular
                                                        Date                                                                               Risk     count    at DOI      DOI
                                                                                                                                DOI
                 Update to Expected Loss Size
                                                                  Update the Retrospective Rating Plan for the effect of        Board
R-1250           Ranges for Entry Into The Table      07/01/89
                                                                  loss size inflation since 1988.                               Vote
                 of Insurance
                                                                  Amend the footnote for Code 7370 (Taxicab Co. All Other
                 Taxi Cab Company All Other                       Employees & Drivers) to clarify that only vehicles leased     Board
B-1249                                                05/01/89
                 Employees & Drivers (Code 7370)                  or rented to others shall be subject to the per vehicle       Vote
                                                                  upset payroll amount.
                 Revised WCIP Information
None                                                  05/01/89    Revised WCIP Handbook                                          DOI       yes       1
                 Procedures Handbook
                 Indiana WCIP Supplemental                                                                                      Board
None                                                  05/01/89    Indiana WCIP Trucker Supplemental Applications.                          yes       1
                 Applications                                                                                                   Vote
                                                                  Language be added to the first paragraph to provide "If
                 Revised Filing Program Policy &
                                                                  an entry is shown in Item 3 of the Schedule the
                 Endorsement Forms - Alternate                                                                                  Board
P-20                                                  02/15/89    insurance afforded by this endorsement applies only to
                 Employer Endorsement - WC 00                                                                                   Vote
                                                                  work you perform under the contract or at the project
                 03 01A
                                                                  named in the Schedule".
                                                                  Proposes that the current retrospective rating plan Tax
                 Revised Retrospective Rating Tax                                                                               Board
R-1244                                                01/01/89    Multiplier be updated to include a new provision for
                 Multiplier                                                                                                     Vote
                                                                  assigned risk subsidy.
                 Employers Liability Increased                    Establish statistical code 9840 to be used when coding
                                                                                                                                Board
U-1248           Limits-Admiralty or FELA over        01/01/89    Employers Liability Increased Limits-Admiralty or FELA
                                                                                                                                Vote
                 $5,000-Statistical Code 9840                     over $5,000.
                          Total Filings                  241                     Total Assigned Risk Filings                               55
                                                                             Percent Assigned Risk Filings of Total                       23%

Notes:
1. Column titled "Board Vote or DOI" indicates if a filing was first reviewed by the the ICRB Governing Board for a vote prior to the ICRB
submitting a filing to the Indiana Department of Insurance (DOI). Typically, filings that are rate sensitive go straight to the DOI without a
mail vote. This is done to assure compliance with anti-trust law.
2. Column titled "Assigned Risk" indicates if the filing dealt with assigned risk plans or rules.
3. Notice additional tabs in spreadsheet (please see below).




