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Experience Modification Worksheet (E-mod)
A description of items we need to review your workers compensation audit, workers compensation e-mod and workers compensation premium calculations
- Experience Modification Worksheet...
- Your workers compensation experience modification worksheet (E-mod) is a summary of prior losses and payrolls. If your account is subject to an experience modification factor you will receive a copy of this worksheet from the National Council on Compensation Insurance (NCCI) or the proper rating bureau for your state approximately three months prior to the renewal date of your workers compensation policy. It is the form that tells you what your upcoming experience mod factor will be. If you have difficulty locating this form just let us know. We can assist you in securing the proper experience modification worksheet.
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