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Forms Manual of Workers Compensation and Employers Liability Insurance

Page Content

The Forms Manual is an indexed compilation of workers compensation policy forms and endorsements. It includes general endorsements and state-specific endorsements. It also contains endorsement notes that clarify when and how to use specific forms and endorsements. You can quickly identify the forms you need to order and/or download.

Note: NCCI affiliates will have access to policy forms and endorsements in rich text format (RTF), which can be downloaded, printed, or imported into their policy issuance system. RTF files are not available to non-affiliates.

Highlights

  • Provides rules related to the use of policy forms and endorsements
  • Covers premium, retrospective premium, and state-specific endorsements
  • Saves hours of research needed to identify applicable forms for a given state
  • Provides filing departments with forms that they can file with their state regulators
NCCI Page Content Three
Audience
  • Actuarial Consulting
  • Agents/Brokers
  • Carriers
  • Data Reporters
  • Independent Bureaus
  • Regulators
Media Available
  • Mobile-Friendly
  • Online
Pricing
  Description Affiliate Price Non-Affiliate Price
  Online $75 per user, per year $100 (HTML only) per user, per year
  Taxes—Applicable state taxes will be added to each order

Affiliate Pricing—A company that has signed an NCCI Affiliation Agreement for states in which NCCI is the licensed rating and/or statistical organization and where the Affiliate is writing or licensed to write workers compensation insurance.

Non-Affiliate Pricing—A customer of NCCI that is not licensed and/or writing workers compensation in a state where NCCI is the licensed rating and/or statistical organization.

Related Services & Tools
  • Basic Manual
  • Filing Guide for Rates and Forms
  • Policy and POC Reporting Guidebook
  • Residual Market Manual

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