23-24_WC_NOC.pdf

This document is an Arizona Cancellation and Nonrenewal Endorsement for a Workers Compensation and Employers Liability Insurance Policy issued by Sentry Insurance Company, copyrighted in 2021 by the National Council on Compensation Insurance, Inc. The endorsement specifically applies to policies where Arizona is listed in Item 3.A. of the Information Page and outlines the terms and conditions for policy cancellation and nonrenewal within the state of Arizona.

The endorsement details the procedures for cancelling the policy, including requirements for providing advance written notice, methods of notification (via mail or electronic means), and conditions under which the policy may be terminated. Key provisions include the insurer's obligation to notify the Industrial Commission of Arizona if the policy is cancelled or not renewed, acceptable methods of delivering notice (including electronic posting and email), and stipulations about proof of notice. The document also specifies that the policy period will end on the date and time stated in the cancellation or nonrenewal notice, and any conflicting provisions will be changed to comply with Arizona law.