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WCIRB Transaction Data Quality Program

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WCIRB Transaction Data Quality Program

***Program effective January 1, 2022***

WCIRB Transaction Data Quality Program Overview
This webinar provides an overview of the exhibits provided to Insurer Groups and used to administrate the WCIRB Transaction Data Quality Program.
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The WCIRB Transaction Data Quality Program was created to meet the WCIRB’s ratemaking and research needs and respond to the California Department of Insurance directive to collect medical and indemnity transaction data. National Association of Insurance Commissioners (NAIC) groups that write at least 0.5 percent of the California workers’ compensation market are required to submit this transaction data to the WCIRB. Insurers newly eligible to participate in transaction data reporting are required to begin reporting their transaction data to the WCIRB within one year of notification of eligibility.

For transactions through December 31, 2022, the due date for Medical Data Call transactions is the last calendar day of the following quarter. For transactions beginning January 1, 2023, the due date for Medical Data Call transactions is no later than two months after the end of the quarter in which the transaction occurred. The due date for Indemnity Data Call transactions is the last calendar day two months after the transaction month. Please refer to the WCIRB Medical Data Call Reporting Guide or the WCIRB Indemnity Data Call Reporting Guide for more details.

The Transaction Data Quality Notice is sent to insurer participants each quarter and provides a summary of the submission completeness for the reporting quarter, successful match rate to other WCIRB data sets and data quality edit results for key reporting values. The Fine and Credit Notice provides any quarterly fine imposed as stated in the program.

Insurers are subject to monetary fines and other administrative action for failure to submit complete data or to address documented data quality reporting issues in a timely manner.

If you have any questions, please contact [email protected] or [email protected].