Hello, Guest!

Hello, Guest!

See also  Forklift Travel Safety Tool

Health Care Premium Pre-Tax Agreement Form

Health Care Premium Pre-Tax Agreement Form

  • I elect to enroll in the Premium Payment Plan and have my premium contributions deducted from my paycheck on a pre-tax basis.
  • I elect not to enroll in the Premium Payment Plan. I want to pay my premiums with after-tax salary.
Employee name (please print): ________________________________________________________________________ Employee signature: _______________________________________________________ Date: _____/_____/_____

This content is for CoAction Insurance policy holders.

To request portal access, send an email to losscontrol@coactionspecialty.com with “Coaction LC Portal” in the subject line and include your policy number in the email body.

New Safety Talks

New Safety Talks

New eLearning

Upcoming Events & Webinars

2022-02-16T09:16:28-08:00

See What's Trending

Contact Us

Phone Number: 800.774.2755

Fax: 800.326.2864

Email: support@coactionspecialty.com

Mailing Address

Coaction Specialty Insurance

412 Mount Kemble Ave.

Morristown, NJ 07960

What Should I Do After An Event Occurs?

Report the loss as soon as possible to claims@coactionspecialty.com or call 800.774.2755 (Option #1 for reporting a new claim, Option #2 for all other existing claims).

When Should I Notify Coaction About A Claim?

Immediately. When filing a claim, notify Coaction by contacting us either via email at claims@coactionspecialty.com, by phone at 800.774.2755 (Option #1 for reporting a new claim, Option #2 for all other existing claims) or fax 800.326.2864.

Terms of Use | Legal Notice & Privacy Policy
Copyright 2020 SafetyNow ILT – a product of Bongarde Media

See also  OSHA: Electrical Safety Work Practices and Standards
Go to Top