You will find specific applications here for Home Care, Medical Staffing, Medical Facilities, Human Services Organizations and Senior Care/Long Term Care Facilities. If you do not see an application for a particular type of health care firm, please send a request to alliedhealthsubmissions@one80.com so we can provide the best option.

Submission Requirements

Please include the following attachments with your submission:

  • Currently valued insurance company loss reports for the past three to five years
  • Most recent Experience Modification Worksheet (for Workers’ Compensation submissions)
  • Resumes of owner/operators (to verify management experience in health care), pro-forma financials and a business plan (if available) for firms that are new in business (less than two years)

Send your completed application(s) and supporting documents to:
alliedhealthsubmissions@one80.com