PREMIER INSURANCE COMPANY 0005 3.68 727 1924 2.72 597 2589 2.57 577 3111 3.12 651 0008 3.23 666 1925 4.43 750 2600 3.51 704 3113 2.53 572 0016 6.30 750 2001 --- --- 2623 7.70 750 3114 3.25 669 0034 4.31 750 2002 3.20 662 2651 2.20 527 3118 2.12 516 0035 4.06 750 2003 4.64 750 2660 3.13 653 3119 1.36 414 0036 4.79 750 2014 6.88 750 2670 4.34 750 3122 2.30 541 0037 6.22 750 2016 2.39 553 2683 2.42 557 3126 2.91 623 0042 6.13 750 2021 4.14 750 2688 3.03 639 3131 1.85 480 0050 6.42 750 2039 2.60 581 2701 13.32 750 3132 3.92 750 0059 D 0.27 266 2041 4.00 750 2702 22.69 750 3145 3.03 639 0065 D 0.05 237 2065 3.39 688 2709 14.33 750 3146 3.29 674 0066 D 0.05 237 2070 5.73 750 2710 9.76 750 3169 3.49 701 0067 D 0.05 237 2081 6.07 750 2714 5.28 750 3175 D 5.23 750 0079 3.23 666 2089 4.32 750 2721 X 11.35 750 3179 2.61 582 0083 8.76 750 2095 4.47 750 2722 X 3.14 654 3180 3.01 636 0106 14.14 750 2105 4.83 750 2731 6.25 750 3188 2.20 527 0113 5.01 750 2110 2.37 550 2735 5.76 750 3220 2.20 527 0169 X 5.92 750 2111 4.68 750 2759 7.10 750 3223 3.81 744 0170 4.72 750 2112 6.28 750 2790 1.86 481 3224 3.83 747 0251 5.58 750 2114 2.58 578 2797 6.33 750 3227 2.97 631 0400 6.07 750 2121 2.47 563 2799 3.36 684 3240 3.21 663 0401 11.69 750 2130 2.83 612 2802 6.50 750 3241 3.88 750 0771 N 0.61 312 2131 3.26 670 2812 --- --- 3255 2.25 534 0917 6.99 750 2143 4.12 750 2835 3.41 690 3257 3.19 661 0918 X* 1.94 492 2157 6.09 750 2836 3.24 667 3270 3.58 713 1005 * 3.81 744 2172 1.95 493 2841 4.60 750 3300 5.11 750 1164 D 5.17 750 2174 3.95 750 2881 2.92 624 3303 4.09 750 1165 D 4.96 750 2211 10.37 750 2883 4.20 750 3307 3.92 750 1219 X 5.64 750 2220 3.38 686 2913 4.60 750 3315 5.58 750 1320 1.78 470 2286 4.70 750 2915 3.54 708 3334 3.99 750 1322 8.98 750 2288 4.66 750 2916 6.95 750 3336 6.10 750 1430 7.71 750 2300 2.83 612 2923 2.68 592 3365 7.49 750 1438 6.53 750 2302 2.28 538 2942 2.72 597 3372 3.69 728 1452 8.39 750 2305 2.66 589 2960 6.59 750 3373 7.01 750 1463 14.91 750 2361 2.52 570 3004 2.98 632 3383 1.51 434 1472 4.83 750 2362 1.88 484 3018 3.68 727 3385 0.99 364 1624 D 5.18 750 2380 3.50 703 3022 4.29 750 3400 3.36 684 1642 3.62 719 2386 1.90 487 3027 3.62 719 3507 3.39 688 1654 9.22 750 2388 2.12 516 3028 3.84 748 3515 2.51 569 1655 4.18 750 2402 2.71 596 3030 6.60 750 3548 2.27 536 1699 4.13 750 2413 2.54 573 3040 5.39 750 3559 4.38 750 1701 3.78 740 2416 2.38 551 3041 5.06 750 3574 1.34 411 1710 D 8.91 750 2417 1.95 493 3042 6.16 750 3581 1.49 431 1741 D 4.76 750 2501 3.47 698 3064 4.81 750 3612 2.69 593 1747 2.72 597 2503 1.46 427 3069 X 5.10 750 3620 5.93 750 1748 5.14 750 2534 2.88 619 3076 X 6.15 750 3629 1.93 491 1803 D 7.92 750 2570 4.79 750 3081 D 6.52 750 3632 3.26 670 1852 D 3.36 684 2585 5.13 750 3082 D 5.28 750 3634 2.18 524 1853 2.44 559 2586 3.13 653 3085 D 5.80 750 3635 3.46 697 1860 2.43 558 2587 4.12 750 3110 5.56 750 3638 2.01 501 Expense Constant $230 R - 1
