Clinic, Not Otherwise Classified workers comp rate in Tennessee
The filed workers comp rate for class code 9156 (Clinic, Not Otherwise Classified) in Tennessee is $0.690 per $100 of payroll. On $500,000 of payroll, that is roughly $3,450 in base premium.
Workers comp rules in Tennessee affecting code 9156
Tennessee uses NCCI for workers comp rate setting. Coverage is mandatory once an employer crosses the threshold of Employers with 5 or more employees are generally required to carry workers' compensation insurance, with exceptions for certain industries..
Subcontractor coverage in Tennessee
General contractors are generally liable for the workers' compensation coverage of uninsured subcontractors and their employees.
Owner-exclusion rules for code 9156
Tennesseeallows business owners to file an election excluding themselves from workers comp coverage. Excluding $80,000 of owner payroll at $0.690 saves $552 per year.
1099 contractor handling
Workers are generally presumed to be employees unless they meet specific criteria for independent contractor status, often based on control and economic dependence.
Penalty for failing to carry coverage
Penalties for non-compliance include fines, stop-work orders, and potential criminal charges, with employers liable for all medical expenses and lost wages.
Audit window after policy expiration
After your policy expires, Tennessee's rating authority allows within 90 days of policy expiration for a premium audit. Code 9156 payroll discovered late can result in additional premium owed. Maintain segregated payroll records for at least the audit window plus one year.
Ways to lower your premium for code 9156 in Tennessee
Most employers paying for code 9156 could reduce annual premium by 10-30% by applying one or more of the levers below. Each is grounded in Tennessee-specific rules where applicable.
- Experience modifier (EMR): A 0.85 EMR (well-managed) cuts $0.690 to $0.586 per $100, saving roughly $518 on a $500K payroll. A 1.25 EMR (loss-burdened) inflates it to $0.862. Build a lower EMR by reducing claim frequency (every claim hurts the modifier even if dollar cost is small).
- Schedule credits: Tennessee permits up to 25% schedule credit at underwriter discretion. At $0.690, a 7% credit lowers your effective rate to $0.642 per $100.
- Deductible plans: Per-claim or aggregate deductibles ($1K-$10K typical) cut premium 5-15%. Best fit when historical claim count is low.
- Reclassify payroll: Code 9156 may be applied too broadly. If a portion of payroll is genuinely clerical and properly segregated, that portion can be reported as code 8810 (clerical) at $0.10-$0.30 per $100.
- PEO or staff leasing: A Professional Employer Organization can pool your code-9156 payroll with similar businesses in Tennessee, often securing better blended rates than your standalone EMR can achieve.
- Dividend or retro plans: Some carriers offer participating policies that return a dividend if your loss ratio stays below a target. Best for employers with predictably good loss experience.
- Wrap-up policy for projects: For larger code-9156 operations (especially construction), an OCIP or CCIP wrap can consolidate coverage at lower aggregate cost.
Common claim drivers in healthcare affecting code 9156
Rate filings for code 9156 reflect what actually drives claim cost for this occupation across NCCI's national experience and Tennessee's state-specific loss data. The largest drivers behind the $0.690 rate are typically:
- Patient-handling injuries. Lifting and transferring patients drives 35-50% of healthcare worker comp claim cost.
- Sharps and bloodborne exposure. Needlestick injuries trigger long-tail surveillance and treatment claims.
- Workplace violence. Patient and visitor aggression is rising sharply in ER, behavioral health, and long-term care.
Targeting these in your safety program produces the largest EMR improvement. Most claim-frequency reductions come from controls on the top two drivers above; severity reductions require return-to-work programs and aggressive medical management.
FAQ
What is the workers comp rate for code 9156 in Tennessee?
The filed workers comp loss cost or rate for NCCI class code 9156 in Tennessee is $0.690 per $100 of payroll.
How much would I pay on $500,000 payroll?
At $0.690 per $100, $500,000 yields a base premium of $3,450 before EMR and schedule credits. With an EMR of 0.85, effective rate is $0.586; with 1.25, it is $0.862.
Where else can I see code 9156?
TN has the cheapest filed rate ($0.690) and CA the highest ($3.94). Tennessee sits at the 10th percentile across 21 peer states.
Can I get a schedule credit on code 9156 in Tennessee?
Tennessee permits up to 25% schedule credit. At $0.690, a 10% credit lowers effective rate to $0.621 per $100.
Can I exclude myself from code 9156 coverage in Tennessee?
Yes. Tennessee allows business owners to file an election excluding themselves from workers comp coverage on their own payroll.