Starting January 1, 2027, insurers must seek qualifying factor revisions for closed claims, with credits for resulting premium changes; a referendum petition could make voter approval necessary.
For a qualifying closed claim, the insurer must ask the rating organization to revise the employer’s factor using the amount actually paid, if that lower amount meets the required threshold.
If the revised factor changes the premium, the insurer must credit the employer for that change during the policy period.
After notice from an employer or licensed insurance producer, the insurer must ask the authorized rating organization to revise the employer’s factor using the amount actually paid for a closed claim. The rule covers employers insured for workers’ compensation by an insurer authorized to do business in Colorado, including Pinnacol Assurance. The claim must have been reported as open with a higher amount than the amount after it closed. The lower amount must reduce the factor by at least 0.05, or move it from above 1.0 to 1.0 or below. The employer or producer must notify the insurer between the claim’s report to a rating bureau and 31 days after the employer’s rating effective date. The rating organization must revise the factor within 30 days after notice from the insurer. The rule applies to claims closed on or after the law’s effective date.
The insurer must credit the employer for any premium change calculated from the revised factor. This applies when an employer’s factor is revised under this section. The credit must be applied within the employer’s policy period.
No hearings or votes scheduled.