Get The Contracting Classification Premium Adjustment Program Is Applicable To Qualifying Employers

The contracting classification premium adjustment program is designed to provide qualifying employers with a potential premium credit based on their contracting operations. This guide offers step-by-step instructions to help you successfully complete the premium credit application online.

Follow the steps to fill out the application accurately.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the name of the insured in the designated field. Ensure that it matches the legal name of your business to avoid processing issues.
3. Provide the complete address, including city, state, and zip code. This information is crucial for proper identification and communication.
4. In the section for the state credit being applied for, enter the specific state where the credit application is relevant. Remember, one application is needed for each state.
5. Fill in your policy number accurately in the corresponding field. This number is essential for linking your application to the correct insurance coverage.
6. Record the anniversary rating date as defined in NCCI’s Basic Manual. This date is significant for calculating any premium adjustments.
7. Indicate the effective date of your policy. Make sure this date reflects when your coverage began.
8. Provide the name of your insurance carrier in the designated area. This is important for processing your application with the right entity.
9. For each classification of contracting operations, including non-contracting classifications, report the total wages paid and total hours worked in the appropriate sections. Exclude overtime and payments to partners or sole proprietors as outlined in the guidelines.
10. Select the applicable calendar quarter for your reporting period by circling the appropriate option. Ensure it aligns with the operational period relevant to your application.
11. Lastly, provide your signature, position, and the date at the bottom of the application. This verifies that the information provided is accurate and complete.
12. Once all fields are filled out correctly, you can save changes, download, print, or share the completed form, as required.

Complete your application online today to ensure you receive any eligible premium credits.