New York Compensation Insurance Rating Board
New York Compensation Insurance Rating Board 733 Third Avenue New York, NY 10017 Tel: (212) 697-3535
June 18, 2020
R.C. 2515
Re: Terrorism Risk Insurance Program Reauthorization Act of 2019 Endorsements Effective Date: January 1, 2021
Members of the Rating Board:
I write to inform you that the New York State Department of Financial Services ("DFS") approved amendments to the Rating Board's New York Workers' Compensation and Employers' Liability Manual ("Manual") which are detailed herein, attached hereto, and are effective on January 1, 2021.
Specifically, DFS approved the following revisions to the Manual as a result of the enactment of the Terrorism Risk Insurance Program Reauthorization Act of 2019: (a) adoption of NCCI's revised endorsements WC 00 04 21 E "Catastrophe (Other Than Certified Acts of Terrorism) Premium Endorsement and WC 00 04 22 C "Terrorism Risk Insurance Program Reauthorization Act Disclosure Endorsement;" and (b) withdrawal of NCCI endorsement WC 00 01 15 "Notification Endorsement of Pending Law Change to Terrorism Risk Insurance Program Reauthorization Act of 2015."
By way of background, the Terrorism Risk Insurance Act took effect on November 26, 2002. It provided for a temporary program under which the federal government would share in the payment of insured losses caused by certain acts of terrorism. It was renewed as the Terrorism Risk Insurance Extension Act in 2005 and as the Terrorism Risk Insurance Program Reauthorization Act ("TRIPRA") in 2007 and 2015. Recognizing that terrorism continues to be a catastrophe exposure, the U.S. Congress enacted TRIPRA of 2019 on December 20, 2019, and in doing so, Congress extended TRIPRA to December 31, 2027.
The current 80% federal share of compensation under the Terrorism Insurance Program will continue to apply to aggregate industry insured losses occurring in any calendar year that exceed $200,000,000.
Members of the Rating Board June 18, 2020 Page 2
Accordingly, please find enclosed the following modified and final pages from the Manual, which are effective on January 1, 2021:
(a) Alphabetical and Numeric Indexes; (b) Endorsement WC 00 04 21 E "Catastrophe (Other Than Certified Acts of Terrorism)
Premium Endorsement;" (c) Endorsement WC 00 04 22 C "Terrorism Risk Insurance Program Reauthorization Act
Disclosure Endorsement;" (d) Endorsement WC 00 01 15 "Notification Endorsement of Pending Law Change to
Terrorism Risk Insurance Program Reauthorization Act of 2015;" and (e) Rules Section ? Pages R-1, R-14, R-15, R-65, and R-124.
If you have any questions, please contact Mr. Mark Battistelli, Vice President of Underwriting Services at (212) 697-3535, ext. 113 or at underwritingservices@.
Very truly yours,
Enclosures
Jeremy Attie President and CEO
NEW YORK WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY MANUAL
1st ReprintOriginal Printing RULE I
Page R-1 Effective January 1, 2021May 1, 2020
RULE I: GENERAL
A. WORKERS' COMPENSATION
The system by which no-fault statutory benefits prescribed in state law are provided by an employer to an employee (or the employee's family) due to a job-related injury (including death) resulting from an accident or occupational disease.
A workers' compensation insurance policy provides coverage for an employer's two key exposures arising out of injuries (or death) sustained by employees. Part One of the policy covers the employer's statutory liabilities under workers' compensation laws; Part Two of the policy covers the employer's liabilities arising out of employees' work-related injuries (or death) that do not fall under workers' compensation statutory benefit structure laws.
B. STANDARD POLICY
Standard Policy means the standard provisions of the "Workers' Compensation and Employers' Liability Insurance Policy" (WC 00 00 00 C) and the "Information Page" (WC 00 00 01 A) approved by the New York State Department of Financial Services. Every policy affording coverage under the New York State Workers' Compensation Law must include the following endorsements and premium elements.
MANDATORY ENDORSEMENTS
Number Version
Name
Effective
Notification Endorsement of Pending Law Change to
WC 00 01 15
Terrorism Risk Insurance Program Reauthorization Act 01/01/20
of 2015
WC 00 04 14
A
90-Day Reporting Requirement ? Notification of
01/01/19
Change in Ownership Endorsement
WC 00 04 19
Premium Due Date Endorsement
01/01/01
WC 00 04 21
DE
Catastrophe (Other Than Certified Acts of Terrorism) Premium Endorsement
01/01/150 1/01/21
WC 00 04 22
BC
Terrorism Risk Insurance Program Reauthorization Act 01/01/150
Disclosure Endorsement
1/01/21
WC 31 03 08*
New York Limit of Liability Endorsement
04/04/84
WC 31 03 19*
J
New York Construction Classification Premium Adjustment Program Explanatory Endorsement
05/01/20
WC 31 06 18
A
New York Workers' Compensation Policyholder Notice of Right to Appeal
03/01/15
*These endorsements are not mandatory for the Volunteer Firefighters' Benefit Law Policy and the Volunteer
Ambulance Workers' Benefit Law Policy.
