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Available Programs:

 Carrier Risk Tolerance:

Pay As You Go Workers' Compensation

All risks acceptable:  low, medium only

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

LLC Members

Corporate Officers: Corporations

*Notes

 General Liability Information:

 Owners Wages for General Liability:

Individuals and Partners

Corporate Officers & LLC Members

ME Work Comp Resources & Links:

 ME Workers Compensation Forms:

State of Maine

http://www.maine.gov/portal/index.php

Workers’ Compensation Board

http://www.maine.gov/wcb/

27 State House Station
Augusta, Maine 04333-0027
(207) 287-3751; Fax: (207) 287-7198

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.