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Data P
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July 2014 13TH EDITION
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Data Professionals Week
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Expanding Our Partnership Through
New FederalD
Coverage
Data
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Professionals
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Learn About the 2014 Statistical
Plan Update
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Data Manual Makeover
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The Circles of Data Management
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Online Educational Opportunities
5
2014 Educational Program Breaks
the Record
Data Manager Dashboard—Policy
Enhancements
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Week
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Data
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Welcome to this special issue of The Data Connection, dedicated to the
theme “Data Professionalism.” As someone who works in this field, you
know that it takes a variety of skill sets, training, and experience to be a
data management professional.
NCCI annually conducts a “Data Professionals Week,” devoted to recognizing the importance of data management as a career. Check out
the “Data Professionals Event Model” article for ideas on creating your
own similar company event.
5
Industry Communications Recap
5
6
2014 Financial Call Reporting Season
Early Results
Data Tips
8
Data Professionals Event Model
9
New Policy Data Collection
NCCI’s Statistical Plan contains national and state-specific rules for
9
Become a Certified Data Pro
ratemaking, actuarial analysis, and more. Periodically, NCCI
Contact Us
Your feedback is important to us. If you have any
comments or suggestions on this or future editions
of The Data Connection, please email us at
[email protected].
Enjoy this edition—filled with connections, in every article, to data
professionalism.
Learn About the Latest and Greatest
2014 Statistical Plan Update
reporting Unit Statistical data—used to fulfill experience ratings, class
reviews the Statistical Plan to identify opportunities to provide
reporting rule clarifications through national item filings.
THE DATA CONNECTION
Most recently, a national Statistical Plan filing (Item Filing
U-1399) was approved in all NCCI states to include the
following revisions:
Revised Pension Tables—Used to determine the present
value of expected lifetime benefit payments associated with
Death and Permanent Total Injuries—to set Unit Statistical
indemnity reserves. The revised tables use new life data from
the National Center for Health Statistics (US Department of
Health and Human Services) and new remarriage data from
the US Railroad Retirement Board.
The revised tables apply to all claims valued as of October
2014 and subsequent.
Reporting Clarifications—A variety of reporting topics were
updated in this revision to include:
•Partially Fraudulent and Noncompensable Claims
•Claimant Attorney Fees
•Accident Date
•Claims With Multiple Coverages/Benefits
All of the reporting revisions apply to policies effective
October 2014 and subsequent.
In May 2014, the Statistical Plan was updated to reflect
all these changes. Also, the Pension Tables are available
in Microsoft® Excel format on the Data Reporting—Unit
Statistical Data page on ncci.com.
Comply with the latest rules to achieve
data reporting compliance.
Expanding Our Partnership
Through New Federal Coverage
Service
Earlier this year, NCCI partnered with the US Department of
Labor (DOL) and carriers to implement an electronic data
reporting solution for Defense Base Act coverage.
Page 2
The Defense Base Act is specialized foreign workers compensation coverage for employees working outside of the
United States. It is not written as part of a standard workers
compensation policy. In the past, the US DOL collected this
coverage information from each carrier in hard copy.
In July 2014, NCCI expanded our Federal Coverage Service
by implementing the new electronic reporting of Defense
Base Act coverage.
Simplified electronic reporting streamlines the
data reporting process.
Time for a Data Manual
Makeover!
Great news! Our data manuals are getting a makeover. In
2014, we are focusing on the Unit Statistical Reporting
Guidebook, Policy and Proof of Coverage Reporting
Guidebook, and the Pool Data Reporting Guidebook. The
updates will include reorganized and streamlined content for
ease of use as well as standardized terminology.
Here’s what you can expect:
Unit Statistical Reporting Guidebook
•A brand new 2014 edition
•New Reporting Example Summary—including descriptions for all examples
Policy and Proof of Coverage Reporting Guidebook
•New State-Specific data reporting section
•New Assigned Risk reporting rules section
Pool Data Reporting Guidebook
•New Premium and Loss-Based Tax and Assessment section
•Multiple part enhancements including the NPX Data section
Look for the releases of these updated manuals throughout 2014.
Keeping manuals fresh and up to date allows for
accurate reporting.