NEW YORK WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY MANUAL
1st ReprintOriginal Printing Rule II
Page R-14 Effective January 1, 2021May 1, 2020
F. VOLUNTEER FIREFIGHTERS' COVERAGE
1. Description of Coverage
The "Volunteer Firefighters' Benefit Law Policy" (WC 31 00 00 B) provides coverage for the statutory obligations required under the Volunteer Firefighters' Benefit Law and must provide employers' liability coverage comparable to Part Two of the Standard Policy. In addition, the "Catastrophe (Other Than Certified Acts of Terrorism) Premium Endorsement" (WC 00 04 21 DE) and "Terrorism Risk Insurance Program Reauthorization Act Disclosure Endorsement" (WC 00 04 22 BC) and the Notification Endorsement of Pending Law Change to Terrorism Risk Insurance Program Reauthorization Act of 2015 (WC 00 01 15) must be attached to each Volunteer Firefighters' Benefit Law policy.
2. Group Insurance
The Volunteer Firefighters' Benefit Law (VFBL) contains provisions that allow for group insurance. Under Section 32.1 of the VFBL, any town may obtain a single policy covering all fire protection districts and fire alarm districts within the town. Under Section 32.2, a group policy may be issued to a group of cities, villages, fire districts or town boards located within one county. Section 32.2 group insurance requires that:
(a) the governing board of each member fire district resolves to be insured under the group policy, and that each such resolution shall be filed with the chairman of the county board of supervisors;
(b) the group file with the chairman of the county board of supervisors an agreement executed by each member fire district agreeing to the effective date of the policy and the population of each fire district;
(c) the chairman of the county board of supervisors contract for a policy of insurance covering the group's members;
(d) the cost of such insurance be apportioned among the group's members based on population; and
(e) the county treasurer shall pay for the cost of such insurance.
NEW YORK WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY MANUAL
1st ReprintOriginal Printing Rule II
Page R-15 Effective January 1, 2021May 1, 2020
The New York State Insurance Law also contains provisions for group insurance under Section 3435, provided group members are either public entities or Type B not-for-profit Organizations. The New York State Insurance Law and Regulations require the group to:
(i) be homogenous in nature;
(ii) be formed for purposes other than obtaining insurance; and
(iii) consist of at least ten (10) members; or a smaller group of at least five members provided that each member generates at least $5 million in annual revenue or the annual premiums for all lines of such group exceeds $500,000.
Refer to Section 32 of the Volunteer Firefighters' Benefit Law, Section 3435 of the New York State Insurance Law and 11 NYCRR 153 of the New York State Insurance Law Regulations for provisions related to group insurance.
3. Premium
The premium for the Volunteer Firefighters' Benefit Law Policy is a flat charge which varies, based on the population of the area(s) served when a single policy is issued or when a single policy of group insurance is issued covering all fire protection districts and fire alarm districts within the town. When a group policy is issued covering a group of cities, villages, fire districts or town boards located within one county, the population of all members of the group may be aggregated to determine the group policy premium. Refer to the Volunteer Firefighters section shown under "Miscellaneous Values" pages in Part Three ? Loss Costs of this Manual for an explanation of procedures and charges for this coverage.
G. VOLUNTEER AMBULANCE WORKERS' COVERAGE
1. Description of Coverage
The "Volunteer Ambulance Workers' Benefit Law Policy" (WC 31 00 02 B) provides coverage for the statutory obligations required under the Volunteer Ambulance Workers' Benefit Law and must provide employers' liability coverage comparable to Part Two of the Standard Policy. The "Catastrophe (Other Than Certified Acts of Terrorism) Premium Endorsement" (WC 00 04 21 DE), and the "Terrorism Risk Insurance Program Reauthorization Act Disclosure Endorsement" (WC 00 04 22 BC) and the Notification of Pending Law Change to Terrorism Risk Insurance Program Reauthorization Act of 2015 (WC 00 01 15) must be attached to each Volunteer Ambulance Workers' Benefit Law policy.
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