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WCIRB Policy Data Quality Program

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WCIRB Policy Data Quality Program

The WCIRB Policy Data Quality Program (PDQP) uses a set of key performance indicators as well as reconciliation activities to identify potential systemic data reporting deficiencies in policy data reported to the WCIRB. This program, together with a variety of other approaches the WCIRB uses to ensure that timely, complete and accurate policy data is submitted, align with the WCIRB’s objective of targeting the most effective methods for maintaining high standards of data quality while minimizing the manual touchpoints associated with the data exchange process. Read more about the WCIRB’s initiative to modernize the collection, auditing and dissemination of data here.

Quarterly PDQP reports are released to insurer participants comparing their results against the acceptable thresholds and statewide benchmarks for each metric. Insurers that do not meet specific performance standards are required to take corrective action and may be assessed fines.

The PDQP is administered in two parts. Part 1 measures the accuracy and completeness of an insurer’s electronically submitted policy data and Part 2 measures the timeliness and completeness of an insurer’s policy data reporting along with responsiveness in providing the WCIRB with accurate data. 

If you have any questions regarding PDQP, please contact the Data Quality Assurance Office at [email protected].

View the provisions of the proposed WCIRB Policy Data Quality Program effective January 1, 2018.The proposed program is subject to review and approval by the WCIRB Governing Committee during its next scheduled meeting on December 13, 2017.

Part 1 of PDQP validates whether the policy data submitted electronically to the WCIRB matches the hard copy policy documents provided to the policyholder. The WCIRB selects a random sample of policy transactions from a participating insurer’s recently submitted electronic submissions and reconciles the following data elements against corresponding hardcopy policy documents: 

  1. Name insured(s)
  2. Address(es)
  3. Classification(s)
  4. Coverage dates
  5. Experience modification(s)
  6. Forms 
  7. Variable text on endorsements

Part 2 of PDQP uses key performance indicators to assess the timeliness, accuracy and completeness of a participating insurer’s incoming policy data. A summary of these data quality metrics is provided in the chart below: 

Data Quality Metric Program 
Submission Timeliness – Policies Measures an insurer’s volume of new and renewal policies, annual rating endorsements, and renewal certificates / renewal agreements received by the WCIRB beyond 60 days of policy inception
Submission Timeliness – Cancellations and 
Reinstatements
Measures an insurer’s volume of cancellations and reinstatements received by the WCIRB beyond 60 days of issuance
Responsiveness to Policy Work Items Measures an insurer’s volume of policy work items responded to completely and accurately  beyond 60 days of issuance of the inquiry
Unmatched Policy Transactions – Cancellations and 
Reinstatements
Measures an insurer’s volume of cancellations and reinstatements that are not matched to policies within 60 days of receipt by the WCIRB
Unmatched Policy Transactions – USRs     Measures an insurer’s volume of Unit Statistical Report data that is not matched to WCIRB policy data within 60 days of receipt by the WCIRB
Experience Modification Reporting Success – Policy Transactions  Measures an insurer’s volume of initial policies with unresolved experience modification audit errors 60 days after receipt of initial policy
Forms Compliance  Identifies insurers’ policies reported with unapproved forms and / or policies not endorsed with provisions required by California law using approved forms (advisory only)