Workers’ CompensationWorkers’ Compensation

WORKERS’ COMPENSATION

 

ADVANTAGES:

  • Experience Mods up to 1.79.
  • Shock Losses are considered
  • Monoline Workers Compensation
  • Employers Liability up to $1,000,000

Available class codes coming soon . . .

TERRITORY National
CLASSES We are NOT a market for the following:
  • PEO's, Staffing or Employee Leasing Firms
  • Paper General Contractors, Project Managers, and Roofing Contractors
  • Boat Cruises and Water Taxis
  • Hospitals, Hospice, Traveling Nurses, Assisted Living Facilities, Convalescent or Nursing Homes, Group Homes
  • First Responders- Policy, Fire, and Paramedics
Other classes of business may vary by state
PREMIUM Minimum policy premium of $5,000
DEDUCTIBLE Statutory deductibles as approved by the State


DIRECTIONS FOR SUBMISSION

DIRECTIONS FOR SUBMISSION Email:   workerscomp@brittpaulk.com
Fax:     770-836-8563
SUBMISSION REQUIREMENTS
  • Signed Accord Application (125 and 130 Sections)
  • Resume on owner(s) or key employee(s)
  • Current and 3 years prior hard copy loss runs valued within 120 days of the proposed effective date
  • Detailed description of all claims with an incurred amount over $25,000
  • Copy of current Experienced Mod Worksheet or Snapshot
  • Detailed description of operations
© 2007-2008 Britt/Paulk Insurance Agency, Inc.