Number One Insurance Agency provides MAIA members with WC options for the voluntary market. Experience a high level of personal service and assistance with no volume commitments. This program is available for insureds whose main location is in Massachusetts.
Forward new business submissions to Michelle St. Angelo or contact her for questions.
Direct Bill Only. Installment options are available. Outside financing is not permitted.
Applications and Forms |
ACORD 130 |
Form 153 |
ERM 14 |
Additional Questions & Supplements |
Alternative Markets – Additional Questions by Business Class |
Electrical Wiring – Commercial & Residential |
Landscaping |
Plumbing – Residential |
Restaurant |
Waiver of Subrogation |
The Hartford Application for Waiver of Subrogation |
Alternative Market Application for Waiver of Subrogation |
Norfolk & Dedham - No application. Please provide written request and include the details of the job, work tasks performed and estimated time frame. |
Owners/Officers |
Individuals & Partnerships & LLCs: Automatically Excluded
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Corporations: “Active” Officer: Automatically Included
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Non-Profit Information
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STOP WORK ORDERS |
If a client walks in your door with a STOP WORK ORDER, we recommend the following:
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Contact
Michelle St. Angelo
Program Manager
p: 508-634-7364
f: 508-634-2930
mstangelo@massagent.com