PREMIER INSURANCE COMPANY 3642 1.68 457 4251 3.78 740 4828 2.94 627 5951 0.62 314 3643 2.37 550 4263 2.82 611 4829 2.43 558 6003 7.92 750 3647 3.10 649 4273 2.75 601 4902 3.26 670 6005 3.68 727 3648 1.83 477 4279 3.78 740 4923 1.40 419 6017 6.29 750 3681 1.09 377 4282 2.86 616 5020 5.34 750 6018 6.38 750 3685 1.35 412 4283 2.91 623 5022 8.12 750 6045 3.39 688 3719 2.06 508 4299 2.20 527 5037 17.51 750 6204 10.73 750 3724 3.54 708 4304 6.35 750 5040 22.65 750 6206 3.90 750 3726 4.16 750 4307 2.25 534 5057 5.28 750 6213 4.43 750 3803 3.36 684 4351 1.13 383 5059 21.25 750 6214 3.02 638 3807 2.69 593 4352 3.99 750 5069 31.71 750 6216 X 7.13 750 3808 8.68 750 4360 3.88 750 5102 5.99 750 6217 4.98 750 3821 6.70 750 4361 3.69 728 5146 4.44 750 6229 6.39 750 3822 6.22 750 4362 --- --- 5160 4.52 750 6233 3.43 693 3824 4.74 750 4410 8.61 750 5183 3.81 744 6235 9.29 750 3826 1.11 380 4420 5.16 750 5188 4.01 750 6236 16.47 750 3827 2.36 549 4431 1.87 482 5190 3.17 658 6237 1.71 461 3830 1.31 407 4432 1.77 469 5191 1.08 376 6251 D 5.14 750 3851 5.02 750 4439 2.68 592 5192 3.62 719 6252 D 6.24 750 3865 2.13 518 4452 4.25 750 5213 6.73 750 6260 5.62 750 3881 4.75 750 4459 2.71 596 5215 5.51 750 6306 6.43 750 4000 8.88 750 4470 2.27 536 5221 4.65 750 6319 4.42 750 4021 5.13 750 4484 2.80 608 5222 9.22 750 6325 7.69 750 4024 D 4.51 750 4493 3.31 677 5223 4.81 750 6400 5.69 750 4034 6.27 750 4511 0.69 323 5348 3.98 750 6503 3.57 712 4036 2.47 563 4557 2.61 582 5402 4.25 750 6504 4.98 750 4038 2.82 611 4558 3.43 693 5403 9.73 750 6811 7.64 750 4053 X 2.74 600 4561 --- --- 5437 6.43 750 6834 4.10 750 4061 X 4.10 750 4568 2.92 624 5443 4.45 750 6836 4.75 750 4062 X 2.35 547 4581 1.42 422 5445 5.57 750 6854 4.52 750 4063 X 2.00 500 4583 6.57 750 5462 6.01 750 6882 4.89 750 4101 3.51 704 4611 1.18 389 5472 5.12 750 6884 7.71 750 4109 0.87 347 4635 3.46 697 5473 7.68 750 7133 4.53 750 4110 1.24 397 4653 2.76 603 5474 8.29 750 7222 8.33 750 4111 2.09 512 4665 8.90 750 5478 5.61 750 7228 X 7.69 750 4112 --- --- 4670 8.83 750 5479 6.31 750 7229 X 8.83 750 4113 1.77 469 4683 4.30 750 5480 6.64 750 7230 8.40 750 4114 3.79 742 4686 2.44 559 5491 3.24 667 7231 8.81 750 4130 4.55 750 4692 0.72 327 5506 9.91 750 7232 8.70 750 4131 4.15 750 4693 1.03 369 5507 5.48 750 7360 6.33 750 4133 2.76 603 4703 3.06 643 5508 D 11.54 750 7370 5.81 750 4149 0.72 327 4717 2.62 584 5535 X 6.28 750 7380 6.29 750 4150 --- --- 4720 2.54 573 5537 5.72 750 7382 5.60 750 4206 3.93 750 4740 1.38 416 5551 19.80 750 7390 5.68 750 4207 1.86 481 4741 2.61 582 5606 1.29 404 7402 0.34 276 4239 3.62 719 4743 X 0.61 312 5610 5.14 750 7403 6.86 750 4240 3.01 636 4751 3.34 681 5645 14.83 750 7405 N 1.11 380 4243 2.42 557 4771 N 3.50 703 5651 --- --- 7420 34.48 750 4244 2.58 578 4777 4.75 750 5703 15.10 750 7421 1.25 399 4250 2.01 501 4825 1.66 454 5705 12.83 750 7422 2.49 566 Expense Constant. $230 R - 2
