Experience Mod Effective 10-1-2026.pdf
PDF 40 KB Posted
- Attached to
- Property & Casualty Insurance Coverage
- Solicitation number
- RFP-16797
- Issued by
- Clay County, Orlando City, Florida
About this file
This is an NCCI Workers' Compensation Experience Rating document for the Town of Orange Park, Florida, corresponding to a Property and Casualty Insurance Coverage solicitation due September 9, 2026, with coverage effective October 1, 2026. The Town of Orange Park is soliciting proposals for comprehensive insurance coverage including property and casualty, automobile, fuel storage tank, police officers and firefighters accidental death and dismemberment, and workers' compensation coverage. Sealed proposals must be submitted to the Town Clerk's Office at 2042 Park Avenue, Orange Park, Florida 32073, by 2:00 PM on September 9, 2026. The complete Request for Proposal with all general requirements and guidelines is available for download from www.townoforangepark.com. Questions regarding the proposal must be submitted no later than September 2, 2026, to John Villanueva at jvillanueva@townop.com.
The experience rating document reflects the Town's workers' compensation claims history across three policy years (10/01/2022 through 10/01/2025) under Policy No. FMIT0438 with Carrier 31860. The current experience modification (Exp Mod) factor is 1.56, with an expected modification of 1.54 based on claim data analysis. Total actual incurred losses across the three policy years totaled approximately $20.03 million, with subject premiums totaling approximately $961,492. The rating reflects a 70% decrease in medical-only primary and excess loss dollars where ERA (Experience Rating Adjustment) is applied. The experience rating is effective October 1, 2026, and was produced on July 28, 2026.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Addendum 3.pdf | ||
| 0438_25.26_All Coverages_Town of Orange Park.pdf | ||
| FMIT 0438 Town of Orange Park WC Loss Report.xlsx | XLSX spreadsheet | |
| 2026-01 Town of Orange Park Insurance RFP.pdf | ||
| FMIT 0438 Town of Orange Park PL Loss Report.xlsx | XLSX spreadsheet | |
| Addendum 2.pdf | ||
| Addendum 1.pdf |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
State Wt Exp Excess Losses
Expected Losses
Exp Prim Losses
Act Exc Losses Ballast Act Inc Losses Act Prim Losses
Split Point
FL 130,862 204,797 73,935 628,688 48,070 813,814 185,126.19 19,000
(A) Wt
(B) (C) Exp Excess Losses (D - E)
(D) Expected Losses
(E) Exp Prim Losses
(F) Act Exc Losses (H - I)
(G) Ballast (H) Act Inc Losses
(I) Act Prim Losses
.19 130,862 204,797 73,935 438,089 48,070 590,980 152,891
SARAPARAP
1.56
(J)
1.54
(J) / (K)
Exp Mod
252,867
REVISED RATING
NCCI'S EXPERIENCE RATING WORKSHEET SUMMARY PAGE NOW INCLUDES A COLUMN FOR
THE STATE'S APPROVED PRIMARY/EXCESS LOSS SPLIT POINT,
APPLICABLE TO THE RATING EFFECTIVE DATE.
RATING REFLECTS A DECREASE OF 70% MEDICAL ONLY PRIMARY AND EXCESS LOSS
DOLLARS WHERE ERA IS APPLIED.
REVISED RATING TO INCLUDE UPDATED DATA FOR: FL, POL. #: FMIT0438, EFF.: 10/01/2024
Primary Losses Stabilizing Value Ratable Excess Totals
Expected
FLARAP
73,935 154,068 24,864
(I) C * (1 - A) + G (A) * (F)
(K) (A) * (C)C * (1 - A) + G(E)
Factors
390,196Actual 152,891 154,068 83,237
MAARAP
Risk ID: 094008085ORANGE PARK TOWN OF
WORKERS COMPENSATION EXPERIENCE RATING
State:Rating Effective Date: Production Date: FLORIDA10/01/2026 07/28/2026
Risk Name:
© Copyright 1993-2026, All rights reserved. This product is comprised of compilations and information which are the proprietary and exclusive property of the National Council on Compensation Insurance, Inc. (NCCI). No further use, dissemination, sale, transfer, assignment or disposition of this product, in whole or in part, may be made without the prior written consent of NCCI. This product is furnished “As is” “As available” “With all defects” and includes information available at the time of publication only. NCCI makes no representations or warranties of any kind relating to the product and hereby expressly disclaims any and all express, statutory, or implied warranties, including the implied warranty of merchantability, fitness for a particular purpose, accuracy, completeness, currentness, or correctness of the product or information contained therein. This product and the information contained therein are to be used exclusively for underwriting, premium calculation and other Insurance purposes and may not be used for any other purpose including but not limited to safety scoring for project bidding purposes. All responsibility for the use of and for any and all results derived or obtained through the use of the product and information are the end user’s and NCCI shall not have any liability thereto.
