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The Acord 50 WM form plays a crucial role in the world of insurance, particularly in the context of workers' compensation coverage. This form is primarily used to provide detailed information about an employer's workers' compensation insurance policy. It serves as a vital tool for insurance agents, brokers, and underwriters to assess risk and determine appropriate coverage levels. The Acord 50 WM form captures essential data, such as the policyholder's name, the type of business, and the nature of the work performed by employees. Additionally, it includes information about payroll estimates and prior claims history, which are key factors in evaluating the potential risks associated with insuring a business. By standardizing the information presented, the Acord 50 WM form facilitates a smoother communication process between all parties involved, ensuring that employers receive the appropriate coverage tailored to their specific needs.

Document Specifics

Fact Name Description
Purpose The Acord 50 WM form is used for Workers' Compensation insurance applications.
Standardization This form is part of the Acord family of standardized insurance forms, promoting consistency across the industry.
State-Specific Versions Some states may have specific versions of the Acord 50 WM form, which comply with local laws and regulations.
Governing Laws The governing laws for the use of this form vary by state, including specific Workers' Compensation statutes.
Submission Requirements Insurance agents typically submit the Acord 50 WM form to insurers as part of the application process.
Data Collected The form collects essential information about the business, including its operations and employee details.
Importance Accurate completion of the Acord 50 WM form is crucial for determining coverage and premium rates for Workers' Compensation insurance.

Similar forms

The Acord 50 WM form is a widely used document in the insurance industry, particularly for workers' compensation. Here are ten documents that share similarities with the Acord 50 WM form:

  • Acord 25: This form is used for general liability insurance. Like the Acord 50 WM, it collects information about the insured party and the coverage required.
  • Acord 27: This document serves as a certificate of insurance. It provides proof of coverage, similar to how the Acord 50 WM confirms workers' compensation coverage.
  • Acord 130: This form is utilized for commercial auto insurance. It gathers details about the vehicle and driver, akin to the employee information collected in the Acord 50 WM.
  • Ohio Medical Power of Attorney: When planning for unexpected medical situations, consider the necessary Medical Power of Attorney documentation to ensure your healthcare choices are honored by a trusted individual.
  • Acord 140: This is a property insurance application. It requires information about the property being insured, paralleling the risk assessment aspect of the Acord 50 WM.
  • Acord 125: This form is for commercial insurance applications. It shares a similar purpose of outlining coverage needs and risks, just like the Acord 50 WM.
  • Acord 60: This document is a commercial lines renewal application. It updates coverage information, reflecting the ongoing nature of workers' compensation insurance.
  • Acord 75: This is a liability application form. It collects data on the insured, similar to how the Acord 50 WM gathers employee and employer information.
  • Acord 94: This form is a request for a quote for general liability. It serves a similar function in assessing risk and coverage needs as the Acord 50 WM.
  • Acord 86: This document is used for excess liability insurance. It requires details on existing coverage, much like the Acord 50 WM requires information on current workers' compensation policies.
  • Acord 90: This is a special liability application. It addresses specific liability concerns, echoing the tailored approach of the Acord 50 WM for workers' compensation needs.

Acord 50 WM Example

For use with ACORD 360 WM, four part perforated 32 lb. paper

INSURANCE IDENTIFICATION CARD

 

(STATE)

 

 

 

 

 

 

COMPANY NUMBER

COMPANY

 

 

COMMERCIAL

 

PERSONAL

POLICY NUMBER

 

 

EFFECTIVE DATE

EXPIRATION DATE

YEAR

MAKE/MODEL

 

VEHICLE IDENTIFICATION NUMBER

AGENCY/COMPANY ISSUING CARD

 

 

 

 

 

INSURED

SEE IMPORTANT NOTICE ON REVERSE SIDE

INSURANCE IDENTIFICATION CARD

 

(STATE)

 

 

 

 

 

 

COMPANY NUMBER

COMPANY

 

 

COMMERCIAL

 

PERSONAL

POLICY NUMBER

 

 

EFFECTIVE DATE

EXPIRATION DATE

YEAR

MAKE/MODEL

 

VEHICLE IDENTIFICATION NUMBER

AGENCY/COMPANY ISSUING CARD

 

 

 

 

 

INSURED

SEE IMPORTANT NOTICE ON REVERSE SIDE

INSURANCE IDENTIFICATION CARD

 

(STATE)

 

 

 

 

 

 

COMPANY NUMBER

COMPANY

 

 

COMMERCIAL

 

PERSONAL

POLICY NUMBER

 

 

EFFECTIVE DATE

EXPIRATION DATE

YEAR

MAKE/MODEL

 

VEHICLE IDENTIFICATION NUMBER

AGENCY/COMPANY ISSUING CARD

 

 

 

 

 

INSURED

SEE IMPORTANT NOTICE ON REVERSE SIDE

INSURANCE IDENTIFICATION CARD

 

(STATE)

 

 

 

 

 

 

COMPANY NUMBER

COMPANY

 

 

COMMERCIAL

 

PERSONAL

POLICY NUMBER

 

 

EFFECTIVE DATE

EXPIRATION DATE

YEAR

MAKE/MODEL

 

VEHICLE IDENTIFICATION NUMBER

AGENCY/COMPANY ISSUING CARD

 

 

 

 

 

INSURED

SEE IMPORTANT NOTICE ON REVERSE SIDE

THIS CARD MUST BE KEPT IN THE INSURED

VEHICLE AND PRESENTED UPON DEMAND

IN CASE OF ACCIDENT: Report all accidents to your Agent/Company as soon as possible. Obtain the following information:

1.Name and address of each driver, passenger and witness.

