• Monoline Workers’ Compensation coverage is available in 48 states
• Guaranteed Cost and Dividend Plans
• Minimum premiums as low as $1,000
• Employer Liability Limits up to $1,000,000
• Markets available for construction and trucking
• Experience Modifications Factors: 1.70+

Submission Requirements

All accounts less than $100,000 Estimated Annual Premium please submit the following:

• Completed ACORD 130 or 130 FL Application
• 3 years of currently valued hard copy loss runs
• Narrative of operations
• Owner resume if new venture

All accounts greater than $100,000 Estimated Annual Premium please submit the following:

• Completed ACORD 130 or 130 FL Application
• 5 years of currently valued hard copy loss runs
• Narrative of operations
• 5 years audited payroll
• Schedule of Owned/Non-Owned Vehicles
• Radius of Operations
• Fleet Safety Program

Construction accounts greater than $50,000 Estimated Annual Premium please submit the following:

• Completed ACORD 130 or 130 FL Application
• 3 years of currently valued hard copy loss runs
• Narrative of operations
• Contractors Questionnaire
• Schedule of Owned/Non-Owned Vehicles
• Radius of Operations
• Fleet Safety Program