There is hereby established a Voluntary Direct
Assignment Carrier Program (the "Program"), as
authorized by the Plan of Operation of the Massachusetts
Workers' Compensation Assigned Risk Pool (the "Pool"),
which provides that any insurer may satisfy its
assessment obligations as a Pool member by accepting
voluntary direct assignments of risks from The Workers'
Compensation Rating and Inspection Bureau (the
"Bureau"), in the manner specified in Article XIII,
Section 2. of the Pool Plan of Operation. A
participating insurer must satisfy its entire assessment
obligation for a particular policy year in this manner,
with the exception of policy year 1993, in which an
insurer's obligation may be allocated between Pool
assessments and voluntary direct assignments.
Article I: Purpose and Scope of Coverage
It is the purpose of this Program to provide a
mechanism for the equitable distribution among insurers of
risks entitled to coverage under G.L. c. 152, § 65A et seq.,
as amended, subject to the limitations as set forth in
Article III, Section 2. of the Pool Plan of Operation.
The manuals of rules, rates, rating plans and
classifications filed by the Bureau, and approved by the
Commissioner, to apply to residual market policies, shall
also apply to policies issued by a carrier in its capacity
as a voluntary direct assignment carrier.
Article II: Designation of Voluntary Direct Assignment Carrier
Any Pool member may apply to the Commissioner for
designation as a voluntary direct assignment carrier based
on selection criteria set forth in ARTICLE V, hereunder.
The Commissioner may rescind this designation for cause.
Article III: Insolvency of a Voluntary Direct Assignment Carrier
In the event a voluntary direct assignment carrier
become insolvent, all risks being written by such carrier
shall be assigned to a successor servicing carrier or direct
assignment carrier.
Article IV: Administration of the Program
The Bureau, acting through its Residual Market
Committee, unless the Governing Committee of the Bureau
otherwise directs, shall administer and monitor this
Program, pursuant to G.L. c. 152, § 65A et seq., as amended.
The Bureau shall each year submit to the Commissioner a
report of the assigned risks for the preceding year.
The Bureau, acting on behalf of the Residual
Market Committee shall have the right, through its
representatives, at all reasonable times during the business
day, to audit and inspect the books and records of any
voluntary direct assignment carrier with respect to any
policy or policies and claims thereunder coming within the
purview of this Program. In addition, the Committee
shall have the power, subject to the approval of the
Commissioner, to promulgate and adopt Rules of Procedure for
the purpose of implementing and administering this Program.
Such rules may also be made at the direction of the
Commissioner, upon reasonable notice to the Bureau and after
a hearing.
Article V: Criteria for Selection and Performance Standards
Any member of the Pool may apply to the Commissioner for
voluntary direct assignment carrier designation, and
shall be eligible for designation as a voluntary direct
assignment carrier, provided the member:
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has and maintains, at a minimum, a Best's rating of
either "A-" or NA 3 with an FPI of 8 or 9; and
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has or has had for any year during the five year
period immediately preceding the request to be
designated a voluntary direct assignment carrier a
workers' compensation voluntary market share of at
least 1% in the Commonwealth of Massachusetts; and
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demonstrates to the satisfaction of the
Commissioner, taking into account whatever technical
advice may have been requested from the Bureau, that
it has the capacity to provide appropriate coverage
to any risk that may be assigned to it pursuant to
this program regardless of the size, industry type,
and geographical location of such risk; and
- has and maintains the capacity to conform to the
Performance Standards applicable to servicing
carriers as set forth in ARTICLE VII, Section 3 of
the Pool Plan of Operation.
A voluntary direct assignment carrier's failure to
maintain eligibility shall be considered by the
Commissioner as cause for rescinding its designation as
voluntary direct assignment carrier. The WCRB
shall inform the Commissioner if it believes a voluntary
direct assignment carrier may not be maintaining such
eligibility.
Article VI: Effective Date
This Program shall become effective upon adoption
by the Commissioner.
Article VII: Assignments
The Bureau will equitably assign applicants to
each voluntary direct assignment carrier based on each such
carrier's percentage of the total voluntary net workers'
compensation insurance premiums written, as adjusted by any
applicable take-out credit, for all carriers in each policy
year. Since a voluntary direct assignment carrier's
percentage for the current policy year will not be available
at the time assignments are being made, the most recent
available percentage will be used in making assignments for
the year. For each policy year, a reconciliation
process shall be undertaken to reconcile the percentage of
premium assigned to each VDAC carrier for that policy year
with its share of the total assignable premium for that
policy year. This process shall allow for:
Intermediate Reapportionment
An optional intermediate reapportionment of pool shares may
be made within two years of the beginning of the policy
year.
