SAMPLE FORMS

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By Judy Cannella Schott Cynthia Oteri Butera Johanna G. Averill Lindsey M. Ladouceur Linda A. Liljedahl Professional Liability Loss Prevention Counsel Louisiana State Bar Association Office of Loss Prevention Gilsbar, Inc. P. O. Box 998 Covington, LA 70434 Phone: (504) 898-1785 Fax: (504) 898-1636 E-mail: Web Site: Copyright by Gilsbar, Inc., 1999. All rights reserved. Revised: 1/01 SAMPLE FORMS Make One Call For All of Your Insurance Needs! 1-800-Gilsbar Malpractice Insurance Business Office Insurance for general liability, property and contents, with additional coverages including computer software/hardware, fine arts, non-owned and hired car liability Workers compensation Employee Dishonesty Coverage Court Bonds including jury cost, appellate, supersedeas, admiralty and probate ERISA Liability including fiduciary liability insurance, employee benefits liability insurance and fidelity bonds Group Dental Insurance Health Insurance for individuals.

• Workers Compensation • Employee Dishonesty Coverage • Court Bonds including jury cost, appellate, supersedeas, admiralty and probate • ERISA Liability including fiduciary liability insurance, employee benefits liability insurance and fidelity bonds • Group Dental Insurance • Health Insurance for individuals, groups and self-funded ...

  Compensation, Worker, Workers compensation