North Carolina Regulations
Rate Bureau

March 24, 2020

CIRCULAR LETTER TO ALL WORKERS COMPENSATION MEMBER COMPANIES

Re: Data Reporting for COVID-19 Coronavirus – Claim Reporting Requirements

The North Carolina Rate Bureau (NCRB) has filed and the North Carolina Commissioner of Insurance has approved revisions to the North Carolina Workers Compensation Statistical Plan (Stat Plan). The approved revisions establish reporting requirements for claims attributable to COVID-19. The approved changes will be applicable to claims with Accident Dates of 12/1/2019 and subsequent.

The North Carolina Rate Bureau has been closely monitoring the development and spread of the COVID-19 (Coronavirus), along with the rest of the industry. Due to the emergence of this infectious disease, the Workers Compensation Insurance Organizations (WCIO), in collaboration with National Council on Compensation Insurance (NCCI) has expanded the Part of Body section of the Injury Description Table to track the claims and impact in Indemnity Reporting Coronavirus with the addition of a new Cause of Injury Code of 83 for Pandemic and new Nature of Injury Code of 83 for COVID-19.

COVID-19 has been classified as an extraordinary loss event (ELE). An ELE is a signification loss that requires the establishment of a unique Catastrophe Number for identification of all claims involved. Catastrophe Number 12 has been established to identify all claims associated with COVID-19. The NCRB will accept loss records with Catastrophe Number 12 for North Carolina employers who had employees of claims with COVID-19 as its diagnosis.

Attached are the applicable revisions to the NCRB Stat Plan for reference.

If you have any questions concerning this matter, please contact the NCRB Information Center at 919-582-1056 or via email at support@ncrb.org.

Sincerely,

Joanna Biliouris

Chief Operating Officer

NCRB Exhibit 1

Reporting Instructions

Unit Statistical Reporting Instructions

The Loss Record for claims attributed to COVID-19 with Accident Dates of 12/1/2019 and subsequent must be reported as follows:

• Catastrophe Number = 12

• Nature of Injury Code = 83 (COVID-19)

• Cause of Injury Code = 83 (Pandemic)

• Accident Date = 12/1/2019 or subsequent

Financial Call Reporting Instructions

Financial Call reporting for claims identified with Catastrophe Number 12 will begin with the 2021 reporting season for Calls valued as of December 31, 2020.

Claims impacted by this catastrophe must be included in the applicable Financial Calls:

• Call #3–Policy Year

• Call #3A–Policy Year-Assigned Risk

• Call #5–Calendar-Accident Year

• Call #5A–Calendar-Accident Year-Assigned Risk

• Call #8–Reconciliation Report

• Call #14–Calendar Year Expense

• Call #19–Accident Year Countrywide Loss Adjustment Expense

• Call #20–Policy Year Large Deductible

• Call #21–Calendar-Accident Year Large Deductible

• Call #26–North Carolina Addendums

• Call #31–Large Loss and Catastrophe (Column 3-NCRB Catastrophe Number must be reported with a 12, regardless of the size of the claim)

Detailed Claim Information (DCI)/Texas Detailed Claim Information (DCI) Reporting Instructions

The Reported to Insurer Date is associated with COVID-19 claims with Accident Dates of 12/1/2019 and subsequent.

Report the Claim Record with:

• Extraordinary Loss Event Claim Indicator = Y

• Nature of Injury Code = 83 (COVID-19)

• Cause of Injury Code = 83 (Pandemic)

• Accident Date = 12/1/2019 and subsequent

• Reported to Insurer Date = 12/1/2019 and subsequent

Indemnity Data Call (IDC) Reporting Instructions

Any indemnity activities for COVID-19 claims must be reported.

Report the Quarterly Record with:

• Accident Date = 12/1/2019 and subsequent

• Reported to Insurer Date = 12/1/2019 and subsequent

• Nature of Injury Code = 83 (COVID-19)

• Cause of Injury Code = 83 (Pandemic)

Report the Transactional Record with Accident Dates of 12/1/19 and subsequent. attach1