         11/18/2010                                                                              26                                             1f4cc652-8371-454e-9dce-450abf69c40b.xls
     New Code                                         Description                                  Previous Code       Filing
Effective 1/1/1996
        9082         Restaurant NOC                                                                     9079           B-1328
        9083         Fast Food - no alcohol or servers                                                  9079           B-1328
                     Bar - greater than 50% alcohol receipts
       9084                                                                                             9079           B-1328
                     note: code 9058, Hotel Restaurant still in use
Effective 7/1/1996
        8869         Child Day Care Centers & Camps-Professionals                                      8868            B-1330
        9059         Child Day Care Centers & Camps-Others & D                                         9101            B-1330
        7611         Telephone & Cable TV Line Install - Underground                                6325 & 7601        B-1330
        7612         Telephone & Cable TV Line Install - Overhead                                      7601            B-1330
        7613         Telephone & Cable TV Line Install - Service                                       7600            B-1330
        8871         Clerical Telecommuter                                                             8810            B-1330
                     Buildings - Pros, Mgrs, Lease Agents & CS
       9012                                                                                             9015           B-1330
                     note: code 9015 still applies to all other employees
       9062          Casino Gambling & CSD                                                              9061           B-1330
       9044          Casino - Hotel & CSD                                                               9052           B-1330
                                                                                                     Chemical &
       4828          Chemical Mixing or Blending NOC & D                                           Dyestuff Rating     B-1334
                                                                                                        Plan
        4829        Chemical Mfg. NOC & D                                                                              B-1334
Effective 10/1/1996
        9093        Roller-Skating Rink                                                                 9016           B-1331
                    Trucking Local hauling only-all employees & D
        7228                                                                                            7219           B-1331
                    within radius of 200 miles of base terminal
                    Trucking Long distance hauling-all employees & D
        7229                                                                                            7219           B-1331
                    outside radius of 200 miles of base terminal
Effective 1/1/1997
                    (combination of admiralty codes: maintained 3, deleted 18)                                         B-1333
        7019        Vessels, Admiralty Law, Program I                                                  Various         B-1333
        7027        Vessels, Admiralty Law, Program II - State Act Benefits                            Various         B-1333
        7062        Vessels, Admiralty Law, Program III - LHWCA Benefits                               Various         B-1333
Effective 7/1/1997
                    Store Drug - Retail (at least 40% prescription receipts;
        8045                                                                                            8017           B-1335
                    less than 50% food service receipts)
                    Store: Book, Record, CD, Software, Video or Audio Cassette - Retail
        8072        (not for stores with more than 50% receipts in food service, musical                8017           B-1335
                    instruments, computers, hardware, or household/electronic equipment)
Effective 10/1/1997
                    Store: Automobile Parts & Accessories NOC & D
        8046                                                                                            8010           B-1345
                    (wholesale was 8010, now 8046)
Effective 1/1/1998
        5478        Carpet, Linoleum, Vinyl, Asphalt, or Rubber Floor Tile Installation                 9521           B-1346
Effective 7/1/1998
        4771        Explosives or Ammunition Mfg NOC & D                                               Various         B-1347
        8006        Grocery - Retail (eliminate 8061 Grocery Convenience; combine w/ 8006)              8061           B-1348
Effective 1/1/1999
        7422        Patrol photography, mapping or survey work: Flying Crew                             7418
        2172        Cigar Mfg                                                                           2177
        4279        Wallpaper Mfg                                                                       4301
Effective 7/1/2000
                    Sign installation, maintenance, repair, removal, or replacement NOC
        9554                                                                                      9545, 9549 & 9552
                    away from shop & D (Item B-1335)
        9516        Television, Video, Audio & Radio Equipment-installation, service or repair
Effective 1/1/2006
        5537        Heating, Ventilation, A/C & refrig system install, service & repair & D            Various         B-1391
                    Automobile Recycling & D
       3821                                                                                             None           B-1391
                     Note: National rule allows code 8046 for store employees. Indiana will not
                     adopt this change consistent with Basis Manual Rule 1.A.2. See Item B-1391
Effective 7/1/2007
        7710         Firefighters & Drivers                                                             7704           B-1397
                     Firefighters & Drivers - Volunteer
       7711                                                                                             7704           B-1397
                     Note: 7699 Fighters - Med Only & D continues as an Indiana special code
        7705         Ambulance Service & EMS (Emergency Medical Service) Providers & Drivers            7370           B-1397
        2709         Logging or Tree Removal - Mechanized Equipment Operators                                          B-1397
        2701         Logging or Tree Removal - Log Hauling & D                                                         B-1397
Effective 1/1/2008
        8864         Social Services Organization                                                   8861 & 9110        B-1387
        8842         Group Home                                                                     8861 & 9110        B-1387
        7720         Juvenile Detention Center                                                      8861 & 9110        B-1387
        2157         Bottling                                                                          2156            B-1387
Effective 1/1/2010
        8869         Child Care Services                                                                9059           B-1408
        8602         Surveyors                                                                          8601           B-1408
        8603         Architectural or Engineering Firm—Clerical                                         8810           B-1408
        8725         Inventory Counters                                                                 8803           B-1408
        7402         Air Traffic Controllers                                                            7402           B-1418
Effective 1/1/2011
        6503         Potato Chip, Popcorn & Snack Chip Mfg. NOC                                         6504           B-1409
                     Manufactured, Modular, or Prefabricated Home Manufacturing —Shop Work &
       2797                                                                                                            B-1410
                     Drivers                                                                      2797 state special
                     Manufactured, Modular, or Prefabricated Home Setup, Hookup, or Installation
       2799                                                                                                            B-1410
                     at Building Site                                                            7228, 7229 & 8380
       8037          Store—Superstores and Warehouse Clubs                                          8017 or 8039       B-1412
       4109          Integrated Circuit Mfg                                                             4150           B-1413

