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Agent's Guide to Workers' Comp

A complete overview of workers' comp in general and working with Texas Mutual in particular.

Other States Coverage


Download the Quick Guide to Texas Mutual's other states program.

Texas Mutual provides agents the opportunity to submit coverage requests for states other than Texas. Other states coverage is provided via an arrangement with Argonaut Insurance Company, which holds an A.M. Best Rating of “A.” Texas Mutual reinsures this coverage 100%, so agents and policyholders have the backing of our financial strength.

The following is a quick reference guide to Other States Coverage.

Underwriting/marketing
Other states business must accompany a Texas Mutual policy. Agents can submit the other states application at the same time they submit the Texas application or as a new request with a current Texas Mutual policy. Texas Mutual and Argonaut policies must have the same expiration date.

The insured must have Texas-domiciled headquarters. If approved, two separate policies will be issued. Texas Mutual will issue the policy for the Texas coverage. The other states policy will be issued on Argonaut paper.

Argonaut may issue other states policies for any state or jurisdiction except for the monopolistic states.

Is Your Other States Submission Complete?
New business information required:

  • Completed ACORD® application (If your client needs other states coverage in Florida, you need to complete a special ACORD® application as required by Florida law. The application requires specific information that must be acknowledged and signed by the agent and owner/officer, and the signatures must be notarized.):
    • Type of entity (corporation, sole proprietor, etc.)
    • FEIN for each entity, including DBA names
    • A physical address for every location in each state where exposure is anticipated
    • Description of operations
    • Annual payroll by class code, by state
    • Premium and loss history for last four years by state
    • Expected effective date
    • Executive officers, partners or sole proprietor information
  • Current experience mod worksheet

If applicable:

  • State unemployment Tax ID # is needed for the following states: HI, NJ, ME, MN, RI
  • New Jersey Employer Registration #

Note: The only payment plan for an Argonaut policy is annual at this time.

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Commissions
The agent will receive the same commission percentage on both policies.

Claims
Claims are handled by Argonaut claims staff. Report other states claims directly to Argonaut:

Texas Mutual staff reviews claims for best business handling practices, and provides input and feedback to Argonaut claims staff.

Argonaut claim access
Agents and insureds can get loss runs by emailing a request to
underwriting@texasmutual.com.

Agents and policyholders can register for Argonaut online access. To register, the agent must contact the underwriter or agency representative to acquire a special registration form. Once the document is complete and approved, the agent and insured will receive access codes. Note: For security reasons, agents may not request online access directly from Argonaut.

Special note: The Argonaut online user must access the account at least once every 90 days or it will expire. If access expires, the agent must contact their underwriter or agency representative to re-register.

Also, the submitting agent will automatically receive loss runs approximately 120 days from the policy’s renewal date.

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Loss prevention
Texas Mutual will coordinate loss prevention efforts on the other states exposure. Insureds also have access to free safety resources at texasmutual.com.

Endorsements
To request an endorsement, email
underwriting@ texasmutual.com.

Endorsement information required: Verification of effective date, location address, annual payroll, FEIN for any new entity, WC-RFI for ownership change or name change

Audits
Texas Mutual will conduct all premium audits.

Renewals
Renewal information required: Changes in operation, updated payrolls, classifications, new states and addresses.

Cancellations
Cancellations require insured’s signed request, and no flat cancellations are granted without proof of replacement coverage. A Lost Policy Voucher is needed if the original policy is not available.

Limited reimbursement for Texas employees injured in other jurisdictions endorsement

If your Texas-based client sends Texas employees temporarily to other states, this endorsement provides reimbursement for expenses incurred to meet other states' workers’ compensation laws (subject to the terms and conditions of the endorsement).

This was formerly known as our “Other States Endorsement.” Effective July 1, 2008, we replaced it with our Limited Reimbursement for Texas Employees Injured in Other Jurisdictions Endorsement (TM-LRC-2008). This endorsement is automatically applied to all policies at no additional charge. No supplemental application is needed.

The monopolistic states of North Dakota, Ohio, Washington and Wyoming are excluded.

Contact information
For more information, call (800) 859-5995, and speak to an information specialist

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