Georgia Workers Compensation (GA)

Available Programs:

 Carrier Risk Tolerance:

Pay As You Go Workers Compensation

All risks acceptable:  low, medium, and high.

Includes risks such as contractors, trucking, roofing, and temporary staffing.

Direct Bill Work Comp

All risks acceptable:  low, medium, and high.

Pay As You Go General Liability

Contractor and service risks acceptable:  low, medium only

Commercial Insurance- Standard Lines

Most Risks

Commercial Packages- 12 Equal Installs

Non-construction risks only.

PaySmart Payroll & Insurance Management

Available

Workers Compensation Information:

 Owners Wages for Workers' Compensation

Individuals and Partners

$57,500.00- annual (effective 05.01.08).

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.

Corporate Officers: Corporations

$20,800- Min Weekly Payroll (effective 05.01.08).

Executives may be excluded by endorsement.

*Notes

 General Liability Information:

 Owners Wages for General Liability:

Individuals and Partners

$24,400- flat annual (effective 07.01.84).

Corporate Officers & Members

$24,400- flat annual (effective 07.01.84).

GA Work Comp Resources & Links:

 GA Workers Compensation Forms:

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

Georgia Notice of Election-Rejection Form- Workman's Comp

Acord 130 Form

Certificate Request Form

ERM-14 Form

Order Loss Runs (Example)

NCCI Mod Authorization

* 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.