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<br />WORKERS' COMPENSATION - r ~ESS INSURANCE OPTIONS
<br />Attachment "A"
<br />
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<br />Coverage Includes Industrial Aid Aircraft, 120 days Industrial Aid Aircraft, 120 Industrial Aid Aircraft, 120 days
<br />reporting of new craft over 8 days reporting of new craft reporting of new craft over 8
<br />seats over 8 seats seats
<br />Jones Act Jones Act Jones Act
<br />USL & H Incident Operations USL & H Incident Operations USL & H Incident Operations
<br />Other States Other States Other States
<br />Volunteers and Board Members Volunteers and Board Volunteers and Board Members
<br />Members LC 4850 for the first $2M
<br />LC 4850 for the first $2M
<br />War
<br />Nuclear
<br />Terrorism, excess of 10M sub
<br />limit
<br />Punitive or exemplary
<br />damages, fines or penalties
<br />Contract liability
<br />Payments in excess of WC
<br />Law except that 4850
<br />coverage is applicable to the
<br />first 2M per occurrence
<br />
<br />Major Exclusions
<br />
<br />War
<br />Nuclear
<br />Terrorism, excess of 10M sub
<br />limit
<br />Punitive or exemplary damages,
<br />fines or penalties
<br />Contract liability
<br />LC 4850 benefits in excess of
<br />WC benefits
<br />Any payments in excess of w/c
<br />law
<br />
<br />Broker Fee
<br />
<br />3,5% to 7% (Included in
<br />. Premium)
<br />
<br />3% of CPEIA premium only
<br />(included in premium) Broker
<br />fee for LA WCX layer is
<br />separate. Additional $5,000
<br />placement fee for LA WCX.
<br />
<br />War
<br />Nuclear
<br />Terrorism, excess of 10M sub
<br />limit
<br />Punitive or exemplary
<br />damages, fines or penalties
<br />Contract liability
<br />Payments in excess of WC Law
<br />except that 4850 coverage is
<br />applicable to the first 2M per
<br />occurrence
<br />
<br />Broker Fee/Administration Fee
<br />inherent in BCJPIA, LAWCX
<br />and CPEIA Fees
<br />
<br />,', .1,; '",0::' ";",:::(1;:'
<br />'I, Comm' ercial Mirket :f~ ,</, "".
<br />, . . ,¡. ~:r '
<br />
<br />Industrial Aid Aircraft
<br />Jones Act
<br />USL & H Incident Operations
<br />4850 Coverage
<br />Other States
<br />Volunteers and Board
<br />Members
<br />
<br />War
<br />Nuclear
<br />Terrorism
<br />Punitive or exemplary
<br />damages, fines or penalties
<br />Contractual Liability
<br />
<br />3.5% to 7% (Included in
<br />Premium
<br />
<br />~
<br />~
<br />~
<br />
<br />'Subject 10 additional undelWnting requirements which may incur additional fees. Premium is based on 500K Self Insurance Relenlion level versus 350K.
<br />
<br />3
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