Workers Compensation

  • Limits Specific Underwriting Considerations
  • Bodily Injury by Accident $1,000,000 each accident
  • Bodily Injury by Disease $1,000,000 each employee
  • Bodily Injury by Disease $1,000,000 policy limit
  • Minimum policy premium $750 Maximum $10,000
  • Experience Modification less than 1.00 – refer higher modification factor’s to company Underwriter
  • Up to 50 employees at one location
  • Minimum Payrolls: $15,000 per Full Time Employee, $7,500 per Part Time Employee
  • Loss Experience – no more than 2 medical only claims with paid + reserve of less than $2,500
  • Delivery is limited to no more than 20% of total sales
  • Business should close by midnight
  • Kitchen must be located on same floor as the serving area
  • No Blood Banks, Blood Donor Centers, Traumatic Injury or First Aid Centers
  • Salespersons limited to 25% of total number of employees and 40% of total payroll
  • Submit to company Completed and signed ACORD applications 125 and 130 and rating worksheet ACORD form 125 – Referral to underwriter required for “Yes” answers to questions 1, 2, 4, 5, 8, 9, 10, 11, 12 ACORD form 130 – Referral to underwriter required for “Yes” answers to questions 1, 2, 3, 4, 5, 6, 7, 8