2015 Q4 Apportionment Rate

To: Active and Inactive Private Self-Insured Employers

From: Lisa G. O'Brien, CPA

Date: November 9, 2015

Subject: 50-5 Apportionment Rate for 4th Quarter 2015 - Circular 2015 #4

 

The Workers’ Compensation Board (Board) has determined the 50-5 apportionment for the 4th quarter of the April 1, 2015 – March 31, 2016 assessment year. The rate of 0.0445326519 has been determined as follows:

 

1. A) Annual Board Need $15,147,000.00
2. B) Total Paid Indemnity- Most Recent 2014 (4-1-14 – 3/31/15) $340,132,449.52
3. C) 50-5 2015 Fourth Quarter Apportionment Rate (A)/(B) 0.0445326519

This rate will appear on the GA-5 2015 Q4 form that is now available on the Board’s website. Please see the provided link.

  http://www.wcb.ny.gov/content/main/BoardAssessments/50-5_Private_SI_Assessment.jsp

 Instructions:

1. Click on or enter the website link above into a browser
2. Complete the Q4 fillable pdf form by entering the employer’s paid indemnity for 2014 (4/1/14 – 3/31/15).  The form will auto-calculate the amount due by multiplying the 50-5 assessment rate (above) by the employer’s entered 2014 paid indemnity.
3. Select the ‘Email Form’ button on the bottom of the form, and it will be sent electronically. A confirmation email will be sent upon successful transmission.
4. Print the summary page and send with a check for payment no later than December 10, 2015. 

 

If you have any questions, please send an e-mail to WCBFinanceOffice@wcb.ny.gov