Applications

NOTE:  Equine Insurance Specialists is not a home for monoline Workers Compensation coverage.  However, we will be happy to quote your workers comp coverage on the condition that we will write the insured’s supporting business within twelve months.

Eligibility

  • Current Workers Comp coverage in place for at least two years.
  • Favorable loss history.
  • Experience Modification Factor of 1.50 or lower.

Submission Requirements:

  • Completed Acord 125 Applicant Information Section.
  • Completed Acord 130 Workers Compensation Section.
  • Currently-valued Loss Runs – 3 years (5 years preferred).
  • Completed Equine Program Supplement (see above).