Send in a Submission | Kinetic
Send in a submission
Getting a quote for tech-driven workers' comp has never been easier
Two simple steps to a fast, accurate quote.
Step 1:
Review submission requirements
Make sure your submission meets the minimum premium size of $50,000 ($100,000 for construction risks), is in appetite, and includes all required information:
- ACORD 130
- Current and 3 prior policy periods of loss runs
- Ex-Mod Worksheet (required for all parcel submissions, requested for other industries)
- Agency Code
Download and complete industry-specific supplemental documentation:
- Construction Questionnaire
- Hotel Questionnaire
- Janitorial Questionnaire
- Manufacturing Questionnaire
- Parcel Delivery Questionnaire
- Trucking Questionnaire
- Wholesale Questionnaire
Note: Kinetic supplementals are optional if you already have a document on file or your own supplemental document to accompany the submission.
Step 2:
Email your submission with the required documents to submissions@kineticcomp.com
Have questions? Review our
FAQ for brokers
Need help? Get in touch with our Underwriting Team.
Frequently asked questions
Submissions can be sent 90 days before the policy effective date. Email them to submissions@kineticcomp.com. Incomplete submissions won't be reserved.
Kinetic does not accept broker of record (BOR) or broker of service (BOS) requests.
If your clients operate in the states below, review the Drug-Free Credit Application for eligibility.
Find state-specific documents for deductible waivers below.
- Alabama
- Arkansas
- Colorado
- Delaware
- Florida
- Georgia
- Hawaii
- Illinois
- Indiana
- Kentucky
- Massachusetts
- Maine
- Montana
- Nebraska
- New Hampshire
- New Mexico
- New York
- Oklahoma
- Pennsylvania
- South Carolina
- Texas
- All States
When there is an officer excluded from the policy then state specific officer exclusion forms also need to be attached. Find state specific forms below.