Amersafe Agents
Methods to Submit your Applications

Amerisafe wants to make doing business with us as easy as possible. This page offers links to each specific area of submitting and binding business with Amerisafe, including pay plans and payment methods.

Amerisafe would like to announce our new online functions for our contracted agents. Our agents now have access to run several different production reports that will allow them to better manage their Amerisafe business. The reports include Final Audit Reports for specific policies, Pending Cancellations, Earned Premium Report for their agency for a given time frame, Account Status reports, Agency Claims Activity, Loss Ratio for the agency, and a Production and Loss Summary Report for the agency for a given timeframe. Please follow our link WEB REPORTS to log in.

Amerisafe writes only workers' compensation insurance for hazardous industries. Our "Core Trade Groups" are as follows:

Agribusiness Workers' Comp
Construction Workers' Comp
Loggers Workers' Comp
Oil and Gas Workers' Comp
Truckers Workers' Comp
Other Hazardous Industries Workers' Comp

State Specific Approved Class Code Lists

The lists are state specific lists and identify NCCI class codes which we will consider. Be sure to check the state of exposure based on governing class code and payroll — particularly for multistate exposures.
Click here to go to the State Specific Approved Class Code Lists -->

Amerisafe Underwriting and Submission Requirements:
Underwriting Department
Minimum Premium Size, Supporting Documentation, and Submission Pre-Inspection
Trucking Supplemental Application -
this form is required for all Trucking submissions.
Ready Reference Guide - outline of the Amerisafe Agent's Guidelines.

Submit Your Accounts to Amerisafe:
Fax - 1-888-331-8870
Mail - Amerisafe 2301 Hwy 190 West DeRidder, LA 70634
E-mail* (applications@amerisafe.com)
*Applications and other underwriting requested information should only be e-mailed to the above e-mail address. E-mails received at the above address will be sent a confirmation e-mail reply from the Amerisafe underwriting department. If the confirmation e-mail reply isn't received, contact underwriting immediately.

Payment Methods:
Policies are written on a Direct Bill basis, and Amerisafe uses Monthly Reporting as our primary payment method.
Payment methods, including Check-by-Phone

Amerisafe Safety Department:
Safety Professionals
Safety Tips - for the Construction, Logging & Trucking industries. Use this tips at your next "Tailgate" meeting, or post them on the jobsite.
Safety Acts & Facts
Safety Library and Other Resources
Safety Videotape Loan Library
Safety Custom Services
Safety Links

Amerisafe Claims Department:
Amerisafe Claims
- REPORT CLAIMS HERE
First Report of Injury Hotline 1-800-699-6240

Amerisafe Marketing Department:
Marketing Department
Forms, Guideline and Brochures available for download


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Amerisafe, Inc.
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