Part 9 - Numeric List of Statistical Codes

Revision History
Type	Effective Date	Circular	Notes
Revision	3/1/2020	C-20-31	NCCI Item B-1443 – Revisions to NCCI Manual Rules Related to the COVID-19 (Coronavirus) Pandemic – Removal of Expiration Date
Correction	1/1/2020	N/A	Corrections to typos in Codes 0059, 9741, 9817-9822
Revision	1/1/2017	C-16-29	NCCI Item B-1429 - Establishment of Audit Noncompliance Charge
Revision	6/24/2014	C-14-7	Rule Changes - Workers Compensation
Original	4/1/2014	C-14-2	2014 North Carolina Workers Compensation Statistical Plan Manual

NUMERIC LIST OF STATISTICAL CODES

CODE

DESCRIPTION

SUBJECT TO MOD

EXPOSURE BASE

ADD TO TOTAL STANDARD EXPOSURE?

IS PREMIUM A CREDIT

ADD TO TOTAL STANDARD PREMIUM?

REPORTED LOSSES OK

0012

PAID FURLOUGHED EMPLOYEES*

*This code will continue to remain in effect and will not expire until determined at a later date as circumstances warrant and in consultation with state regulatory authorities. A future filing will be made to establish an expiration date to this code as determined and approved by the regulator.

PAYROLL

0059

DISEASE: ABRASIVE OR SANDBLASTING EXPOSURE

YES

PAYROLL

YES

0063

PREMIUM DISCOUNT- STOCK/TYPE A

NONE

N/A

YES

0064

PREMIUM DISCOUNT-NON- STOCK/TYPE B

NONE

N/A

YES

0065

DISEASE INCIDENTAL FOUNDRIES STEEL

YES

PAYROLL

YES

0066

DISEASE INCIDENTAL FOUNDRIES-NON- FERROUS METALS

YES

PAYROLL

YES

0067

DISEASE INCIDENTAL FOUNDRIES-IRON

YES

PAYROLL

YES

0133

DISEASE ASBESTOS EXPOSURE

PAYROLL

YES

0156

DISEASE COAL MINING-SURFACE- CODE 1005

PAYROLL

YES

0164

DISEASE: FEDERAL COAL MINE HEALTH & SAFETY ACT EXPOSURE

PAYROLL

YES

0179

SUPPLEMENTAL DISEASE EXPERIENCE NOC

PAYROLL

YES

0277

ASSIGNED RISK ADJUSTMENT PROGRAM (ARAP)

NONE

N/A

YES

0771

NON-RATABLE ELEMENT USED WITH CODE 4771

PAYROLL

0900

EXPENSE CONSTANT

NONE

N/A

0930

WAIVER OF SUBROGATION

YES

NONE

N/A

0931

SHORT RATE PENALTY

YES

NONE

N/A

YES

0990

ADDITIONAL PREMIUM TO BALANCE TO MINIMUM PREMIUM

NONE

N/A

YES

1111

NO EXPOSURE

N/A

NONE

N/A

7445

NON-RATABLE ELEMENT USED WITH CODE 7405

PAYROLL

7453

NON-RATABLE ELEMENT USED WITH CODE 7431

PAYROLL

9034

RATE DEVIATION PREMIUM CREDIT- NOT SUBJECT TO EXPERIENCE RATING

NONE

N/A

YES

CODE	DESCRIPTION	SUBJECT TO MOD	EXPOSURE BASE	ADD TO TOTAL STANDARD EXPOSURE?	IS PREMIUM A CREDIT	ADD TO TOTAL STANDARD PREMIUM?	REPORTED LOSSES OK
9037	RATE DEVIATION PREMIUM CREDIT- SUBJECT TO EXPERIENCE RATING	YES	NONE	N/A	YES	YES	NO
9108 N/A EFFECTIVE 01/01/15	AIRCRAFT- PASSENGER SEAT SURCHARGE	NO	SEATS	NO	NO	YES	YES
9663	DEDUCTIBLE PREMIUM CREDIT- NOT SUBJECT TO EXPERIENCE RATING	NO	NONE	N/A	YES	YES	NO
9664	DEDUCTIBLE PREMIUM CREDIT- SUBJECT TO EXPERIENCE RATING	YES	NONE	N/A	YES	YES	NO
9721	INDEPENDENT CARRIER FILING- PREMIUM CREDIT APPLIED BEFORE EXPERIENCE MODIFICATION	YES	NONE	N/A	YES	YES	NO
9722	INDEPENDENT CARRIER FILING- PREMIUM CREDIT APPLIED AFTER EXPERIENCE MODIFICATION	NO	NONE	N/A	YES	YES	NO
9723	INDEPENDENT CARRIER FILING- PREMIUM DEBIT APPLIED BEFORE EXPERIENCE MODIFICATION	YES	NONE	N/A	NO	YES	NO
9724	INDEPENDENT CARRIER FILING- PREMIUM DEBIT APPLIED AFTER EXPERIENCE MODIFICATION	NO	NONE	N/A	NO	YES	NO
9740	TERRORISM	NO	PAYROLL	NO	NO	NO	NO
9757	AUDIT NONCOMPLIANCE CHARGE	NO	PAYROLL	NO	NO	NO	NO
9741	CATASTROPHE (OTHER THAN CERTIFIED ACTS OF TERRORISM)	NO	PAYROLL	NO	NO	NO	NO
9803	EMP LIABILITY LIMITS W/WORKERS COMP 100,000/100,000/ 1,000,000	YES	NONE	N/A	NO	YES	NO
9804	EMP LIABILITY LIMITS W/WORKERS COMP 100,000/100,000/ 2,500,000	YES	NONE	N/A	NO	YES	NO
9805	EMP LIABILITY LIMITS W/WORKERS COMP 100,000/100,000/ 5,000,000	YES	NONE	N/A	NO	YES	NO
9806	EMP LIABILITY LIMITS W/WORKERS COMP 100,000/100,000 10,000,000	YES	NONE	N/A	NO	YES	NO
9807	EMP LIABILITY LIMITS W/WORKERS COMP 500,000/500,000/ 500,000	YES	NONE	N/A	NO	YES	NO

