WORKERS’
COMPENSATION
FORM FILINGS
Below shows which rating bureau is responsible for filing forms and endorsements on behalf of all insurers in each state, and the five states that require insurers to file their own forms. Naturally, the NCCI form and the NCCI endorsements are the required forms and endorsements in the 32 jurisdictions where NCCI is the designated workers compensation rating bureau. All eight states that use an independent rating bureau have also elected to designate the NCCI policy and endorsements as the required forms, along with a number of additional state-specific endorsements drafted by the state rating bureau. Five states require each insurer to file its proposed forms and endorsements for approval. In these states, many insurers elect to file NCCI forms and endorsements.
REGULATION OF WORKERS COMPENSATION FORMS
Insurers must use forms submitted by NCCI on behalf of all insurers in these states:
Alabama Georgia Maryland Oregon
Alaska Idaho Mississippi Rhode Island
Arizona Illinois Missouri South Carolina
Arkansas Iowa Montana South Dakota
Colorado Kansas Nebraska Tennessee
Connecticut Kentucky New Hampshire Utah
District of Columbia Louisiana New Mexico Vermont
Florida Maine Oklahoma Virginia
Insurers must use forms filed on behalf of all insurers by an independent bureau in these states:
Delaware Indiana North Carolina Texas
Hawaii Massachusetts Pennsylvania Wisconsin
Insurers are required to file their own forms in these states:
California Minnesota New York
Michigan New Jersey
The monopolistic fund states are Nevada, North Dakota, Ohio, Washington, West Virginia and Wyoming.