Agent/Producer and Employer Resources

Apply

Assigned Risk Coverage can be applied for through our Online Assigned Risk (OAR) system.

Forms

Classification

Increased Limits

Employers Liability Coverage - Part Two is restricted to the standard limit of liability of $100,000 unless the insured requests higher limits of $500,000 or the maximum limit of $1,000,000.

Limit Of
Percentage
Minimum Charge
$500,000
1%
$50
$1,000,000
2%
$75

Note: Additional charge is based on the total premium and added before the experience modification.

Servicing Carriers

L M Insurance

The Travelers

  • Baldwin Point Bldg.
  • 2420 Lakemont Ave
  • Orlando, FL 32814
  • Phone: 800-443-4404
  • Fax: 877-634-3710
  • arwc@travelers.com

Accident Fund Ins Co of America (Effective 1-1-17)

Certificate of Insurance 

Certificates of insurance are to be issued by the Servicing Carrier within 5 working days of receipt of the request.
Often, more immediate issuance is required. If so, the Servicing Carrier should be contacted to see what arrangements can be agreed upon.

Common Reasons an App is Rejected

In order to ensure your application is completed in a timely manner, please view these common reasons an application is returned or delayed.

Assigned Risk FAQs

The answers to most frequently asked questions for the assigned risk process can be found here, or under the resource(s) links to the right.

MWCPF Information & Procedures Handbook

Our procedures handbook can be found here.

Assigned Risk Depopulation Report

The Depopulation Report contains all Facility policies expiring in the next quarter year. This report includes Employer Name, City, State, Risk I.D. Number, Premium, Expiration Date, Classification Code, Experience Modification and Pool Surcharge.

The data is formatted in an ASCII file capable of being opened in a spreadsheet program. Facility member carriers may distribute this information to their agents. Member carriers may also display this depopulation information on their web site and/or establish links to CAOM’s web site.

A printable PDF version, and a downloadable comma separated value text file (right click -> save link as) for spreadsheet use are available below.  Once downloaded, the file can be opened in Excel, or notepad.

Depopulation Report Date
PDF
Comma Delimited Text
04/01/2017
01/01/2017
10/01/2016
07/01/2016