On-Line Workers’ Compensation Insurance Quote Form

Most states require businesses to have Workers’ compensation insurance (workers’ comp insurance) if you have employees. Workers’ comp insurance covers medical bills and a portion of lost wages for an employee(s) who becomes injured or ill on the job. Workers’ comp insurance protects businesses from being sued by employees for workplace conditions that can cause an injury or illness. We now write workman’s comp insurance in 5 states. Minnesota, MN, Wisconsin, WI, Iowa, IA, North Dakota, ND and South Dakota, SD. Our workers’ compensation insurance experts will need your payroll information, loss runs and EIN. Saving on your workers’ compensation insurance is just a click away! Use our simple one-page form below, it only takes a minute.

Business Information

Business Underwriting Information

Payroll Class #1:

Payroll Class #2: (if none, leave blank)

Payroll Class #3: (if none, leave blank)

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We value your input as PRIVATE information. Every step has been taken to insure your privacy, security, and our intent is to release quote information only to you. We will not give your data to ANY other person or group for sales, marketing, or ANY other purposes. By checking the box below you agree to allow our agency to release this information via the method you have chosen, and to release them from any liability should this information be accidentally viewed by others. Our intention is to maintain your complete privacy.

Yes, I Agree. Please Send Me a Workers Compensation Quote NOW!
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