400 Niles Cortland Rd SE, Ste B, Warren, Ohio 44484

Ph: (330) 856-6270 / Fax: (330) 856-6675

Ph: (330) 856-6270 / Fax: (330) 856-6675

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    • Home
    • Products
    • Insurance Partners
    • Get A Quote
    • Workers' Comp
    • News & Information
    • Ask An Agent
    • Career Opportunities
  • Home
  • Products
  • Insurance Partners
  • Get A Quote
  • Workers' Comp
  • News & Information
  • Ask An Agent
  • Career Opportunities
Robert Carr Insurance Agency, Inc.

"GREAT SERVICE IS OUR POLICY"

"GREAT SERVICE IS OUR POLICY""GREAT SERVICE IS OUR POLICY"

Workers' Compensation Group-Rating Discounts

Our clients' savings have exceeded $29 million!  We can save you up to 53% on your workers' compensation premiums!  Our evaluation is free, there is no cost and no obligation.

BWC Cost Savings Analysis

To determine the level of savings your company may qualify for, complete the form below. The evaluation is free and there is no obligation.

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Mail or Fax

You may download the form here, complete, and mail or fax it to us at:


Robert Carr Insurance Agency

400 Niles-Cortland Rd. SE

Warren, OH  44484

Fax: (330) 856-6675


This is to certify that Sedgwick (ID No. 150-80)(46000/02378, 2019/2020, Code 16/26) including its agents or representatives identified to you by them, has been requested to review and perform studies on certain workers' compensation matters on your behalf.


AC-3 Temporary Authorization (pdf)

Download

Important Information

Limited letter of authority and authorization

This authorization does NOT include the authority to:

This authorization does NOT include the authority to:

The limited letter of authority provides access to the following types of information relating to your account:

  1. Risk files
  2. Claim files
  3. Merit-rated or non-merit rated experiences
  4. Other associated data

This authorization does NOT include the authority to:

This authorization does NOT include the authority to:

This authorization does NOT include the authority to:

  1. Review protest letters
  2. File protest letters
  3. File form CHP-4
  4. File Motions, I-12s, or IC-88s
  5. File self-insurance applications
  6. Represent the employer at hearings
  7. Pursue other similar actions on behalf of the employer
  8. I understand that this authorization is limited and temporary in nature and will expire on February 28 or automatically nine months f

  1. Review protest letters
  2. File protest letters
  3. File form CHP-4
  4. File Motions, I-12s, or IC-88s
  5. File self-insurance applications
  6. Represent the employer at hearings
  7. Pursue other similar actions on behalf of the employer
  8. I understand that this authorization is limited and temporary in nature and will expire on February 28 or automatically nine months from date received by the Employer Services or Self-Insured Section, whichever is appropriate.  In either case length of autorization will not exceed nine months.

Criteria for Group Participation

This authorization does NOT include the authority to:

Criteria for Group Participation

  • Be current on all undisputed premiums, administrative costs, assessments, fines or monies otherwise due to BWC;
  • More specifically, you must be current, not more than 45 days past the due date on any balance greater than $200 due to BWC, by the group-rating application deadline.  The only exceptions are when a policy is placed into an appea

  • Be current on all undisputed premiums, administrative costs, assessments, fines or monies otherwise due to BWC;
  • More specifically, you must be current, not more than 45 days past the due date on any balance greater than $200 due to BWC, by the group-rating application deadline.  The only exceptions are when a policy is placed into an appealed status or a BWC-approved payment plan is in place.
  • Be current on the payment schedule for any scheduled part-pay agreement you've entered into to pay premiums or assessments otherwise due BWC as of the application deadline;
  • Employers cannot have cumulative lapses in workers' compensation coverage in excess of 40 days in the past twelve months preceding the application deadline;
  • Not be a member of more than one group.  If you apply for more than one group on a valid group-experience-rating application, BWC will reject you for all groups.


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