Quote for Workers Compensation Coverage
398982-- 07/01/2022-07/01/2023
7380-000 Drivers Chauffeurs & Their Helpers NOC - Commercial
8868-000 College: Professional Employees & Clerical
9101-000 College: All Other Employees
| CLASS RATING AND MANUAL PREMIUM DETAIL | EXPOSURE | RATE | PREMIUM |
|---|
| Kentucky State University | | | |
| 07/01/2022 - 07/01/2023 | | | |
| 9101-000 | 1,229,315 | 2.16 | $26,553.00 |
| 7380-000 | 0 | 3.24 | $.00 |
| 8868-000 | 21,457,310 | .27 | $57,935.00 |
| PREMIUM CALCULATION DETAIL | TYPE | FACTOR | AMOUNT |
|---|
| 07/01/2022 - 07/01/2023 | Total Manual Premium | | $84,488.00 |
| Employers Liability Limits | .011 | $929.00 |
| Total Subject Premium | | $85,417.00 |
| Experience Modification Premium | .680 | -$27,333.00 |
| Total Modified Premium | | $58,084.00 |
| Schedule Rating Premium | .830 | -$9,874.00 |
| Final Estimate | Total Standard Premium | | $48,210.00 |
| Premium Discount | | -$4,710.00 |
| Expense Constant | | $260.00 |
| Terrorism Charge | | $2,269.00 |
| Catastrophe Charge | | $2,269.00 |
| Estimated Annual Premium | | $48,298.00 |
| Kentucky Special Fund Assessment | | $3,351.88 |
| Total Premium & Assessment | | $51,649.88 |
Payment Plan Eligibility: Ten-Payment Plan
Required Initial Installment Premium:
| BILLING SCHEDULE BILL DATE | BILLING SCHEDULE BILL AMOUNT |
|---|
| 05/27/2022 | $13,003.91 |
| 08/01/2022 | $4,297.44 |
| 09/01/2022 | $4,297.44 |
| 10/01/2022 | $4,297.44 |
| 11/01/2022 | $4,292.27 |
| 12/01/2022 | $4,292.27 |
| 01/01/2023 | $4,292.27 |
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