PREMIER INSURANCE COMPANY 7423 --- --- 8107 3.03 639 8829 4.00 750 9519 3.75 736 7425 4.28 750 8111 2.52 570 8831 2.09 512 9521 4.96 750 7431 N 1.47 428 8116 4.66 750 8832 0.57 307 9522 2.38 551 7445 N 0.60 311 8203 12.30 750 8833 1.62 449 9534 5.06 750 7453 N 0.79 337 8204 6.07 750 8835 2.80 608 9554 16.24 750 7502 3.42 692 8209 5.76 750 8842 3.75 736 9586 1.13 383 7515 1.24 397 8215 4.62 750 8855 0.43 288 9600 2.95 628 7520 5.47 750 8227 5.53 750 8856 0.43 288 9620 1.49 431 7538 8.57 750 8232 4.31 750 8864 2.27 536 7539 2.51 569 8233 3.63 720 8868 0.57 307 7540 4.34 750 8235 4.77 750 8869 1.76 468 7580 3.69 728 8236 X 8.35 750 8871 0.21 258 7590 5.26 750 8263 8.74 750 8901 0.36 279 7600 5.18 750 8264 8.49 750 9012 2.15 520 7601 --- --- 8265 8.82 750 9014 4.20 750 7605 2.29 539 8279 7.39 750 9015 3.33 680 7610 1.87 482 8288 9.27 750 9016 2.61 582 7611 --- --- 8291 4.35 750 9019 2.55 574 7612 --- --- 8292 3.56 711 9033 2.74 600 7613 --- --- 8293 8.47 750 9040 5.49 750 7705 8.54 750 8304 5.72 750 9044 2.08 511 7710 3.80 743 8350 5.65 750 9052 2.27 536 7711 3.80 743 8370 X 4.52 750 9058 2.24 532 7720 3.73 734 8380 3.01 636 9059 --- --- 7855 7.02 750 8381 2.35 547 9060 2.72 597 8001 2.77 604 8385 2.95 628 9061 1.49 431 8002 2.55 574 8392 3.04 640 9062 2.21 528 8006 3.18 659 8393 X 2.86 616 9063 1.45 426 8008 1.76 468 8500 6.08 750 9082 1.69 458 8010 2.07 509 8601 0.67 320 9083 1.71 461 8013 0.53 302 8602 1.33 410 9084 2.21 528 8015 0.99 364 8603 0.24 262 9089 1.42 422 8017 2.46 562 8606 3.98 750 9093 1.98 497 8018 3.43 693 8719 4.57 750 9101 4.60 750 8021 3.13 653 8720 X 1.62 449 9102 3.92 750 8031 3.71 731 8721 0.53 302 9154 2.23 531 8032 2.44 559 8723 0.35 277 9156 2.90 622 8033 3.75 736 8725 2.68 592 9170 8.30 750 8037 2.32 543 8742 0.64 316 9178 5.43 750 8039 2.36 549 8745 5.40 750 9179 18.28 750 8044 2.80 608 8748 0.92 354 9180 6.95 750 8045 0.53 302 8755 0.75 331 9182 2.76 603 8046 2.81 609 8799 1.03 369 9186 14.70 750 8047 1.18 389 8800 2.42 557 9220 7.63 750 8058 4.22 750 8803 0.14 249 9402 6.38 750 8072 0.90 352 8810 0.39 283 9403 10.79 750 8102 2.31 542 8820 0.28 268 9410 2.49 566 8103 6.55 750 8824 5.13 750 9501 3.85 750 8105 4.29 750 8825 2.10 514 9505 4.84 750 8106 5.21 750 8826 4.37 750 9516 4.45 750 Expense Constant.. $230 R - 3
PREMIER INSURANCE COMPANY Per Capita Maritime Federal Classifications Classifications Classifications 0908 P 230.04 750 7016 M 3.28 673 6801 F 4.51 750 0913 P 626.55 750 7024 M 3.65 723 6824 F 8.42 750 7038 M 5.99 750 6826 F 5.86 750 7046 M 13.04 750 6843 F 11.76 750 7047 M 5.70 750 6845 F 9.47 750 a Rated 7050 M 10.37 750 6872 F 10.21 750 Classificatons 7090 M 6.65 750 6874 F 16.88 750 7098 M 14.48 750 7309 F 17.04 750 9088 a a a 7099 M 22.60 750 7313 F 3.92 750 7151 M 5.50 750 7317 F 9.47 750 7152 M 9.55 750 7327 F 21.72 750 7153 M 6.12 750 7350 F 10.73 750 7333 M 5.01 750 8709 F 5.41 750 7335 M 5.56 750 8726 F 3.31 677 7337 M 8.67 750 9077 F 2.83 612 7394 M 6.60 750 7395 M 7.33 750 7398 M 11.43 750 Underground Coal Mine 8734 M 0.86 346 Classifications 8737 M 0.77 334 8738 M 1.34 411 1016 X* 9.87 750 8805 M 0.53 302 8814 M 0.47 293 8815 M 0.83 342 6702 M* 8.50 750 6703 M* 14.73 750 6704 M* 9.44 750 Expense Constant. $230 R - 4
