Minimum Case Parameters

Minimum size group is two employees; minimum deductible: $500, maximum CSL: 500,000; maximum benefit period: 104 weeks.

 

Quoting requirements

  • Group name, location, and nature of business
  • Proposed effective date
  • Requested plan of benefits
  • Census including monthly earnings and description of duties.
  • Actual carrier loss runs for three years; including date of accident, injury details, paid and reserve amounts.
  • Disclosures

 

Declined Industry/Classes

Agriculture/Farming
Asbestos Products
Chemical Manufacturing
Deep-Sea Transportation
Employee Leasing Firms
Mining (including oil drilling)
1099 Contract Workers
Temporary Services

Occupational Accident Key Contacts

Steve Sullivan
Vice President Underwriting

John Fisher
Sales - Austin Office

Krystn Richardson
Insurance Reporting Coordinator

Laurie Cardin
Occupational Accident Administration

Lynda Edmondson
Sales - Austin Office

 

Occupational Accident Forms

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Update Policy

Updated Reporting Form