Budget and expenditure data should be reported on a fiscal year basis, starting with the fiscal year most recently ended.

Payroll information should consist of all payroll plus all remuneration paid to the City Attorney and contract recreation officials for the entire calendar year ending December 31, prior to the date membership becomes effective.

The Workers' Compensation Classification Codes must also apply to the same calendar year. If employees perform duties under more than one classification code, every effort should be made to provide a reasonable estimate of the payroll that would apply to each classification.

The Workers' Compensation Experience Modification Factor, and your current Classification Codes can be found on the premium calculation page of your Workers Compensation policy.

Electronic data processing equipment refers to computer equipment. Media replacement costs refer to the cost of replacing tapes, discs, or other items used for the storage of data. Media duplication costs refer to the cost of duplicating the data stored on the media used. Extra expense refers to the cost of renting or leasing additional equipment, computer time, or an additional location for a temporary period, due to computer damage.

The term private passenger cars refer to cars only, as opposed to vans, pickups, or other vehicles. Please be sure the totals reported in this section are in agreement with the schedule of vehicles attached.

A copy of your latest Department of Transportation Annual Report of Distribution, if you have a gas utility, is a must. The information contained in this report is specifically required by our excess carriers.

The term, contractors equipment, refers to such rolling stock lines as bulldozers, backhoes, tractors, or other construction or maintenance type of equipment, which you own or lease.

Please provide as much information as possible regarding any safety programs, rules, or procedures that you currently have in operation.

It is an absolute necessity that all data required for utilities be reported in its entirety.

As MIRMA'S coverage has a retroactive date of the membership effective date, for covered occurrences it is important to review all expiring insurance policies to determine if they are on an "occurrence basis" or a "claims made basis". Policies that are on an "occurrence basis" may be canceled the date membership in MIRMA becomes effective. Policies that are on a "claims made basis" should probably be renewed for one or two years, unless an extended discovery period can be purchased.

A "claims made" policy will only pay losses for which claim is made during the period the policy is in force, regardless of when the occurrence took place that generated the claim. An "occurrence" policy will pay for losses regardless of when the claim is made as long as the occurrence that generated the claim took place during the period the policy was in force.

If a claim is made after July 1, for an occurrence that took place prior to July 1, MIRMA can not pay it. If the expiring policy was on a "claims made" basis and was canceled or not renewed, that company would not pay the loss either.

Records will need to be kept of all previous insurance companies as it is the responsibility of the member to file all claims with those companies which resulted from occurrences that took place prior to July 1, and are not covered by MIRMA.

1. Discussion of the program in general.
2. Information regarding the completion of your application, including Workers' Compensation Classification Codes, if you need them.
3. Evaluation of your present insurance data.
4. Presentation to your governing body.
5. To answer questions in general.