                     Legend: C = Clerical; S = Salesperson; D = Driver

Notes
Source: ICRB files as of 10/23/09
Also see "Class Code Changes" tab
Also see CompClues document "New Class Codes"




     11/18/2010                                                                                                                 1f4cc652-8371-454e-9dce-450abf69c40b.xls
             Indiana Class Code Changes
               Effective 1/1/06 and after
     Code                General Category                                   Action                       Filing   Effective
     2576
             Bag or sack mfg                            Eliminate & merge into 2501                      B-1391   1/1/2006
     2578
     4308    Linotype printing                          Eliminate & merge into 4299                      B-1391   1/1/2006
     2150    Ice mfg                                    Eliminate & merge into 8203                      B-1391   1/1/2006
     8050    Five & dime store                          Eliminate & merge into 8017                      B-1391   1/1/2006
     9083    Restaurant                                 Update phraseology to include alcohol            B-1391   1/1/2006
     8721                                               Stop use of code 8742 as not applicable to
             Real estate appraisal                                                                       B-1391   1/1/2006
     8742                                               appraisal company
     5191
             Commercial restaurant equip installation   Update phraseologies, delete old phrases         B-1391   1/1/2006
     9519
                                                        Update phraseology, add Indiana exception that
     3821    Auto recycling                                                                              B-1391   1/1/2006
                                                        8046 not available for store employees
     5536                                               Eliminate & merge into 5537
     5537    Heating a/c contractor (HVACR)             New "Heating, Ventilation, A/C & refrig system   B-1391   1/1/2006
                                                        install, service & repair & drivers"
     4360
     4431    Audio or visual recording media mfg        Update phraseologies, delete old phrases         B-1394   1/1/2006
     4923
     5703    Building raising or moving                 Update phraseologies, delete old phrases         B-1394   1/1/2006
     2041    Candy, chocolate & confection mfg          Update phraseologies, delete old phrases         B-1394   1/1/2006
     6003
             Dock & seawall construction                Update phraseologies, delete old phrases         B-1394   1/1/2006
     6005
     5606    Contractor executive supervisor            Update conditions for use of code                B-1394   1/1/2006
     5221
     5348
             Floor coverings installation               Update phraseologies, delete old phrases         B-1394   1/1/2006
     5437
     5478
     2014
             Grain milling mfg                          Update phraseologies, delete old phrases         B-1394   1/1/2006
     2016
     8835    Home health care                           Update phraseologies, delete old phrases         B-1394   1/1/2006
     2105
     2112    Juice mfg                                  Update phraseologies, delete old phrases         B-1394   1/1/2006
     2143
     7380
             Messenger/courier service                  Update phraseologies, delete old phrases         B-1394   1/1/2006
     8742
     4239
     4250
             Newsprint mills                            Update phraseologies, delete old phrases         B-1394   1/1/2006


11/18/2010                                                                            1f4cc652-8371-454e-9dce-450abf69c40b.xls
             Indiana Class Code Changes
               Effective 1/1/06 and after
     Code                General Category                           Action                      Filing   Effective
             Newsprint mills                    Update phraseologies, delete old phrases        B-1394   1/1/2006
     4279
     8264
     8392    Parking lots                       Update phraseologies, delete old phrases        B-1394   1/1/2006
     8017
     8018    Pet stores                         Update phraseologies, delete old phrases        B-1394   1/1/2006
     8031
     2211
     2286
     2501
     2600
             Tanning & fur mfg                  Update phraseologies, delete old phrases        B-1394   1/1/2006
     2623
     2688
     4493
     8103
     0106
     5183
             Tree pruning                       Update phraseologies, delete old phrases        B-1394   1/1/2006
     5507
     9102
     7710                                       New "Firefighters"
     7711                                       New "Firefighters & Drivers - Volunteers"
             Firefighters                       Note: 7699 Fighters - Med Only & D continues    B-1397   7/1/2007
                                                as an Indiana special code
                                                Eliminate 7704 eff 7/1/07
                                                New "Ambulance Service & EMS & D"
     7705    Ambulance Service & EMS                                                            B-1397   7/1/2007
                                                Eliminate cross reference to 7370
     7720                                       New "Juvenile Detention Center"
     8842                                       New "Group Homes"
             Charitable welfare organizations                                                   B-1387   1/1/2008
     8864                                       New "Social Services Org"
                                                Eliminate 8861 & 9110 eff 1/1/08
     2156    Bottling                           Eliminate & merge into 2157                     B-1387   1/1/2008
     0005
     0016
     0035    Farms                                 Update phraseologies, delete old phrases     B-1406   1/1/2010
     0050
     0079
     2021    Sugar mfg                          Update phraseologies, delete old phrases        B-1406   1/1/2010
     2172
             Tobacco mfg                        Update phraseologies, delete old phrases        B-1406   1/1/2010


