Get a Form or Publication: reducing premiums

Your search for "reducing premiums" returned 3 documents.

Title Type Number
Application for Group Membership & Authorization for Release of Insurance Data

Used by employers who want to join a retrospective rating group; also, to authorize Labor & Industries to release the employers' insurance data to the retrospective rating group they want to join.

Form F250-016-000
Application for Group Retrospective Rating

Used by organizations to set up an agreement with L&I authorizing their participation in retrospective rating.

Form F250-004-000
Individual Retrospective Rating Plan Agreement

Used by employers to set up an agreement between them and L&I authorizing their participation in retrospective rating.

Form F250-003-000



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