High Debit Mod

High-Mod Workers’ Compensation Programs

For risks with adverse loss history and a high or debit-Mod, we offer “A” Rated Workers’ Compensation programs with proven solutions to improve results.

This Program is available to risks  domiciled in the following states: AR,AZ,CO,GA,IN,IA,KS,KY,MD,MI,MN,MO,NC,NE,PA,RI,SC,TN,TX,UT,VA.

Submission Requirements

  • Completed Acord 130 (Workers’ Compensation Application)
  • Loss Runs:  Current year plus four prior years’, currently valued
  • Current E-Mod Worksheet
  • Narrative of all losses >$25,000
  • Completed Supplemental App (if applicable)

For more information on any of our programs, call 800-440-7475