AMERICAN E & S INSURANCE BROKERS, INC.                       CALL OR EMAIL US YOUR SUBMISSION (info below)

NEW WORKERS' COMPENSATION PROGRAMS

Now available to Kansas agents!

“A” Rated Carriers up to $100,000 in premium

Minimum premium varies by class but no less than $2500

BROAD RANGE OF ELIGIBLE CLASSES INCLUDING SERVICE, RETAIL, WHOLESALE, MANUFACTURING, AND SOME CONTRACTORS

Ineligible classifications include:  Temporary Staffing, PEO's, Mining, Nursing Homes/Assisted Living Homes, Roofing, Water & Sewer, Iron & Steel, Per Capita, Chemical, Federal Based, Employee Leasing, Volunteers without charge

EMODs .70 to 1.30

INSUREDS REPORT CLAIMS DIRECT

DIRECT BILL PAY PLANS

(PREMIUM BASED AS TO DOWN % AND NUMBER OF INSTALLMENTS)

$5.00 INSTALLMENT CHARGES

LOSS CONTROL SERVICES AVAILABLE

UP TO 4 STATES

ALSO CALL US ABOUT YOUR LARGER ACCOUNTS

SUBMISSION REQUIREMENTS

Completed ACORD application including

• FEIN     
• Number of years in business or date business began
• Number of employees by class code
• Contact name and number
• 100% ownership information

3 years of currently valued loss runs if existing business

Letter signed by insured stating details of experience for 3 years if new venture

Experience Modification worksheet or factor if available

AMERICAN E & S INSURANCE BROKERS, INC.  – STEPHANIE KOCH ext 232  skoch@aesbrokers.com

303.751.7974 voice        800.750.8026 TOLL FREE voice                303.745.8278 fax