PREMIER INSURANCE COMPANY FOOTNOTES a D Rate for each individual risk must be obtained from NCCI Customer Service or the Rating Organization having jurisdiction. Rate for classification already includes the specific disease loading shown in the table below. See Basic Manual Rule 3-A-7. Disease Disease Disease Code No. Loading Symbol Code No. Loading Symbol Code No. Loading Symbol 0059D 0.27 S 1710D 0.03 S 3175D 0.03 S 0065D 0.05 S 1741D 0.36 S 4024D 0.02 S 0066D 0.05 S 1803D 0.20 S 5508D 0.03 S 0067D 0.05 S 1852D 0.06 Asb 6251D 0.01 S 1164D 0.05 S 3081D 0.06 S 6252D 0.03 S 1165D 0.05 S 3082D 0.06 S 1624D 0.01 S 3085D 0.06 S Asb=Asbestos, S=Silica F M N Rate provides for coverage under the United States Longshore and Harbor Workers Compensation Act and its extensions. Rate contains a provision for the USL&HW assessment. Risks are subject to Admiralty Law or Federal Employers Liability Act (FELA). However, the published rate is for risks that voluntarily purchase standard workers compensation and employers liability coverage. A provision for the USL&HW Assessment is included for those classifications under Program II USL Act. This code is part of a ratable / non-ratable group shown below. The statistical non-ratable code and corresponding rate are applied in addition to the basic classification when determining premium. Class Non-Ratable Code Element Code 4771 0771 7405 7445 7431 7453 P X Classification is computed on a per capita basis. Refer to special classification phraseology in the Basic Manual pages which is applicable in the state. * Class Codes with Specific Footnotes 0918 Experience rating values not displayed. Premium generated by this class is not subject to experience rating or premium discounts. 1005 Rate includes a non-ratable disease element of $0.66. (For coverage written separately for federal benefits only, $0.65. For coverage written separately for state benefits only, $0.02.) 1016 Rate includes a non-ratable disease element of $1.99. (For coverage written separately for federal benefits only, $1.94. For coverage written separately for state benefits only, $0.05.) 6702 Rate and rating values only appropriate for laying or relaying of tracks or maintenance of way - no work on elevated railroads. Otherwise, assign appropriate construction or erection code rate and elr each x 1.215. 6703 Rate and rating values only appropriate for laying or relaying of tracks or maintenance of way - no work on elevated railroads. Otherwise, assign appropriate construction or erection code rate x 2.106 and elr x 2.014. 6704 Rate and rating values only appropriate for laying or relaying of tracks or maintenance of way - no work on elevated railroads. Otherwise, assign appropriate construction or erection code rate and elr each x 1.35. R - 5
