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  PEOCOMP.COM

 

 

 

 New Submissions

 

 

Pay As You Go Workers' Compensation for PEOs & ASOs

 

 

 

 

Existing companies- Required Information

  • Acord 130 Application - (Form Fillable)

  • Last 3 years loss runs from current carrier

  • Current experience mod (if applicable)

  • ---------------------

  • A Work Comp Affidavit - (Form Fillable)   *acceptable for some risks in lieu of Loss Runs 

Our Fax:  888.583.3110

Our E-mail:  submissions@insuranceshopllc.com

 

 

New Companies- Required information

 

 

Insurance Shop:  Client Assistance

 

We are happy to contact your clients' on your behalf.

Simply e-mail your client's contact information to us at submissions@insuranceshopllc.com.

Or have them call us at 888.611.SHOP (7467).

 

 

 

 

 

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