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Leland Charais
Jun 20, 2022
In CIV Inc. Forensic Review -
To move forward with CIV Inc.'s forensic review, we will need: Signed and dated agreement and letter of authorization. We will email a general list of needed documents. 1. Experience Modification Worksheets (Xmods/mods) A. The original and all revisions for each policy year we will be reviewing. 2. Policies, endorsements, final audits (include any and all revisions per year). 3. Currently valued loss runs. Depending on the account we will review 7 to 12 years worth of policies. If you do not have all the needed data, we will help assist you obtain the data via your current and/or historical agents and insurance companies.
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Leland Charais
Feb 27, 2021
In Experience Rating Information
Breaking down each year's data used We now know three out of the last four years of data is used to calculate your current experience rating. We now know which years impact your experience rating 01/01/2021 Rating period skips the 01/01/2020 data and uses the 01/01/2019, 01/01/2018, and 01/01/2017 data. For this example, each year's data will be the same so to keep this simple. Your expected losses are calculated using your class codes payrolls times an expected loss rate per $100 of payroll. (Each class code has its own expected loss rate.) For this example, we will only use one class code and a fictional expected loss rate. Class Code 5510 payroll $500,000 x's $5.00 ELR (expected loss rate) equals $2,500,000 divided by $100 equals $25,000 of expected losses for the policy period. For this example, all three years 01/01/2019, 01/01/2018 and 01/01/2017 have the same payroll. $25,000 x's the three years gives you $75,000 in expected losses for the 01/01/2021 policy period. The actual mod calculation is much more complicated, there are other factors used to calculate your final experience mod. This is meant to understand the THEORY, a rough understanding of how the mod is created.
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Leland Charais
Feb 27, 2021
In Experience Rating Information
Now that we know three out of the last four years of your data is used to calculate your experience rating, what exactly is the data used? To keep it simple (and not to get too deep into the weeds) the data calculated compares your expected losses (losses that you are expected to lose) vs the losses you actually acquired. In THEORY, if your 01/01/2021 experience rating (using 3 out of the last four years worth of data) calculates you are expected to lose $75,000 01/01/2020 data is not used 01/01/2019 data calculates you are to lose $25,000 01/01/2018 data calculates you are to lose $25,000 01/01/2017 data calculates you are to lose $25,000 For a total of $75,000, you are expected to lose on your 001/01/2021 policy period. IN THEORY!!! In THEORY, if you are expected to have $75,000 worth of claims for the 01/01/2021 policy period and you actually do acquire $75,000 worth of claims, you would be average, in theory, you would be issued a 1.0 experience rating factor. In THEORY, if you have fewer losses than what you are expected to have, your future experience rating should go down. If you have more, your future rating will go up. Now keep in mind, this is in theory. If you actually have losses that match exactly what you are expected to lose, your experience rating will be issued as a debit!
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Leland Charais
Feb 27, 2021
In Experience Rating Information
This is a complex question. I will break this down into multiple parts to make this easier to understand. To start off your mod uses your historical data to calculate your current year experience rating factor. The historical data used, is the following: Three out of the last four years of data used to calculate your current experience rating factor. If your rating period is 01/01/2021- the 01/01/2020 data is not used, the 01/01/2019, 01/01/2018 and the 01/01/2017 data is. Part 2 will bread down what data is used.
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Leland Charais
Feb 15, 2021
In Experience Rating Information
If your mod increases or decreases, you may find previous credits disappearing and/or being replaced with debits!! I bet you are scratching your head right now with the first part of that sentence, if my mod decreases I can have credits lowered and be replaced by debits? You read it right !! If your mod increases too much, you could be forced into the pool, a PEO, or no longer qualify for a lower cost group plan. If you are currently in the pool or PEO, lowering your mod could get you out.
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Leland Charais
Feb 15, 2021
In Experience Rating Information
Your mod is a multiplier (for those policies that use a mod). If your mod goes up or down, so does your premium. Example: If your subject premium is calculated at $100,000 x's a mod of a 1.25= $125,000 If you had our forensic review performed and we found an error that dropped your mod from a 1.25 to a 1.15. That would be a 10% drop, a return premium of $12,500.00 Let's take this a step further, what if we found issues on more than one of your ten to twelve policies that we review? Refunds add up quickly!
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Leland Charais
Feb 15, 2021
In General Discussions
CIV Inc. specializes in reducing experience modification factors and recovering current and historical workers' comp premiums. Having 20 plus years of experience, we have seen just about every mistake or oversite made causing companies to overpay. Nearly 90% of our qualified clients needed corrections to their workers' comp data, which generated millions of dollars of refundable premium's. ​ Being experts in worker's compensation insurance, we have the ability to help companies obtain unknown refunds and assist in keeping their current workers comp. mods and premiums under control. ​ We typically work on a contingency fee basis - No Recovery No Fee
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Leland Charais
Feb 15, 2021
In CIV Inc. Forensic Review -
Claim activity Increasing claim activity Claim dispute Multiple and late Xmod revisions Xmod varies within the rating period A major increase in Xmod Buying/Selling companies Subrogated/Denied claims Missing credits/Added debits Audit - Claim - Class Codedisputes Multiple state exposure Payroll audit dispute Class code dispute
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Leland Charais
Feb 15, 2021
In CIV Inc. Forensic Review -
Confirmation that your Xmods and comp premiums calculations are accurate over the 7 to12 years. ​ Confirmation you have been billed correctly over the last 7 to 12 years. ​ Any refundable premiums will be returned due will be returned over the last 7 to 12 years. ​ Updated claim status on the last 7 to 12 years of experience. ​ The possibility of lowering future Xmods and comp premiums, free of charge. ​ Any hidden issues affecting your current/future premiums will be disclosed. ​ Quicker renewal process due to better Underwriting profile. ​ Ability to be more competitive in the free market. ​ Increasing the possibility to move from the pool to the free market. ​ Made aware of any benefits you are currently not taking advantage of. ​ Having an advocate looking out for your best interest. ​ CIV Inc.'s shared saving plan - No Recovery - No Fee - No Risk
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Leland Charais
Feb 15, 2021
In CIV Inc. Forensic Review -
Our service is performed offsite and is designed to use very little of your time. A couple of phone calls and emails is typically all that is needed. We will provide updates on your requested timeline.
