Jeff Bogacki
Healthcare Workers' Compensation Solutions/Excess Workers' Compensation 800.835.7086
jeff.bogacki@5StarSP.com
Submissions should include:
- Acord or Excess WC application
- 10 years loss experience plus the current year summarized
- Payroll history coinciding with the loss experience
- Estimated current payroll by WC class code
- Summary of individual losses $50,000 or greater