Who is Eligible?
- At least 250,000 in Minimum Premiums
- Businesses Operating At Least 3 Years
- Target Clients/Risks in Best Hazard Grades 1-8, or NCCI Hazard Grades A-F
Submission Requirements
- Completed WC ACORD & PEO Supplemental App
- Current Client & Class List with Payrolls
- 3-5 Years of Loss Runs
- 3 Years of Historical Payrolls
- Current NCCI Mod Worksheet
- Quarterly Unemployment Reports
- Audited or Reviewed Financials
To schedule a meeting,
contact us at:
Mike Nejman, President | 866-234-6481 x 8462
John Kuehn, VP | 866-234-6481 x 7900
