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Section: 287.0957 Experience rating plan, contents. RSMO 287.957


Published: 2015

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Missouri Revised Statutes













Chapter 287

Workers' Compensation Law

←287.955

Section 287.957.1

287.960→

August 28, 2015

Experience rating plan, contents.

287.957. The experience rating plan shall contain reasonable eligibility

standards, provide adequate incentives for loss prevention, and shall provide

for sufficient premium differentials so as to encourage safety. The uniform

experience rating plan shall be the exclusive means of providing prospective

premium adjustment based upon measurement of the loss-producing

characteristics of an individual insured. An insurer may submit a rating

plan or plans providing for retrospective premium adjustments based upon an

insured's past experience. Such system shall provide for retrospective

adjustment of an experience modification and premiums paid pursuant to such

experience modification where a prior reserved claim produced an experience

modification that varied by greater than fifty percent from the experience

modification that would have been established based on the settlement amount

of that claim. The rating plan shall prohibit an adjustment to the

experience modification of an employer if the total medical cost does not

exceed one thousand dollars and the employer pays all of the total medical

costs and there is no lost time from the employment, other than the first

three days or less of disability under subsection 1 of section 287.160, and

no claim is filed. An employer opting to utilize this provision maintains an

obligation to report the injury under subsection 1 of section 287.380.



(L. 1993 S.B. 251 § 28, A.L. 2005 S.B. 1 & 130)





1994



1994



287.957. The experience rating plan shall contain

reasonable eligibility standards, provide adequate incentives for

loss prevention, and shall provide for sufficient premium

differentials so as to encourage safety. The uniform experience

rating plan shall be the exclusive means of providing prospective

premium adjustment based upon measurement of the loss-producing

characteristics of an individual insured. An insurer may submit

a rating plan or plans providing for retrospective premium

adjustments based upon an insured's past experience. Such system

shall provide for retrospective adjustment of an experience

modification and premiums paid pursuant to such experience

modification where a prior reserved claim produced an experience

modification that varied by greater than fifty percent from the

experience modification that would have been established based on

the settlement amount of that claim. The rating plan shall

prohibit an adjustment to the experience modification of an

employer if the total medical cost does not exceed five hundred

dollars and the employer pays all of the total medical costs and

there is no lost time from the employment and no claim is filed.



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