Submission Requirements
Workers’ Compensation
- Fully completed Excess or Large Deductible Application
- Fully completed Employee Concentration Worksheet
- Payroll history by class code for the last ten years
- Loss Runs for the past ten years valued within 90 days
- Detailed Description for all losses over $50,000
- Latest audited financial statement
Please send all applications and materials to the attention of:
Dawn Wilson
Vice President
Direct 615.565.6495
Dawn.Wilson@bwood.com
Fax 615.263.1305