Premium rates data – Insurers

WorkCover WA collects data periodically to monitor scheme performance and to set recommended premium rates. Premium rates data is collected through:

  • Form WC12 – Statement of policies, premium, wages and claims
  • Form WC20 Mid Financial Year – Summary of cost of claims from July to December
  • Form WC20 Full Financial Year – Summary of cost of claims from July to June
  • Form WC30 – Statement of premiums and expenses associated with the writing of workers compensation business

All Forms are to be submitted via WorkCover WA Online.

Guidelines

The Premium rates data – Guidelines describes data required by WorkCover WA of insurers and self-insurers to set recommended premium rates and monitor scheme performance. Licensed insurers and self-insurers are required to provide data as specified in this document.

Templates

Templates for reporting premium rates data are as follows:

Sample data

Sample data to show how to complete the templates are as follows:

  • Form WC12 SAMPLE
    Sample data to show how to complete Form WC12 – Statement of policies, premium, wages and claims.
  • Form WC20 Mid Financial Year SAMPLE
    Sample data to show how to complete Form WC20 Mid Financial Year – Summary of cost of claims from July to December.
  • Form WC20 Full Financial Year SAMPLE
    Sample data to show how to complete Form WC20 Full Financial Year – Summary of cost of claims from July to June.
  • Form WC30 SAMPLE
    Sample data to show how to complete Form WC30 – Statement of premiums and expenses associated with the writing of workers compensation business.