Randy Wadle, CEO, NetWise Technology

Risk Management With ClientSpace  It All Starts With Underwriting  WC Policy Management  WC Claim Management  Certificates of Insurance

UNDERWRITING

Underwriting Underwriting Workflow I3 - Expert WC Pricing ACORD Application / Integration Opportunities

Controlling Submission Using Rules Hard Errors Soft Errors Business Rules Workflow – template tasks

Rules Configuration HE_RequireField: validates that a field is filled in prior to allowing user to move to next step. HE_RequiredForm: validates a data form has been completed prior to moving to the next step. – Can add a filter of contract type or WC Code to the above rules Triggering Dataform Cloning and Tasks _SetField values: enables the configuration of various defaults and stamping of user & date/time on edited records.

Underwriting Approvals

i3 Analytics Integration

ACORD App / Carrier Portal Feed Generate ACORD form directly from ClientSpace Transmit Deal data directly to Carrier/Broker ClientSpace to ClientSpace Integration

POLICY MANAGEMENT

Policy Management Policy Types (Master, MCP, Client) Contract Types WC Configuration Work Comp Bill and Cost Rates – Expected Profit Calculation Policy Renewals

Policy Types Master Policy Monopolistic functions the same Multiple Coordinated Policy (MCP) Client Policy Centrally located in the admin workspace All Code Status, Manual, and Cost Rate managed centrally Client workspaces point to the Master Policy record (Pricing State) Renewing policy renews all clients that point to Master

Policy Types Master Policy Multiple Coordinated Policy (MCP) Client Policy Base Policy located in Admin Workspace Base Code manual rate and status managed centrally Copy of Policy cloned into Client Workspace when MCP policy is used and points to Base Policy Bill rates and cost rates are derived from Client Workspace data Renewing MPC Policy renews all clients that are covered by MCP Policy

Policy Types Master Policy Multiple Coordinated Policy (MCP) Client Policy Base Policy located in Admin Workspace Copy of Policy cloned into Client Workspace when MCP policy is used, after copy, the policy records are disconnected Bill rates and cost rates are specific for client workspace and Comp Code records are created as Pricing Console is generated Client policies are renewed individually

Policy Types

Contract Type Configuration

Policy Rates and Status Funding Rate or Calculated Cost Rates Master vs MCP vs Client Policy Affect on Rates WC Profit Calculation Code Status

Policy Renewal WHEN NEW POLICY IS ACTIVATED Resets the Coverage Policy on all Active Clients and Prospects Renews all COIs associated with previous policy

Policy Renewal WHEN NEW POLICY IS ACTIVATED Resets the Coverage Policy on all Active Clients and Prospects Renews all issued COIs associated with previous policy

CLAIM MANAGEMENT

Work Comp Claim Management Claim Dataform Details Claim Transmission / FROI Return To Work, OSHA Logs Claim Imports / Loss Runs

Work Comp Claim Detail 1.Latest Incurred Value and RTW Status 2.List of Ees; import can create employee 3.Policy default derived from Pricing Console based on DOI and State 4.Claim types are configurable; Indemnity will auto generate an RTW record

Work Comp Claim Detail 5.Lag reporting or rules based on DOI, EE Report, and Client Report 6.Claim Specialist auto assigned based on state or claim type 7.Claim transmission via or EDI based on TPA setting 8.RTW History records; first Out of Work record auto generated if type=Indemnity 9.Claim financials loaded via loss run import

Work Comp Claim Detail 10.Track individual notes that can be categorized or use the Communication Log diary 11.State specific FROI report via PDF merge. 11 states are done, easy to add 12.Wage statements will be done for all states that require

Work Comp Claim Detail Show Details checkbox – When checked, the additional Claim Information fieldset will display – Pick and choose which fields should be visible all the time or only when selected

Work Comp Claim - Claimant Highlighted fields will default based on Employment Information record – Point in time information as of date of claim

Work Comp Claim - Injury 1.Configurable Cause, Nature, Body Part; able to code claims consistently for reporting and analysis 2.Carrier Cause, Nature, Body Part comes from Loss Run Import 3.OSHA classification for OSHA log reporting

Work Comp Claim - RTW Return Statuses: Out of Work, Light Duty, Full Duty Start and End Date; EE could go in and out of work multiple times If light duty is selected, additional details about light duty assignment are available

Work Comp Claim - Financial 1.Valued As Of Date; each time new loss run imported, new VAO date 2.Paid by category, auto totals 3.Reserved by category, auto totals 4.Incurred is calculated as the sum of Paid and Reserved 5.Subrogated total can be recorded or fed by subrogation form 6.Total value = Total Incurred – Subrogated Amount

Work Comp Claim - Transmission Transmission Methods: – – format selected on the state is ed to address on TPA – SFTP – formatted EDI file, acceptable to carrier

OSHA Reporting

Claim / Loss Run Imports Update or Create New Claim Records Insert Employee Records for Injured Worker Insert VAO Financial Records Trigger workflow directly from import

CERTIFICATES OF INSURANCE

Work Comp Certificate Management Certificate Dataform Detail COI Versions Certificate Transmission Policy Renewals Client COI Requests

COI Detail Form 1.COI Holder database 2.Multiple version of COI output 3.Certificate Details appear in the Description of Operations 4.COI Workflow: Requested, Approved, Issued, Expired 5.Transmit via , fax, or mail

ACORD COI 1.Customizable version of COI to cover different situations 2.COI transmitted via or fax 3.Automatic renewals when the policy renews 4.Client logins to request COIs will go through the standard COI workflow