1.
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Are all states
listed in 3A of the information page where the
insured has known or expected locations for the
coming year? |
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2.
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Is other states
insurance triggered by "all states except the
monopolistic states and the states listed under
3A"? |
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3.
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Does the insured
have any operations in a monopolistic state
(North Dakota, Ohio, Washington, West Virginia,
or Wyoming)? |
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4. |
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Does the insured
have any employees who are not required to be
covered under the states Workers compensation
statutes i.e. farm or domestic? |
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5. |
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Does the insured
have any independent contractors working for
them? |
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Are any employees
subject to the Longshore and Harbor Works
Compensation Act? |
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7. |
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Are any employees
subject to the Maritime Law? |
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8. |
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Has the insured
entered into any contract for the use of leased
or temporary workers? |
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9. |
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Does the insured
have any operations that come under Federal
Compensation Laws or Liability jurisdiction? Do
they need: Defense Base Act Coverage, Outer
Continental Shelf Lands Act Coverage,
Nonappropriated Fund Instrumentalities Act
Coverage, Federal Employers Liability Act
Coverage or Federal Coal Mine Health and Safety
Act Coverage? |
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10. |
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Does the insured
have any overseas operations? Do they wish to
purchase Foreign Coverage Endorsement for
endemic diseases and repatriation expense? |
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11. |
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Contractors: Check
their insurance requirements before accepting
the contract. |
