Falcon Forward

The Truth About Workers Comp Experience Mods and Premiums


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Are you effectively auditing your clients' unit stat cards, or are they overpaying due to reporting errors? In this episode of Falcon Forward, Mike Tanghe and Peter Brecht provide an expert-level breakdown of the Workers' Compensation experience modification factor for insurance producers and HR professionals.

We move beyond the basics to discuss the "stories in the numbers," focusing on how to identify missing payroll years, entity reporting errors during M&A, and reserve inaccuracies before they are locked in for a three-year cycle. You will learn the specific levers available to brokers, including how subrogation against at-fault third parties can be used to force a mod recalculation and how to navigate the differing medical-only thresholds in states like California and Minnesota.

Topics Discussed:

  • The mechanics of the 1.0 baseline and actuarial experience
  • Strategic auditing of loss runs before the five-month valuation window
  • Ownership and entity rules that prevent "gaming" the system
  • Navigating state-specific indemnity vs. medical-only reporting
  • The technical process of filing corrected unit stat cards with the Bureau
  • Distinguishing between Bureau-set mods and carrier discretionary debits

Links and Resources:

Show website: https://falconwest.com/

Falcon West LinkedIn: https://www.linkedin.com/company/falconwest

Connect with Mike: https://www.linkedin.com/in/mike-tanghe/

Connect with Peter: https://www.linkedin.com/in/peterbrecht/

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Falcon ForwardBy Peter Brecht