Serving independent insurance agents since 1954

Workers’ Compensation

Click here for Workers' Compensation forms

Bloss & Dillard has been appointed as a General Agent for BrickStreet Mutual Insurance Company. Travelers Insurance Company, AIG and Berkshire Hathaway Guard Insurance Companies

Agents that do not have direct appointments with these companies can place Workers Compensation business through BDI and receive the same great service at no additional cost to the client. Bloss & Dillard is a West Virginia domiciled company that is proud to service our agents since 1954, our goal is to always offer exemplary service.

Workers' compensation FAQs

What is needed for a quote?

Submit completed Acord 130 (WC) application (CLICK ABOVE)

Does the retail agent have binding authority?

No, each carrier BDI represents has different procdures for binding that require that you notify a BDI representative for instructions.

How will premiums be collected?

All BDI Workers Compensation

If I'm not already signed up with Bloss & Dillard as an agent, what do I do?

Bloss & Dillard's normal procedure with new agents is to obtain a new agent profile and agreement. This form is available on our web-site in the forms section. The first piece of business written with Bloss & Dillard requires that this form and agreement be sent with the bind request.

Visit our website Resources tab for forms to complete a fillable application or print the Acord 130 Workers' Compensation Application to complete and sent to submissions@bloss-dillard.com fax at (304) 429-7248.

If you have any questions, please feel free to call our Workers' Compensation Department Supervisor, Betty Douglas or Mark Hafertepen at (800) 624-3422. You may also email Betty or Mark.

Department Contacts

Betty Douglas, Supervisor
bdouglas@bloss-dillard.com

Carrie Fairburn
cfairburn@bloss-dillard.com