Request an Indication

Thank you for your interest in ICRMA. Please contact us if you would like to schedule an appointment to discuss pool membership and benefits in greater detail. We are confident the range of services provided by ICRMA will help your agency manage its claims and control costs. At no cost to your agency, ICRMA will provide preliminary cost of coverage estimates. To provide you with pricing, we will need the following information:

Liability Program

  1. Actual payroll for the most recent ten years
  2. Budgeted payroll for the current fiscal year
  3. Estimated payroll for the next fiscal year
  4. A loss run in electronic format (Excel is preferred) for the last ten years. The loss run should be valued as of the last day of the previous month. Your agency’s third party claims administrator should provide this report for you, and should include the following for each claim:
    1. Date of loss
    2. Description of the occurrence
    3. Paid amounts
    4. Reserve amounts
    5. Total incurred
  5. Advise what self-insured retention(s) your agency would like to consider. ICRMA members currently select from the following: $100,000, $250,000, $300,000, $400,000, $500,000, $750,000, $1 million, $1.5 million, $2 million, $5 million, $6 million

Workers’ Compensation Program

  1. Actual payroll for the most recent ten years
  2. Budgeted payroll for the current fiscal year
  3. Estimated payroll for the next fiscal year
  4. An electronic workers’ compensation claim loss run (Excel is preferred), by year, for the period of July 1, 2006 through present.  The City’s TPA should value the losses as of the last day of the previous month. At a minimum, the loss run should include the following for each claim:
    1. Date of incident
    2. Description of the claim
    3. Total Medical paid amount and total reserve amount
    4. Total Indemnity paid amount and total reserve amount
    5. Total Recovery amount
    6. Total Incurred amount
  5. The City’s preferred member retention limit (MRL). We will provide estimates for several different MRLs if the City would like to compare.
    1. $350,000
    2. $500,000
    3. $750,000
    4. $1 million
  6. Report that shows the City’s workers’ compensation indemnity payments made between July 1, 2015 and June 30, 2016 on all cases. Your TPA will be able to provide this report to the City.

Property Program

  1. Most current statement of values

Application Process

Your agency is invited to apply for membership in all ICRMA programs, but at minimum, must join the Liability program. If your agency elects to pursue membership after reviewing the cost indication, it will be required to complete Membership Application(s) which require more explicit and detailed underwriting information. These applications are then submitted to ICRMA’s broker and insurance carriers. There is a $1,000 non-refundable processing fee to cover the costs of underwriting and the actuarial evaluation. If your agency is admitted for membership, this fee will be applied as a credit against the agency’s first invoice.

If you have any questions, please contact ICRMA’s Executive Director at (949) 349-9879. Thank you again for your interest in ICRMA.