CODE	DESCRIPTION	SUBJECT TO MOD	EXPOSURE BASE	ADD TO TOTAL STANDARD EXPOSURE?	IS PREMIUM A CREDIT	ADD TO TOTAL STANDARD PREMIUM?	REPORTED LOSSES OK
9808	EMP LIABILITY LIMITS W/WORKERS COMP 500,000/500,000/ 1,000,000	YES	NONE	N/A	NO	YES	NO
9809	EMP LIABILITY LIMITS W/WORKERS COMP 500,000/500,000/ 2,500,000	YES	NONE	N/A	NO	YES	NO
9810	EMP LIABILITY LIMITS W/WORKERS COMP 500,000/500,000/ 5,000,000	YES	NONE	N/A	NO	YES	NO
9811	EMP LIABILITY LIMITS W/WORKERS COMP 500,000/500,000/ 10,000,000	YES	NONE	N/A	NO	YES	NO
9812	EMP LIABILITY LIMITS W/WORKERS COMP 1,000,000/1,000,000/ 1,000,000	YES	NONE	N/A	NO	YES	NO
9813 N/A ASSIGNED RISK EFFECTIVE 01/01/12	EMP LIABILITY LIMITS W/WORKERS COMP 1,000,000/1,000,000/ 2,500,000	YES	NONE	N/A	NO	YES	NO
9814 N/A ASSIGNED RISK EFFECTIVE 01/01/12	EMP LIABILITY LIMITS W/WORKERS COMP 1,000,000/1,000,000/ 5,000,000	YES	NONE	N/A	NO	YES	NO
9815 N/A ASSIGNED RISK EFFECTIVE 01/01/12	EMP LIABILITY LIMITS W/WORKERS COMP 1,000,000/1,000,000/ 10,000,000	YES	NONE	N/A	NO	YES	NO
9816 N/A ASSIGNED RISK EFFECTIVE 01/01/12	EMP LIABILITY LIMITS W/WORKERS COMP OVER 1,000,000/1,000,000/ 10,000,000	YES	NONE	N/A	NO	YES	NO
9817 N/A ASSIGNED RISK EFFECTIVE 01/01/12	EMP LIABILITY LIMITS- ADMIRALTY/FELA- 50,000	YES	NONE	N/A	NO	YES	NO
9818	EMP LIABILITY- LIMITS- ADMIRALTY/FELA- 100,000	YES	NONE	N/A	NO	YES	NO

CODE	DESCRIPTION	SUBJECT TO MOD	EXPOSURE BASE	ADD TO TOTAL STANDARD EXPOSURE?	IS PREMIUM A CREDIT	ADD TO TOTAL STANDARD PREMIUM?	REPORTED LOSSES OK
9819 N/A ASSIGNED RISK EFFECTIVE 01/01/12	EMP LIABILITY LIMITS ADMIRALTY/FELA- 200,000	YES	NONE	N/A	NO	YES	NO
9820 N/A ASSIGNED RISK EFFECTIVE 01/01/12	EMP LIABILITY LIMITS ADMIRALTY/FELA- 300,000	YES	NONE	N/A	NO	YES	NO
9821 N/A ASSIGNED RISK EFFECTIVE 01/01/12	EMP LIABILITY LIMITS ADMIRALTY/FELA- 400,000	YES	NONE	N/A	NO	YES	NO
9822 N/A ASSIGNED RISK EFFECTIVE 01/01/12	EMP LIABILITY LIMITS ADMIRALTY/FELA- 500,000	YES	NONE	N/A	NO	YES	NO
9823 N/A ASSIGNED RISK EFFECTIVE 01/01/12	EMP LIABILITY LIMITS W/O WORKERS COMP 100,000/100,000/ 1,000,000	YES	NONE	N/A	NO	YES	NO
9824 N/A ASSIGNED RISK EFFECTIVE 01/01/12	EMP LIABILITY LIMITS W/O WORKERS COMP 100,000/100,000/ 2,500,000	YES	NONE	N/A	NO	YES	NO
9825 N/A ASSIGNED RISK EFFECTIVE 01/01/12	EMP LIABILITY LIMITS W/O WORKERS COMP 100,000/100,000/ 5,000,000	YES	NONE	N/A	NO	YES	NO
9826 N/A ASSIGNED RISK EFFECTIVE 01/01/12	EMP LIABILITY LIMITS W/O WORKERS COMP 100,000/100,000/ 10,000,000	YES	NONE	N/A	NO	YES	NO
9827 N/A ASSIGNED RISK EFFECTIVE 01/01/12	EMP LIABILITY LIMITS W/O WORKERS COMP 500,000/500,000/ 500,000	YES	NONE	N/A	NO	YES	NO
9828 N/A ASSIGNED RISK EFFECTIVE 01/01/12	EMP LIABILITY LIMITS W/O WORKERS COMP 500,000/500,000/ 1,000,000	YES	NONE	N/A	NO	YES	NO

