Help Guide
Combo Group ID(Optional): Must be 9 digits long. Leading zero's will be appended if less than 9 digits are entered.
Rating Effective Date(Required): Must be a valid date entered in the format MM/DD/YYYY. Rating Effective Date must be no greater than the current date plus 210 days.
Interstate Indicator(Optional): The values 'Yes' and 'No' may be chosen. Default is 'No'.
Number of Policies at 1st, 2nd, and 3rd(Required): Number of policies contributing data to the experience rating must be at least 1 and no more than 30(10 per report level).
User's Name(Required)
Employer's Name(Optional)