Agency Producer Agreement & Authorization Process
Each Agency must meet the minimum standards identified below in order to submit applications for coverage to the FWCJUA. Please note that an Agency and any of its Designated Producers who receives authorization to submit applications for coverage to the FWCJUA has no authority, actual or apparent, to bind coverage on behalf of the FWCJUA or automatically assume the responsibility of issuing Certificates of Insurance without prior consent and written permission from the FWCJUA or its Service Provider.
Minimum Standards:
1. The Agency must maintain Errors and Omissions Insurance or Professional Liability Insurance in an amount not less than $500,000 per occurrence.
2. Each location of the Agency must be duly licensed and/or registered with the Florida Department of Financial Services, Division of Agent and Agency Services.
3. Each Designated Producer must be individually licensed by the Florida Department of Financial Services as a general lines resident (2-20) or non-resident (9-20) insurance agent authorized to solicit, negotiate and effectuate workers' compensation insurance.
4. Each Customer Service Representative (CSR) must be individually licensed by the Florida Department of Financial Services as a resident (4-40) or non-resident (9-40) Customer Representative and must be appointed by an Agent or Agency.
5. Each Designated Producer or the Agency must serve as an insurance agent or insurance agency, as the case may be, of an insurer actively writing workers' compensation and employer's liability insurance in the state of Florida, pursuant to a certificate of authority issued by the Florida Office of Insurance Regulation.
6. The Agency and each of its Designated Producers must enter into an Agency Producer Agreement with the FWCJUA. Agency Producer Agreement including Exhibit A and Exhibit B
If you meet the above requirements, and wish to continue with the Authorization Process, you will need to complete the entire Agency Producer Agreement and submit the following information when applying for Authorization:
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A copy of the Agency’s Certificate of Insurance for E & O or Professional Liability Insurance in an amount not less than $500,000 per occurrence;
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A check made payable to the FWCJUA for $100 for each Designated Producer identified in the Agreement. (Note: one check may be written to include the fees for multiple Designated Producers);
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Submit the above information and fees to :
FWCJUA
P.O. Box 48957
Sarasota, FL 34230
Note: All locations under the same Agency FEIN must be disclosed even if the Agency will not submit business through that particular location. The Designated Producer must sign the corresponding Exhibit A for the location he or she will be submitting from. A separate Agency Producer Agreement will need to be completed and submitted for each location under a separate FEIN. |