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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

$17,160- Min Annual Payroll (effective 04.01.08).

LLC Members

Corporation status.  Treated as executive officer at $17,160- Min Annual Payroll..

The following are statutorily excluded from coverage:

1. Managers owning 25% or more, with 10 or fewer employees and less than 22,880 hours of payroll.

2. A family member of a manager described in "1."

Corporate Officers: Corporations

$17,160-  Min Annual Payroll (effective 04.01.08).

Executives owning 25% of stock of a closely held corporation is excluded. 

May elect coverage.

*Notes

 General Liability Information:

 Owners Wages for General Liability:

Individuals and Partners

$30,800- flat annual (effective 07.01.84).

Corporate Officers & LLC Members

$30,800- flat annual (effective 07.01.84).

MN Work Comp Resources & Links:

 MN Workers Compensation Forms:

Minnesota Workers' Compensation Insurers Association, Inc.

www.mwcia.org  |  952.897.1737

State of Minnesota

http://www.state.mn.us/

Department of Labor and Industry

http://www.doli.state.mn.us/
 

443 Lafayette Road North
St. Paul, Minnesota 55155-4307
(800) DIAL-DLI (342-5354), (651) 284-5005

TTY: (651) 297-4198

Workers’ Compensation Division

http://www.doli.state.mn.us/workcomp.html

443 Lafayette Road North
St. Paul, Minnesota 55155
(800) DIAL-DLI (342-5354) in Greater Minnesota, (651) 284-5005 in the St. Paul area, (800) 365-4584 or (218) 733-7810

in the Duluth area; Fax: (651) 284-5727
E-mail: DLI.Workcomp@state.mn.us

Workers’ Compensation Court of Appeals

http://www.workerscomp.state.mn.us/

405 Minnesota Judicial Center
25 Dr. Martin Luther King Jr. Boulevard
St. Paul, Minnesota 55155
(651) 296-6526, Fax: (651) 297-2520, TTY/TDD: (800) 627-3529

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.