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Can we add a Waiver of Subrogation or an Alternate Employers endorsement?

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Can we add a Waiver of Subrogation or an Alternate Employers endorsement?

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A. Since each state has specific rules, please call us at (800) 653-7893 or e-mail us at IMS@LibertyMutual.com. Back To Top Q. Who determines our Experience Modification and how is it determined? A. The NCCI or state bureau calculates any experience modification factors. The calculation takes into account the prior 45 months of policy premium and loss history. Qualification is based on state premium guidelines. Back To Top Q. How do we request workers compensation certificates of insurance? A. In states where the agent can issue certificates, contact your agent. Otherwise, submit your certificate request to us in writing. Include the physical address of the certificate holder and mailing address of the policyholder and agent. Fax this information to the following number(s) depending on which state(s) you’re requesting the certificate(s) for: AL, AR, CT, DC, DE, GA, IL, IN, MI, MS, NC, NJ, SC, TN, VA, WI: Fax: (715) 843-2649 For: IA, KS, MA, NH, NV, VT: Fax: (603) 245-5330 Back To Top Q

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