1. Workers Compensation Declaration Form Inputs Laura Deverson Manager, Client Services SICorp

2. Objectives of the Declaration Process To gather information from agencies to support Actuarial Activity To gain a better understanding of the activities and operations of Agencies in order to understand their risk exposures To gather information to inform the purchase of Reinsurance from the international market.

3. Contribution Cycle The Contribution Cycle has four phases 1.Information Collection 2.Calculation 3.Invoice & Receipting 4.Contribution Presentation

4. General Milestone Dates Information Collection Declaration Information Confirmation by 18 October, 2013 Declaration Forms sent to Agencies on 21 October, 2013 Declaration Forms due back to Claims Managers by 28 November, 2014 Information Checking with Agencies to 14 December 2014 Calculation Target Premium Calculated by 2 February, 2015 Target Premium provided to Treasury for the Budget by 9 February, 2015 Deposit Contribution Calculated by 23 March, 2015 Deposit Contribution Sign off process by 27 March, 2015

5. General Milestone Dates Invoice and Receipting Invoice & Receipting Meeting on 8 May, 2015 Invoices are prepared by the Actuaries by 25 May, 2015 Letters, Calculations sheets and Invoices sent to Agencies on 29 May, 2015 Presentation In vidual premium presentation material prepared by June 30, 2015 Premium presentations presented between June and September 2015

6. Consequences of Non Compliance Declarations Forms must be filled out: – Accurately – Consistently – On Time The consequences of non compliance is a surcharge of 10% on top of the agencies contribution value. This non compliance will be reported to the Agency CFO and Principal Department CFO.

7. Workers Compensation Target Contribution Methodology TARGET PREMIUM The amount of premium required to cover total expected cost in relation to all of the claims which occur in a fund year for a given pool. The amount of premium required to cover total expected cost in relation to all of the claims which occur in a fund year for a given pool. MAIN DATA INPUT – PAYMENTS LAST TWO CALENDAR YEARS MAIN DATA INPUT – PAYMENTS LAST TWO CALENDAR YEARS Information Captured by in the Information Collection Phase provides context

8. Workers Compensation Deposit Contribution Methodology TARGET PREMIUM The amount of premium required to cover total expected cost in relation to all of the claims which occur in a fund year. AGENCY A DEPOSIT CONTRIBUTION INDIVIDUAL AGENCY CONTRIBUTIONS EXPERIENCE PREMIUM BENCHMARK PREMIUM AGENCY B DEPOSIT CONTRIBUTION AGENCY C DEPOSIT CONTRIBUTION AGENCY D DEPOSIT CONTRIBUTION FFF

9. Workers Compensation Deposit Contribution Equation Deposit Premium Surplus/Shortfall for Budget Agencies only: S = Credibility Factor calculated as D = (1-S)  B + S  E Then scaled so that the sum for all agencies equals the Target Premium Surplus = F - D Benchmark Premium Experience Premium E = W t = Wages in time t C t = Claims cost (WCPM Incurred Cost) in time t F t = F-factor for time t, such that

10. Workers Compensation Benchmark Premium Methodology Benchmark Premium Your (B) Benchmark Premium is you projected (W) wages by your (b) benchmark rate

11. Workers Compensation Experience Premium Experience Premium E = W t = Wages in time t C t = Claims cost (WCPM Incurred Cost) in time t F t = F-factor for time t, such that

12. Workers Compensation Deposit Contribution Equation Deposit Premium Surplus/Shortfall for Budget Agencies only: S = Credibility Factor calculated as D = (1-S)  B + S  E Then scaled so that the sum for all agencies equals the Target Premium Surplus = F - D Benchmark Premium Experience Premium E = W t = Wages in time t C t = Claims cost (WCPM Incurred Cost) in time t F t = F-factor for time t, such that

13. Workers Compensation Form

16. Agency Master Data

17. Employee Numbers and Wages Form Inputs

20. %Wage Variation Anything Greater than 10% variance (+10% or -10%) needs to be explained

21. Figures of Submitted Wage Declaration from last year

22. Split and Merge Flag

23. What Constitutes a Split or Merger? The transfer of staff to another agency within the TMF (split), or The absorption of staff from another agency within the TMF (merge)

24. Types of Structural Change Born from a Split (BS) Split (S) Split and Died (SD) Merge (M) Split and Merge (SM) Die (D)

25. Born from a Split (BS) for a new agency entering the TMF and staff have come from one or more existing TMF agency

26. Split (S) staff have been moved out to more than one agency in the TMF but the agency (and its policy) remains

27. Split and Died (SD) staff been moved to more than one agency and the agency (and its policy) no longer exists in the TMF

28. Merge (M) staff have been moved to another agency and the agency (and its policy) no longer exists in the TMF or the agency still exists and has taken on staff from other agencies

29. Split and Merge (SM) staff have been moved out to more than one agency and new staff have also been moved into the agency

30. Die (D) the agency no longer exists in the TMF and staff were not moved to any TMF agency

31. Identifying the Type of Structural Change

32. Where in the Form are You Identifying the Change?

33. Splits and Mergers Tab

34. Splits and Mergers Releasing Entity Receiving Entity

39. Comments From the Agency Explaining Variances

40. Claims Manager Audit Screen

41. Apprentice Data Collection

43. Additional Assistance www.sicorp.nsw.gov.au Fund Mgmt > TMF Declaration

44. Property Cover Declaration Form Inputs Laura Deverson Manager, Client Services SICorp

45. Objectives of the Declaration Process To gather information from agencies to support Actuarial Activity To gain a better understanding of the activities and operations of Agencies in order to understand their risk exposures To gather information to inform the purchase of Reinsurance from the international market.

