How to Obtain a Quote

The Trust accepts Acord applications for new business submissions. All new business submissions should contain the following applications:

APPLICATIONS

• Completed Acord Commercial Insurance Application
• Completed Acord Workers Compensation Applications
  • (Note that the Trust caps each individual's payroll at a maximum of $75,000 per year so please adjust payrolls accordingly, including executive officers, owners and members of an LLC)
• Completed Supplemental Workers' Compensation & Auto Questionnaire
• Ambulance Companies - Ambulance Fleet Questionnaire
• Child Daycare - Supplemental Child Daycare Questionnaire
• Home Care Companies - Home Care Supplemental Questionnaire
• Museums - Supplemental Museum Questionnaire.
• Schools - Supplemental School Questionnaire

Current valued Loss Runs (5 years + current)
Current Experience Modification Worksheet, if applicable
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”
Clerical payroll (8810) must be broken out separately regardless of governing code(s) used

Quotes can be provided very quickly once the above information is received. Send all information to the marketing department via email to marketing@wctrust.com or  by fax to 203-678-0373.

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