We provide competitive Worker's Compensation coverage for employers.
Or please provide us with the following:
•
Worker's Compensation Questionnaire or an ACORD 130 Application
3-4 years of current loss runs which you can obtain from your current carrier. Just call them
and request the loss runs to be faxed to your attention. Once received, please fax to us with
the completed Worker's Comp Questionnaire
Supplemental application (if required)
Class Code Availability by Carrier:
For a complete listing of class code availability by carrier, please click here: Classification listing
Fax back directly to us at (949) 417-9410, Attn: 'Workers Comp Quotes'