- HOW TO ENROLL:
IS MY COMPANY ELIGIBLE TO JOIN, HOW DO WE ENROLL, AND WHAT IS THE COST?
ELIGIBILITY
ENROLLMENT
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Submit a UCWCP Enrollment Application by email, fax or mail. You can complete a printed form or use the online version with an electronic signature.
Enrollment Application
Please Submit the Enrollment Application to one of the following locations:
Email:
[email protected]
Fax:
(952) 851-3514
Mail:
3001 Metro Drive, Suite 500
Bloomington, MN 55425
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Provide your company’s most recent workers’ compensation premium/payroll audit that includes payrolls by WC class code for work performed in Minnesota. You may use our Payroll Reporting Form.
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You may enroll at any time, regardless of your insurance renewal date.
IMPLEMENTATION
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Upon receipt of a fully completed application, an acceptance letter with an implementation kit and specific instructions will be issued.
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A training session will be provided for your office and field staff that interacts with injured workers.
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Your enrollment date will always be on the first of any month. Processing takes 10 days.
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Only claims occurring after the date of enrollment are covered by the Program.
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Enrollment notification will be sent to your insurance provider's underwriter and your insurance agent so that premium credits can be applied to your policy.