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TRANSCRIPT
Company name:
Contact:
L&I Account ID (required):
____ ____ ____ , ____ ____ ____ - ____ ____
Address:
City/State/Zip:
Phone:
E-mail:
Are you currently enrolled in a Retro Plan? Yes No
If yes, which one?
Signing this release gives the Master Builders Association
permission to contact anyone at the above-listed company via
e-mail, phone, or fax for matters relating to GRIP. The Washington
State Department of Labor and Industries is hereby authorized to
release account information, such as, but not limited to, premiums,
claims history and risk classification on the above account to the
Master Builders Association’s GRIP. This includes access to the
Claims and Account Center for a period of six months after signature
date. I understand that this information will be used solely to assess my
potential eligibility for participation in a Group Retrospective Rating plan.
Our workers’ comp experts help building professionals like
you lower L&I premiums, keep safer job sites and maximize
annual refunds. It’s no wonder GRIP is the fastest-growing
retro in Washington State.
GRIP serves more than 1,100 MBA members, 97% of whom
choose to remain with the program each year. And last year, GRIP
earned its highest refund ever, distributing more than $6.8 million.
Our local team knows King, Snohomish and Pierce counties
inside and out, so you get superior service and hands-on claims
assistance should a workplace injury ever occur.
L&I claims supportSuperior, hands-on claims
assistance from our local experts.
Lower L&I premiumsGRIP participants pay nearly $10 million less than the base rate.
Safety checkupOur on-site assessments help you
avoid injuries and violations.
L&I premium refundsParticipants received over $6.8 million
in combined refunds in 2016.*
Return to work programsWe help your workers get back
on the job quickly.
Nurse claims managersWe’ll communicate directly with
doctors to save you time.
HOW GRIP EXPERTS HELP YOU:
Find out if you qualify for the fastest-growing
retro in Washington State. Mail this card, fax it
to 425.460.0001, email it to [email protected],
or complete it online at mbagrip.com/protect.
While GRIP cannot guarantee the amount of premium refund, our third party administrator, Approach Management Services, manages some of the most successful construction industry retro programs in Washington State, which have paid substantial refunds every year since 1995.
CALL 844.MBA.GRIP or visit mbagrip.com/protect
Sorting through L&I requirements can be overwhelming. The GRIP safety visit at our office wasmore helpful than I could have imagined. We receivedanswers to questions I didn’t even know I had!
–Diane Brien, Maltby Container & Recycling
RESPOND NOW TO START SAVING ASAP
X Signature required
& YOUR BOTTOM LINE. PROTECT YOUR WORKERS