A member of the Berkshire Hathaway family, National Liability & Fire is a wholly owned subsidiary of the Berkshire Hathaway Group. Over a half century old, NL&F is rated A++ (Superior) by A.M. Best Company - one of the premier sources of independent analysis about the financial strength and overall operations of insurers worldwide. As a result, policyholders can feel very confident about the financial strength of the company providing their coverage.
NL&F is equipped to provide expert services in all disciplines - from initial billing through claims.
P.O. Box 113247
Stamford, CT 06911-3247
Employers are required in most states to post a Notice to Employees in a conspicuous location. As a service to our Policyholders, we provide a link from which a downloadable/printable notice can be obtained for your state.
Certain states have special requirements that govern the use of provider networks. If a policy incorporates a provider network and the state of coverage is listed below, you need to click the relevant link and review the material provided, taking all recommended actions.
Use these links to download the Wage Statement for your state. They include fillable fields and should be returned in the manner described in the cover letter within each document.
CA Employer's Statement of Earnings with cover letter
CO Wage Info Request Form with cover letter
FL Wage Statement with cover letter
LA Wage Info Request Form with cover letter
MN Wage Info Request Form with cover letter
NY Wage Info Request Form with cover letter
Use the links below to download copies of the forms used to request that certain eligible parties be excluded from Workers’ Comp coverage. (Select the correct version among the six for your particular circumstances.)
Cooperative Corporation Exclusion Form
General Partners and LLC Managing Members Exclusion Form
Officers or Directors Exclusion Form
Professional Corporation Exclusion Form
Residing Relatives Exclusion Form
Trusts Exclusion Form
To avoid any payment delays and eliminate installment fees, policyholders can sign up for ongoing premium debits by completing and returning the form below:
Further information regarding National Liability & Fire Insurance Company can be found at www.nationalliabilityfire.com.
We appreciate being given the opportunity to serve your workers' compensation insurance needs!