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Workers' Compensation Program

The Massachusetts Workers' Compensation Rating and Inspection Bureau (WCRIB) no longer requires declination letters. They do, however, require the names of two (2) carriers unwilling to write the business.

If we have declined a risk, below is the contact information you may use on your pool application.
Insurance Company
Name of Representative
Date
Phone
The Hartford Barbara Lobdell xx/xx/xx 508-634-7362
Norfolk & Dedham Group Barbara Lobdell xx/xx/xx 508-634-7362

If you must go to the pool:

  • Use the new WC pool application available at the WCRIB website www.wcribma.org

PLEASE DO NOT FAX REQUESTS FOR DECLINATIONS.

Below is a list of carriers that we have used in the past and their contact information.

Chartis US Insurance Group
Previously: AIG/AIU Holdings
Rated A (Excellent) by AM Best

Customer Service Website for insureds to manage their account, report a claim and get loss runs: http://www.aig.com/Intellirisk_20_10011.html.

Billing & Customer Service Phone:  (800) 645-2259
Billing & Customer Service Fax:  (973) 331-8660
Claims:  To Report a New Claim (877) 399-6442 / To Inquire on an Exiting Claim (866) 642-5246
or online at http://www.aig.com/Intellirisk_20_10011.html.
Premium Audit Division:  (800) 341-5541

For Audit Disputes:  Insured or Agent can fax directly to Chartis Audit Department:  (908) 679-3031.  Then follow up by calling (800) 341-5541 to be sure that fax was received and if any additional information is needed.  Payment Plans are available for Chartis Audits – To apply, the insured must fax to the Collection Department at (973) 331-8588 the following information:  Policy Number, Audited Term, Insured’s Contact Information, Proposed/Reasonable payment plan.  Chartis will review and if accepted provide a promissory note for the insured to sign and return.

Mail Premium Payments to:
Regular Mail: Overnight Address:
Chartis
22427 Network Place
Chicago, IL 60673-1224
JP Morgan Chase
Attention: Lockbox 22427-Chartis
131 South Dearborn, 6th Floor
Chicago, IL 60603

Loss Runs:
Request on insured’s letterhead and fax to (973) 331-8660

ACE USA
Rated A+ (Superior) by AM Best

Automated Billing Status Update: (877) 490-7427

Mail Premium Payments to:
Regular Mail: Overnight Billing Address:
ACE USA
Dept. CH 14089
Palatine, IL 60055-4089
Chicago Regional Lockbox
5505 N Cumberland Avenue
Suite 301
Chicago, IL 60656
Attn: Box# 14089

Online Payments: Insured can make payments online with ACE from their checking account, debit card or credit card at the following address: www. acepaymentservices.com

Claims:
Reporting forms may be obtained from:

Department of Industrial Accidents
600 Washington Street
Boston, Massachusetts 02111

Copies of the reports may be mailed to:
ESIS
P.O. Box 6566
Scranton, PA 18505-6566

Or Faxed to: (800) 981-4375

All endorsement, cancellation, reinstatement, loss run and other such requests should be requested in writing to Number One Insurance to communicate with the assigned carrier. Unfortunately, only the appointed agent is allowed to make coverage/named insured change requests. Feel free to send to us via staff's email or fax number. Thank you.