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For Workers' Compensation submissions, please provide the following items: ACORD WC application, THOMCO supplemental WC application, 3 years of currently valued hard copy carrier loss runs that include the current year and the current experience mod worksheet. This coverage is currently available in the following states: AR, CA, CT, FL, GA, IA, ID, IL, IN, KS, LA, MD, MI, MN, MS, NC, NE, NH, NM, NV, NY, OK, OR, PA, RI, SC, TN, TX, UT, VA, VT and WI.
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