|
|
|
|
|
| |
|
|
|
|
|
|
|
|
|
|
|
| Workers Compensation Calculation |
|
|
|
|
| |
|
|
|
|
|
|
|
|
|
|
|
| Policy Period: April 12, 2005 - April 12, 2006 |
|
|
|
|
| |
|
|
|
|
|
|
|
|
|
|
|
| |
|
|
|
|
|
Current |
|
|
|
|
|
| |
|
|
|
Estimated |
|
Month |
Est Mo's |
|
|
|
|
| |
|
|
Estimated |
Premium |
|
Payroll |
Premium |
|
Current |
Expense |
Exp |
| |
Code |
Rate |
Annual Payroll |
100 |
|
Aug-05 |
100 |
|
Mo. Wages |
Curr. Wages |
Prior Wgs |
| |
|
|
|
|
|
|
|
|
|
|
|
| Clerical |
8810 |
0.32 |
595,000 |
1,904 |
|
50,558 |
162 |
|
|
0 |
162 |
| |
|
|
|
|
|
|
|
|
|
|
|
| Salespersons |
8752 |
0.63 |
792,000 |
0 |
|
37,171 |
0 |
|
|
0 |
234 |
| |
|
|
|
|
|
|
|
|
|
|
|
| |
|
|
|
0 |
|
|
|
|
|
0 |
396 |
| |
|
|
|
|
|
|
|
|
|
|
|
| Subtotal |
|
|
1,387,000 |
1,904 |
|
87,729 |
162 |
|
|
|
|
| |
|
|
|
|
|
|
|
|
|
|
|
| Other Adjustments |
|
|
|
|
|
|
|
|
|
|
| |
|
|
|
|
|
|
|
|
|
|
|
| Premium adj |
|
|
|
(8) |
|
|
(0.67) |
|
|
|
|
| Terrorism Risk |
|
|
|
399 |
|
|
33.25 |
|
|
|
|
| 500/500/500 |
|
|
0.01 |
19 |
|
|
2 |
|
|
|
|
| Experience MOD |
|
0.89 |
0.11 |
(212) |
|
|
(18) |
|
|
|
|
| Schedule Credit |
|
|
0.2 |
(342) |
|
|
(29) |
|
|
|
|
| Expense Constant |
|
|
|
230 |
|
|
19.17 |
|
|
|
|
| |
|
|
|
|
|
|
|
|
|
|
|
| |
|
|
|
86 |
|
|
|
|
|
|
|
| |
|
|
|
|
|
|
|
|
|
|
|
| Total Estimated Annual Premium |
|
1,990 |
|
|
168.09 |
|
|
|
|
| |
|
|
|
|
|
|
|
|
|
|
|
| |
|
|
|
|
|
|
|
|
|
|
|
| |
|
|
|
|
|
|
|
|
|
|
|
| |
|
|
|
|
|
|
|
|
|
|
|
| |
|
|
|
|
|
|
|
|
|
|
|
| |
|
|
|
|
|
|
|
|
|
|
|
| |
|
|
|
|
|
Calc'd |
168 |
|
|
|
|
| |
|
|
|
|
|
Paid |
-8064 |
|
|
|
|
| |
|
|
|
|
|
Accrued at YE |
(7,896) |
|
|
|
|
| |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
