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📊 EMR Explained

Your Experience Modification Rate (EMR) directly affects your insurance costs and your ability to win work. Here's everything you need to know.

What is EMR?

The Experience Modification Rate (EMR) is a number that compares your company's workers' compensation claims history to other companies of similar size in your industry.

  • EMR of 1.00 = Average for your industry
  • EMR below 1.00 = Better than average (fewer/smaller claims)
  • EMR above 1.00 = Worse than average (more/larger claims)

How EMR Affects You

Insurance Premiums

Your workers' comp premium is calculated as:

Premium = Manual Rate × Payroll × EMR

Example:

  • Manual rate: $15 per $100 of payroll
  • Annual payroll: $1,000,000
  • Base premium: $150,000
EMRPremiumSavings/Cost
0.75$112,500Save $37,500
1.00$150,000Baseline
1.25$187,500Pay $37,500 more

A 0.25 difference in EMR = $37,500/year on a $1M payroll.

Bid Eligibility

Many project owners require:

  • EMR under 1.0 to bid
  • Some require under 0.85 or 0.90
  • Higher EMR = fewer opportunities

Prequalification

GCs evaluate subs on EMR. A high EMR means:

  • Harder to get prequalified
  • May be excluded from bid lists
  • Perception of poor safety culture

How EMR is Calculated

The Formula (Simplified)

EMR = Actual Losses / Expected Losses

Actual Losses = Your claims over 3 years (excluding most recent year)

Expected Losses = What similar companies in your industry/size would expect

The 3-Year Window

EMR uses data from 3 policy years, excluding the most recent year:

YearUsed in Calculation?
2024 (current)No
2023Yes
2022Yes
2021Yes
2020No (too old)

Claims stay on your EMR for 3+ years. A bad year affects you long after.

Primary vs Excess Losses

Not all claim dollars count equally:

  • Primary losses (first ~$18,000) = Count at full weight
  • Excess losses (above ~$18,000) = Count at reduced weight

This means:

  • Frequency matters more than severity
  • 5 small claims hurt more than 1 large claim
  • Medical-only claims count less than lost-time claims

Strategies to Lower EMR

Prevention (Most Important)

ActionImpact
Strong safety programFewer claims
Safety trainingFewer incidents
Proper PPE enforcementReduced injuries
Hazard identificationPrevent incidents
Pre-task planningAnticipate risks

The best way to lower EMR is to prevent injuries.

Claims Management

When injuries do occur:

  1. Report immediately — Delayed reporting increases costs
  2. Investigate thoroughly — Understand root cause
  3. Return to work programs — Modified duty reduces lost time
  4. Stay involved — Monitor treatment and recovery
  5. Challenge questionable claims — Fraud happens

Medical-Only vs Lost-Time

  • Medical-only claims count at ~30% of lost-time
  • Getting injured workers back to modified duty keeps claims as medical-only
  • One lost-time claim can equal several medical-only claims

Audit Your Mod

Your EMR calculation can have errors:

  • Incorrect classification codes
  • Claims charged to wrong policy year
  • Claims that should be excluded
  • Incorrect payroll figures

Request your EMR worksheet from your insurance carrier and verify every number.

Common Mistakes

1. Ignoring Small Claims

Small claims add up quickly due to primary loss weighting. Don't dismiss "just a minor injury."

2. Not Having Return-to-Work Program

Without modified duty, minor injuries become lost-time claims.

3. Late Reporting

Reporting delays increase claim costs and look bad to adjusters.

4. Not Investigating Incidents

Without investigation, you can't prevent recurrence.

5. Not Auditing EMR

Errors in your EMR calculation are common. Always verify.

What's a Good EMR?

EMR RangeRating
Under 0.75Excellent
0.75 - 0.90Good
0.90 - 1.00Average
1.00 - 1.25Below average
Over 1.25Poor

Timeline to Improve

Due to the 3-year calculation window:

  • Improvements take 3+ years to fully show
  • A bad year affects you for 4 years total
  • Start improving now — results come later