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Available Programs:

 Carrier Risk Tolerance:

Pay As You Go Workers' Compensation

All risks acceptable:  low, medium, and high risk business.

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

$32,500.00- annual (effective 02.01.08).

LLC Members

Statutorily excluded.  Partnership status.  Treated as employee.

Members engaged full-time may elect to be covered by written election.

Corporate Officers: Corporations

$16,224- Min Annual Payroll (effective 02.01.08).

Executives may be excluded by endorsement.

*Notes

 General Liability Information:

 Owners Wages for General Liability:

Individuals and Partners

$27,400- flat annual (effective 07.01.84).

Corporate Officers & LLC Members

$27,400- flat annual (effective 07.01.84).

NE Work Comp Resources & Links:

 NE Workers Compensation Forms:

State of Nebraska

http://www.nebraska.gov/

Workers’ Compensation Court

http://www.wcc.ne.gov/

Street Address:
Lincoln, Nebraska 68509
State House, 13th Floor
 

Mailing Address:
Post Office Box 98908
Lincoln, Nebraska 68509-8908
(800) 599-5155 (in Nebraska only)

(402) 471-6468 (Lincoln and out of state), Fax: (402) 471-2700

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.