A. Statutory Workers' Compensation (Part One)

Coverage required under the Massachusetts Workers' Compensation Act (M.G.L. Ch. 152) is provided by the standard policy.

B. Employers Liability (Part Two)

The standard limits of liability (code 9845) are:

Bodily Injury by Accident $100,000 - each accident
Bodily Injury by Disease    $500,000 - policy limit
Bodily Injury by Disease    $100,000 - each employee

The increased limits of liability available in the Pool, which are subject to an additional charge, are as follows: (000 omitted)

($)    100/100/1,000        .50%   with   $75.00 minimum - code 9803
            500/500/500      1.00%   with   $50.00 minimum - code 9807
         500/500/1,000      1.25%   with   $75.00 minimum - code 9808
   1,000/1,000/1,000      2.00%   with   $75.00 minimum - code 9812

C. Other States Insurance (Part Three)

Other states coverage is available ONLY on a limited basis. Refer to Massachusetts Limited Other States Benefit Endorsement, WC 20 03 06B. Carriers must insert "Massachusetts" (or "MA") and only "Massachusetts" (or "MA"), in Item 3A of the Information Page on all Pool policies, and carriers must insert "COVERAGE REPLACED BY ENDORSEMENT WC 20 03 06 B" in Item 3C. Refer to Special Bulletin No. 06-13 for additional information about this endorsement.

D. Optional Coverages / Endorsements

* Effective 7/01/2016 - the standard limits of liability for admiralty are:

$10,000 - all bodily injury arising out of any one accident.

Increased limits of liability for admiralty insurance of $50,000 per occurrence or a maximum of $100,000 per occurrence are available.