Amerisafe

How To Become An Agent

If your agency focuses on industries such as Construction, Trucking, Heavy Manufacturing, Agribusiness, Oil & Gas, Marine, and other tough classes of business, and you are interested in pursuing a Workers' Comp contract with AMERISAFE, you may start the process by clicking here to fill out our Market Survey.

Your Market Survey will be directed to the Regional Vice President for review. Upon approval, you will be contacted for additional required documentation; you will then receive a contract for your signature. Please return the signed contract to us for full execution. Then...let the submissions begin!

*The survey is not a contract: it is an evaluation tool that helps us determine the proper fit. Once the form has been returned, the appointment process will begin.

Why Do Business with AMERISAFE?

AMERISAFE provides Workers' Comp Insurance to the most difficult classes of business. Our programs (Safety, Claims, and Audit) are designed specifically for these industries.

We invite you to review the trade specific industries to get a better understanding of our Workers' Comp focus.

 

How to Submit an Application to Underwriting
A completed submission must include:

Complete ACORD application

Expiring & 3-year current value, hard copy Loss Runs

Current Mod Worksheet or expiring and 3-year historical payrolls by class code

Narrative Description of the account
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You may send submissions to AMERISAFE in the following ways:

Submit Online Using GEAUX

*If you are not set up as a GEAUX agent and are interested in becoming one please contact your marketing associate at 800-897-9719.

By Email: applications@amerisafe.com


By Fax: 888-331-8870