A. TABLE OF CLASSIFICATIONS WITH NON-RATABLE ELEMENTS

The following Non-Ratable Element Codes are not subject to experience rating:

Class Code Non-Ratable
Element  Code
 
4767
4771
7405
7431
0767
0771
7445
7453

 

B. ERM-14 FORM-CONFIDENTIAL REQUEST FOR OWNERSHIP INFORMATION

C. ERM-6 WORKERS COMPENSATION EXPERIENCE RATING DATA FOR SELF-INSUREDS