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Available Programs: |
Carrier Risk
Tolerance: |
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Pay As You Go Workers' Compensation |
All risks acceptable: low, medium,
and high.
Includes risks such as contractors,
trucking, roofing, and temporary staffing. |
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Direct Bill Work Comp |
All risks acceptable: low, medium,
and high. |
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Pay As You Go General Liability |
Contractor and service risks
acceptable: low, medium only |
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Commercial Insurance- Standard Lines |
Most Risks |
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Commercial Packages- 12 Equal Installs |
Non-construction risks only. |
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PaySmart Payroll & Insurance
Management |
Available |
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Workers
Compensation Information: |
Owners Wages for
Workers' Compensation |
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Individuals and Partners |
$57,500.00- annual
(effective 05.01.08). |
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LLC Members |
Statutorily
included. Corp status. Classed as Exec
Officer.
Applies to members
devoted full-time to business.
Up to 5 members
may elect to be exempt by written
certification. Must be identified by name. |
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Corporate Officers: Corporations |
$20,800- Min
Weekly Payroll (effective 05.01.08).
Executives may be
excluded by endorsement. |
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Family Members |
Family members
in GA are not exempt unless they are
officers of the Corp or members of the
LLC. Up to five officers or LLC members
can be exempt. They have to file a form
with the insurer (not the state) to be
exempt. Sole Proprietors are excluded
unless they elect coverage.
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*Notes |
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General Liability
Information: |
Owners Wages for
General Liability: |
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Individuals and Partners |
$24,400- flat
annual (effective 07.01.84). |
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Corporate Officers & LLC Members |
$24,400- flat
annual (effective 07.01.84). |
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GA Work Comp Resources & Links: |
GA Workers Compensation Forms: |
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State of Georgia
http://www.georgia.gov/
Georgia State Board of Workers’
Compensation
http://sbwc.georgia.gov/
270 Peachtree Street, NW
Atlanta, Georgia 30303-1299
(800) 533-0682,
(404) 656-3875, Fax: (404) 656-7768,
Enforcement
Division: (404) 657-1391,
Safety Library:
(404) 656-9057
Georgia Subsequent Injury Trust Fund
http://sitf.georgia.gov/
Suite 500, North Tower
1720 Peachtree Street, NW
Atlanta, Georgia 30309-2420
(404) 206-6360, Fax: (404) 206-6363, TDD: (404) 206-5053 |
Acord 130 Form
Certificate Request Form
ERM-14 Form
Order Loss Runs (Example)
NCCI Mod Authorization
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* Information contained herein is based on the
most accurate data as of the time of posting. Please check
with you states Division of Workers' Compensation Insurance for the
most up to date information and to verify accuracy.
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