Section 2304. Rate making and supporting information  


Latest version.
  • (a) In the making of
      rates, consideration  shall  be  given  to  past  and  prospective  loss
      experience, including the conflagration and catastrophe hazards, if any,
      both   within   and  without  this  state,  to  all  factors  reasonably
      attributable to the class of risks, to a reasonable profit, to past  and
      prospective expenses both country-wide and those specially applicable to
      this  state, and in the case of participating insurers to policyholders'
      dividends, savings or unabsorbed premium deposits allowed or returned to
      policyholders, members or subscribers.
        (b) The information furnished in support of a filing may include:
        (1) the  experience  or  judgment  of  the  insurer  or  rate  service
      organization making the rate;
        (2) its interpretation of any statistical data it relies upon;
        (3) the experience of other insurers or rate service organizations; or
        (4) any other relevant factors.
        (c)  Risks  may be grouped by classifications for the establishment of
      rates and minimum premiums. Classification  rates  may  be  modified  to
      produce rates for individual risks in accordance with rating plans which
      establish  standards  for  measuring  variations  in  hazards or expense
      provisions, or both. Such standards may measure  any  differences  among
      risks  that can be demonstrated to have a probable effect upon losses or
      expenses.
        (d) The systems of expense provisions included in the rates for use by
      any insurer or group of insurers may differ from those of other insurers
      or groups of insurers to  reflect  the  requirements  of  the  operating
      methods  of  any such insurer or group with respect to one or more kinds
      of insurance, or subdivisions of  kinds  of  insurance,  or  classes  of
      risks,  or  any part or combination of the foregoing, for which separate
      expense provisions are applicable.
        (e)(1) Premiums for workers' compensation  insurance  for  employments
      classified  under sections two hundred twenty, two hundred forty and two
      hundred forty-one of  the  labor  law,  provided  such  employments  are
      classified  under  each  of  said  sections, shall be established on the
      basis of payroll and  a  formula  which  provides  appropriate  credits,
      provided  such  credits  shall  not  apply  to  payroll in excess of the
      payroll limitation amount  set  forth  in  subdivision  two  of  section
      eighty-nine  of  the workers' compensation law and this subsection. With
      the exception of employments engaged in the construction of one  or  two
      family  residential  housing, premiums shall be calculated in accordance
      with the following limitations:
        (A)  For  policies  with  rating  anniversary  dates  after  September
      thirtieth,  nineteen  hundred  ninety-nine and before October first, two
      thousand, an employer's payroll for premium computation purposes in  the
      affected construction classifications shall be the actual weekly payroll
      per  employee  for  the number of weeks employed subject to a maximum of
      nine hundred  dollars  per  week  per  employee  plus  one-half  of  the
      difference between the employer's total payroll and the limited payroll.
        (B)  For  policies  with  rating  anniversary  dates  after  September
      thirtieth, two thousand and before October first, two thousand  one,  an
      employer's  payroll  for  premium  computation  purposes in the affected
      construction classifications shall be  the  actual  weekly  payroll  per
      employee  for  the number of weeks employed subject to a maximum of nine
      hundred dollars per week per employee.
        (C)  For  policies  with  rating  anniversary  dates  after  September
      thirtieth,  two thousand one and before October first, two thousand two,
      an employer's payroll for premium computation purposes in  the  affected
      construction  classifications  shall  be  the  actual weekly payroll per
    
      employee for the number of weeks employed subject to a maximum of  eight
      hundred dollars per week per employee.
        (D)  For  policies  with  rating  anniversary  dates  after  September
      thirtieth,  two  thousand  two,  an  employer's  payroll   for   premium
      computation  purposes in the affected construction classifications shall
      be the actual weekly payroll  per  employee  for  the  number  of  weeks
      employed  subject  to  a  maximum  of the greater of seven hundred fifty
      dollars per week or the weekly payroll amount  upon  which  the  maximum
      weekly benefit is based, per employee.
        (2) The loss costs applicable to employments classified under sections
      two  hundred  twenty, two hundred forty and two hundred forty-one of the
      labor law, provided such employments are classified under each  of  said
      sections,  shall be adjusted to reflect the payroll limitations required
      by this section as they separately affect such rates for  work  actually
      performed within each of the following geographic territories:
        (A) Territory 1 comprising the counties of the Bronx, Kings, New York,
      Queens, and Richmond;
        (B)  Territory  2 comprising the counties of Dutchess, Nassau, Orange,
      Putnam, Rockland, Suffolk and Westchester; and
        (C) Territory 3 comprising all other counties within the state.
        (f) The rate adjustments required by subsection (e)  of  this  section
      shall  be  filed  by the New York compensation insurance rating board in
      accordance with the provisions of section  two  thousand  three  hundred
      forty-seven  of  this  article,  and  shall  not  become effective until
      approved by the superintendent.
        (g) "Loss costs," for the purpose of workers'  compensation  insurance
      in  this article, means that portion of a rate intended to represent the
      anticipated  costs  of  claim  payments  and  loss  adjustment  expenses
      associated  with  such claim payments, and may include one or more trend
      factors. Loss costs do not include provisions for expenses  (other  than
      loss adjustment expenses) such as acquisition costs, overhead and taxes,
      or  profit.  For  all  other  purposes,  the  superintendent,  except as
      otherwise provided in this chapter, may promulgate regulations  defining
      loss costs.
        (h)  A loss cost filing shall be deemed to be a rate filing under this
      article.
        (i) Nothing in this section shall prohibit the application of  payroll
      limitation  provisions at the discretion of the superintendent, provided
      such programs were in  effect  prior  to  the  effective  date  of  this
      subsection.