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WCIRB Connect® - Access Options for Third Party Entities 

July 19, 2017

WCIRB Connect is a powerful tool that provides online access to information and data for insurers, agents and brokers, and other authorized users. If you are a WCIRB member that uses third party entities (TPE), including third party administrators, managing general agents (MGAs), data submitters and fee audit companies to act on your behalf for purposes of data submissions, premium auditing and communicating with the WCIRB, you can authorize your TPE to access rate sheets, inspection reports, experience modifications and other policyholder information, and policy and unit statistical report information for your policyholders through WCIRB Connect.

To authorize access, insurers must complete Form 902 Third Party Entity Registration and execute a Consent to Use Third Party Entity and Agreement to Indemnify for each TPE. Once the agreement is in place and any necessary system testing is complete, the WCIRB will accept certain types of information and data, including policy forms, unit statistical reports, aggregate financial information, medical transaction data, and related correspondence from TPEs. In addition—pursuant to the applicable authorization—the WCIRB will release certain information and data to authorized TPEs, will communicate with TPEs, and facilitate access to WCIRB Connect.

WCIRB Connect Third Party Entity Options

Regardless of which configuration option the insurer selects for its TPEs, all TPE accounts include access to basic policyholder information such as:

  • X-Mods, including eligibility and X-Mod history information
  • Risk Summary Report showing 10 years of X-Mod history, WCIRB assigned classifications, primary name and address and other basic policyholder information summarized in a downloadable report
  • Unlimited subscriptions to X-Mod Direct email alerts
  • WCIRB assigned classification information
  • Policyholder primary name and primary addres

 In addition to this basic policyholder information, insurers may choose to grant access to additional information for their TPEs by selecting from one of the three different TPE access options.

  1. Restricted – Policyholder Search
    TPEs with this access level may view basic policyholder information and may also view all of the rate sheets and inspection reports for the insurer’s policyholders. This information is commonly required by TPEs, including MGAs, and those involved in the production or review of premium audits.
     
  2. Restricted – Submitter
    TPEs with this access level may view the basic policyholder information listed above and may also view the insurer’s policy and USR data provided that the TPE submitted either the policy or USR data and that the TPE is identified as the submitter on the Electronic Transmission Record (ETR) accompanying the policy or USR data file.
     
  3. Restricted ‒ Business Segment Identifier (BSI)
    TPEs with this access level may view the basic policyholder information listed above as well as the insurer’s policy and USR data specifically assigned to them through the BSI field on an insurer’s electronic data file submission(s).
     
  4. Unrestricted – Insurer Level
    TPEs with this access level may view the same screens, reports and information that the insurer is able to view, for all of the insurer’s policyholders. In other words, the TPE will have access to all of the insurer’s data regardless of whether the TPE submits or receives such data.

The exhibit below summarizes each of the TPE options available in the WCIRB Connect. (Click here for a bigger view of the image.)


 

WCIRB Connect Third Party Configuration Options

 To learn more about using third parties, see the Using Third Parties page on the WCIRB website (www.wcirb.com). If you are a third party data submitter, MGA, fee auditor or other TPE and would like to access WCIRB Connect, contact the WCIRB member you provide services for and discuss WCIRB Connect access. Only WCIRB members may request TPE access to WCIRB Connect.
    

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