The Intelligent Insurance Solution

How to Obtain a Quote

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



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 or  by fax to 203-678-0373.