Business ownership, employees, and operations all have an impact on experience modifications.
The rules concerning ownership and experience rating have been crafted to ensure that an experience modification accurately reflects the history of a business owner, and the history of any businesses that may be acquired and operated without significant changes to employees or operations. These rules can be found in the California Workers' Compensation Experience Rating Plan—1995.
An experience modification is based upon the payroll and loss history of a single entity. It is also based upon either the combination of multiple commonly-owned entities or the loss experience of an acquired entity or operation. To understand exactly what data goes into an experience modification and how ownership impacts experience rating, it is important to understand the distinction between a "risk" and an "entity."
An "entity" is the legal nature of the business that is being insured: individual, joint venture, partnership, limited liability partnership, corporation, limited liability company, unincorporated association, trust, receivership, or estate. A "doing business as," or "dba," is not an entity. It is common to have multiple commonly-owned entities on a single policy or in a single WCIRB file.
A "risk" is the California insured operations of an entity or commonly-owned entities. The risk is the umbrella under which all commonly owned entities are grouped. A policy cannot insure, and an experience modification cannot apply to, multiple risks.
Stanley is the sole owner of a restaurant and an automobile repair shop. The payroll and loss data from these two entities will be combined to produce a single experience modification – regardless of whether these entities are covered under a single policy or under separate policies. The combination of these two entities forms a single risk for experience rating.
We welcome your feedback on this guide. Please send comments and suggestions to [email protected].