JULY 2014
Connect the Circles of Data
Management
Here at NCCI, we view data management as a series of
interlocking key components:
Data
ata Stewardship
Steward
01) Data Stewardship
Provides oversight of an organization’s data assets to
help maintain consistently high-quality data that is easily
accessible, in these five components:
•Storage—Provides criteria for data warehousing,
ata SStandards
tand
aan
n
Data
CONNECTING THE
CIRCLES OF
Data Quality
DATA MANAGEMENT
data marts, and data retention
•Access—Sets controls on levels of data access and
permissions for use
•Usage—Monitors overall fitness of data and performs
quality checking of data requests
•Collection—Promotes standard record layouts, data
Project
ect Management
nag
rmaon
rm
maaon SSecurity
m
e
Informaon
elements, and naming conventions
•Exchange—Monitors appropriate levels of data security
and encryption processes
02) Data Standards
Provides stakeholders with a uniform set of rules in the exchange of data, to include reporting formats, data elements,
code values, business rules, and terminology.
03) Data Quality
Ensures that data is credible and usable for its intended purpose; editing, testing, incentive programs, and remediation/
escalation, as needed.
04) Information Security
Maintains and ensures the integrity of the industry’s data.
•Electronic Security—NCCI’s disaster recovery and
backup plan is in place and tested annually. A Disaster
Recovery/Business Continuity Services provider is utilized in the event that an emergency requires the restoration of NCCI systems.
05) Project Management
Coordinates the implementation of projects that are delivered
on time, within scope, and within budget. NCCI’s Program
Management Office (PMO) provides leadership that maintains
project standards to meet NCCI’s corporate objectives.
NCCI protects the nation’s largest database of workers
compensation insurance information. This is accomplished
through information security measures that safeguard electronic and nonelectronic data.
•Physical Security—NCCI’s Data Center can withstand The Data Management components
work together to strengthen the quality
and integrity of data.
a Category 5 hurricane and is secured by 24/7 security
guards, video surveillance, and a two-factor access through individual badge and keypad code entry.
Page 3
THE DATA CONNECTION
What’s on the Menu? Online
Educational Opportunities
Have you discovered educational opportunities for each data
type through NCCI’s Webinars on Demand? These modules
are designed to allow you to view and listen to valuable training at your convenience—right from your desktop.
We’ve recently spiced up our collection of data reporting
modules with multiple-choice questions and interactive
exercises that allow you to practice what you learned.
Here’s the planned 2014 schedule for upcoming training:
2014
Webinars on Demand
Available
Suite of Policy Data Collection via DCA Access® Online
3rd Qtr.
Data Manager Dashboard—Policy Features
3rd Qtr.
Name and Address Linking
3rd Qtr.
Pension Table Values—Indemnity Reserving
4th Qtr.
2015 Financial Call Season
2014 Educational Program
Breaks the Record
Once again, we held a successful Data Educational Program, with the highest attendance to date. The event was
held from January 28–31, at the Palm Beach County Con-
vention Center in West Palm Beach, Florida. For 2014, the
program’s theme was “Your Connection to Quality Data.”
Nearly 350 customers received basic and detailed training
on the reporting of Proof of Coverage, Policy, Unit Statistical
data, Financial Calls, Detailed Claim Information, and the
Medical Data Call. Hands-on classes on NCCI’s data tools
were also included.
WHAT ARE OUR
CUSTOMERS SAYING?
“I took several data reporting sessions 1
to learn about easier ways to do things, how to identify errors and fix them. This was very valuable!”
The training was the best, the best, the best. 2“Each
year, they make it better.”
his was my first time going, and I’m 3“Talso
new to statistical reporting. I learned a lot, and it will make my job easier.”
Save the Date!
2015 Data Educational Program—Save the Date
Next year’s event is scheduled for January 27–
30, 2015. Additional information will be available
starting in the 3rd quarter of 2014.
Education keeps the industry up to speed on the
latest requirements, which directly affects the
quality of data reported.
Page 4
JULY 2014
Data Manager Dashboard—
Policy Enhancements
Data Manager Dashboard is NCCI’s single source tool that
allows you to monitor the timeliness and quality of your Policy,
Unit Statistical, Detailed Claim Information, Financial Call,
Medical, and Pool data. Recently, NCCI implemented several
Policy enhancements to include:
•Expanded three-year view of your Policy data transaction level monitoring—cancellations, reinstatements, POC, and state coverage
•Improved editing results statistics—current and historical
To learn more about these new features, visit
the Education page on ncci.com and view
the Webinar on
Demand titled
Data Manager
Dashboard—Policy.
