THE WORKERS’ COMPENSATION RATING & INSPECTION BUREAU OF MASSACHUSETTS
101 ARCH STREET·5
TH
FLOOR, BOSTON, MASSACHUSETTS 02110-1103
(617) 439-9030, FAX (617) 439-6055, www.wcribma.org
June 28, 2013
CIRCULAR LETTER NO. 2218
To All Members and Subscribers of the WCRIBMA:
DEPARTMENT OF INDUSTRIAL ACCIDENTS ASSESSMENT
Attached is a letter from The Department of Industrial Accidents (DIA) outlining the
official assessment rates to be applied to policies effective July 1, 2013 and thereafter.
Carriers are again reminded that the DIA developed a separate algorithm to assist the
insurance community in understanding the components included in the DIA’s definition
of standard premium as outlined in 452 CMR 7.00. A copy of the DIA Assessment
Premium Algorithm can be found in WCRIBMA Circular Letter 2011.
Any questions should be directed to:
Ms. Yvette Nelson-Smith
Department of Industrial Accidents
Charles F. Hurley Building
19 Staniford St, 5
th
Floor
Boston, MA 02114-2017
(617) 626-5484
Please note that the DIA’s letter includes the self-insured assessment rates. These
rates apply solely to self-insured entities and are provided for informational purposes
only.
DANIEL M. CROWLEY, CPCU
Vice President – Customer Services
Attachment
THE COMMONWEALTH OF MASSACHUSETTS
Depart1nent
of
Industrial Accidents
DEVALL.
PATRICK
Governor
June 28, 2013
Paul
F. Meagher, President
I
Congress Street, Suite I
00
Boston, Massachusetts 02 1 14-20
17
Workers' Compensation Rating & Inspection
Bmeau
101
Arch Street
Boston,
MA
0211 0
RE
: Assessment Rates effective July
1,
2013
Dear
Mr
. Meagher:
PHIL
IP L.
HILLMA
N
Direclor
Pursuant to M.G.L. c. 152, §65 (4) & (5),
the
Department
oflndustrial
Accidents has
established the insured assessment rates to
be
calculated for all policies effective July
I,
2013. The insured assessment rates are as follows:
Em plover Insured Assessment Rate Self-Insured Assessment Rate
Private 0.
034
0.036
Private
opt-out N/A 0.011
Public
0.000 0.000
Public
opt
out
N/A
N/A
Attached please find a list
of
both
public and private
emp
loyers that have exercised their
right to opt-out
of
Trust Fund assessments.
We
ask that you please let
us
review your circular letter announcing the new assessment
rate before it is issued.
If
you
have
any questions, please contact
me
at your convenience.
Sincerely,
Philip Hillman
Director
Attachment
Tel. # (
61
7) 727-4900 - www.mass.gov/dia
OPT-OUT SELF-INSURED CO'S AND GROUPS
Self-insured Organizations that have opted ou
t
Self-insurance Groups that have opted ou
t
of Assessment
s
of Assessment
s
DAT
E
COMPANIES DAT
E
GROUPS
7/1/92 HARVARD COMMUNITY HEALTH 7/1/92 MASS RETAIL MERCHANT WORKERS
7/1/92 STURDY MEMORIAL HOSPITAL 7/1/96 MASS HIGH TECHNOLOGY S.I. GROUP
7/1/92 DEACONESS HOSPTIAL 7/1/98 SELF-INSURED LUMBER BUSINESS
7/1/92 UNICCO 7/1/05 MASS. HEALTHCARE S.I. GROUP
7/1/92 MARKET BASKET, INC. 7/1/05 MASS CARE S.I. GROUP
7/1/92 DEMOULAS 7/1/05 MASS. MANUFACTURING S.I. GROUP.
7/1/92 STOP & SHOP COMPANIES 7/1/05 MASS. TRADE S.I. GROUP.
7/1/92 PURITY 7/1/05 AUTOMOTIVE INDUSTRIES COMP. CORP.
7/1/92 MORTON INTERNATIONAL 7/1/06 MA MCDONALD'S OPERATOR'S WC GROUP
7/1/92 ARMSTRONG 7/1/06 MA NAHRO INSURANCE GROUP, INC.
7/1/92 GILLETTE COMPANY 7/1/07 ABC MASS. WC SIG
7/1/92 ST. JOHNSBURY 7/1/08 MASS BAY SIG
7/1/92 CAPE COD HOSPITAL 7/1/08 SCHOOL TRANSPORTATION SIG
7/1/92 YELLOW FREIGHT SYSTEMS 7/1/09 INDEPENDENT SCHOOL COMP. CORP.
7/1/92 NORWOOD HOSPITAL 7/1/11 HVAC COMP. CORP.
