Suscripción y tarificación
Cómo decide una aseguradora si suscribe un riesgo y cuánto cobra por él: códigos de clase, modificación por experiencia, historiales de siniestros, auditoría de prima y las exenciones que cambian a quién hay que contar. El plan de continuidad del negocio se archiva aquí porque es el único término de control de riesgos del corpus, y una sección de uno no le sirve a nadie.
Business Continuity Plan
RISK MANAGEMENTtambién escrito: BCPThe written plan for how your business keeps operating through a disruption — and the document your insurer and largest clients increasingly ask to see.
A business continuity plan documents how an organization will maintain or quickly resume critical operations after a disruption: what the critical functions are, who does what, where people work, how systems are recovered, and how customers and staff are told.
Por qué importa: Insurance replaces money; a continuity plan replaces time. Property and business interruption coverage pay for the rebuild and the lost income, but neither shortens the outage. The plan is what determines whether you are closed for three weeks or three months — and business interruption limits are set against that duration.
Class Code
UNDERWRITING & PRICINGThe classification number that describes what your business does — and the single biggest driver of your premium.
A class code is a numerical classification assigned to a business or to specific payroll, describing its operations for rating purposes. Workers’ compensation uses NCCI or state bureau codes; general liability uses ISO codes.
Por qué importa: The class code sets the rate. A clerical workers’ comp code might rate under $0.40 per $100 of payroll while a roofing code rates above $15 — a nearly fortyfold difference on identical payroll. Getting the code right is worth more than shopping the market.
Experience Modification Factor
UNDERWRITING & PRICINGtambién escrito: EMR / modA multiplier on your workers’ comp premium based on your claim history versus peers. Below 1.0 is a discount; above is a surcharge.
The experience modification factor is a numerical multiplier applied to manual workers’ compensation premium, calculated from three years of the employer’s claim experience compared with the expected experience for its class codes and payroll. A mod of 1.00 is average.
Por qué importa: The mod compounds. A 1.25 mod on $60,000 of manual premium is a $15,000 annual surcharge, every year it stays there, and it also disqualifies you from many general contractor prequalification programs that require a mod at or below 1.0.
Hazard
UNDERWRITING & PRICINGA condition that makes a loss more likely or more severe. It is what underwriters actually price.
A hazard is a condition or practice that increases the likelihood or potential severity of a loss — as distinguished from a peril, which is the cause of loss itself.
Por qué importa: Underwriters price hazards, not perils. Fire is a peril everyone faces; a fryer without automatic suppression, stored solvents, or a 25-year-old electrical panel are hazards that make fire more likely at your address specifically.
Loss Run
UNDERWRITING & PRICINGYour claims history report from a carrier. Every underwriter asks for it, and the details on it set your price.
A loss run is a report issued by an insurer listing claims made under a policy over a period — usually three to five years — with dates, descriptions, amounts paid, reserves and status.
Por qué importa: Loss runs are the primary underwriting document after the application. An account with clean loss runs gets standard market terms; the same account with two open claims and no explanation gets surplus lines pricing.
Pay-As-You-Go Workers’ Comp
UNDERWRITING & PRICINGComp premium calculated from each actual payroll run instead of an annual estimate — smoother cash flow and a smaller audit.
Pay-as-you-go workers’ compensation calculates and collects premium with each payroll cycle based on actual wages paid, rather than charging an estimated annual premium in instalments with a reconciliation at audit.
Por qué importa: It solves the two worst features of traditional comp billing: a large deposit up front, and an audit bill months later for growth you already funded from operations. Premium tracks payroll in both directions, so a seasonal drop reduces cost immediately.
Underwriting
UNDERWRITING & PRICINGHow an insurer decides whether to cover you and at what price. Knowing what it looks at is how you get a better quote.
Underwriting is the process by which an insurer evaluates a risk, decides whether to accept it, and sets the terms, conditions and premium — using class of business, revenue, payroll, claims history, and operational specifics.
Por qué importa: Underwriting is not a black box, and treating it like one costs money. Class code, revenue, payroll, prior claims and specific operational answers drive the price. Most premium surprises come from an answer given loosely on an application.
Workers’ Comp Exemption
UNDERWRITING & PRICINGA filed election that removes an owner or officer from comp coverage. Cheaper, and it means you are not covered.
A workers’ compensation exemption is a state-recognized election, usually filed with the state or the carrier, that removes an owner, officer, member or partner from coverage under the policy and from the covered payroll used to calculate premium.
Por qué importa: Exemptions save premium because owner payroll is removed from the rating basis. They also mean no benefits: an exempt owner injured at work has no comp coverage, and health plans exclude work-related injury, so there is no coverage from any source.
11 términos en Suscripción y tarificación.