11/18/2010                                                                    1f4cc652-8371-454e-9dce-450abf69c40b.xls
             Indiana Class Code Changes
                Effective 1/1/06 and after
     Code                 General Category                          Action                          Filing   Effective
             Tobacco mfg                        Update phraseologies, delete old phrases            B-1406   1/1/2010
     2174
     8869    Child day care services            Eliminate 9059 & reassign to 8869                   B-1408   1/1/2010
     8601                                       Revise phraselogy & cross references
                                                New "Surveyors, Timber Cruisers, Oil or Gas
     8602
                                                Geologists or Scouts, & Drivers"
                                                New "Architectural or Engineering Firm —Clerical
     8603    Engineering & research                                                                 B-1408   1/1/2010
                                                Staff"
     8810                                       Remove "drafting" function, reassign to 8603
                                                New "Inventory Counters —Traveling —Including
     8725                                       Salespersons & Clerical"
     2001                                       Eliminate 2001 & reassign to 2003
             Bakery & food                      New "Potato Chip, Popcorn & Snack Chip Mfg          B-1409   1/1/2011
     6503
                                                NOC"
     2812    Carpentry                          Eliminate 2812 & reassign to 2883                   B-1410   1/1/2011
                                                New national "Manufactured, Modular, or
                                                Prefabricated Home Manufacturing —Shop Work
     2797                                                                                           B-1410   1/1/2011
                                                & Drivers" to replace IN state special "Mobile or
             Manufactured housing               Trailer Home Mfg. & Drivers"
                                                New national "Manufactured, Modular, or
     2799                                       Prefabricated Home Setup, Hookup, or                B-1410   1/1/2011
                                                Installation at Building Site"
     4362    Film                               Eliminate 4362 & reassign to 4360                   B-1412   1/1/2011
     4561    Varnish & paint mfg                Eliminate 4561 & reassign to 4439                   B-1412   1/1/2011
     8037    Superstores & warehouse clubs      New "Store - Superstores & Warehouse Clubs"         B-1412   1/1/2011
     4112                                       Eliminate 4112 & reassign to 4110
     4150    Fiber optics & semiconductors      Eliminate 4150 & reassign to 4149                   B-1413   1/1/2011
     4109                                       New "Integrated Circuit Mfg"
     7601                                       Eliminate 7601 & reassign to 7600
     7611                                       Eliminate 7611 & reassign to 7600
             Telecommunications & electronics                                                       B-1413   1/1/2011
     7612                                       Eliminate 7612 & reassign to 7600
     7613                                       Eliminate 7613 & reassign to 7600
                                                Eliminate 5651 & reassign to 5645
     5651    Carpentry                                                                              B-1415   1/1/2011
                                                Update phraseologies, delete old phrases
                                                New ―Aviation —Air Traffic Controllers Under
     7402    Aviation (changes B-1399)                                                              B-1418   1/1/2010
                                                Contract with the FAA‖

   Notes


11/18/2010                                                                     1f4cc652-8371-454e-9dce-450abf69c40b.xls
              Indiana Class Code Changes
                Effective 1/1/06 and after
      Code                 General Category        Action                     Filing   Effective
   Source: ICRB files as of 10/23/09
   Also see "New Codes" tab
   Also see CompClues document "New Class Codes"




11/18/2010                                                  1f4cc652-8371-454e-9dce-450abf69c40b.xls

								
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