Final Reapportionment
All policy years, including those policy years for which an
intermediate reapportionment was completed, will be subject
to a final reapportionment of pool shares to be made within
three years of the beginning of the policy year.
Such reapportionment calculations shall be based on the current estimate of:
- The percentage of Residual Market premium assigned to the particular voluntary direct assignment carrier for the policy year.
- The target percentage for the particular carrier for the policy year.
A participation ration shall be calculated for
each voluntary direct assignment carrier as follows:
(Target Percentage - Assigned Percentage) x
(Residual Market Premiums / Reinsurance Pool Premiums)
If a voluntary direct assignment carrier was
assigned less than its proper share of assignable premium,
as calculated by the Bureau, it shall be given a positive
participation ratio corresponding to the difference.
If such carrier was assigned more than its proper share of
assignable premium, it shall be given a negative
participation ratio corresponding to the difference.
The appropriate off-balance shall be applied to the
participation ratios of carriers who are not voluntary
direct assignment carriers, so that the total of all
participation ratios is 100%.
A member of the Massachusetts Workers'
Compensation Assigned Risk Pool that is not a voluntary
direct assignment carrier must satisfy its obligation by
sharing in the results of the Residual Market business
written on behalf of the Pool by Servicing Carriers, as
described in the Pool Plan of Operation. Each such
member is assigned a participation ratio, which determines
for that Policy Year its participation in the combined
results of the Residual Market business written on behalf of
the Pool by Servicing Carriers. As used in the above
formula, "Residual Market Premiums" shall be the total
premiums in a Policy Year assigned to either voluntary
direct assignment carriers or servicing carriers, (excluding
any premiums that may have been assigned under any Mandatory
Direct Assignment Program). As used in the above
formula, "Reinsurance Pool Premiums" shall be the total
premiums in a Policy Year assigned to Servicing Carriers,
excluding any premiums that may have been assigned under any
Direct Assignment Program.
After the above reapportionments takes place, each
Voluntary Direct Assignment carrier will have a
participation ratio for each Policy Year and thus will share
to some extent in the results of the Residual Market
business written on behalf of the Pool by servicing
carriers. However, that carrier will share to a lesser
extent than if the carrier had not accepted voluntary direct
assignments.
Article VIII: Definitions
Definitions of terms used in this Program:
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The term "voluntary direct assignment carrier" shall
mean an insurer that has elected to receive direct
assignments, in lieu of participating in the Pool,
and that has obtained prior approval from the
Commissioner of Insurance authorizing such form of
participation.
- The term "net workers' compensation insurance
premiums written," wherever used in this Voluntary
Direct Assignment Program, shall mean the gross
direct premiums charged less all premiums (except
dividends and savings refunded under participating
policies) returned to policyholders for all Workers'
Compensation and Occupational disease Insurance,
exclusive of premiums for risks subject to the Plan
of Operation of the Pool, and for risks written
under Special National Defense Comprehensive Rating
of Special National Defense Premium Discount Plans
and under excess policies. The term "workers'
compensation insurance premium" shall also include
all premium received by non-admitted carriers on
policies issued by such carriers for coverage in the
state if such policies are deemed to meet employer
obligations under the workers' compensation statute
of the state.
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The term "Commissioner" shall mean the Commissioner
of Insurance of the Commonwealth of Massachusetts.
Article IX: Application and Effective Date of Designation
Within fifteen (15) days after this Program has
been adopted by the Commissioner, the Bureau shall provide
notice and a copy of the Program to all members of the Pool.
Within thirty (30) days after the date of such adoption, a
member who wishes to become a voluntary direct assignment
carrier shall make application to the Commissioner for such
designation with a copy to the Bureau. The
Commissioner shall review the application and approve or
disapprove it in writing within forty-five (45) days of
receipt with a copy to the Bureau. If the application
is approved, the member will be designated a voluntary
direct assignment carrier effective July 1, 1993. The
Commissioner will not approve the application of a member
with any other effective date during the year 1993. If
the Commissioner fails to act within the forty-five day
period, the application is deemed disapproved.
Applications in subsequent years must be submitted to the Commissioner prior to October 1. The Commissioner shall review the application and approve or
disapprove it in writing within sixty (60) days of receipt.
If the Commissioner fails to act within the sixty-day
period, the application is deemed disapproved. If the
application is approved, the member will be designated a
voluntary direct assignment carrier effective January 1 of
the following year. It shall continue as a voluntary
direct assignment carrier for subsequent years, unless it
gives the Commissioner advance written notice of its
intention to resign as a voluntary direct carrier prior to
October 1 of a given year, or unless such designation is
rescinded by the Commissioner for cause.
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