2011 Exposure Questionnaires

Complete our exposure questionnaires and send it to paulb@amljia.org or fax it to 907-279-3615!

Click on the links below for the questionnaire in Word format.

• FY2011 Municipality/Borough Liability/Workers' Compensation Questionnaire (instructions)

• FY2011 Municipality/Borough Liability/Workers' Compensation Questionnaire

• FY2011 Schools Liability/Workers' Compensation Questionnaire (instructions)

• FY2011 Schools Liability/Workers' Compensation Questionnaire

• FY2011 Property Questionnaire (instructions)

• FY2011 Property Questionnaire

• FY2011 Utility Liability/Workers' Compensation Questionnaire

• FY2011 Police Professional Liability Questionnaire

• FY2011 Crime Exposure Questionnaire

These questionnaires provide you with the opportunity to ensure that your entity is properly protected. It is extremely important that we receive up-to-date information from each of our members. Having accurate exposure information makes our program that much more attractive to reinsurers and enables us to bargain for the best possible rates. The time you spend on these questionnaires will not only benefit your entity, but will help to bring increased stability and strength to the entire membership.

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, 2010, to July 1, 2011. 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. Make sure you aren’t paying for a vehicle that you no longer own or that is out of commission. Take a close look at autos scheduled for comp. & collision – are the values correct? Is the vehicle too old to justify comp. & collision coverage?

• 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). On the property schedule, note that there is an “Appraised Bldg. Value” column and a scheduled value or “Bldg/Real Prop” column. Please note your property values have been increased to the appraised value this year to reflect the current rise in labor and construction material cost. The appraisals were recalculated as of January 1, 2009, so are the latest trended data available. If no appraisal exists, we have raised the value of the property and the contents per current Marshall Swift trended increases.

• 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.

If you wish to have your payroll, auto or property schedules in an Excel spreadsheet format please let us know and we will email them to you. If you have any questions regarding your questionnaire, please call us at 800-337-3682. The sooner you are able to return these questionnaires, the sooner we will be able to get you price quotes for your budget.