The Intelligent Insurance Solution

Forms

Request for Employee Benefits Quote

Workers' Compensation Trust Request

2024 Safety Grant Progress Report

To submit your report, please complete the form and click the submit button at the bottom. Your form will go directly to Joey Barbera, Vice President of Loss Control Services.

Voluntary Employee Benefit Program Webinar

Please sign up here to participate in the Trust's Voluntary Employee Benefit Program Webinar.

Partnering With The Trust Evaluation

Please let us know what you think by filing out this short evaluation of the Partnering With The Trust webinar. Click submit when complete.

Connecticut Paid Family & Medical Leave Act Voting

WCT On Demand Webinar Request Form

Request a Consultation