Employer's Mutual, LLC

If you have Microsoft Word or Excel version 95 or later you can select a document to download. If you have Excel we recommend that you download the Excel version of the document from the appropriate group. Otherwise, please select the Word version.

If a dialog box opens with an option to "save", please save the document to a convenient location (such as "My Documents"). If Word or Excel starts, within your internet browser, please select "File" then "Save As" and save the document to a convenient location (such as "My Documents"). You can then close your web browser and open the document from the "My Documents" folder.

When you have completed and saved the information, please e-mail the document, as an attachment, to classaction@hbsb.com. Thank you in advance for your cooperation.

Employers: Employer Questionaire: Microsoft Excel Document Employer Questionaire: Microsoft Word Document

Insurance Producers: Insurance Producer Questionaire: Microsoft Excel Document Insurance Producer Questionaire: Microsoft Word Document