CODE	DESCRIPTION	SUBJECT TO MOD	EXPOSURE BASE	ADD TO TOTAL STANDARD EXPOSURE?	IS PREMIUM A CREDIT	ADD TO TOTAL STANDARD PREMIUM?	REPORTED LOSSES OK
9829 N/A ASSIGNED RISK EFFECTIVE 01/01/12	EMP LIABILITY LIMITS W/O WORKERS COMP 500,000/500,000/ 2,500,000	YES	NONE	N/A	NO	YES	NO
9830 N/A ASSIGNED RISK EFFECTIVE 01/01/12	EMP LIABILITY LIMITS W/O WORKERS COMP 500,000/500,000/ 5,000,000	YES	NONE	N/A	NO	YES	NO
9831 N/A ASSIGNED RISK EFFECTIVE 01/01/12	EMP LIABILITY LIMITS W/O WORKERS COMP 500,000/500,000/ 10,000,000	YES	NONE	N/A	NO	YES	NO
9832 N/A ASSIGNED RISK EFFECTIVE 01/01/12	EMP LIABILITY LIMITS W/O WORKERS COMP 1,000,000/1,000,000/ 1,000,000	YES	NONE	N/A	NO	YES	NO
9833 N/A ASSIGNED RISK EFFECTIVE 01/01/12	EMP LIABILITY LIMITS W/O WORKERS COMP 1,000,000/1,000,000/ 2,500,000	YES	NONE	N/A	NO	YES	NO
9834 N/A ASSIGNED RISK EFFECTIVE 01/01/12	EMP LIABILITY LIMITS W/O WORKERS COMP 1,000,000/1,000,000/ 5,000,000	YES	NONE	N/A	NO	YES	NO
9835 N/A ASSIGNED RISK EFFECTIVE 01/01/12	EMP LIABILITY LIMITS W/O WORKERS COMP 1,000,000/1,000,000/ 10,000,000	YES	NONE	N/A	NO	YES	NO
9836 N/A ASSIGNED RISK EFFECTIVE 01/01/12	EMP LIABILITY LIMITS W/O WORKERS COMP OVER 1,000,000/1,000,000/ 10,000,000	YES	NONE	N/A	NO	YES	NO
9837 N/A ASSIGNED RISK EFFECTIVE 01/01/12	EMP LIABILITY LIMITS W/ WORKERS COMP- ALL OTHER	YES	NONE	N/A	NO	YES	NO

CODE	DESCRIPTION	SUBJECT TO MOD	EXPOSURE BASE	ADD TO TOTAL STANDARD EXPOSURE?	IS PREMIUM A CREDIT	ADD TO TOTAL STANDARD PREMIUM?	REPORTED LOSSES OK
9840 N/A ASSIGNED RISK EFFECTIVE 01/01/12	EMP LIABILITY LIMITS- ADMIRALTY/FELA OVER 500,000	YES	NONE	N/A	NO	YES	NO
9841	DRUG FREE WORKPLACE CREDIT PROGRAM- SUBJECT TO EXPERIENCE RATING	YES	NONE	N/A	YES	YES	NO
9846	DRUG FREE WORKPLACE CREDIT	NO	NONE	N/A	YES	YES	NO
9848	EMP LIABILITY INCREASED LIMITS- BALANCE TO MINIMUM PREMIUM	YES	NONE	N/A	NO	YES	NO
9849	EMP LIABILITY LIMITS- ADMIRALTY/FELA- BALANCE TO MINIMUM PREMIUM	NO	NONE	N/A	NO	YES	NO
9880	WORKPLACE SAFETY CREDIT	NO	NONE	N/A	YES	YES	NO
9887	SCHEDULE RATING CREDIT	NO	NONE	N/A	YES	YES	NO
9889	SCHEDULE RATING DEBIT	NO	NONE	N/A	NO	YES	NO
9984	ATOMIC ENERGY PROJECT	NO	PAYROLL	NO	NO	YES	YES
9985	ATOMIC ENERGY- RADIATION EXPOSURE NOC	NO	PAYROLL	NO	NO	YES	YES