How to Obtain a Quote
ALL NEW BUSINESS SUBMISSIONS SHOULD INCLUDE THE FOLLOWING:
- Acord Commercial Insurance Application
- Acord Workers Compensation Application
- WCT Supplemental Workers' Compensation & Auto Application
- Currently valued Loss Runs (5 years + current)
- Current Experience Modification Worksheet, if applicable
- Indicate If quote is to include commission or to be quoted on a net basis
- Indicate if account is to be direct bill or “Pay As You Go”
- The following types of businesses require supplemental applications to be completed by clicking title:
SPECIAL PAYROLL FEATURES - PLEASE ADJUST PAYROLLS ACCORDINGLY
- Clerical payroll (8810) must be broken out separately regardless of governing code(s) used
- The Trust caps each individual's payroll at a maximum of $75,000 per year including Executive Officers, Owners and Members of an LLC
We provide quotes quickly once all information is received. Please send your completed submissions to [email protected]
| | Share/Bookmark