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2021 Special Schedule W

Pennsylvania Workers Compensation Special Schedule "W" Data Call

 
The Pennsylvania Insurance Department is conducting its annual workers compensation Special Schedule "W" data call.  Authority for this data call can be found in Section 655 of the Insurance Company Law of 1921, P.L. 682, as amended, 40 P.S. § 815. 

This data call is due April 15, 2022.

The data call's cover letter, general instructions and instructions for constraints affecting unpaid claims estimates are available on this webpage. The Pennsylvania Compensation Rating Bureau's (PCRB's) Financial Data Manager (FDM) should be used to report all Special Schedule W information (including Coal Mine experience). This is in lieu of any submission directly to the Pennsylvania Insurance Department.  Refer to the PCRB's web site, www.pcrb.com, for further information on reporting workers compensation experience for Special Schedule W via the FDM.

 
All carriers that must provide the contraints affecting unpaid claims estimates file should do so in a pdf file named "constraints.pdf". This submission should be made to the PCRB (only) via the FDM no later than April 15, 2022. 

Thank you for your assistance and cooperation with this important data call.  If you have any questions, please contact Bojan Zorkic at (717) 787-6968 or by e-mail at bzorkic@pa.gov.