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Western Region/California Work Comp Facility
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Broker Guidelines

Producer Appointments
Independent insurance brokers (producing brokers) are invited to submit their guaranteed cost workers' compensation prsopects to us. A producing broker doesn't need to be appointed by us in order to submit prospects and receive quotations. Once you bind your first account with us, our administrative office will contact you and complete the appointment process. Be prepared to provide the following:

  • IRS Form W-9
  • Copy of Producing Broker's E&O Declations
  • Copy of Producing Broker's Fire & Casulaty Broker-Agent License for each state in which Producing Broker writes business with us

If you want to start the appointment process prior to binding your first account, register with us.

Producing Broker Responsibilities
Producing brokers have no binding authority and shall act only in the exclusive capacity of an "Insurance Broker." Coverage can only be bound by 5Star Work Comp after 5Star Work Comp has received authorization to bind from its underwriter.

At a minimum, producing brokers are responsible for:

  • Evaluating the exposures and needs of their clients
  • Sending written instructions, requests, and applications to 5Star Work Comp
  • Reviewing policies with their clients so as to determine accuracy and adequacy of coverage provided and assisting clients with any changes in the policies that may be necessary or desired
  • Providing 5Star Work Comp with policy change requests and renewal instructions
  • Issuing standard ACORD Certificates of Insurance and sending them to 5Star Work Comp within five working days
  • Maintaining current agents' and brokers' errors & omissions insurance with limits of no less than $1,000,000 per claim and $1,000,000 annual aggregate
  • Maintaining current Fire & Casualty Broker-Agent Licenses for each state wherein coverage is placed

Minimum Premium
We generally do not write business with estimate annual premium less than the following:

  • $10,000 Contractors
  • $10,000 Transportation
  • $5,000 All Other

Submission Requirements
The following documentation is needed in order to expedite underwriting and provide the most competitive premium quote possible.

  • ACORD 130
  • detailed description of operations
  • supplemental application form
  • 4 years of currently valued loss runs (within 90 days of effective date) if the prospect has been in business for 4 or more years. Risks in business for less than 4 years, including new ventures, are welcome in many cases




Contact 5Star Western Region/California Workers' Compensation Facility
50 California Street, Suite 2000
San Francisco, CA 94111

Gerry Macchello
Western Regional Manager
Phone: 415.645.5420
Email
Richard Bowers
Marketing Director
Phone: 415.645.5428
Email

General Inquiries: 415.986.5050
Fax: 415.352.0225
Submissions Email: workcompsf@5StarSP.com

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Western Region/ California Resources


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