2.Name of Insurance Company and policy number for each vehicle involved.

THE FRONT OF THIS DOCUMENT CONTAINS AN ARTIFICIAL WATERMARK - HOLD AT AN ANGLE TO VIEW

ACORD 50 WM (2007/03)

© ACORD CORPORATION 1993-2007. All rights reserved.

THIS CARD MUST BE KEPT IN THE INSURED

VEHICLE AND PRESENTED UPON DEMAND

IN CASE OF ACCIDENT: Report all accidents to your Agent/Company as soon as possible. Obtain the following information:

1.Name and address of each driver, passenger and witness.

2.Name of Insurance Company and policy number for each vehicle involved.

THE FRONT OF THIS DOCUMENT CONTAINS AN ARTIFICIAL WATERMARK - HOLD AT AN ANGLE TO VIEW

ACORD 50 WM (2007/03)

© ACORD CORPORATION 1993-2007. All rights reserved.

THIS CARD MUST BE KEPT IN THE INSURED

VEHICLE AND PRESENTED UPON DEMAND

IN CASE OF ACCIDENT: Report all accidents to your Agent/Company as soon as possible. Obtain the following information:

1.Name and address of each driver, passenger and witness.

2.Name of Insurance Company and policy number for each vehicle involved.

THE FRONT OF THIS DOCUMENT CONTAINS AN ARTIFICIAL WATERMARK - HOLD AT AN ANGLE TO VIEW

ACORD 50 WM (2007/03)

© ACORD CORPORATION 1993-2007. All rights reserved.

THIS CARD MUST BE KEPT IN THE INSURED

VEHICLE AND PRESENTED UPON DEMAND

IN CASE OF ACCIDENT: Report all accidents to your Agent/Company as soon as possible. Obtain the following information:

1.Name and address of each driver, passenger and witness.

2.Name of Insurance Company and policy number for each vehicle involved.

THE FRONT OF THIS DOCUMENT CONTAINS AN ARTIFICIAL WATERMARK - HOLD AT AN ANGLE TO VIEW

ACORD 50 WM (2007/03)

© ACORD CORPORATION 1993-2007. All rights reserved.

Understanding Acord 50 WM

What is the Acord 50 WM form?

The Acord 50 WM form is a standardized document used primarily in the insurance industry. It serves as a way for businesses and individuals to provide essential information about their insurance needs, particularly in relation to workers' compensation coverage. This form helps streamline the application process and ensures that all necessary details are collected in a consistent manner.

Who needs to fill out the Acord 50 WM form?

Typically, employers or business owners seeking workers' compensation insurance are required to complete the Acord 50 WM form. This includes companies of all sizes and industries, as long as they have employees who may be eligible for coverage under workers' compensation laws.

What information is required on the Acord 50 WM form?

The form requests various details, including the business's name, address, and contact information. Additionally, it asks for information about the type of business, the number of employees, and payroll estimates. This data helps insurers assess risk and determine appropriate coverage options.

How does the Acord 50 WM form benefit my business?

Completing the Acord 50 WM form can significantly benefit your business by facilitating the process of obtaining workers' compensation insurance. It ensures that all relevant information is submitted upfront, which can lead to quicker responses from insurance providers. Moreover, it helps you understand your coverage needs better.

Can I submit the Acord 50 WM form online?

Yes, many insurance providers allow for the Acord 50 WM form to be submitted online. This digital submission can save time and reduce paperwork. However, it’s essential to check with your specific insurance carrier for their submission preferences and guidelines.

What happens after I submit the Acord 50 WM form?

Once you submit the Acord 50 WM form, the insurance company will review the information provided. They may reach out for additional details or clarification if needed. After processing your application, the insurer will present you with a quote for your workers' compensation coverage.

Is there a fee associated with submitting the Acord 50 WM form?

Generally, there is no fee for submitting the Acord 50 WM form itself. However, you should be aware that obtaining workers' compensation insurance will involve premium costs based on the coverage selected and the specifics of your business.

What if I make a mistake on the Acord 50 WM form?

If you realize that you made a mistake after submitting the form, contact your insurance provider as soon as possible. They can guide you on how to correct the information. It’s important to ensure that all details are accurate to avoid issues with your coverage.

Can I get help filling out the Acord 50 WM form?

Absolutely! Many insurance agents and brokers are available to assist you with completing the Acord 50 WM form. They can provide guidance on what information is needed and help clarify any questions you may have about the process.

Where can I find the Acord 50 WM form?

The Acord 50 WM form can typically be found on the Acord website or through your insurance provider. Many insurance companies also have the form available for download directly from their websites, making it easy to access and fill out.

Dos and Don'ts

When filling out the Acord 50 WM form, there are several important guidelines to follow. Below is a list of things you should and shouldn't do to ensure that the form is completed correctly.

  • Do read the instructions carefully before starting.
  • Do provide accurate and complete information.
  • Do use clear and legible handwriting or type the information.
  • Do double-check all entries for errors before submitting.
  • Don't leave any required fields blank.
  • Don't use abbreviations that may not be understood.
  • Don't submit the form without a thorough review.
  • Don't forget to sign and date the form where required.