Workers Comp Mod Calculator

Model your experience mod with industry factors. See how claims change primary and excess losses. Make smarter pricing decisions with more confidence each renewal.

Inputs

Multi-class payroll, adjustable rating factors, and claim options.


For reference only.
Classes and Payroll
Add multiple classes to blend expected losses and manual premium.
Multi-class
Class Payroll Rate / 100 ELR / 100 EPR (opt) Remove
EPR is expected primary ratio (D-ratio proxy). Leave blank to use the global value.
Primary portion per claim.
Used when class EPR values are blank.
Scales excess losses in the formula.
Stabilizer added to both sides.
Helpful when W is unknown.
If medical-only claims are discounted.
Claim Options
Use these to test program changes and data assumptions.
More options
Subtracts per-claim deductible from incurred.
Caps adjusted incurred per claim.
Scales totals down when exceeded.
Multiplies all adjusted claims by trend.
Example: 1.05 for +5% trend.
Multiplies only open-flag claims by LDF.
Uses claim Cat flag to exclude.
Claims
Enter incurred amounts. Use Open and Cat flags as needed.
Optional but recommended
Year Type Med-only Open Cat Incurred Remove
Order of claim adjustments: exclude cat → deductible → claim limit → LDF → trend → medical-only reduction → split point.
Mod Cap and Floor
Optional for conservative planning, not bureau output.
Guardrails
What-if Scenario B
Run a second scenario without retyping everything.
Scenario
Example: 10 increases payroll by 10%.
Example: -15 reduces claims by 15%.

Example Data Table

Illustrative examples for planning scenarios.

Scenario Payroll Expected losses Actual losses Estimated mod
Low claim activity 650,000 5,400 3,200 0.92
Typical year 850,000 7,900 8,100 1.02
One severe claim 1,250,000 11,900 26,000 1.34
Your results change with split point, weighting, ballast, and claim options.

Professional Article

Experience Mod Purpose and Business Impact

The experience mod is a multiplier applied to manual premium to reflect loss performance. A mod of 0.90 reduces standard premium by about 10%, while 1.20 increases it by about 20%. This calculator estimates a planning mod using payroll, expected loss rates, and claim inputs.

Expected Losses from Payroll and ELR

Expected losses are calculated per class as (Payroll ÷ 100) × ELR. If Class 8810 payroll is 520,000 and ELR is 0.70, expected losses equal 3,640. Manual premium is computed as (Payroll ÷ 100) × Rate. Adding classes blends expected losses and premium across the policy.

Primary versus Excess Loss Split

Each claim is split at the selected split point. Losses up to the split point are treated as primary, and amounts above are excess. Expected losses are also separated using the expected primary ratio (EPR). This helps align expected and actual severity behavior when calculating the mod numerator and denominator.

Adjustments that Change Actual Loss Inputs

Optional settings modify incurred losses before the split. Medical-only discount reduces medical-only claims by a selected percentage. Claim deductibles and per-claim limits are applied next. Open-claim LDF and trend factors then scale losses to reflect development and inflation. A total loss limit can proportionally cap combined losses for sensitivity testing.

Interpreting Results, Scenarios, and Review

The estimator uses Mod = (AP + AE×W + B) ÷ (EP + EE×W + B), where W is the weighting value and B is ballast. Compare expected and actual totals on the chart, then test Scenario B to see how payroll growth or claim improvements affect mod and estimated standard premium. Export CSV for audit notes and share the PDF with stakeholders.

For best alignment, use bureau split points and weighting values when available, and enter claims by policy year using incurred (paid plus case). Review outliers, especially a single severe loss, because it can raise primary and excess totals differently. Validate inputs against loss runs before final budgeting decisions.

FAQs

1) Is this an official experience mod calculation?

No. It is a planning estimator. Official mods are issued by the rating bureau or state bureau using their rules, data sources, and audited loss experience for the rating period.

2) What is the split point and why does it matter?

The split point divides each claim into primary and excess portions. Primary losses influence the mod more strongly, so a higher split point typically increases the primary share of larger claims.

3) How should I choose the weighting value and ballast?

If you have bureau-provided values, use them. Otherwise, apply conservative assumptions and test sensitivity. Higher ballast and lower weighting usually dampen volatility from excess losses, especially for smaller accounts.

4) Should I enter paid losses or incurred losses?

Use incurred losses (paid plus case reserves) to reflect open-claim development. If you only have paid amounts, consider enabling an LDF for open claims, and document the assumption in your review.

5) What does the medical-only discount do?

When enabled, medical-only claims are reduced by the selected percentage before the split. This models plans where medical-only losses receive less weight than indemnity losses in experience rating.

6) How can I use Scenario B effectively?

Scenario B applies percentage changes to payroll and claims so you can compare outcomes quickly. Use it to test hiring growth, safety initiatives, deductible programs, or reserve development changes across renewals.

Formula Used

The estimator uses a primary/excess approach with stabilization:

Mod = (AP + (AE × W) + B) ÷ (EP + (EE × W) + B)
  • AP = Actual primary losses (per-claim up to split point).
  • AE = Actual excess losses (above split point).
  • EP = Expected primary losses (expected × EPR).
  • EE = Expected excess losses (expected − expected primary).
  • W = Weighting value applied to excess losses.
  • B = Ballast added to both sides.
EPR is blended by class when you provide class-level EPR values.

How to Use

  1. Add each payroll class with rate and expected loss rate.
  2. Enter split point, EPR, weighting value, and ballast.
  3. Add claims and mark medical-only, open, and cat flags.
  4. Enable claim options like deductible, limits, trend, or LDF.
  5. Calculate, then compare Scenario B for planning changes.
Export CSV for review, or download a PDF for records.

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Important Note: All the Calculators listed in this site are for educational purpose only and we do not guarentee the accuracy of results. Please do consult with other sources as well.