09-FLORIDA
Carrier: 31860 Policy No. FMIT0438 Eff Date: 10/01/2022 Exp Date: 10/01/2023
ELR D-
Ratio
Payroll Expected Losses
Exp Prim Losses
Claim Data IJ
Firm ID: Firm Name: ORANGE PARK TOWN OF
OF Act Inc Losses
Act Prim Losses
Code
466,096 1,890O05WC202316079
3,55110,445.345509 1,8902.241
235,779 3,160F05WC202215848
7731,933.407520 3,160.820
637,514 19,000F05WC202315973
1,6254,392.377580 24,767.689
1,638,650 264F06WC202315983
8,10123,826.347704 2641.454
1,794,758 327F06WC202315983
6,97318,845.377720 3271.050
68,530 1,091*06NO. 3210526.408380 1,091.767
1,034,810 4,970F06WC202315895
217517.428810 4,970.050
219,354 9,190F06WC202315889
1,0352,588.409015 9,1901.180
93,285 19,000F09WC202315945
4341,084.409102 34,4941.162
333,209 1,3273,159.429410 .948
DRUG-FREE WORKPLAC -1,523-4,2289841
Total Act Inc Losses:Policy Total: 6,521,985
Subject Premium: 80,153231,741
09-FLORIDA
Carrier: 31860 Policy No. FMIT0438 Eff Date: 10/01/2023 Exp Date: 09/30/2024
ELR D-
Ratio
Payroll Expected Losses
Exp Prim Losses
Claim Data IJ
Firm ID: Firm Name: ORANGE PARK TOWN OF
OF Act Inc Losses
Act Prim Losses
Code
429,396 1,027O05WC202316167
3,2729,623.345509 1,0272.241
183,989 19,000F05WC202427904
6041,509.407520 33,772.820
600,848 19,000O05WC202427881
1,5324,140.377580 143,251.689
1,714,227 2,347F06WC202416212
8,47524,925.347704 2,3471.454
1,934,644 5,713F06WC202416218
7,51620,314.377720 5,7131.050
138,571 5,866*06NO. 64251,063.408380 5,866.767
1,259,082 7,416F06WC202416241
265630.428810 7,416.050
191,179 19,000O09WC202416206
9022,256.409015 349,599 #1.180
127,527 5931,482.409102 1.162
401,067 1,5973,802.429410 .948
DRUG-FREE WORKPLAC -1,652-4,5759841
Total Act Inc Losses:Policy Total: 6,980,530
Subject Premium: 548,991215,674
Risk ID: 094008085ORANGE PARK TOWN OF
WORKERS COMPENSATION EXPERIENCE RATING
State:Rating Effective Date: Production Date: FLORIDA10/01/2026 07/28/2026
Risk Name:
© Copyright 1993-2026, All rights reserved. This product is comprised of compilations and information which are the proprietary and exclusive property of the National Council on Compensation Insurance, Inc. (NCCI). No further use, dissemination, sale, transfer, assignment or disposition of this product, in whole or in part, may be made without the prior written consent of NCCI. This product is furnished “As is” “As available” “With all defects” and includes information available at the time of publication only. NCCI makes no representations or warranties of any kind relating to the product and hereby expressly disclaims any and all express, statutory, or implied warranties, including the implied warranty of merchantability, fitness for a particular purpose, accuracy, completeness, currentness, or correctness of the product or information contained therein. This product and the information contained therein are to be used exclusively for underwriting, premium calculation and other Insurance purposes and may not be used for any other purpose including but not limited to safety scoring for project bidding purposes. All responsibility for the use of and for any and all results derived or obtained through the use of the product and information are the end user’s and NCCI shall not have any liability thereto.
* Total by Policy Year of all cases $2,000 or less.
C Catastrophic Loss
D Disease Loss
E Employers Liability Loss
X Ex-Medical Coverage
# Limited Loss
U USL&HW
09-FLORIDA
Carrier: 31860 Policy No. FMIT0438 Eff Date: 10/01/2024 Exp Date: 10/01/2025
ELR D-
Ratio
Payroll Expected Losses
Exp Prim Losses
Claim Data IJ
Firm ID: Firm Name: ORANGE PARK TOWN OF
OF Act Inc Losses
Act Prim Losses
Code
531,541 19,000O05WC202528788
4,05011,912.345509 38,6822.241
249,237 19,000O05WC202528906
8182,044.407520 137,123.820
607,371 2,287*06NO. 31,5484,185.377580 2,287.689
1,793,625 2,424O06WC202528414
8,86726,079.347704 2,4241.454
1,985,196 4,154F06WC202528708
7,71320,845.377720 4,1541.050
130,971 4021,005.408380 .767
1,311,619 276656.428810 .050
482,581 2,2785,694.409015 1.180
434,716 1,7314,121.429410 .948
Total Act Inc Losses:Policy Total: 7,526,857
Subject Premium: 184,670204,827
Risk ID: 094008085ORANGE PARK TOWN OF
WORKERS COMPENSATION EXPERIENCE RATING
State:Rating Effective Date: Production Date: FLORIDA10/01/2026 07/28/2026
Risk Name:
© Copyright 1993-2026, All rights reserved. This product is comprised of compilations and information which are the proprietary and exclusive property of the National Council on Compensation Insurance, Inc. (NCCI). No further use, dissemination, sale, transfer, assignment or disposition of this product, in whole or in part, may be made without the prior written consent of NCCI. This product is furnished “As is” “As available” “With all defects” and includes information available at the time of publication only. NCCI makes no representations or warranties of any kind relating to the product and hereby expressly disclaims any and all express, statutory, or implied warranties, including the implied warranty of merchantability, fitness for a particular purpose, accuracy, completeness, currentness, or correctness of the product or information contained therein. This product and the information contained therein are to be used exclusively for underwriting, premium calculation and other Insurance purposes and may not be used for any other purpose including but not limited to safety scoring for project bidding purposes. All responsibility for the use of and for any and all results derived or obtained through the use of the product and information are the end user’s and NCCI shall not have any liability thereto.
* Total by Policy Year of all cases $2,000 or less.
C Catastrophic Loss
D Disease Loss
E Employers Liability Loss
X Ex-Medical Coverage
# Limited Loss
U USL&HW
| Summary |
| FL |
File details come from the government source that posted it. Updated .