Department of Labor and Regulation

Title - Division of Insurance e-mail the Division of Insurance

Workers' Compensation in South Dakota

February 23, 2012 – Notice of Informal Hearing

2012 NCCI Workers’ Compensation Advisory Loss Costs and Assigned Risk Rates

This serves as notification to your organization pursuant to South Dakota Codified Law (SDCL) 58-24-67 that an informal hearing will be conducted on Tuesday, March 27, 2012, at 10 a.m. in the conference room located on the Fourth Floor, Room 412, of the State Capitol Building, 500 East Capitol, Pierre, SD. The purpose of this informal hearing will be to discuss the 2012 NCCI Workers’ Compensation Voluntary Advisory Loss Costs and Assigned Risk Rates filing which is intended to become effective July 1, 2012.

Please notify Patsy Mehlhaff by phone (605.773.3563) or by e-mail if you plan to attend.

Forms and Resources

The following forms and resources are provided in Adobe .pdf format unless otherwise noted.

First Report of Injury (online reporting system; requires log-in)

Loss Cost Multipliers

Policy Filing Fee Voucher

State Instructions for Assigned Risk Plan

Schedule Rating Worksheet (See Bulletin 10-04.)

*Opening and printing Adobe .pdf files requires Adobe Acrobat Reader. Click here as needed to download the free Adobe Acrobat Reader.




 

 

 


Division of Insurance
445 E. Capitol Avenue
Pierre, SD 57501
Tel. 605.773.3563
Fax. 605.773.5369

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