Work Comp Quote
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Name :

Mailing Address :

Phone :

Email :

FEIN :

Description of Operations :

Ownership type (Corp, Partnership, Sole roprietor, etc):

Owner Name and % of ownership :

Class code – Annual Payroll :

Current Company:

Current Premium:

Renewal Date:

Recently Written Accounts

Flooring Contractor
Annual payroll of $120,000
Was paying $18,038
Our premium $12,090
Annual Savings of Over $5,900!!!

 

Real Estate Agency
Annual payroll of $725,000
Was paying $4,734.
Our premium $3,336
Annual Savings of Over $1,300!!!

 

Medical Office
Annual payroll of $280,000
Was paying $3,156
Our premium $2,230
Annual Savings of Over $900!!!