COVE RISK ELECTRONIC FORMS DISTRIBUTION

Thank you for being a business member of one our workers’ comp groups and for taking the time to sign up to receive your important workers’ comp documents electronically.

To better serve you, please provide the name of the person in your office who should receive the documents and indicate which ones. If there are multiple people who need these documents, please submit them on a separate form.

In order to receive policy documents from Cove Risk, please be sure to approve the following Domain and IP addresses so they don’t land in your spam folder.
Domain Name: sendgrid.net
IP Addresses:
167.89.123.124
167.89.115.56
167.89.115.120
167.89.123.54

Contact Info

First Name

Last Name

Member Number

Group Number

Division Number

or select all All divisions (if you are the contact person for all divisions)

Check all that apply to this contact:

Policy

Policy page
Mid-term Endorsements
Certificate of Insurance
Quote
Policy Financial Summary (estimated bill)
Revised Policy Summary (revised bill)
Audit Summary (audit bill)

Accounting

Invoice
Cancellations
Reinstatements
Late Notice

Claims

New Loss Notifications (document)
Wage Statement Requests (documents)

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Cove Risk Services, LLC

COVE RISK ELECTRONIC FORMS DISTRIBUTION