NCCI Split Point Change Survey

1. Are you aware of the upcoming changes NCCI is making effective 1/1/2013

Are you aware of the upcoming changes NCCI is making effective 1/1/2013 Yes

2. Do you understand what changes NCCI is making to the mod rating formula?

Do you understand what changes NCCI is making to the mod rating formula? Yes

3. Do you know what impact the changes are going to have on your business?

Do you know what impact the changes are going to have on your business? Yes

4. Is your current NCCI Rating above a 1.0?

Is your current NCCI Rating above a 1.0? Yes

5. Would you have interest in a 20 minute webinar offered at no cost discussing the changes to NCCI and the impact they are going to have on your company?

Would you have interest in a 20 minute webinar offered at no cost discussing the changes to NCCI and the impact they are going to have on your company? Yes

6. If you answered Yes to Question 5 please provide your name, company name, email address, telephone number, and state(s) you do business in to receive an invitation to the webinar.

If you answered Yes to Question 5 please provide your name, company name, email address, telephone number, and state(s) you do business in to receive an invitation to the webinar. Name
Company Name
E-Mail
Telephone
State(s)

7. Sinclair is offering a no cost analysis of your current NCCI Experience Mod to see if the changes will positively or negatively impact your company. This is a service that we typicaly charge $299 for, but again we are offering it at no cost as a thank you for participating in our survey. Please click below if you are interested in this no cost analysis.

Sinclair is offering a no cost analysis of your current NCCI Experience Mod to see if the changes will positively or negatively impact your company. This is a service that we typicaly charge $299 for, but again we are offering it at no cost as a thank you for participating in our survey. Please click below if you are interested in this no cost analysis. I Am Interested

I Am Not Interested

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