7/1/92 FLATELY COMPANY 7/1/11 NEEIA COMP., INC.
7/1/92 FEDERAL EXPRESS
7/1/92 BOSTON COLLEGE
7/1/92 NEW ENGLAND MEDICAL CENTER
7/1/92 SALEM HOSPITAL
7/1/94 DUPONT MERCK PHARMACEUTICAL
7/1/94 E.I. DUPONT DE REMOURS
7/1/94 FREUDENBERG NONWOVENS
7/1/94 ROCHE BROS
7/1/94 AFFILIATED PUBLICATIONS
7/1/96 SISTERS OF PROVIDENCE HEALTH
7/1/96 HOLYOKE-CHICOPEE AREA HEALTH
(VALLEY HEALTH)
7/1/96 BAYSTATE HEALTH
7/1/96 STAR MARKETS
7/1/98 BRITTANY DYEING & PRINITING
7/1/98 SHAWS
7/1/99 CHRONICLE PUBLISHING
7/1/99 DOOLEY DICKINSON HOSPITAL
7/1/01 AEROVOX, INC.
7/1/03 PARTNERS HEALTHCARE SYSTEMS
7/1/03 WINCHESTER HOSPITAL
7/1/03 BROCKTON HOSPITAL
7/1/04 NEWTON WELLESLEY HOSPITAL
7/1/04 BOSTON MEDICAL CENTER
7/1/05 SOUTH COAST HEALTH SYSTEM
7/1/06 CHILDREN'S HOSPITAL BOSTON
7/1/06 HORIZON BEVERAGE COMPANY
7/1/07 TRUSTEES OF BOSTON UNIVERSITY
7/1/10 CARE GROUP
PUBLIC OPT-OUTS
OPT OUT PUBLIC ENTITES
DATE CITIES DATE TOWNS DATE COUNTIES
7/1/95 ATTLEBORO 7/1/92 AMHERST 7/1/99 BRISTOL
7/1/92 BEVERLY 7/1/92 ARLINGTON 7/1/98 ESSEX
7/1/02 BOSTON 7/1/92 BARNSTABLE 7/1/98 HAMPSHIRE
7/1/99 BROCKTON 7/1/92 BELLINGHAM 7/1/98 NORFOLK
7/1/92 CAMBRIDGE 7/1/92 BOXBOROUGH 7/1/98 PLYMOUTH
7/1/96 CHELSEA 7/1/96 BRAINTREE 7/1/97 WORCESTER
7/1/95 CHICOPEE 7/1/00 BROOKLINE
7/1/92 FALL RIVER 7/1/96 CONCORD
7/1/01 FITCHBURG 7/1/93 DANVERS
7/1/03 GLOUCESTER 7/1/92 DEDHAM
7/1/92 HAVERHILL 7/1/92 FRAMINGHAM
7/1/92 HOLYOKE 7/1/92 FRANKLIN OTHERS
7/1/99 LAWRENCE 7/1/92 HINGHAM
7/1/93 LOWELL 7/1/95 HULL
7/1/99 LYNN 7/1/92 LEXINGTON 7/1/98 MASS. TURNPIKE AUTHORITY
7/1/03 MALDEN 7/1/98 MARBLEHEAD
7/1/92 MARLBOROUGH 7/1/92 MARION 7/1/98 MASS. PORT AUTHORITY
7/1/03 MEDFORD 7/1/92 METHUEN
7/1/04 MELROSE 7/1/92 MIDDLEBOROUGH 7/1/92 P.E.R.A.
7/1/92 NEW BEDFORD 7/1/00 NATICK 7/1/92 M.I.I.A.
7/1/99 NEWTON 7/1/92 NEEDHAM 7/1/92 WOODS HOLE, MARTHA'S VINEYARD &
7/1/03 PEABODY 7/1/97 NORFOLK 7/1/92 NANTUCKET STEAMSHIP AUTHORITY
7/1/99 PITTSFIELD 7/1/92 NORWOOD 7/1/92 MA EDUCATION & GOV'T ASSN W.C. TRUST.
7/1/03 REVERE 7/1/05 OAK BLUFFS 7/1/96 BOSTON WATER & SEWER COMMISSION
7/1/92 QUINCY 7/1/92 READING
7/1/03 SALEM 7/1/95 SCITUATE
7/1/92 SOMERVILLE 7/1/92 SOMERSET
7/1/92 SPRINGFIELD 7/1/98 STOUGHTON
7/1/97 TAUNTON 7/1/92 SOUTH HADLEY
7/1/00 WALTHAM 7/1/92 STOW
7/1/92 WESTFIELD 7/1/96 SUDBURY
7/1/97 WOBURN 7/1/97 WEYMOUTH
7/1/92 WORCESTER 7/1/99 WINCHESTER
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