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Available Programs:

 Carrier Risk Tolerance:

Pay As You Go Workers' Compensation

Limited 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 and high risk

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

$60,800.00- annual (effective 01.01.08)

Sole Proprietor & Partners covered only if endorsed on policy.

LLC Members

$21,112- Min Annual Payroll (effective 01.01.08).

Non-Construction:  Up to 3 executives may be excluded.

Construction: Can't exclude if actively engaged in onsite work.

Corporate Officers: Corporations

$21,112- Min Annual Payroll (effective 01.01.08).

Up to 3 Executives may be excluded by endorsement.

Can't exclude if actively engaged in onsite work.

*Notes

 General Liability Information:

 Owners Wages for General Liability:

Individuals and Partners

$26,800- flat annual (effective 08.01.84).

Corporate Officers & LLC Members

$26,800- flat annual (effective 08.01.84).

NH Work Comp Resources & Links:

 NH Workers Compensation Forms:

State of New Hampshire

http://www.nh.gov/

Department of Labor

http://www.labor.state.nh.us/

95 Pleasant Street
Concord, New Hampshire 03301
(603) 271-3177
 

Workers’ Compensation Division

http://www.labor.state.nh.us/workers_compensation.asp

95 Pleasant Street
Concord, New Hampshire 03301
(603) 271-3174 (claims)

(603) 271-2042 (coverage)

(603) 271-6172 (self-insurance)

(603) 271-3328 (vocational rehabilitation)

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.