Amtrust Workers Compensation Insurance

IHCFA.com Master Payor List - Generated On 12/8/2011 4:00:08 ...
AMTRU001 New York Workers' Compensation AMTRUST NORTH AMERICA PO BOX 15096 ALBANY, NY 12212 AMTRU006 New York Workers' ARCHI003 New York Workers' Compensation Arch Insurance Company [Electronic Indirect] 10909 Mill Valley RD #210 Omaha, NE 68154 ... Doc Viewer

ARI Class Codes, Rev. Jan, 2012
ARI Class Codes, rev. Jan, 2012 Workers Compensation Underwriting Classification Guide Code Phraseology Chartis Hartford Tower Amerihealth AmTrust Travelers Amerisafe ... Get Doc

01/11/2013 1ST AUTO & CASUALTY INSURANCE CO C/O: 1ST AUTO ...
1st auto & casualty insurance co c/o: 1st auto & casualty insurance co po box 7988 madison, advantage workers compensation ins c/o: advantage workers compensation ins po box 571918 salt lake city, amtrust ins co of kansas inc c/o: amtrust ins co of kansas inc po box 105074 ... Access This Document

FIRST REPORT OF INJURY OR ILLNESS SENT TO DIVISION DATE
DIVISION OF WORKERS' COMPENSATION. For assistance call 1-800-342-1741 . or contact your local EAO Office . insurance company, or self-insured program, files a statement of claim containing any false or misleading information commits insurance fraud, punishable as provided in s. 817.234. ... Read Here

List Of Licensed Companies, Approved Reinsured And Surplus ...
0 40517 Advantage Workers Compensation Insurance IN A 09 Company . P.O. Box 571918 Salt Lake City, UT 84157-1918. 2538 0 AmTrust International Underwriters Limited K Edward Angell Palmer & Dodge 750 Lexington Avenue New York, NY 10022 . ... View Document

ICW Group - MPN, Choosing Medical Care For Work-Related ...
Workers’ Compensation Physician Network called a Medical Provider Network (MPN). This MPN is administered by MEDEX Healthcare, Inc. The insurance company has designated the following person to be the MPN contact for all employees. ... Fetch Content

Companies Licensed For Worker's Compensation (Designation 6E)
Advantage Workers Compensation Insurance 52 15954 Amtrust Insurance Company of Kansas, Inc. P.O. Box 650771 Dallas TX 75251 800-777-2249 53 10017 Arbella Indemnity Insurance Company, Inc. 1100 Crown Colony Drive Quincy MA 02269 617-328-2800 ... Visit Document

Workers’ Compensation Claim Reporting Directory
Workers’ Compensation Claim Reporting Directory . AmTrust 888-239-3909 (First reports) (Technology Ins. Co.) 866-272-9267 (After hours) www.amtrustgroup.com . SeaBright Insurance 866-367-7242 www.sbic.com . Secura 800-675-7731 . ... Retrieve Content

PENNSYLVANIA WORKERS COMPENSATION MANUAL - DCRB/PCRB Home Page
AmTrust Insurance Company of Kansas, Inc. Arch Insurance Company. Argonaut Great Central Insurance Company. Workers compensation insurance provides coverage for the statutory obligation of an employer to provide benefits for employees as required by: a. ... Return Doc

Monoline Workers’ Comp Markets AM Best Rating
Monoline Workers’ Comp Markets ¾ AMTRUST A ‐ VII ¾ Berkshire Hathaway A++ XIII ¾ Dallas National B++ ¾ General Casualty ¾ Midwest Insurance Company ... Access Full Source

EMPLOYER’S FIRST REPORT OF INJURY OR OCCUPATIONAL DISEASE
THE USE OF THIS FORM IS REQUIRED UNDER THE PROVISIONS OF THE ALABAMA WORKERS' COMPENSATION LAW 06/01/2006 WCC Form 2 Rev. 6/2006 STATE OF ALABAMA Type Insurer Insurance Co. Ins Co # Self-Insurer SI # Group Fund GF # 21. Filing Office Name ... Doc Retrieval

Page 1 Of 17 07/27/2012 GEORGIA STATE BOARD OF WORKERS ...
07/27/2012 georgia state board of workers' compensation f. y. 2013 annual assessment company (insurer) 21st century national i ns . co. amgoard insurance company amtrust i nsu ran ce co. of ansor america insurance co . arch insurance company argonaut great central i ns . ... Return Doc

3/31/2008 INSURER REPORT - Atlanta Workers Compensation Law ...
13122 american alternative insurance (multi-tpa) amtrust south/covenant po box 740042 atlanta ga 30374 678 258 8000 30007 gemc workers compensation si fund po box 1707 tucker ga 30085 770 270 6950 gemc po box 1707 tucker ga 30085 770 270 6950 ... View Doc

DATE (MM/DD/YYYY) WORKERS COMPENSATION APPLICATION
ANY UNDISPUTED AND UNPAID WORKERS COMPENSATION PREMIUM DUE FROM YOU OR ANY COMMONLY MANAGED OR OWNED ENTERPRISES? IF YES, EXPLAIN INCLUDING ENTITY NAME(S) AND POLICY NUMBER(S). 24. or agent of an insurance company who knowingly provides false, ... Fetch Doc

IHCFA.com Master Payor List - Generated On 10/7/2010 3:38:44 ...
AMTRU002 New York Workers' Compensation Amtrust North America PO Box 105010 Atlanta, GA 30348-5010 AMTRU001 New York Workers' ARCHI003 New York Workers' Compensation Arch Insurance Company [Electronic Indir 10909 Mill Valley RD #210 Omaha, NE 68154 ... Get Content Here

Agent Commission Schedule Dec 2011 - Chenango Brokers- Home
ALLSTATE INSURANCE COMPANY (Renewals ONLY) RATE Commercial Auto 9.0% Customizer (BOP) & Commercial Package Policy (CPP) 10.0% AMTRUST GROUP Workers Compensation < $5000 premium 5.0% Workers Compensation > $ 5001 & < $7500 premium 4.5% ... Fetch Doc

Approved Payroll FL - AmTrust Financial, Inc.
YY our Source for Workers’ Compensation Insurance Phone: (800) 866-1234, ext. 2100 • Fax: (800) 866-4205 • E-Mail: marketingAIIS@amtrustgroup.com 1/09 ... Document Viewer