Workers' Compensation Programs

This program is available to Massachusetts Insureds ONLY.

Welcome. . .
to the Number One Insurance Agency’s Workers’ Compensation Program!  We have redesigned this webpage to try and make it more user friendly. Please read through the table of contents below to see what information you need and “click” on the appropriate link.  Feel free to print out the pages and make your own booklet on WC for quick easy desk access.  Just remember, things constantly change.  We will do our best to keep this site up to date with rates, notices, underwriting changes, etc. 
Thank you for your interest and we look forward to working with you!
Table of Contents
  1. How to Submit Business

  2. Class Codes

  3. Acord 130 – Workers Compensation Application & Completion Instructions
  4. Form 153 – to Exclude Coverage

  5. ERM 14 – to Change Ownership/Entity

  6. General Information:
  7. Attorney General Advisory on Independent Contractor Law

  8. Our Markets [Contact Information (audits, claims, service, etc.), Billing, Certificates of Insurance & Workflow]
  9. Underwriting Criteria:
  10. Restrictions to Class Code Criteria

  11. Additional Questionnaires:
  12. The Hartford’s Application for Waiver of Subrogation

  13. Declination Procedures

  14. Prior Carrier Information
 

 
Massachusetts Association of Insurance Agents
137 Pennsylvania Avenue, Framingham, MA 01701
800-972-9312 | (508) 628-5452 | (508) 628-5444 fax
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