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NOTICE TO POLICYHOLDER <br />CALIFORNIA WORKERS' COMPENSATION <br />INSURANCE RATING LAWS <br />Pursuant to Section 11752.8 of the California Insurance Code, we are providing you with an explanation of the <br />California workers' compensation rating laws applicable to new and renewal policies with policy effective dates on and <br />after January 1, 1995. <br />1. The laws requiring all insurers to charge the same minimum rate uniformly to all employers within a given <br />classification has been repealed. Beginning January 1, 1995, we will establish our own rates for workers' <br />compensation. Our rates will not be applicable prior to the first normal policy effective date of a policy incepting on or <br />after January 1, 1995. Our rates, rating plans and related information are filed with the Insurance Commissioner and <br />are open for public inspection. <br />2. The Insurance Commissioner can disapprove our rates, rating plans or classifications only if he has determined after <br />public hearing that our rates might jeopardize our ability to pay claims or create a monopoly in the market. A <br />monopoly is defined by law as a market where one insurer writes 20% or more of that part of the California workers' <br />compensation insurance that is not written by the State Compensation Insurance Fund. If the insurance <br />Commissioner disapproves our rates, rating plans or classification, he may order an increase in the rates applicable <br />to outstanding policies. <br />3. Rating organizations may develop pure premium rates which are subject to the Insurance Commissioner's approval. <br />A pure premium rate reflects the anticipated cost and expenses of claims per $100 of payroll for a given <br />classification. Pure premium rates are advisory only, as we are not required to sue the pure premium rates <br />developed by any rating organization in establishing our own rates. <br />4. We must adhere to a single, uniform experience rating plan. If you are eligible for experience rating under the plan, <br />we will be required to adjust your premium to reflect your claim history. A better claim history generally results in a <br />lower experience rating modification; more claims, or more expensive claims, generally result in a higher experience <br />rating modification. The uniform experience rating plan developed by the insurance rating organization designated by <br />the Insurance commissioner is subject to the approval of the Insurance Commissioner. <br />5. A standard classification system developed by the insurance rating organization designated by the Insurance <br />Commissioner is subject to approval of the Insurance Commissioner. The standard classification system is a method <br />of recognizing and separating policyholders into industry or occupational groups according to their similarities and/or <br />differences. We can adopt and apply the standard classification system or develop and apply our own classification <br />system, provided that we can report the payroll, expenses and other costs of claims in a way which is consistent with <br />the standard classification system. <br />6. Our rates and classifications may not violate the Unruh Civil Rights Act or be unfairly discriminatory. <br />7. We will provide an appeal process for you to appeal the way we rate your insurance policy. The process will require <br />us to respond to your written appeal within 30 days. If you are not satisfied with the result of your appeal, you may <br />appeal our decision to the Insurance Commissioner. <br />Form WC 66 02 05 A Printed in U.S.A. <br />Rime Mattagement DMsion <br />REVIEWED&APPRDVEDBy., <br />'� Risk Management Analyst <br />