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Acord Forms 125 - Commercial Insurance Application
Acord Forms 126 - Commercial General Liability Application
Acord Forms 127 - Business Automobile Section
Acord Forms 130 - Workers' Compensation Application

Contact the Managing Director

Omar Cordial
Managing Director, THOMCO Risk Solutions
888-969-8036

Omar.Cordial@thomcoins.com
Submission Requirements
Most Recent Financial Statement
Copies of Current Policies
5-Year Hard Copy Carrier Loss Runs (plus current policy year)
Employee Census for Group Health
Acord Form Applications
Presentation Materials
Small-Sized Group Cell Captives
Mid-Sized Group Cell Captives
Deductible Reimbursement Policy (DRP) Cell Captive
Group Health Cell Captive
Tax Factors
Premium Deductibility
Internal Revenue Code Section 831(b)
Revenue Ruling 2002-89
Revenue Ruling 2002-90
Revenue Ruling 2008-08

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