Supplemental Questionnaire
Application and Underwriting Guidelines
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A workers' compensation application needs to be submitted to The Lynn Company to receive an Integrated MediComp rate quote. |
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The application should be submitted at least 20 days prior to the effective date (the earlier the better). |
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It is recommended that a supplemental questionnaire be completed for each prospective insured to provide the Underwriting Department with a complete understanding of the account. |
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The number of employees, both full-timr and part-time, is essential to evaluating an account. |
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Provide the level of contribution by the employer towards payment of health benefits on behalf of the employee |
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If the company currently has a Blue Cross of California health plan, the group numbers should be referenced on the workers' compensation application and written on any correspondence. |
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Groups in business less than one (1) year will be considered only in conjunction with a Blue Cross Small Group medical plan. |
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Provide a copy of the company's current workers' compensation p[olicy to expedite application processing. |