Retro Plans for Workers Compensation

Companies who manage their workers comp risk and claims can save big with Retro Plans.

Retrospective rating plans for workers compensation insurance.

What is Retro Plan for Workers Compensation?

A Retro Plan is a risk sharing program whereas the insurance company issues a policy with both a minimum and maximum premium for the policy along with a rating formula. The actual, or final, premium is determined at the end of the policy period by the using the formula based on the rating factors and the actual losses. In essence, the plan is loss sensitive and the employer is participating in the cost of actual losses as well as the potential savings for lower than expected losses.
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Retrospective Rating & Workers' Comp

What is a Retro Policy?

Workers compensation Retrospective Rating Plans are insurance policies with a built in mechanism to allow employers to share in the financial risk and reward with regard to their insurance coverage. Retro plans are typically designed for companies that pay $250,000 or more for a standard workers comp policy.

In a nutshell, Retro Plans can shave up to 75% off traditional coverage or they can significantly increase the cost of coverage depending on the actual losses during the policy period. Retro plans can be beneficial for companies with low experience mod's (credit modifiers), but they can also benefit companies with high modifiers (debit modifier) if the business can reduce claim frequency and loss severity during future policy periods.

Many insurance experts believe the workers compensation insurance market cycles between a hard insurance market and a soft insurance market every 3 - 5 years. Employers with larger insurance premiums often bear the burden of greater costs during an hard market. Retro Plans can be a good tool to control insurance costs for smart and stable employers with premiums over $250,000 per year.

Example of a Retro Workers Comp Program
Standard Annual Premium $500,000
Maximum Premium Factor x 1.12%
Maximum Annual Premium Cap $560,000
Standard Premium 500,000
Basic Premium Ratio x .0415%
Basic Premium $207,500
Losses During Year (paid claims) $50,000
Loss Conversion Factor x 1.12%
Converted Losses $56,000
Basic Premium $207,500
Converted Losses $56,000
Pre-Tax Cost of Retro Coverage $263,500
Tax Multiplier x 1.070
Retro Premium Amount $281,945
Normal Expected Non-Retro Premium $500,000
Estimated Premium Return (savings) $218,055
*Ratings vary between factors for Retro Plan insurance. Final calculation of premium and premium adjustments often occur up to 3 years after the policy if claims are still open or loss development is expected. Contact Workers Compensation for underwriting information or questions about Retro Plan quotes.
Understanding Retro Insurance Coverage

Retrospective Rating has the potential for risk and reward. Many entrepreneurs already understand the concept of retro plan coverage because they are used to taking risks to reap financial reward.

  • Maximum premium - standard premium x max factor
  • Basic premium - standard premium x basic factor
  • Minimum premium - basic premium x tax multiplier
  • Converted losses - incurred losses x loss conversion factor
  • Retro premium - basic premium + converted losses x tax multiplier
  • Plan premium - basic premium x loss ratio x loss conversion x tax multiplier + min premium
  • Percentage of Losses to reach max premium - (max prem - min prem) / tax multiplier / loss conversion / normal premium
Retrospective Rating Formulas

A retrospective rating formula is determined by the insurance company after reviewing prior loss history, class codes, and policy history. The formula is predicated off of the Basic Premium, or no loss premium. The Basic Premium is the starting point for the rating formula and is the minimum cost of coverage based on zero claims during the period. The formula is then applied to the policy based on the actual and reserved cost of claims as the policy moves forward.

Front Loaded Retro Plans

Workers Compensation offer front loaded Retro Plans that allow employers to report and pay premium each month based on their actual payroll. The program continuously monitors anticipated and actual losses and adjusts the net billing rates based on the exposure and losses. Our Retro Plan is available to companies with a standard premium of $250,000 and up. Not all companies will qualify.

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Retrospective Rating Plans

Retrospective means to review the past or to apply to past events. Retro Plans are designed to apply workers' compensation premium retrospectively to the past based on actual incurred losses and claim costs during the policy period.

Retro plans place the insurance company into more of an administrative and policy management role and reduces their risk by shifting a percentage of potential claim costs to the employer. The insurance company is able to better predict their overhead costs and potential claims costs which enables them to lower minimum premium for coverage.

A Retrospective plan is not an actual workers compensation policy; its an endorsement to a policy that includes the rating formulas used to calculate premiums. The two most common types of Retro Plans include a) Incurred Loss Retro Plans and b) Paid Loss Retro Plans.

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Visit NCCI for more resources and information about workers' compensation class codes. Visit United States Department of Labor for more information about government agencies managing workers compensation insurance rates.

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