The wait is over! The 2019 X-Mod calculations are finally in Compline!
We are pleased to inform that we have finally released with new 2019 calculations in the Work Comp Utility program. We have done our best to make these changes as clean and transparent as possible. However, due to the vulgarities of the Bureau’s new rules, it took us a while to get it all worked out in an easy to use fashion.
As you know, the Bureau made a few formula changes including adopting a $250 per claim waive off (no biggie) and eliminated the under 2001 grouping of claims (a biggie for those of us with a lot of worksheets in the system). So here we go:
The most significant change is you no longer group the small claims into the “Under $2,001” entry per policy period. There are tens of thousands of risks in the system affected by this change. You will need to re-enter the 2015 & 2016 (& 2017 for next year) data for the under 2001 claims individually (without grouping them). This is important, and the system cannot calculate correctly without this Bureau necessitated change.
There is a new nomenclature and threshold. Now “First-Aid claims have a threshold of $250 or less. One is supposed to enter claims under $250 although they will not charge the X-Mod. We encourage you to do so.
Another notable change is that Actual Primary Losses of each claim is reduced by $250 regardless of (and after application of) Primary Threshold. The reduction happens automatically.
You will also notice that the Actual Excess Losses column have been removed from the screen for 2019 and later effective dates. [As you move forward and backward through the years the system automatically makes all of the screen and calculation adjustments including putting back the column) EXCEPT – and here we are reminding you again — for the under 2001 claims which you have to pull out of the old worksheets and reenter individually.
Lastly, you will notice that the final calculation is greatly simplified: ( Actual Primary Losses + Expected Excess Losses ) / Expected Losses.
Helpful Hints
Creating 2019 worksheets is easy. There is no special data entry required for small claim entry, just do not combine them. Just enter the claim #, DOL, Injury type, status, and the actual loss just like you usually do for larger claims. (Compline does all the math for you). You will see that that the actual primary losses for these first-aid claims are now zero; thus they will no longer affect the x-mod.
We strongly recommend that if you want to go back from 2019 to 2018 (or earlier) X-mod calculation that you clone the 2019 worksheet then do what they need to do to the clone.
If you have already entered 2019 calculations, you will need to reopen them and make sure that the small claims are all entered separately and not grouped. If you entered the claims correctly before you will still need to reopen the 2019 worksheet to reflect the calculation corrections.
LASTLY, WE WANTED TO GET THE CALCULATIONS OUT QUICKLY, SO THE CHARTS AND GRAPHICS ARE STILL IN DEVELOPMENT. SOME OF THEM LOOK FUNNY, BUT WE WILL RELEASE THEM AS QUICKLY AS POSSIBLE.
As Always
with warm personal regards,
The Helpdesk, Maria Galvez, Connie Pitman, Stephanie J., Dale Debber & the whole Compline Team