Instructions for Completing the
Workers' Compensation
Premium Indication
Workers' Compensation
Premium Indication
Instructions for Completing the Online Application
The following are the instructions for completing the Instant Workers' Compensation Premium Indication.
1) On the first page of the application, simply select your Insured’s Industry and Profession, then select “Get Started” to continue.
2) When completing the form, please fill in your Insured’s Business Information on all pages, NOT your Agency information.
2) When completing the form, please fill in your Insured’s Business Information on all pages, NOT your Agency information.
Once you have submitted the Online Application, you will receive a pricing indication. It will Not include any schedule modifiers or experience modifiers. We will contact you to finalize the quote.
If requested coverage is not available, we will contact you as soon as possible. We represent over 50 carriers and insurance organizations and will work hard to find other great offers!
If you have any questions, please contact Michelle Dempsey at 800-926-6771 Ext. 124.
If requested coverage is not available, we will contact you as soon as possible. We represent over 50 carriers and insurance organizations and will work hard to find other great offers!
If you have any questions, please contact Michelle Dempsey at 800-926-6771 Ext. 124.
Each Workers’ Compensation Program offered through Cluett varies by state, minimum premium, eligible classes, and modification factor or by loss ratio. The underwriters at Cluett review each submission to match program eligibility and provide a quote(s) when available. Please contact our Underwriting Department for questions or information on all available programs.
Workers' Compensation Acord Forms and Supplemental Applications are available to download and print.
Workers' Compensation Acord Forms and Supplemental Applications are available to download and print.
Other Available Programs
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Commercial Auto:
Commercial Auto Programs Workers' Compensation: Programs & Products Hazardous Industries FlexPay Program Business Owner's Policy: BOP Programs |
Liability Programs:
General Liability Umbrella/Excess Liability Snow Removal Contractors Package Insurance Programs: Business Insurance Day Care Facilities |
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