...  Coverage Details for WC Target Premium SIR Limits Forms $50,000 Varies by industry As prescribed by state statute View Forms Features for WC - Enhanced coverages such as Federal Coverages and Voluntary Compensation are available subject to meeting underwriting qualifications - Employers' Liability includes available limits up to $1 million Required Information for WC - Current Financial Statement - Five (5) years Loss and Premium History - Five (5) years Payroll History - Three year history of Workers' Compensation experience modifications plus the current mod with applicable worksheets - Workers’ Compensation ACORD Application(s)     Applications   Policy Forms   Call Me