Exposure Questionnaires

Complete the appropriate exposure questionnaire(s) below and email to paulb@amljia.org, or fax to 907-279-3615.

These questionnaires provide you with the opportunity to ensure that your entity is properly protected. While completing your questionnaires, please pay careful attention to the following:

  • Properly coded payroll:  workers’ compensation rates are different for each code, so make sure payroll is scheduled appropriately. We need your projected payroll numbers from July 1, 2018, to July 1, 2019. If you have questions about the correct code, contact our office. Realizing you are providing estimated payroll figures, we will be conducting an audit at the end of the year to obtain actual payrolls.

  • Autos scheduled for coverage:  auto liability is required for all autos in use.

  • Scheduled values for property:  you are required to schedule buildings, contents, EDP, and fine arts at full replacement cost. Mobile equipment and garaged vehicles are to be scheduled at actual cash value (ACV).

  • Deductibles:  if the value for an item is at or below your deductible, you might want to consider deleting the item. Deductibles are also used to determine rates. Choosing a higher deductible is one alternative for lowering premium.

  • Employee Concentration:  we are requiring information regarding employee concentrations to include the maximum number of employees at each member’s locations.

  • GPS Coordinates:  please indicate the GPS coordinates of each scheduled property location if this information is available.