Workers Compensation Loss Cost Multiplier Filing Form - Utah

Workers Compensation Loss Cost Multiplier Filing Form - Utah

Workers Compensation Loss Cost Multiplier Filing Form is a legal document that was released by the Utah Insurance Department - a government authority operating within Utah.

FAQ

Q: What is the Workers Compensation Loss Cost Multiplier Filing Form?
A: The Workers Compensation Loss Cost Multiplier Filing Form is a document used in Utah to determine the rates for workers' compensation insurance.

Q: Who uses the Workers Compensation Loss Cost Multiplier Filing Form?
A: Insurers and insurance rating organizations use this form to calculate the rates for workers' compensation insurance in Utah.

Q: What is the purpose of the Workers Compensation Loss Cost Multiplier?
A: The Loss Cost Multiplier is used to adjust the base rates for workers' compensation insurance based on various factors, such as industry classifications and loss experience.

Q: Do all businesses in Utah need to submit this form?
A: No, only insurance companies and rating organizations are required to submit this form in Utah.

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Form Details:

  • Released on April 1, 2017;
  • The latest edition currently provided by the Utah Insurance Department;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Utah Insurance Department.

Download Workers Compensation Loss Cost Multiplier Filing Form - Utah

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