Amerisafe, Inc. - Submission Requirements

Amerisafe's Industry Focus:
Amerisafe specializes in providing quality Workers' Compensation Insurance to those in Hazardous Industries: industries that have low-frequency, high-severity claims business. Our programs, from Safety, Claims and Underwriting, are designed specifically for the Hazardous Industries of:

We invite you to review the trade industries that you target to get a better understanding of our Workers' Compensation focus.

APPROVED CLASS CODE LISTS - NCCI CLASS CODES BY STATE:
Download the State Specific Class Code Lists. Each list contains the codes that Amerisafe considers for that particular state. Classes on the list will not be declined for Class of Business - but they will still undergo the normal underwriting process and can be declined for other reasons. NOTE: the codes can and will change; it is best to download the list(s) you are interested in on a regular basis, or contact your marketing associate with any questions.

Submissions:
Minimum Premium - $5,000

Pre-Inspections and Submission Time-Frame:
Amerisafe accepts submissions 120 days in advance of the current expiration date. All accounts are inspected by an Amerisafe Loss Control Specialist prior to quoting.

Submission Requirements:
We appreciate all of your submissions. However, to speed the turnaround time for a quote, we ask that you include the following items with your submissions:

Expiring (current) and three (3) year loss runs with loss summary
Experience mod worksheet OR expiring and three (3) year historical payrolls by class code
Narrative description of the account
Trucking risks require the Amerisafe Trucking Supplemental Application. Download this form here.
For any unlisted class code(s), contact your underwriter.

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