Worker's Comp Quote

Templates

Worker's Comp Quote

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Insurance

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Datapoint

Description

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Entity Type

Identifies the insured company’s legal structure, LLC, Corporation, or Partnership.

FEIN / SSN

Extracts the Federal Employer Identification Number or Social Security Number of the business or applicant.

Quote Effective Date

Captures the date Workers Compensation coverage begins.

Quote Expiration Date

Returns the date Workers Compensation coverage ends.

Total Premium

Returns the base premium for Workers Compensation, excluding taxes and fees.

Coinsurance

Extracts the coinsurance percentage specific to Workers Compensation coverage.

Bodily Injury by Accident and by Disease

Returns the per-incident and per employee payout limit for physical injuries and disease.

State Classifications

Extracts operational categories found under the Schedule of Operations, including all listed job roles and business activities.

Classification Code Numbers

Returns the 4-5 digit classification codes assigned to each job or business activity.

Estimated Annual Premium

Returns the projected premium for each classification.

Premium Basis / Annual Remuneration

Captures the total payroll or compensation used to calculate premiums.

Rate per $100 Payroll

Returns the premium rate applied to each $100 of payroll.

Form Details

Extracts relevant Workers Compensation forms, including the form title, description, and revision date.

TRIA Terrorism Endorsement

Indicates the presence of a certified terrorism endorsement under the Terrorism Risk Insurance Act.

Additional Insureds

Returns the names of additional insured parties listed in the Workers Compensation Quote.

Loss Payee Information

Returns the code, name, address, and city for each listed Loss Payee.

Workers Compensation Exclusions

Extracts all listed exclusions, including operations, personnel, or risks not covered by the quote.

This AI template is designed to extract key data from Workers Compensation insurance quotes, making it easier to assess business coverage and premiums. It pulls business identity information, such as entity type and FEIN/SSN, along with the quote’s effective and expiration dates.

The template extracts total premium details, coinsurance, and bodily injury limits for both accidents and diseases. It also returns detailed classification breakdowns from the Schedule of Operations, including class codes, job roles, estimated premiums, and payroll-based rating data.

Additional fields include forms and endorsements like TRIA, named additional insureds, loss payees, and all listed exclusions that may affect coverage eligibility or scope. Ideal for brokers and HR teams, this template streamlines review and automation of workers compensation quotes.

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