Empire Pacific Sovereign
Empire Pacific Sovereign
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    • Home
    • About
      • Mission
      • The EPS Difference
      • Where We Excel
      • Licensing
    • Products
      • Personal Umbrella
      • Commercial Umbrella
      • Workers' Compensation
      • Management Liability
      • Cyber Risk
      • Other Commercial
  • Home
  • About
  • Products

Workers' Compensation

The Last Piece of the Puzzle

Empire Pacific Sovereign  represents national and regional carriers that write workers’ compensation from main street to the oil patch. Their appetites for risk run from plain vanilla to rocky road.  Each account is personally handled by an insurance professional on our team with the expertise to assure the best results for the client.  We love challenges: high experience mods, difficult and/or complex accounts, multi-state risks or any account that needs special handling.

Highlights

  • Low, Medium & High Hazard Accounts
  • Minimum premiums vary by individual risk characteristics
  • Competitive Pricing
  • Multi State
  • A-rated carriers

  • Split Risks (with part of the risk written in a competitive or monopolistic state fund)
  • Guaranteed Cost and Deductible Programs available
  • High Experience Modifications Acceptable on Large Accounts

Submission Documents

Using these submission guidelines, send your PDF Submission via the Submission Tool below!

  • Complete ACORD 130 Application
  • Complete Description of Operations
  • Workers’ Compensation Supplemental
  • Experience Modification Worksheet(s)
  • Five years of currently-valued company loss runs
  • Description of all losses over $25,000
  • Target Premium
  • Need By Date

Supplemental Applications

General Supplemental (docx)Download
Heathcare Supplemental (docx)Download
Contractor's Supplemental (docx)Download
New Venture Questionnaire (docx)Download

Submission Tool

Get the process started below! Once the submission has been cleared for your agency, we will contact you for additional information:

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P.O. Box 400847, Las Vegas, NV 89140

(925) 300-1001

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