This AI template is tailored for parsing California Workers Compensation insurance quotes. It extracts core policy data including effective and expiration dates, insurer name, A.M. Best rating, and insurer status (admitted or surplus lines).
The template pulls named insured details, job classification codes, payroll exposures, and experience modification factors used in premium calculations. It also identifies bodily injury limits, per-claim deductibles, and coverage extension endorsements like USL&H, Jones Act, and Stop Gap Coverage.
Additional fields include discounts for safety and drug-free programs, executive officer inclusion, and audit or reporting form conditions. Premium breakdowns, taxes, payment terms, and included/excluded personnel are also returned to support full policy analysis and automated quote intake.