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WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY ONE TOWER SQUARE HARTFORD CT 06183EXTENSION OF INFO PRESCHEDULE WC 00 00 01 (A) POLICY NUMBER: UB6N2590332214G INSURER: THE TRAVELERS INDEMNITY
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How to fill out workers compensation assigned risk

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How to fill out workers compensation assigned risk

01
Contact your insurance agent to determine if your business qualifies for workers compensation assigned risk.
02
Provide the necessary information about your business including number of employees, type of work, and history of claims.
03
Fill out the application form for workers compensation assigned risk, making sure to provide accurate and complete information.
04
Submit the application form to the assigned risk pool or insurance carrier for review and approval.
05
Once approved, make the required premium payments to secure workers compensation coverage for your business.

Who needs workers compensation assigned risk?

01
Businesses that are unable to obtain workers compensation coverage through the standard insurance market due to high risk or poor claims history.
02
Employers who are required by law to provide workers compensation insurance but have been rejected by multiple insurance carriers.
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Workers compensation assigned risk is a program designed to provide coverage for employers who are unable to obtain workers compensation insurance through the voluntary market due to high risk factors.
Employers who are unable to secure workers compensation insurance through the voluntary market are required to file for workers compensation assigned risk.
Employers can fill out workers compensation assigned risk by contacting their state's assigned risk plan or working with an insurance agent familiar with the assigned risk process.
The purpose of workers compensation assigned risk is to ensure that all employers have access to workers compensation insurance coverage, even if they are deemed high risk by insurance companies.
Employers must report information such as their business operations, number of employees, previous claims history, and any other relevant risk factors.
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