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Mono-Line Workers Compensation

Submission Requirements

Submission Requirements:

  • Fully Completed ACORD Application
  • Fully Completed Supplemental Application
  • 5 Year Currently Valued Loss Runs
  • Experience Mod Worksheet
  • Insured's Website


Coverage Details

Mono-Line Workers Compensation

Limits up to $1,000,000

Various A+ rated carriers

Minimum Premium starting at $2,500

Experience Mod up to 1.70

Target Classes:

Agribusiness, Artisan and Trade Contractors, Health and Medical Operations, Heavy Construction Classes, Janitorial, Landscapers, Manufacturing, Restaurants, Technology Services, Trucking, USL & H



Associated PDF Files