AGENCY: Workers Compensation Fund Division. Data Processing

SERIES: 16618
TITLE: National Council for Compensation Insurance and Management on Policy Endorsements reports
DATES: 1984-1988.
ARRANGEMENT: None.

DESCRIPTION: This is a statistical report sent to the NCCI. It is used to provide them with data for conducting risk analysis on all classified employee positions in their job classification database. This information is then used to classify the rates of insurance coverage for each position. Includes policy holder's name and address, policy number, code classification, amount of premium paid for each job classification, and a list of all claims filed on that policy.

RETENTION

Permanent. Retain for 1 year(s)

DISPOSITION

Transfer to Archives.

RETENTION AND DISPOSITION AUTHORIZATION

Retention and disposition for this series were specifically approved by the State Records Committee.

APPROVED: 03/1987

FORMAT MANAGEMENT

Computer magnetic storage media: Retain in Tape Library for 0 years and then transfer to State Archives.

APPRAISAL

Administrative Historical

This has the same value as the claim card files. Secondly, it has evidential value regarding the determination of premiums for policyholders.

PRIMARY DESIGNATION

Public

SECONDARY DESIGNATION

Private. Policy holder's name and address, policy number, code classification, amount of premium paid for each job classification, and a list of all claims filed on that policy

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