Worker’s 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: o      $15,000 per Full Time Employee o      $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,