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34 <br /> NORTH CAROLINA Page 3 <br /> WORKERS COMPENSATION INSURANCE <br /> EXPERIENCE RATING <br /> COMBO GROUP ID: 6801607 RATING DATE: 09/01/25 to 09/01/26 <br /> CARRIER: 37354 BUILDERS MUTUAL INSURANCE COMPANY POLICY: WCP109295901 <br /> Policy Period: 09/01/23 to 09/01/24 Carrier 37354 Policy WCP109295900 <br /> Actual Primary Exp. Primary <br /> Claim Number Class Inj Open = 0 Incurred Actual I Class Loss Expected D Expected <br /> or $claims Code Typ Closed = 1 Losses Losses Code Payroll Rate Losses Ratio Losses <br /> 8810 1,352,460 .03 406 .45 183 <br /> POLICY TOTALS: 31,804 25,500 1,952,750 8,763 2,910 <br /> Release Date: 04/12/25 <br />