Workers Compensation and Employers Liability Insurance Policy Sample Contracts

WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY
Workers Compensation and Employers Liability Insurance Policy • June 18th, 2014

In return for the payment of the premium and subject to all terms of this policy, we agree with you as follows: GENERAL SECTION A. The Policy This policy includes at its effective date the Infor- mation Page and all endorsements and schedules listed there. It is a contract of insurance between you (the employer named in Item 1 of the Infor- mation Page) and us (the insurer named on the In- formation Page). The only agreements relating to this insurance are stated in this policy. The terms of this policy may not be changed or waived except by endorsement issued by us to be part of this poli- cy. B. Who is Insured You are insured if you are an employer named in Item 1 of the Information Page. If that employer is a partnership, and if you are one of its partners, you are insured, but only in your capacity as an em- ployer of the partnership’s employees. C. Workers Compensation Law Workers Compensation Law means the workers or workmen’s compensation law and occupational disease la

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MASSACHUSETTS PROFESSIONAL EMPLOYER ORGANIZATION (PEO) EXTENSION ENDORSEMENT
Workers Compensation and Employers Liability Insurance Policy • February 26th, 2020

This endorsement applies only with respect to bodily injury to your leased workers in Massachusetts when provided by a PEO named in the Schedule below, subsequent to the execution of a Professional Employer Agreement that allocates to you, the Client, the responsibility of obtaining workers’ compensation insurance. This endorsement excludes coverage for employees that you pay directly and workers provided to you on a temporary basis.

WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - BLANKET
Workers Compensation and Employers Liability Insurance Policy • November 10th, 2017

We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us).

WORKERS CO MPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY
Workers Compensation and Employers Liability Insurance Policy • April 15th, 2011

This policy includes at its effective date the Information Page and all endorsements and schedules listed there. It is a contract of insurance between you (the employer named in Item 1 of the Information Page) and us (the insurer named on the Information Page). The only agreements relating to this insurance are stated in this policy. The terms of this policy may not be changed or waived except

ENDORSEMENT AGREEMENT LIMITING AND RESTRICTING THIS INSURANCE OFFICERS AND DIRECTORS COVERAGE / EXCLUSION CALIFORNIA
Workers Compensation and Employers Liability Insurance Policy • August 5th, 2017

If the employer named in Item 1 of the Information Page is a quasi-public or private corporation, this policy applies to all officers and members of boards of directors while rendering actual service for the corporation for pay, as employees, except those excluded below who individually own at least 15 percent of the corporation’s issued and outstanding stock.

WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT
Workers Compensation and Employers Liability Insurance Policy • May 11th, 2017

We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.)

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