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Leland Charais
Feb 15, 2021
In CIV Inc. Forensic Review -
Our team of experts will perform our forensic review on your current and historical experience modification factors (Xmods) and workers' compensation policy premiums. Our review will determine if the data used to calculate your Xmods and policy premiums are in compliance with applicable state and federal guidelines. ​ ​We prepare all necessary documentation and paperwork to have non-compliant data corrected. Once we have confirmed you are in receipt of the return premium(s) due to the correction(s), only then will we invoice for our services. ​ When our work is completed, we will provide a final report detailing our findings. All revised Xmods and premium audits will be provided for your files. ​ In the rare event, our review does not generate premium reductions, there will be no charge for our service.
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Leland Charais
Feb 15, 2021
In Value to Agents
A unique service to offer prospects at zero overhead. Foot in the door (Low pressure). Obtain BOR becomes a simpler task. Reacquire lost business. Stay in the forefront with prospects while we perform our service. Use the opportunity to stand above the competition. Go above and beyond the norm of regurgitating the same sales speech and competing over price. Stand above the rest.... bring real value!!
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Leland Charais
Feb 15, 2021
In Value to Agents
We assist agents who want to bring additional value to their current and prospective clients (Zero overhead - Zero out of pocket costs). ​ Existing Clients Retain your existing business by having an "independent" add on service most don't have. Expanded your workers' comp team with zero overhead cost. Premium refunds and Xmod reductions will strengthen your clients' loyalty and trust. Protect your relationship with your Underwriter if a correction is needed benefiting your client. The accuracy of your clients' current and historical data will be confirmed with zero overhead cost. Shop your clients' business with a healthier Underwriting profile. Uncover unknown issues, negate surprises at final audit and/or renewal. Ensure your client is receiving the best insurance at the lowest possible price. Receive the credit for bringing us in to assist your efforts to lower their comp costs. Referrals (word of mouth; brings additional business) Access to updated claim information affecting your clients' Mods over the last 7-12 years. Again - Expand your workers' comp team at no out-of-pocket cost to you! ​ Let us help you place your client's business faster, with accurate data, with better coverage at a lower price.
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Leland Charais
Feb 15, 2021
In Workers' Comp Policy Info
It is not out of the question to recover funds on 12-year-old policies. We have recovered premiums policies as old as 15 years.
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Leland Charais
Feb 15, 2021
In Workers' Comp Policy Info
Fully Guaranteed Cost Plan Retrospective Small Deductible Assigned Risk - Pool Policies that use an experience mod in the final premium calculation.
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Leland Charais
Feb 15, 2021
In General Discussions
Construction Auto Dealers Manufacturing Transportation Health Care Hospitality Staffing
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Leland Charais
Feb 14, 2021
In CIV Inc. Forensic Review -
The majority of our qualified clients, nearly 90%, have had carrier errors/oversites that increased their mods and policy premiums. Millions of refundable dollars have been returned over 20 years. The largest recovery to date, over $224,000.00 It is common to have needed corrections to a policy 7-plus years' after it has expired. It is not out of the norm to recover premium dollars on policies 10-12 years old. Believe it or not, the carriers do not always interpret the state and national rules and regulations correctly. One simple reporting error can increase your mods and policy premiums for three years; so too would a major one. Our forensic review typically finds multiple errors in need of correction over a ten to twelve year span. Would anyone associated with your workers' comp over the last 12 years be willing to guarantee everything is perfect?
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Leland Charais
Feb 14, 2021
In Experience Rating Information
The experience modification is an indicator reflecting how much of a risk you are to insure compared to companies in your industry and size (payroll). In layman's terms, it is the insurance company's perceived risk to insure you. For example: Company A - Builds widgets, has $1,000,000 in payroll, zero losses (claims) and their experience modification was issued at a .75, they are perceived to be 25% safer to insure than the average company in their industry and size (payroll). Company B - Builds widgets, has $1,000,000 in payroll, $10,000 in losses (claims) and their experience modification was issued at a 1.0, they are perceived to be average to insure compared to other companies in their industry and size (payroll). Company C - Builds widgets, has $1,000,000 in payroll, $20,000 in losses (claims) and their experience modification was issued at a 2.0, they are perceived to be twice as dangerous to insure than the average company in their industry and size (payroll).
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Leland Charais

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