Remember, a complete submission must include:
- A fully completed ACORD® 125/130 application
- Four years of currently valued loss history (if no prior coverage, send a recap of losses)
- Four years of premiums and payroll
- An experience modifier worksheet (if applicable)
- Physical address and ZIP code of each location
- The number of employees at each location and the shifts they work
- A cover letter telling us anything special about the account that will help in our underwriting evaluation (NOTE: We have a special field in IQ for this information.)
Please note that some of the requirements for a complete submission are different if you use IQ.
Premium Audit Advisory Service (PAAS)
PAAS helps you properly classify exposures for commercial casualty insurance.
Click here to access PAAS. Please note that a fee is required.
Internet Quoting (IQ) helps agents get quicker quotes, which in turn helps employers get faster coverage. You may use IQ to submit any account directly to our underwriters for review, or you may use IQ to submit qualifying accounts for a quick quote online.
Our latest IQ enhancements give you online quotes for:
- New-in-business clients
- Clients with no prior workers’ compensation coverage
- Accounts with split modifiers
- Incidental longshore accounts
IQ is easy to use. Just follow these simple steps:
- Select the appropriate class codes
- Enter the payroll (remuneration)
- Review the manually rated pricing indicator
- Follow the prompts for required information
- Attach relevant information using an acceptable format
- Submit the formal quote
Qualifying accounts have:
- Written premium of $25,000 or less
- Acceptable loss history (as applicable)
- Continuous workers’ compensation coverage for the past two years (except for new-in-business or nonsubscribers)
- All-Texas payroll and operation(s)
For your convenience, IQ will accept your attachments in any of the following formats:
|.doc (MS Word)||.dot (Word document template)|
|.gif (Graphics Interchange Format)||.pdf (Adobe portable document)|
|.pot (PowerPoint template)||.ppt (PowerPoint presentation)|
|.rtf (Rich Text Format)||.tif (Tag Image File)|
|.wkp (MS Works)||.wks (MS Works spreadsheet)|
|.wps (MS Works Text document)||.xlr (MS Works spreadsheet)|
|.xls (Excel Workbook)||.xlt (Excel template file)|
|.xlw (Excel workbook)||.txt (Text file)|
You may also send your ACORD® 125/130 along with the supporting information
for a complete submission to: firstname.lastname@example.org
- Submit applications in TIF, PDF, HTML or MS-Word (.doc) format attachments.
- Send a separate attachment for each account. You do not have to send separate emails, just separate attachments.
- There is no limit on file size.
- We will email a confirmation within eight business hours, acknowledging our receipt of your electronic application.
- We will fax a confirmation letter after we have entered the account into our database.
Fax applications to: (800) 359-0650
Mail submissions to:
Texas Mutual Insurance Company
P.O. Box 12058
Austin, Texas 78711-2058