Workers Compensation Agent Guide Basic eligibility requirements

• Prior experience - BIIA Inc. requires 3 years trade and management experience
• Three-year loss ratio (incurred claims cost over annual written premium) less than 60 percent
• Loss ratio > 60% or experience modification > 1.25 (requires reinsurer approval)
• Risks with lapse in coverage (requires reinsurer approval)
• Must comply with BIIA Inc. loss control standards
• Must maintain a safe working environment and demonstrate an aggressive attitude toward safety
• Minimum premium - $990.00
• Territory - Virginia domiciled companies – (No West Virginia exposure)

What we need to bind coverage

• Completed and signed Workers Compensation Application, Acord 130 (NCCI Class Codes apply)
• Completed and signed Commercial Application, Acord 125
• Rejection of coverage cards for any corporate officers and LLC Members desiring to be excluded from coverage
• Loss runs for prior three years - valued within 60 days
• Copy of Experience Mod worksheet or snapshot
• Premium deposit checks made payable to BIIA Inc.
• Downpayment must be received by BIIA within 10 days of binding request to preserve the requested effective date.

All submission should be forwarded to:
BIIA Inc.
2117 Smith Ave.
Chesapeake, VA 23320
(p) 757-420-3022
(f) 757-420-8130

Email:
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Join Our Team – Agents must be appointed prior to or when submitting applications for quotes.

Service Representative Agreement

Monthly Commission Checks are distributed by BIIA Inc. based on collected premium Note: No agent has binding authority. BIIA Inc. must approve all submissions prior to binding coverage. Payment Plans

• Annual - 100% at inception
• Semi-Annual - 50% down and one installment
• Quarterly - 25% down with three installments
• Monthly - 25% down and eight monthly installments
• Self Reporting - 10% deposit
• Minimum premium policies - 100% premium required

No installment fees or interest charges. Other Fees:
Reinstatement Fee - $50.00 (will be charged if any policy is reinstated after the cancellation date.)
Late Fee - $15.00
Waiver of Subrogation - $100.00
Audit Non-Compliance - $500.00
Audit Re-Visit - $100.00

Claims – Reporting & Follow-up
1-800 claims reporting: 877-412-2111 - 24 hrs/7days a week

Claims follow-up contact:

Bette Nelson
P O Box 2667
Mechanicsville, VA 23116-2667
Direct Phone: 804-730-1572
Fax 804-730-1573
Toll Free: 888-730-1572
e-mail: This e-mail address is being protected from spambots. You need JavaScript enabled to view it

Reinsurer - Safety National

Premium Audits
All policies will be physically audited at the expiration of each policy term.

Loss Control Requirements
It is a mandatory requirement that all members are subject to a Loss Control visit by our Loss Control Consultant Jackie Adkins

Prohibited/Restricted Operations - We can write any desirable class except the following:

• Any classification with known occupational diease exposures
• Mining
• Mica grinding
• Asbestos goods manufacturing
• Foundry
• Heater and radiator manufacturing
• Tile manufacturing
• Refractory Products Mfg
• Explosive or Ammunition Mfg
• Boiler or Steam Pipe insulating
• Asbestos Contractor
• Street or road construction - rock excavation
• Tunneling or subway construction
• Shaft sinking
• Railroad Construction
• Blasting Wrecking/demolition of building/structures > two stories
• Stevedoring
• Professional sports teams
• Commercial Airlines
• Detective or patrol agencies
• 24 hour convenience stores or liquor stores
• Construction or maintenance of cofferdams
• Nuclear Regulator Commission projects
• Work or navigation of any commercial vessel
• Marine wrecking
• Chemical manufacturers
• Employee Leasing/Temporary Agencies/Preferred Employer Organizations
• Roofers
• Mobile crane hoisting exposure
• Nursing Home/Convalescent Nursing Home or Home Health exposure
• Long and Short Haul Truck Driver
• USL&H and FELA
• Tree Pruners