Appointed UBIC Agents
Safety Questionnaire
Appointed Agency Info
What is UBIC’s minimum premium?
$1,000
How can the agent determine the appropriate class codes to use on the submission?
The National Council of Compensation Insurance (NCCI) determines the classification codes assigned to a risk
based upon the business operations of the insured, not the duties of individual employees within the business.
The agent can determine the correct class codes by referring to the NCCI Scopes Manual or by visiting NCCI’s
website at www.ncci.com. The agent can also contact our
underwriting staff for classification assistance.
What constitutes a complete submission?
Completed and signed ACORD 130 application; At least three years of currently valued loss history; Narrative of operations;
Owner resume if new venture.
On what date does the policy become effective?
Only the underwriter has binding authority with our carriers. The policy effective date
will be communicated by the writing underwriter.
What types of billing payment plans are offered?
Available payment plans are based on premium size but include: Annual, semi-annual, quarterly, 20% down and 10 payments,
10 equal payments, or 12 equal payments. Monthly self-audit is also available for certain premium levels.
What payroll does an employer use for included sole proprietors, partners, or corporate officers?
This is determined by NCCI and usually changes on an annual basis. Effective 01/01/08 the amounts are:
- Officers: Minimum: $18,200 (non-construction)
- Officers: Minimum: $6,500 (construction)
- Officers: Maximum: $119,600>
- Partners: $48,900
- Sole Proprietors: $48,900
What is the procedure for AOR change request?
A written request made on the insured’s letterhead and signed by an officer/partner or sole proprietor must be
submitted to PBOA. In lieu of a letter the ACORD Agent/Broker of Record Change form is acceptable.
Wholesale
Our wholesale division provides a variety of products to our retail agents and brokers.
We have access to both admitted and non-admitted carriers.
Our expertise includes wholesale brokerage, MGA and program administrator relationships.
We have immediate underwriting and binding authority with our carriers.
The goal of our experienced underwriting and service teams is to provide you with a prompt
response to all inquiries and solutions to your problems. We strive to find the right fit for
all aspects of your client’s insurance program; including underwriting, loss control services, and claims management.