about  |  faq |  get quotes  |  request cert  |  contact

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

$2,900- Min Annual Payroll (effective 12.01.07).

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

LLC Members

Partnership status.  Treated as employee.

Members, defined as those with an ownership interested, are treated as partners.

Members are statutorily excluded, but may elect coverage.

Corporate Officers: Corporations

$16,536- Min Annual Payroll (effective 12.01.07).

Executives may be excluded by endorsement.

 General Liability Information:

 Owners Wages for General Liability:

Individuals and Partners

$30,700- flat annual (effective 07.01.84).

Corporate Officers & LLC Members

$30,700- flat annual (effective 07.01.84).

UT Resources & Links:

 UT Workers Compensation Forms:

State of Utah

http://www.utah.gov/

Labor Commission

http://www.laborcommission.utah.gov/

Division of Industrial Accidents

http://www.laborcommission.utah.gov/IndustrialAccidents/index.html

 
Mailing Address:
Post Office Box 146610
Salt Lake City, Utah 84114-6610
 

Street Address:
160 East 300 South, 3rd Floor
Salt Lake City, Utah 84111
(800) 530-5090 (in state only), (801) 530-6800

Fax: (801) 530-6804, TDD:  (801) 530-7685
iaccd@utah.gov

Workers’ Compensation Fund

https://www.wcfgroup.com/wcfWebsite/homePage.do

Salt Lake City Office
392 East 6400 South
Murray, Utah 84107
(800) 446-2667

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.