• Fully completed and signed Workers Compensation Acord 130 application • Fully completed and signed Beacon Supplemental Application for Temporary Employment Agencies/Employee Leasing Companies (Please refer to the 'Forms' section of our website) • Full names and physical addresses of all Rhode Island client companies that the temporary employment agency/leasing company does business with • A copy of the executed contract between the temp agency/leasing company and each Rhode Island client company • Most recent experience modification worksheet • Recently valued, hard copy prior carrier loss runs for the past four years • Proof of coverage for all other states in which the temporary employment agency or employee leasing company may place employees
Beacon Mutual has additional underwriting requirements which pertain to all out of state employers requesting Rhode Island coverage. If the temporary employment agency or employee leasing company for whom coverage is being sought does not have a physical location within the state of Rhode Island, please refer our "Agents" tab and the posting dated 4/10/07 titled "Out of State Employers." The "Out of State Employer" application requirements are in addition to Beacon's standard temporary employment agency/employee leasing company application requirements.
• The underwriter will review your application for completeness, and may request additional information or clarification prior to providing you with a quotation. • A preliminary audit or loss control survey may be required prior to quoting. • Once we provide you with a quotation, a premium deposit (and any additional information as noted on the quotation letter) will need to be received one day prior to the requested coverage effective date. • Please refer to the 'Forms' section of our website for Beacon Mutual's Requirements pertaining to temporary employment agencies and employee leasing companies once coverage is bound
About The Beacon • Employers • Workers • Medical Providers • Agents • Site Map
© Copyright 2005. Beacon Mutual Insurance Company. All Rights Reserved.