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The
structure of a captive program is based largely
on the historical information of the employer.
The availability and quality of data is critical.
The more accurate and detailed the submission,
the more successful the captive formation process.
At the minimum, any
submission should include:
- Company Profile
- Description of Products and Operations
- Accord Application
- Five Years of the Following Data:
incurred losses, paid losses, details on all
losses over $25,000, exposure by class and
state, claim count broken out by indemnity
and medical only
- Financial Statements
Submissions can be
mailed, faxed or emailed.
Download
a summary form to expedite the submission process.
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