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WORKERS COMPENSATION EXP9RIENCE RATING
<br />r ..
<br />Rating Effective Date: 03/01/2018 Production Date: 12/07/2017 State: FLORIDA
<br />State, t Wt�.h Ex xcess�; Ex�7ect T�h Exp4Prim y;` Act UdiLosses i j; Ball;ast� 4 Aot;In�'its Psrelsm,
<br />`sy
<br />WORKERS COMPENSATION EXP9RIENCE RATING
<br />&C91-r1Risk Name: JOHNSON DAVIS INC Risk ID: 097182140
<br />Rating Effective Date: 03/01/2018 Production Date: 12/07/2017 State: FLORIDA
<br />State, t Wt�.h Ex xcess�; Ex�7ect T�h Exp4Prim y;` Act UdiLosses i j; Ball;ast� 4 Aot;In�'its Psrelsm,
<br />`sy
<br />h*:
<br />FL -A 278,95-.
<br />27 278,95 408,001 129,044 155,663 63,700 317,688
<br />162,025
<br />FL C .27 1,32 1,949 624 0 63,700 0
<br />0
<br />6.
<br />3,f1{,.
<br />D
<br />0nOA0'
<br />7.,0; 0{
<br />7..a.
<br />(D)qT ..-la(A) tn. ; r
<br />•�.a,�s4.-P_r<lP" •1:..:
<br />A0ff,
<br />1FiVLt-t
<br />r2:,g. st6y'as_3-f;
<br />.0
<br />yi-) aC( im6k
<br />I,`
<br />i'2-L,t-'fF1;.' �2.
<br />.2E...".i
<br />�
<br />.{ 3w'_a1f,v0'i0Q
<br />i' �` f•ir o...QK•
<br />s8i
<br />____. ... —,:� � ,�. -�., LosSes._.�. ar,
<br />„(UIIsP.lrr
<br />�.
<br />. ossRs'.€:�i'•-:
<br />.27 282,408 413,076 130,668 141,989 63,7001 4255,0581113,069
<br />PrimaiyALosl;bs�
<br />m Jj ]Lj� ..� � j
<br />?�,, ti•�}u.^.1i�T'��? �tl.:�t�'L<1 � T
<br />ifif-�?� 5',.fr� � �i�ti A -j �5
<br />( ) (A) . (F) -- - (J)
<br />Actual 113,069 269,858 38,337 421,264
<br />(E) C . (1 - A) + G (A)' (C)
<br />(K)
<br />Expected
<br />130,668 269,858 76,250
<br />476,776
<br />-- -..i,� _ _
<br />„ . , -tig.- "t�, _. �-ra �t!%(i_4f�iAf? � `�:�W�P 3 i.'?e�' `_: i �.MeA Pz�rs H_
<br />- , z. , 64'. ! _r. .t?K':.}:a_ rt ,:.,f'= �: e,k:; Y.
<br />tl< �• ..�: ' .' �� k
<br />i s,. •�; Xp....Otl#�, ,. �'r ri
<br />Factors
<br />1.00
<br />.88
<br />RATING REFLECTS A DECREASE OF 70% MEDICAL ONLY PRIMARY AND EXCESS LOSS
<br />DOLLARS WHERE ERA IS APPLIED,
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