Assigned Risk Application Calculator - Data Entry Instructions

To calculate an assigned risk premium you must enter or select the data for all of the following mandatory fields in addition to the class code and payroll data on the Assigned Risk Application Calculator - Data Entry page.  Optional field information should be entered, when applicable. Click on the Calculate button when you have finished entering the data.


The following links provide detailed information about each field on the data entry from.

MANDATORY FIELDS

OPTIONAL FIELDS

CLASS CODES AND ESTIMATED PAYROLL


MANDATORY FIELDS

Employer
Enter up to 60 characters of the employer’s name. 

Coverage Effective Date
Enter desired coverage effective date or select the date from the calendar.

Legal Status
Select the appropriate legal status from the drop down menu.

Deductible Credit
Select the deductible credit amount from the drop down menu. The default is None. 

Employers Liability
Select the limit for employers liability from the drop down menu. The default is 9845 - Standard limits.

Increased Limits of Liability

Percentage

Minimum

Class Code

100,000/100,000/1,000,000
.50%
$75.00
9803
500,000/500,000/500,000
1.00%
$50.00
9807
500,000/500,000/1,000,000
1.25%
$75.00
9808
1,000,000/1,000,000/1,000,000
2.00%
$75.00
9812

Installment Basis
Select the appropriate option from the drop down menu. The default is Annual.

Total Estimated Annual Premium Installment Basis Minimum Deposit Payment Basis
Less than $5,000 Annual 100% of Annual Deposit + 0
$5,000 or more Semi-annual 75% of Annual Deposit + 1
$10,000 or more Quarterly 50% of Annual Deposit + 3
$25,000 or more Monthly 25% of Annual Deposit + 9
  • If the premium is financed, the installment basis must be Annual.
  • If the premium calculated is not sufficient to qualify for the installment basis selected, the premium calculation application will select the appropriate installment basis.

Is the premium being financed?
If the premium is being financed, click the appropriate ‘yes’ button. The default is ‘no’.

  • If the premium is financed, the installment basis must be Annual.

Is the sole proprietor’s wage included?
If the sole proprietor has elected to be covered, click the appropriate 'yes’ button. The default is ‘no’.

  • The sole proprietor’s wage must be entered under the appropriate class code using the approved basis of premium on the Miscellaneous Values page of the MA Manual.

Effective Date:
Basis of Premium:
10/01/2018 $50,400
10/01/2017 $48,700

Are the partners’ or members' wages included?
If the partners or members have elected to be covered, click the appropriate ‘yes’ button. The default is ‘no’. 

  • LLCs and LLPs are types of legal partnerships, therefore members of an LLC or partners of an LLP may elect to be covered.

If yes, how many partners or members are included?
If partners or members of an LLC or LLP have elected to be covered, enter the number of partners or members electing coverage.

  • Each partner’s or member's wage must be entered under the appropriate class code using the approved basis of premium on the Miscellaneous Values page of the MA Manual.

Effective Date: Basis of Premium:
10/01/2018 $50,400
10/01/2017 $48,700



OPTIONAL FIELDS

Anniversary Rate Date (ARD)  Eliminated effective May 1, 2017
If an ARD is applicable and it differs from the Coverage Effective Date, enter the ARD or select the date from the calendar. The year of the ARD entered should be the most recent ARD year before the Coverage Effective Date.

Waiver of Our Rights Charge
If the Waiver of Our Right to Recover from Others Endorsement is required by contract, enter the whole dollar amount which represents the premium charge for this endorsement. To determine the premium charge, calculate 2% of the Manual Premium Subject to Waiver of Subrogation for the specific job for which the endorsement is issued.

Experience Rating or Merit Rating Factor
If applicable, enter the experience modification factor or merit rating factor, i.e. 1.02 or .95.

ARAP Factor
If applicable, enter the ARAP factor, i.e. 1.10.

MA Construction Credit Factor
If applicable, enter the Massachusetts Construction Classification Premium Adjustment Program (MCCPAP) credit factor, i.e. 10 (for 10%).

Former Self-Insured Insurance Charge
If the employer has been self-insured within the last 12 months, enter the whole dollar amount equaling 10% of standard premium to satisfy this charge. The 10% charge is calculated on the basis of the higher of either the average of the last three years' audited payrolls or the last complete year's payroll.

If Admiralty Coverage, select the Admiralty Employers Liability Limit
If an admiralty class code is entered, select the Admiralty Employers Liability Limit from the drop down menu. The admiralty limit default is Standard - $10,000.  Increased limits up to $100,000 are available.


CLASS CODES AND ESTIMATED PAYROLL

Location Number (#)
Enter the location number using 3 digits, i.e. 001.  Classification and payroll information must be provided separately for each location by shift.

Shift Number (#)
Enter the shift number, i.e. 1.  Classification and payroll information must be provided separately for each location by shift.

Class Code
Enter the appropriate 4 digit class code(s). To enter more class codes click on the Add Class Codes button.

Number of Employees (# of Emp)
Enter the number of employees by classification code, as a whole number. The number of employees must be provided separately for each classification code at each location by shift.

Estimated Payroll
Enter the appropriate payroll for each entered class code. The maximum payroll that can be entered is 99,999,999.  If you need to enter a payroll greater than that, you can enter the class code twice with a portion of the payroll entered with each class code entry.

  • When a class code is on an 'if any' basis, enter '0'.
  • When using a per capita class code, the payroll field will be disabled. The premium calculation will be based on the number of employees.

USL&H
If USL&H coverage is required for an eligible non-F classification, check the USL&H box directly after the payroll to multiply the non-F class code rate by the United States Longshore and Harbor Workers’ Compensation coverage percentage.

Return to the Assigned Risk Application Calculator - Data Entry page.