Workers' Compensation

We have a unique workers’ compensation placement facility with both brokerage and underwriting capabilities. This gives us the ability to find solutions for your clients' workers’ compensation needs. We have the ability to write in all states except monopolistic states. We use only the best carriers in the industry with an AM Best Rating of A or better.


Coverage Parameters

Target Classes:







Specialized Staffing firms

New Ventures


Minimum Premiums:

Most classes $2,000

Construction $5,000 - $10,000

Transportation $10,000 - $50,000


Experience Mods 2.00+

Guarantee Cost Programs


Listing of A Rated Carriers Available upon request

Commission Schedule

Competitive Commissions

Commission may vary by account


Application Requirements

We require the following:

1. ACORD 130

2. 3 Years Currently Valued Loss Runs

3. Copy of Experience Mod Worksheet of Snapshot

Title View/Download
Acord 130 Acord 130
Acord 130 Fl Acord 130 Fl
Marketscout General Supplemental Marketscout General Supplemental
Trucking Supplemental Trucking Supplemental
Nursing Home Supplemental Nursing Home Supplemental
First Report if Injury Form ACORD First Report if Injury Form ACORD
Contractor Supplmental Contractor Supplmental


1What states do you write?
We have carriers that can write in all states except the monopolistic states WA,ND,WY,OH.
2What is the maximum experience mod you are able to write?
Depends on the account characteristics but we have written accounts with experience mods over a 2.00.
3What are your maximum and minimum premiums?
Max Premium $1,000,000+ / Min Premium $2,000 / Min Contractors $5,000-$10,000 varies by state / Min Truckers $10,000-50,000 varies by state
4What needs to be included in a submission?
We must have a completed Workers' Compensation ACORD Application(130), 3 Years of Current Losses (if applicable), and the Experience Mod Worksheet (if applicable).
5How many days in advance can you quote?
We can quote up to 90 days in advance.
6What is needed to bind a Workers Compensation policy?
We will need: Written Confirmation of binding (email or fax) Completed and signed ACORD Application 3 Years Current Losses (if applicable) Experience Mod Worksheet (if applicable) You must be an approved agency through MarketScout; contact your MarketScout underwriter for instructions.
7Claims or Billing questions?
If you have billing or claims questions please contact the work comp specialist for this state.
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