•Data Quality—Enhancements to Unit Notifications Response Grid and Process (DQ-2014-01)—Announces enhancements to the Unit Notifications feature within DCA Access® Online
•Units—Unit Statistical Name Record Requirements (UNITS-2014-02)—Reiterates reporting requirement of
the Name Record on all Unit Statistical reports
•Colorado—Deductible Reimbursement Amount—Unit Statistical Edit Changes (UNITS-CO-2014-01)—
Announces edit changes for policies with per-claim
deductibles for policies effective July 1, 2013
•Policy—Pricing Change and Elimination of Hard Copy Conversion Service (POLS-2014-06)—Announces pricing change and future elimination of policy Hard Copy
Conversion Service
Industry communications keep the industry
informed to apply any needed changes and report
quality data to NCCI.
2014 Financial Call Reporting
Season Early Results
Thanks, data professionals! Preliminary results indicate that
Monitoring the timeliness and quality of
data is a core Data Management practice.
NCCI has received 100% of expected Financial Call data for
the 2014 reporting season. This success is a result of data
providers working in partnership with NCCI. It represents
more than $22 billion in reported Financial Call premium.
That’s a Wrap—Industry
Communications Recap
In case you missed them, the following key communications
Data reported in the 2014 Financial Call reporting season is
utilized in state rate and loss cost filings made throughout
2014 and into early 2015.
came out this year and are available on ncci.com:
•Data Reporting—Missouri Instructions for Risk
Modeling Plan and Additional Mesothelioma Benefits (DR-2014-01)—Provides data reporting instructions for Risk Modeling Plan and Additional Mesothelioma Benefits
Accurate and timely Financial Call data
supports state ratemaking and a healthy
workers compensation system.
Page 5
THE DATA CONNECTION
Data Tips
Don’t Be a Missing Link
Did you know that not all claims are reportable? Refer to
be a daunting task. Proper linking ensures that a name
To Report or Not to Report
these guidelines of when to, and not to, report claims on your
Unit Statistical data:
Reportable:
•Traumatic injuries that occur on an accident date within the policy period
•Disease injuries that occur on an accident date within the policy period
• Disease injuries where the accident date is not specified, Reporting policy names and addresses can sometimes
is associated with an address to create an employer
record, which is then sent to the appropriate state for
POC reporting purposes.
The four key linking fields are:
1. Name Link Identifier
2. Continuation Sequence Number
3. Name Link Counter Identifier
4. State Code Link
and the claimant’s last date of exposure to the conditions causing the disease injury is within the policy period
Not Reportable:
•Injuries with accident dates outside of the policy period that are required to be paid due to an official ruling, and where there is no corresponding exposure
Refer to Part 4-F of the Statistical Plan for more information
about claim reporting rules.
Key points to remember:
•The primary insured is always assigned Name
Link Identifier 001 and Continuation Sequence
Number 001
•Every Name Record requires at least one Address
Record with the same Name Link Identifier
•Check the POC Compliance Guide on ncci.com
for states that don’t allow an Address Type 6 (No
Specific Location)
To learn more about name and address linking, watch
for a Webinar on Demand in the third quarter of 2014.
Page 6
JULY 2014
When Subrogation Does Not Apply
DCI Sampling—Sometimes Less Is More
NCCI’s Statistical Plan outlines specific conditions that allow
One of the unique features of Detailed Claim Information (DCI)
a claim to be reported with reduced loss amounts, including
is that only a subset of indemnity claims data for each state
subrogation recoveries.
(approximately 1,200 per year) is necessary for legislative
pricing and research. In addition to collecting data for all
Premium Reduction companies may offer payments to
Death and Permanent Total Disability claims, a sampling
carriers, with the intent that the payments be applied as loss
process is used for data providers to randomly select a
reductions to claims, and for corrections to be reported to
percentage of open and closed claims for each state.
NCCI with reduced claim amounts.
The State Sample Ratio table, sampling rules, and examples
The underlying goal of this practice is to lower an employer’s
experience rating factor and/or reduce the employer’s
premium by applying the reduced losses. These payments
are located in the Detailed Claim Information Reporting
Guidebook.
are not subrogation recoveries and must not be applied
Correct sampling ensures that the appropriate type and
as reductions to the claim.
number of indemnity claims are being reported. Also, this
For additional information, please refer to the Statistical
Plan and Circular UNITS-2013-02.
should match NCCI’s expected DCI claims for your company.
