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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, and high.

Commercial Packages- 12 Equal Installs

Non-construction risks only.

Workers Compensation Information:

 Owners Wages for Workers' Compensation

Individuals and Partners

$30,000- Min Annual Premium (effective 01.01.07).

Sole-proprietors and Partners covered only if endorsed on policy.

LLC Members

Partnership status.  Treated as employee.

Members owning 10% or more in capital are statutorily excluded from coverage.

Members may elect to be covered.

Corporate Officers: Corporations

$15,600- Min Annual Payroll (effective 01.01.07).

Stockholders with 10% or more in stock or excluded unless endorsed on policy.

 General Liability Information:

 Owners Wages for General Liability:

Individuals and Partners

$38,100- flat annual (effective 08.01.84).

Corporate Officers & LLC Members

$19,200- flat annual (effective 08.01.84).

OK Resources & Links:

 OK Workers Compensation Forms:

State of Oklahoma

http://www.ok.gov/

Oklahoma Workers’ Compensation Court

http://www.owcc.state.ok.us/

Oklahoma City Location:
Denver N. Davison Court Building
1915 North Stiles Avenue
Oklahoma City, Oklahoma 73105
 

Tulsa Location:
440 South Houston, Suite 210
Tulsa, Oklahoma 74127
(800) 522-8210 (statewide), (405) 522-8600 (Oklahoma City) (918) 581-2714 (Tulsa), Fax: (405) 522-8687 (administration)

Department of Labor

http://www.okdol.state.ok.us/

4001 North Lincoln Boulevard
Oklahoma City, Oklahoma 73105-5212
(888) 269-5353, (405) 528-1500 Fax: (405) 528-5751

Workers’ Compensation Enforcement Unit

http://www.okdol.state.ok.us/workcomp/index.htm

Worker Safety Policy Council

http://www.okdol.state.ok.us/wspc/index.htm

CompSource Oklahoma

http://www.compsourceok.com/

Mailing Address (Oklahoma City):
Post Office Box 53505
Oklahoma City, Oklahoma 73152-3505

Street Address (Oklahoma City):
1901 North Walnut Avenue
Oklahoma City, Oklahoma 73105-3295
(800) 347-3863, (405) 232-7663

Teleclaim (to report an injury): (800) 872-7015

Claims Information: (800) 462-7966, (405) 962-3872

Fax: (405) 962-3000

Fraud Hotline: (800) 899-1847
Claims Information: claims@compsourceok.com

Fraud: fraud@compsourceok.com
 

Street Addresses (Tulsa Branch Office):
1305 South Denver Avenue
Tulsa, Oklahoma 74119-3040
 

Mailing Address (Tulsa Branch Office):
Post Office Box 50580
Tulsa, Oklahoma 74150-0580
(800) 347-3863, (918) 295-1500

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.