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Revision History |
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Type |
Effective Date |
Circular |
Notes |
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Original |
4/1/2014 |
2014 North Carolina Workers Compensation Statistical Plan Manual | |
Subsequent reports shall be submitted in accordance with the valuation schedule set forth in Part 1-Rules and Definitions for each policy where one or more claims have been:
Reported as open on the previous report
Previously reported as closed but are now open
Previously unreported
Previously reported and the current valuation differs from the previously submitted data
Correction reports must be submitted whenever an error of any kind is discovered on a previously submitted USR. Correction reports must be submitted as soon as the changes are known.
Exposure Corrections
A correction of an exposure report must be submitted when any of the following occur:
A final audit has been made of previously reported estimated exposures.
A clerical error in a classification, exposure amount, premium amount or experience modification has been discovered.
The experience modification has been revised.
The exposure of the claimant has been reassigned to another classification through the revision of an audit.
Any other adjustment affecting a classification, exposure amount or premium amount.
Loss Corrections
A correction of a loss report must also be submitted when any of the following occur between valuation dates:
Loss values are found to have been included or excluded through a mistake other than error of judgment.
One or more claims are declared non-compensable as defined in the Experience Rating Plan Manual.
The carrier of the claimant has obtained a subrogation recovery in an action against a third party or has received reimbursement from the North Carolina Second Injury Fund. Correction reports are required only for prior reports which reflect an amount higher than the net incurred cost.
EXCEPTION: If the total recovery amount is less than 10% of the gross incurred cost of the claim, do not submit a correction report.
A clerical error in either the classification code or the injury code of a claim has been discovered.
NOTE: Do not submit correction reports to revise values because of developments in the claim amounts and/or injury type between two valuation dates.
Link Data Corrections
Link Data is the set of header elements which uniquely identifies a unit and groups units as the statistical reports to a policy for a specified policy period. The Link Data elements are: report number, correction number, carrier code, policy number, policy effective date and exposure state.
Link Data corrections must include:
Link Data
Header Record
Name Record
Link Data changes must be submitted using the Correction Type Code Header (H). The following Link Data fields can be corrected:
Carrier code
Policy number
Policy effective date
Exposure State
NOTE: When changing Link Data fields, submit the previous value and the new value. Link Data corrections are applied directly to each individual USR. For example: If three reports (1st, 2nd and 3rd) have already been submitted and an error in the Link Data is discovered, corrections for all three reports are necessary. The report number cannot be corrected.
Header corrections must include:
Link Data
Header Record
Name Record
Header corrections must be filed using the Correction Type Code Header (H). The following Header fields can be corrected:
Policy Expiration Date or Cancellation Date
Risk ID Number
State Effective Date
Federal Employer Identification Number
Three-Year Fixed Rate Policy Indicator
Multi-state Policy Indicator
Interstate Rated Policy Indicator
Estimated Audit Code
Retrospective Rated Policy Indicator
Cancelled Mid-term Policy Indicator
Managed Care Organization (MCO) Policy Indicator
Type of Coverage ID Code
Type of Plan ID Code
Type of Non-Standard ID Code
Losses Subject to Deductible Code
Deductible Amount Per Claim/Accident
Deductible Amount-Aggregate
NOTE: Header Correction information can only be submitted for the first report.
Exposure corrections must include:
Link Data
Header Record
Name Record
Exposure Record
Unit Total Record
Exposures
When there is a change to any of the data previously reported for a particular classification code:
Previously reported data (Update Type ‘P’) should include all data for the classification code previously reported.
Revised data (Update Type ‘R’) should include all data being revised as well as data previously reported for the classification code that is not changing.
Both the previous and revised data must always be reported for each split period.
Experience Modification
If a change in the experience modification occurs, a correction report must be submitted reporting each item affected by the experience modification change on a previously reported and revised basis.
Both the previous and revised data must always be reported for each split period.
Revised values for applicable statistical codes (e.g. premium discount) must also be reported.
Previously reported data (Update Type ‘P’) should include all data for the statistical code previously reported.
Revised data (Update Type ‘R’) should include all data being revised as well as data previously reported for the statistical code that is not changing.
Loss corrections must include:
Link Data
Header Record
Name Record
Loss Record
Unit Total Record
When there is a change in any of the data previously reported for a particular claim number:
Previously reported data (Update Type ‘P’) should include all data for the claim previously reported.
Revised data (Update Type ‘R’) should include all data being revised as well as data previously reported for the claim that is not changing.
Total corrections must include:
Link Data
Name Record
Unit Total Record
NOTE: Submit the revised USR totals resulting from any changes to the exposure and/or loss information.
Carriers approved to directly report USR data to NCRB have the option of filing a replacement report for any rejected reports. Report the alpha code “R” in the replacement report code field to identify a replacement is being submitted in response to a rejected unit at NCRB.
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