Three coverage options are available to supplement your workers’ compensation policy. Each of the coverages listed below require underwriting approval prior to extending the coverage. We realize that this information may be complex and may require more detail, therefore, we encourage you to contact your underwriter toll free at 1-866-45BRICK with any questions you may have.

• Employers Liability insurance provides coverage for an insured’s legal liability for employment-related bodily injury or disease other than workers compensation benefits. Basic limits are provided at no additional charge to eligible employers. Increased limits are available. Contractual information related to this coverage can be found in the policy coverage forms and endorsements WC 00 00 00 A - Workers Compensation and Employer Liability Insurance Policy page 2 of 6.

• WV Broad Form Employers Liability was formerly known as Employers’ Excess Liability Fund Coverage. It provides coverage for West Virginia Annotated Code §23-4-2 (d) (2) (ii)for an additional charge.

• Federal Coal Mine Health & Safety Coverage was formerly known as Coal Workers’ Pneumoconiosis Fund Coverage. It provides coverage for work subject to the Federal Coal Mine Health & Safety Act of 1969 (30 USC Sections 931-942)for an additional charge. Contractual information related to this coverage can be found in the policy coverage forms and endorsements WC 00 01 02 Federal Coal Mine Health and Safety Act Coverage Endorsement.