Here are some tips for correct sampling:
•Correctly placed decimal points—for example, a state
sample rate of 4% is programmed as 0.04
Wage Continuation in Lieu of Benefits
•Medical-only claims should be excluded
Some state laws allow for Wage Continuation in Lieu of
•Open and closed claims are being sampled at the
Benefits (Wage Continuation). This means that the employer
appropriate state sample rates
paid the employee salary, wages, or other remuneration for
•All Death and Permanent Total Disability claims are reported a period of disability, for which the insurer would have
and not included in your sampling
otherwise been obligated to pay indemnity benefits.
When wage continuation occurs, the insurer is required
to report the full value of the indemnity loss in accordance
with jurisdiction state workers compensation benefit levels
and Statistical Plan rules. The total loss (paid and outstand-
Using reporting rules to investigate data errors
and implement corrective measures is a Data
Management Best Practice.
ing) must be reported without any consideration for wage
continuation.
For more information about the data reporting impact of
wage continuation, refer to Circular UNITS-2014-01—Wage
Continuation in Lieu of Benefits.
Page 7
THE DATA CONNECTION
Make a Plan Using the Data
Professionals Event Model
Developing and conducting a Data Professionals event is
something that every company can do. The following topics
can be used as models to help you develop, plan, and conduct
a Data Professionals event that meets your specific needs.
Create a Kickoff
•Provide an overview of the week’s activities
Invite Guest Speakers
Invite industry representatives to provide insights on Data
Management and obtaining insurance designations.
Focus on Organizational Accomplishments/Individual
Acknowledgments
Share departmental accomplishments and recognize
individuals who have achieved designations, certifications,
promotions, or personal goals.
•Promote educational opportunities, and offer how-tos on achieving designations, such as IDMA and CPCU
•Enlist staff who have pursued educational activities to speak about the rewards of achieving personal-growth goals
Fit in Some Fun
Have your Data Professionals participate in
a celebratory activity,
such as a game, to
reinforce learning from the event.
Develop Educational Programs/Skill Set Sessions
Conduct skill-building training sessions, such as:
•IDMA training workshops like Data Management for
Include a break (with snacks) to
recognize everyone’s active involvement, and memorialize
it with event photos.
Insurance Professionals (DMIP)
•General insurance classes, such as the workers
compensation system and policy components
•Specific training classes on data reporting topics, such
as data standards, data principles, and data quality
•Targeted training classes, including Microsoft® Excel,
Microsoft® PowerPoint, and presentation skills
Page 8
Conducting a Data Professionals event
promotes Data Management as a
profession.
JULY 2014
New and Improved—Policy Data
Collection Is Here!
Passing the four IDMA courses leads to the designation
of Associate Insurance Data Manager (AIDM®).
Our new Policy Data Collection tool (via DCA Access®
Online) was launched in April and streamlines and improves
the data reporting process.
The Certified Insurance Data Manager (CIDM®) designation
Use this tool as your one-stop source to search, view,
and update all Policy and Proof of Coverage information,
including Coverage Notice/Binder (Transaction 16).
Contact IDMA at www.idma.org for more information on
To learn how to use Policy Data Collection via DCA
Access® Online, review the Webinars on Demand
available under the Education section of ncci.com.
Online reporting tools promote timely and
accurate reporting.
requires passing the four IDMA courses and four selected
courses taken from CPCU, LOMA, SOFE, or CAS.
achieving your data management designation.
QUOTES FROM CERTIFIED
DATA MANAGERS
“My credentials and designations are tools
1
I use every day as I travel across the country. The CIDM® designation is now my most
valuable one, as I lead workshops and
panels in data management and data
stewardship.” (Tracy Spadola)
Become a Certified Data Pro
The Insurance Data Management Association (IDMA)
offers certification courses that focus on developing
knowledge and understanding the tools essential to
a professional data manager.
here are a few courses available in 2“Tdata
management given at universities and other learning institutions, but none of them have the insight or concern for insurance industry data issues that
the IDMA has.” (Charles McLaughlin)
Data Management Certification adds value
to your career development.
The IDMA courses include:
•Insurance Data Collection and Reporting (IDMA 1)
•Insurance Data Quality (IDMA 2)
•Systems Development and Project Management
(IDMA 3)
•Data Management, Administration, and Warehousing (IDMA 4)
Page 9
901 Peninsula Corporate Circle
Boca Raton, FL 33487-1362
800-NCCI-123 (800-622-4123)
ncci.com
© Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI is a registered trademark of the National Council on Compensation Insurance, Inc.

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