46. Contribution Cycle The Contribution Cycle has four phases 1.Information Collection 2.Calculation 3.Invoice & Receipting 4.Contribution Presentation

47. General Milestone Dates Information Collection Declaration Information Confirmation by 18 October, 2013 Declaration Forms sent to Agencies on 21 October, 2013 Declaration Forms due back to Claims Managers by 28 November, 2014 Information Checking with Agencies to 14 December 2014 Calculation Target Premium Calculated by 2 February, 2015 Target Premium provided to Treasury for the Budget by 9 February, 2015 Deposit Contribution Calculated by 23 March, 2015 Deposit Contribution Sign off process by 27 March, 2015

48. General Milestone Dates Invoice and Receipting Invoice & Receipting Meeting on 8 May, 2015 Invoices are prepared by the Actuaries by 25 May, 2015 Letters, Calculations sheets and Invoices sent to Agencies on 29 May, 2015 Presentation In vidual premium presentation material prepared by June 30, 2015 Premium presentations presented between June and September 2015

49. Internal Guide

50. Property Forms

51. Agency Master Data

52. Property Summary Questions

53. Asset Register

54. Street Number and Name Suburb / Town Post Code Occupancy (Drop Down Selection) Construction (Drop Down Selection Protection Buildings (Replacement Value) Contents Consequential Loss

55. Replacement value Typically Properties will have three values related to them: Current Value – or Book Value: This is the accounting value and includes aspects of depreciation in the figures. Market Value: Looks at what the current property market is doing and give the value that it would be if you were to put it up for sale. This includes the value of the land. Replacement Value: What it would take to replace the structure to current building standards.

56. Calculating Contents This should include (but is not limited to) Agency owned / leased artworks Books, plants, stationery, supplies Furniture Surplus Stock / goods Specialty fixtures or equipment All computer hardware that you are responsible for Specialty fit outs that are required for operations Any motorised equipment not declared in the Motor Vehicle forms (Mobility Scooter, Hand trucks, Assisted pallet jacks)

57. Consequential Loss

58. Asset Register

59. Identifying a Variance

60. Water Craft Declaration

61. Air Craft Declaration

62. Fine Arts

63. Construction

64. Additional Assistance www.sicorp.nsw.gov.au Fund Mgmt > TMF Declaration

65. Liability Declaration Form Inputs Laura Deverson Manager, Client Services SICorp

66. Liability Notes

67. Liability Forms

68. Agency Master Data

69. Operations

70. Professional Activities

72. Products

73. Public

75. Incidents

76. Vehicle Indemnity

77. Additional Assistance www.sicorp.nsw.gov.au Fund Mgmt > TMF Declaration

78. Motor Vehicle Cover Declaration Form Inputs Laura Deverson Manager, Client Services SICorp

79. Objectives of the Declaration Process To gather information from agencies to support Actuarial Activity To gain a better understanding of the activities and operations of Agencies in order to understand their risk exposures To gather information to inform the purchase of Reinsurance from the international market.

80. Contribution Cycle The Contribution Cycle has four phases 1.Information Collection 2.Calculation 3.Invoice & Receipting 4.Contribution Presentation

81. General Milestone Dates Information Collection Declaration Information Confirmation by 18 October, 2013 Declaration Forms sent to Agencies on 21 October, 2013 Declaration Forms due back to Claims Managers by 28 November, 2014 Information Checking with Agencies to 14 December 2014 Calculation Target Premium Calculated by 2 February, 2015 Target Premium provided to Treasury for the Budget by 9 February, 2015 Deposit Contribution Calculated by 23 March, 2015 Deposit Contribution Sign off process by 27 March, 2015

82. General Milestone Dates Invoice and Receipting Invoice & Receipting Meeting on 8 May, 2015 Invoices are prepared by the Actuaries by 25 May, 2015 Letters, Calculations sheets and Invoices sent to Agencies on 29 May, 2015 Presentation In vidual premium presentation material prepared by June 30, 2015 Premium presentations presented between June and September 2015

83. Motor Notes

84. Motor Vehicle Forms

85. Agency Master Data

86. Fleet Summary

87. Vehicle Categories Sedans/Station Wagons Vans 4 Wheel Drives (4WD) - Passenger Vehicles Up to 2 Tonne Trucks/Utes Greater than 2 Tonne Trucks Busses Other Vehicles

88. Vehicle Categories Sedans/Station Wagons Vans 4 Wheel Drives (4WD) - Passenger Vehicles Up to 2 Tonne Trucks/Utes Greater than 2 Tonne Trucks Busses Other Vehicles

89. Vehicle Categories Sedans/Station Wagons Vans 4 Wheel Drives (4WD) - Passenger Vehicles Up to 2 Tonne Trucks/Utes Greater than 2 Tonne Trucks Busses Other Vehicles

90. Vehicle Categories Reference

91. Special Vehicles

92. Additional Assistance www.sicorp.nsw.gov.au Fund Mgmt > TMF Declaration

93. Miscellaneous Cover Declaration Form Inputs

94. Miscellaneous Forms

96. Agency Master Data

97. Miscellaneous Declaration

99. Cancellation of Events

100. Additional Assistance www.sicorp.nsw.gov.au Fund Mgmt > TMF Declaration