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How should we contact you?

Pinnacol safety consultants are available at Safety On Call Monday – Friday from 8 a.m.-5 p.m. at 303.361.4700 or 888.501.4752. You can also send us a message using the form below or by emailing safetyoncall@pinnacol.com. All messages sent outside of business hours will receive a response the following business day.

Thank you for your interest in SelectNet, Pinnacol’s integrated, preferred provider network. Please complete and submit the form below. We will notify you when the review is complete.

Address

Estimate the number of workers’ compensation patients treated last year.

How many physicians in your practice take workers’ compensation patients? This helps us determine the urgency of credentialing and contracting (large groups are expedited).

How many nurse practitioners and physician assistants are associated with your practice?

Identify other practitioners

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Identify other practitioners associated with your practice. Please only put one per line.

Thank you for your inquiry regarding becoming an agent partner with Pinnacol Assurance. We appreciate your interest and your business.

Due to our relationship with the state as well as other factors, we have several criteria that must be met prior to applying for a full agency contract with us. Please fill out the form below in its entirety.

Are you able retain at least that same amount for the life of the relationship?
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