Firefighters’ Workers’ Compensation Data Call

STATE OF VERMONT DEPARTMENT OF FINANCIAL REGULATION 89 Main Street Montpelier, VT 05620-3101 For consumer assistance: [Banking] 888-568-4547 [Insurance] 800-964-1784 [Securities] 877-550-3907 dfr.vermont.gov Insurance Bulletin #239 Firefighters’ Workers’ Compensation Data Call October 7, 2025 Vermont Act 184 (2024) directs the Commissioner of Financial Regulation to submit biannual reports to the legislature on February 1, 2026, February 1, 2028, and February 1, 2030. Each report will include firefighters’ workers’ compensation claim data for the most recent two years. This data call represents the first of three data calls that will be issued to complete these reports. Pursuant to 8 V.S.A. §13, § 22, § 23, and § 3561, Kaj Samsom, Commissioner of the Department of Financial Regulation (DFR), issues this data call to collect firefighters’ workers’ compensation policy and claim data. The 2025 data call is being issued to all workers’ compensation insurers (including surplus lines or non-admitted insurers) doing business in Vermont. The purpose of the data call is to collect information about workers’ compensation claims for cancer submitted by Vermont firefighters between October 1, 2023 and October 1, 2025. Timeline The report must be submitted by December 1, 2025. Data to Report Tab #1 – Introduction & Company Information Tab #2 - Number of Policies in Force – Provide the number of Vermont policies in-force as of October 1, 2025 for Class Codes 7710 (non-volunteers) and 7711 (volunteer firefighters). For each policy, include the number of firefighters in each Class Code. Tab #3 – Cancer Claims Submitted by Vermont Firefighters (Codes 7710 and 7711) between October 1, 2023 and October 1, 2025. For each claim, include: Column A. Report Date or Claim Submission Date Column B. Accident Date Column C. Class Code Column D. Incurred Death & Widow Indemnity Benefits Column E. Incurred All Other Indemnity Amounts Column F. Incurred Medical Amount Column G. Paid Indemnity Amount Docusign Envelope ID: 660FE627-2E20-472D-AB7B-CDF0393DF8A6 Insurance Bulletin #239: Firefighters’ Workers’ Comp (October 7, 2025) Page 2 of 4 Column H. Paid Medical Amount Column I. Part of Body Column J. Nature of Injury Column K. Cause of Injury Column L. Injury Type Column M. Type of Cancer Column N. Indicate if the Claim is Open, Closed with Payment, or Closed without Payment (Denied) A snapshot of the reporting template is provided in Appendix A. Reporting Procedure The report must be submitted using the designated template, which is available for download at the Industry State Disaster Reporting Data Calls. All reports must be submitted through the NAIC online portal. To access the NAIC system, send an email to help@naic.org requesting the following role: RDC_VT2025WORKERSCOMP_USER_PR Please be sure to do this early to ensure timely submission. It may take at least one business day to process this request. Once the role is assigned, the report must be submitted by logging into the NAIC reporting portal: 1. Select “PAC” as the “datacall group” 2. Choose “VT_2025_WORKERSCOMP” Before attempting to submit a file, please review the “File Submission Guide” available for download at the NAIC Industry State Disaster Reporting Data Calls webpage. Individual Company Reporting Will Be Accepted Reports must be submitted at the individual company level. Individual companies, not part of a group, should provide their company code in the group code field on the template. Surplus carriers should use their alien insurance number which should begin with “AI.” Carriers without an identification code from the NAIC should contact researchshared@naic.org for a code to include in the company and group code fields of the template. The reporting template will require information on the company and group. If your company is not part of a group, please input your NAIC code and company name wherever the template requests the group code or group name. Failing to do this will trigger a rejection of the upload. Docusign Envelope ID: 660FE627-2E20-472D-AB7B-CDF0393DF8A6 Insurance Bulletin #239: Firefighters’ Workers’ Comp (October 7, 2025) Page 3 of 4 Companies With No Information to Report An individual company that determines it has no claim information to report based on what is required, shall complete Tabs #1 and #2, and also submit reports with zeroes in the first row of Tab #3 in the template provided. This requirement will help the DFR monitor companies that are expected to respond to the data call and provide information about policies in force. Companies that do not write any Vermont Workers Compensation business are not obligated to submit reports for this data call. Definitions Incurred Death & Widow Indemnity Benefits – Case reserves plus claim payments made to date for Death & Widow Indemnity Incurred All Other Indemnity Amounts – Case reserves plus claim payments made to date for All Other Indemnity Incurred Medical Amount – Case reserves plus claim payments made to date for medical Paid Indemnity Amount – Claim payments made for indemnity Paid Medical Amount – Claim payments made for medical Claim payments should be net of subrogation recoveries. Please submit questions to Rosemary Raszka by email. Kaj Samsom, Commissioner Date Docusign Envelope ID: 660FE627-2E20-472D-AB7B-CDF0393DF8A6 10/9/2025 Insurance Bulletin #239: Firefighters’ Workers’ Comp (October 7, 2025) Page 4 of 4 Appendix A Intro Tab Policies in Force Claims Submitted Docusign Envelope ID: 660FE627-2E20-472D-AB7B-CDF0393DF8A6