Raton / Contracting / Honolulu / Form / St. Louis / /
Company
Standard WC Filing Company / Contact Filing Contact Information Roy Wood / EMPLOYERS LIABILITY INSURANCE CONTRACTING CLASSIFICATION PREMIUM ADJUSTMENT / NC-5000 A Missouri / Employers Liability Insurance Company / COMPENSATION INSURANCE INC. / /
Currency
USD / / /
Event
FDA Phase / Product Recall / Product Issues / /
Facility
APPROVED Yes PDF Pipeline / PDF Pipeline / Domicile Status Comments / Supplemental Applications OTH Other PDF Pipeline / /
Organization
Reference Organization / NATIONAL COUNCIL ON COMPENSATION INSURANCE / /
Person
Alison Herwig / Lesley O'Brien / Karen Rimel / Frank Gnolfo / Robert Dalton Karen Rimel / Roy Wood / / /
Position
Author / State Relations Executive / rt / General / proprietor / officer / General Information Project Name / /
Product
Action Specific Data Readability Score Attachments Exh / MO-2010 / NC-5000 / NCCI-126859081 / /
SERFF Tracking #: NCCI[removed]State Tracking #: Company Tracking #: 02-MO[removed]LB)