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Contact Us.

(847) 686-0000

We're here to help. Whether you're submitting an account, have questions about our programs, or would like to discuss a partnership, we'd love to hear from you.

SUBMIT AN ACCOUNT

We appreciate the opportunity to review your submission. Providing complete underwriting information upfront helps us evaluate your account more efficiently and deliver a faster response.

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Missing a document? Submit what you have—we'll let you know if anything else is needed.

Before You Submit
For most workers' compensation submissions, we recommend including:

✓  ACORD Applications

✓  Five years of loss runs (valued within 90 days

✓  Five years of historical premium and payroll

✓  Current Experience Modification Worksheets

✓  Details of losses exceeding $25,000

✓  Narrative of operations 

Submitting an Independent Contractor Solutions (ICMS) account?  Please contact us for program-specific submission requirements.

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CoEfficient
Underwriters, Inc.
(847) 686-0000
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