“Your Safest Choice for
Workers’ Compensation Insurance”
UBIC’s Workers’ Compensation Products Include…
Admitted carriers
Financially strong, A.M. Best “A” rated carriers
Monoline workers’ compensation solutions for your clients
Risk Management tools available to clients
Competitive pricing and commissionsUBIC’s PayGo Product Results in Savings for Your Clients…
Monthly Self Reporting available
Cash flow improves since premiums are paid based on actual payroll, not estimated payrollUBIC’s Complete Program Management Provides…
Dedicated Team by agency (underwriter, loss control specialist, claims adjuster and customer service rep)
Unique accountability model focused on service and results
Payment plans and monthly self-reporting available
Management consultation on safety and accident preventionUBIC’s Submission Requirements
ACORD™ 130 - workers' compensation application
Three years' currently valued loss runs (may use NCCI E-Mod worksheet in lieu of loss runs)
Three years’ premium history
Supplemental applications (safety questionnaire)Email submissions to: Underwriting@UtahBIC.com
For more information about how to become appointed by UBIC, please contact:
West Coast and Midwest
East Coast
Ron Nielsen
Ron@UtahBIC.com
801-432-8121
Carol Gonzalez
Carol@UtahBIC.com
941-544-3479
Utah Business Insurance Company
Contact Information
Home Office
10150 South Centennial Parkway Suite 100Sandy, Utah 84070
Phone 801.432.8121 Fax 801.571.8165 Toll free 866.642.8242
Customer Service
Allison Schreiber Cecily EganAllison@UtahBIC.com Cecily@UtahBIC.com
Premium Audits
Jordan Simons Jordan@UtahBIC.comSafety and Loss Control
Josh Schultz Bud PetersonJosh@UtahBIC.com Cell 801.450.3216 Bud@UtahBIC.com Cell 801.783.8992
Operations
Jeannine M Hawkins Jeannine@UtahBIC.comPhone 801.889.1306
President
Ron Nielsen Ron@UtahBIC.comPhone 801.889.1308
Underwriting
Peggy Gierlach ext 317 Connie Paladino ext 381 Lee Dunn ext 645Phone 941.955.0793 Fax 800.963.7276 Toll free 800.226.0793 Underwriting@UtahBIC.com
Claims
*Claims are processed with our busi-ness partner S&C Claims.
10150 South Centennial Parkway Suite 100 Sandy, Utah 84070 Phone 801.268.0195 Fax 801.255.0849 Toll free 888.281.0045 Claims@UtahBIC.com
Your UBIC Team
UBIC’s Presence Today...
Partnering to grow strong for the future!
Available States (as of 12/2010)
Email submissions to: Underwriting@UtahBIC.com
West Coast and Midwest
East Coast
Ron Nielsen Ron@UtahBIC.com 801-432-8121 Carol Gonzalez Carol@UtahBIC.com 941-544-3479
Utah Business Insurance Company
FAQ
UBIC
Admitted carrier specializing in Workers’ Compensation Insurance Financial Stability Rating of “A”
Reinsurance
Midwest Employers AMBEST Rating A+XV
Underwriting Process
Once the completed application is received, it is input into UBIC’s quote/rate system and assigned to an under-writer for review. It is then referred to our reinsurers for approval. Once approved, the loss control department conducts a telephonic or onsite pre-survey (please submit risks at least 30 days prior to effective date).
Sampling of the risks we consider
Risks we DO NOT accept
Most construction including: Roofers, drywall, painters, etc. Oil and Gas exposures Restaurants, Hotels, Country Clubs 24 hour restaurant operations Manufacturing Explosives and demolition Short haul trucking—up to 500 mile radius Long haul trucking
Retail and Wholesale Asbestos
Assisted Living Facilities NCCI Hazard Grade IV risks
Underwriting Highlights
$1000: Main Street Business Guarantee Cost Only
$2500: Most Other Construction Risks Monthly Self Reporting available
$5000: Roofers/Framers/Height Exposure Work perform above 30 feet (underwriting referral) * E-mod 1.5 or lower New ventures okay
Workers’ Compensation Underwriting Guidelines
Ineligible Class Codes (as of 12/2010)
Underwriting Referrals
For all other NCCI codes, please send a complete application to Underwriting@UtahBIC.com for consideration or call your marketing representative to discuss a particular risk. In your submission include the following:
ACORD™ 130 - workers' compensation application
Three years' currently valued loss runs ( may use NCCI E-Mod worksheet in lieu of loss runs)
Three years’ premium history
Supplemental applications (safety questionnaire)Class
Code
Description
Class
Code
Description
0001 Domestics and Domestic Maintenance—Elective 8279 Stable or Breeding Farms and Drivers 0058 Horse Ranching—Elective Coverage 8350 Gas Dealer—LPG
0083 Farm: Cattle or Livestock Raising NOC & Drivers 8381 Gasoline Station: Self Service Only—Retail 0917 Domestic Service Contractor, Inside 8824 Retirement Living Centers—Health Care Ee 2586 Dry Cleaning and Dyeing & Route Supervisors 8829 Convalescent or Nursing Home—All Employ 3372 Electroplating 8831 Hospital—Veterinary
3620 Boiler Making 8833 Hospital: Professional Employees
5473 Asbestos Contractor—NOC & Drivers 8835 Nursing—Home Health, Public and Traveling 6216 Oil or Gas Lease Work NOC By Contractors & Dri 9016 Amusement Park Operations
7229 Long Distance Hauling 9022 Casino Gambling, Bingo, Slot Machine Arcade 7382 Tour Bus Operations 9040 Hospital: All Other Employees
7423 Aircraft or Helicopter Operation: All Other Ee & D 9084 Bar, Discotheque, Lounge, Night Club or Tave 7539 Electric Light or Power Co., NOC—All Employees 9156 Theater NOC: Players, Entertainers or Musicia 7720 Guards at Stationary Locations (Site Security) 9505 Automobile Painting
8233 Coal Merchant—Local Managers and Drivers NCCI Hazard Grade IV Except Roofers
