Rhode Island Workers Compensation Insurance (RI)

Available Programs:

 Carrier Risk Tolerance:

Pay As You Go Workers' Compensation

All risks acceptable:  low, medium, and high.

Includes contractors, auto repair, restaurants, retail, and more.

Direct Bill Workman's Comp

All risks:  low, medium, and high.

Pay As You Go General Liability

Construction and service industries

Commercial Packages- 12 Equal Installs

Non-construction only.

Workers Compensation Information:

 Owners Wages for Workers' Compensation

Individuals and Partners

Pending info.

LLC Members

Pending info.

Corporate Officers: Corporations

Pending info.

 General Liability Information:

 Owners Wages for General Liability:

Individuals and Partners

Pending info.

Corporate Officers & Members

Pending info.

RH Resources & Links:

 RH Workers Compensation Forms:

State of Rhode Island

http://www.state.ri.us/

Workers’ Compensation Court

http://www.courts.state.ri.us/workers/defaultnew-workers.htm

One Dorrance Plaza
Providence, Rhode Island 02903
(401) 458-5000, Fax: (401) 222-3121

Medical Advisory Board

http://www.courts.ri.gov/workers/medical/medical-advisory.htm

Workers’ Compensation Advisory Council
194 Smith Street
Providence, Rhode Island 02908
(401) 751-7100

Department of Labor and Training

http://www.dlt.ri.gov/

1511 Pontiac Avenue
Cranston, Rhode Island 02920-4407
(401) 462-8000

Workers’ Compensation Division

http://www.dlt.ri.gov/wc/

Mailing Address:
Post Office Box 20190
Cranston, Rhode Island 02920-0190
(401) 462-8100, Fax: (401) 462-8105, TDD: (401) 462-8006

Acord 130 Form

Certificate Request

ERM-14

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 your Division of Workers' Compensation Insurance for the most up to date information and to verify accuracy.