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Contact Melissa Hilgendorf
(800) 628-6436, ext. 3012
mhilgendorf.indep12@insuremail.net

IIA OF IL WORKERS' COMPENSATION PROGRAM

administered by:
Agency Resources Agents Insurance Services

The AIS Workers' Compensation program is a market-access program designed specifically for IIA of IL members.

How to Get Started:

  1. You must be an IIA of IL member in good standing.
  2. Fax a Brokerage Agreement along with a copy of your agency Insurance license and your E&O declarations page (with a minimum limit of $1,000,000) to Melissa Hilgendorf at (888) 400-1698 or email to mhilgendorf.indep12@insuremail.net. Melissa can be reached at (800) 628-6436, ext. 3012. Upon receipt you are approved to use the program. YOU WILL NOT BE NOTIFIED. You may also send a submission with your Brokerage Agreement etal.
    Click here for a copy of the Agreement.
  3. Submit the Acord 130 Application, click here for a copy.
  4. Fax the completed Acord 130 to AIS at (888) 400-1698 or email to mhilgendorf.indep12@insuremail.net. (Include the Inclusion or Exclusion form, if applicable).
  5. Anticipate the faxed quote within 2-3 days.

    Click here for a list of class codes. Not all codes on this list are eligible. Please submit Acord 130 application for eligibility.

    Click here for Underwriting Guidelines.

Companies Available:

  • Chartis (AIG)
  • AmTrust North America
  • Hartford
  • Travelers