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Who files an ERM 14?

The ERM-14 is a confidential form completed by the insured and submitted to the NCCI for the purpose of assisting the various workers compensation bureaus to verify coverage and determine combinability of entities as it relates to premium calculation.

How do I submit an ERM 14 form?

Where To Send A Completed ERM 14 Form - NCCI Email: modmail@ncci.com. Fax to NCCI: 561-893-1191. Mail to NCCI at: 901 ula Corporate Circle, Boca Raton, FL 33487-1362.

What is an ERM 6 form?

General Information. ERM-6 forms are used when a risks coverage period is insured by a non-affiliate self-insurer or a. non-affiliate carrier. In order for the data to be included in an experience rating, it must be. submitted to NCCI in an approved formatthe ERM-6 form.

What is an ERM 14 form?

The ERM-14 form is used to request ownership information and may be used in a variety of instances, including when there has been a change in ownership, when an entity needs to be added later or when multiple entities need to be considered for combinability.