Should transactions on claims under USL&H or self-insured coverage be included in the Indemnity Data Call submissions?
Should transactions on claims under USL&H or self-insured coverage be included in the Indemnity Data Call submissions?
Question:
Should transactions on claims under USL&H or self-insured coverage be included in the Indemnity Data Call submissions?
Answer:
No. USL&H and self-insured experience, as well as permissibly uninsured experience, should be excluded from the Indemnity Data Call reporting. Only claims resulting from direct California insurance coverage (reported with jurisdiction state code CA for California in DN0004) and the Self Insured Indicator field (FROI DN0024) marked as N should be reported to the WCIRB.
If any records are present in the file with the Self Insured Indicator field marked as Y, the entire file will reject.