Experience Rating Worksheet - Eff. 8.1.2007

Select Type of Risk Zone All Other

Enter current annual manual $100,000 CSL liability premium adjusted to eliminate any increased limits factor, experience modification, or other surcharges: Enter Losses and Click "Total Adjusted Losses" Button Transfer Experience Modification Factor to Worksheet Enter AELR and Credibility Factors Use tables to determine AELR and Credibility Factor (Click Button for tables) Then Enter BI/PD Premium and Click "Detrended Premium" Button Experience Modification Factor Transfer to WorksheetSecond PriorFirst PriorLatest PolicyBI/PD Premium: Adjusted Expected Loss RatioBI/PD Losses/Year: Credibility FactorActual Loss RatioCredit/Debit Experience Modication % Instructions:

How many years of experience? 3 2 1 Be sure to select Type of Risk and years of experience.