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Agency Schedule Detail

Authorization Number :  855-1114
Agency Series No. :  RTBC/RAR
Status :  Active
Agency Web Link : 
Agency :  BWC
Confidential Description : 
Division :  BWCRKAD
Vital Description : 
Section :  BWCRKADRTBC
Record Title :  Retrospective Rating Plan Annual Loss Statement (Retro Annual Report)
Revision :  0
Record Description :  This record is an annual evaluation statement for the retrospective rating plan. This report is run at the end of each policy year. The retro annual report posts data to let employers and TPA''s (third party administrators) know what the employer is being charged. Since BWC bills employers annually, this statement/report serves as their annual bill for the program.
Retention Period Retention Justification Media Code Method of Disposal
Retain 2 years provided audited by Auditor of State and audit report is released and all discrepancies are resolved, then destroy. Paper Shred
Retain 2 years provided audited by Auditor of State and audit report is released and all discrepancies are resolved, then destroy. Electronic Delete
Retain 2 years provided audited by Auditor of State and audit report is released and all discrepancies are resolved, then destroy. Microform Shred

Approvals

Status Name Title Date
Approved Martin Meeks State Auditor 6/23/2009 3:54:00 PM
Approved John Cahill Records Coordinator 9/2/2009 9:46:00 AM
Approved Melissa Roach Records Officer 9/8/2009 2:47:00 PM
Approved Michael Hardenbrook Record Administrator 9/8/2009 2:57:00 PM
Approved Fred Previts State Archivist 9/11/2009 12:52:00 PM

Notes

Date Reason User

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