PREMIER INSURANCE COMPANY MISCELLANEOUS VALUES Basis of premium applicable in accordance with Basic Manual footnote instructions for Code 7370 -- "Taxicab Co.": Employee operated vehicle..... $59,600 Leased or rented vehicle.. $39,700 Expense Constant applicable in accordance with Basic Manual Rule 3-A-11.. $230 Foreign Terrorism. $0.02 Maximum Payroll applicable in accordance with Basic Manual Rule 2-E-1 -- "Executive Officers" and the Basic Manual footnote instructions for Code 9178 -- "Athletic Sports or Park: Non-Contact Sports," and Code 9179 -- "Athletic Sports or Park: "Contact Sports," $3,100 Minimum Payroll applicable in accordance with Basic Manual Rule 2-E-1 -- "Executive Officers".. $750 Per Passenger Seat Surcharge - In accordance with Basic Manual footnote instructions for Code 7421, the surcharge is: Maximum surcharge per aircraft. $1,000 Per passenger seat.. $100 Premium Determination for Partners and Sole Proprietors in accordance with Basic Manual Rule 2-E-3.. $39,700 Premium Discount Percentages-(See Basic Manual Rule 3-A-19-a.) The following premium discounts are applicable to Standard Premium. First $1,000 ----- Next $4,000 2.8% Next $95,000 10.9% Over $100,000 12.6% Premium Reduction Parentages - The following percentages are applicable by deductible amount and hazard group for total losses on a per accident basis: Total Losses Deductible HAZARD GROUP Amount A B C D E F G $500 3.7% 3.2% 2.9% 2.1% 1.6% 1.2% 1.0% $1,000 6.1% 5.3% 4.8% 3.5% 2.7% 2.1% 1.8% $1,500 7.8% 6.9% 6.2% 4.5% 3.5% 2.8% 2.4% $2,000 9.2% 8.2% 7.4% 5.4% 4.3% 3.5% 2.9% $2,500 10.4% 9.3% 8.5% 6.2% 5.0% 4.0% 3.4% $5,000 14.9% 13.5% 12.3% 9.3% 7.6% 6.2% 5.4% $10,000 21.0% 19.0% 17.5% 13.8% 11.6% 9.7% 8.4% United States Longshore and Harbor Workers' Compensation Coverage Percentage applicable only in connection wit Basic Manual Rule 3-A-4. 66% (Multiply a Non-F classification rate by a factor of 1.66 to adjust for differences in benefits and loss-based expenses. This factor is the product of the adjustment for differences in benefits (1.57) and the adjustment for differences in loss-based expenses (1.059)). Experience Rating Eligibility A risk is eligible for intrastate experience rating when the payrolls or other exposures developed in the last year or last two years of the experience period produced a premium of at least $9,000. If more than two years, an average annual premium of at least $4,500 is required. The Experience Rating Plan Manual should be referenced for the latest approved eligibility amounts by state. MV - 1