Insured Solutions | Innovative Risk Management & Workers’ Compensation Programs

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PayGo Payment Wizard

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Welcome to the Insured Solutions PayGo Payment Wizard

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FORGOT PASSWORD

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Welcome to the Insured Solutions PayGo Payment Wizard

Please agree to our terms and conditions::

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Name:

EPLI Agreemeent

In response to the escalation in employment-related litigation, Insured Solutions, Inc. is pleased to provide you with the value added benifit of Employement Practices Liability Insurance. Protect your company against employment-related claims your General liability will not cover, including:

* Wrongful Termination
* Discrimination
* Sexual Harassment
* Work Place Torts

Would you like to add this coverage to your Pay As You Go Workers' Compensation for the low cost of $1.25 per employee, per week? Please note the coverage is voluntary and you may opt out anytime.

Yes No Name :

Welcome to the Insured Solutions PayGo Payment Wizard

Important : Did you pay any contractors (1099's) during this pay period?: Yes No

Uploading...

Payroll Frequency	Payroll Date:
Enter your payroll amounts by Class Code Important: Please include the wages and class codes of the independent contractors paid this pay period below:
Select Class Code:
Enter Gross Regular Payroll Amount:	Rate:	Sub Total:
Enter Gross Overtime Payroll Amount:	Rate:	Sub Total:
Enter Gross Double-time Payroll Amount:	Rate:	Sub Total:

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Class Code	State	Payroll Type	Rate	Wages	Sub Total

Total Wages: WC Total:

Minimum Difference:

Per Pay Period Minimum Installment:

Yearly Minimum Installment:

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Payroll register

Please upload a copy of your payroll register

Would you prefer to Fax or Upload your Payroll Register

I will upload my payroll register

I will fax my payroll register

Payroll Registers are Required and must be faxed promptly, if not uploaded. If the payroll register is not received, you may be subject to a $75 late fee.

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Payroll register

Please upload a copy of your payroll register

Would you prefer to Fax or Upload your Payroll Register

I will upload my payroll register

I will fax my payroll register

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Late Fee:

Reactivation Fee:

Reporting Fee:

WC Fee:

Total Due:

Comments : (Max 200 Characters)

Saved Account

Add New Account to securly save your payment information for quick payment.

Other Account

Manage Account

Securely add your payment information for further transactions

Credit Card Payment

Payment Total (includes 3% convenience fee):

Credit Card Information
(Important Note: Only Visa and Mastercard accepted.)

Credit Card Type:
Credit Card Number:
Expiration Date:
CVV:

Billing Address of Credit Card

* Street:
Suite / Apt:
* City:
* State:
* Zip:

Payment Amount:
Please securely save my credit card information for further transactions.

I understand I am paying a workers' compensation invoice and attest that the payroll data entered is accurate.

I agree

Process Payment

Alternative Workers′ Compensation Coverage using Pay-as-You-Go or Traditional Payment Plans

Traditional payment plans.
Pay-as-you-go payment plans:

No premium deposit.
No audit
Low rates

Risk Management Services

Our loss control managers can provide the following services:

Written Safety Programs & Recommendations
Osha Compliance Needs Assessment
Review of Client’s Existing Safety Policies and Procedures
Light-Duty Back-to-Work Programs
Drug Free Workplace Assistance

Optional Payroll Administration

Clients can keep their payroll processing in house, use the payroll provider of their choice, or use our payroll services. All of our packages keep the agent involved.

Optional payroll processing, checks and distribution:

On-site check printing
Federal and state tax deposits
Internet Time Entry and online web-based reporting
Employee Maintenance, Direct Deposit, W-2 processing, Time Clocks
CPA Payroll & Tax Portal
$2 Million Insurance Umbrella & Bonding

How often do you pay your employees?

Weekly - You pay your employees every week. (Example: Every Friday)
Bi-Weekly - You pay your employees every two weeks. (Example: Every other Friday)
Semi-Monthly - You pay your employees twice per month. (Example: The first day of the month and the 15th of the month)
Monthly - You pay your employees one time each month. (Example: The first day of every month)

ACH Terms

In consideration of the services provided to me by Insured Solutions, its subsidiaries and/ or assigns (the company). I hereby authorize the company to initiate a debit entry to my account indicated below at the depository financial institution named below, hereinafter called DEPOSITORY, and to debit the same to such account for the amount and frequency listed below. I acknowledge that the origination of ACH transactions or preauthorized draft to my account must comply with the provisions of U.S. law.

The specific debits to my account authorized herein may only post on or after today’s date, and in no event may the debit transaction post to my account prior to said date. This authorization is to remain in full force and effect until the company has received written notification from me of termination in such time and in such manner as to afford the cmpany and DEPOSITORY a reasonable opportunity to act. I may only revoke this authorization by contacting the company directly at the address listed above.


* Bank Name:
* Routing Number:
* Account Number:
* Check Number:
Please securely save my ACH information for further transactions.