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General Submission Requirements

Submission Requirements:
  • Completed ACORD 130 Application: (including the following information): 
                 - Federal Employer ID Number
                 - Detailed Description of Operations
                 - Completed General Information section – including explanations for 
                   all ‘Yes’ Answers
                 - Insured Contact Information 
  • Loss Runs (4 years + current year valued within 60 days) 
  • Claim Detail (individual claims > $25k) 
  • Current Experience Modification Worksheet 
  • Payroll History (4 years + current) 
  • Supplemental Application (industry specific)
  • Company Financials (Accounts > $500,000) 
  • Loss Control Pre-Inspection (Accounts > $250,000)

submissions@mu-programs.com
 
Resources
  • Supplemental Applications
  • WC State Websites

RISKMD
®

Patented Visualization Software for the Acquisition, Valuation, and Management of Insurance Transactions
Glenn Matias
1 International Place
Suite 1400
Boston, MA 02110
(617) 936-5875
glenn@mu-programs.com

Laura Hartsgrove-Baker
1 International Place                
Suite 1400
Boston, MA 02109
(617) 936-5880
lhbaker@mu-programs.com
Janis Intrieri
707 E Washington Street
Orlando, Florida 32801
(617) 936-5870
jintrieri@mu-programs.com

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     Please send submissions to: submissions@mu-programs.com







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