GO
WORKERS COMPENSATION

Get Applications

Upload Application Form

  • Guaranteed cost program
  • Superior loss control program and
    risk engineering
  • No Cost Payment plans available
  • Proven strategies to manage claims
    and control medical costs
  • Specialized fraud investigation units and legal teams
  • Focused return-to-work efforts for employees
  • Renowned loss prevention services
  • Innovative managed care programs
  • Available in all non-monopolistic states
 

This coverage is used to comply with the Workers' Compensation coverage required by your state law. Under this requirement, an employee can be compensated if he or she is injured while working for you, regardless of your negligence as an employer.

 

Workers compensation is a schedule of benefits payable to an employee for injury, disability, dismemberment, or death as a result of occupational hazard. The benefits payments are the liability of the employer and workers compensation is a form of insurance that agrees to pay on behalf of the employer those injury benefits required by law.

 

Employer's Liability coverage, which is usually included in Workers Compensation policies, responds when an employer is held liable for the injury or illness of an employee but the claim is not covered by workers compensation portion of the policy.

 

In almost every state, workers’ compensation insurance is required for companies that have W2 employees.

Application Submittal Form
App Submittal Form
 


Insured Name is required.


Email ID is required.
Please enter a valid email address.







Email ID is required.
Please enter a valid email address.



File Size: 2MB Maximum

File Size: 2MB Maximum
 
File Size: 2MB Maximum
 
File Size: 2MB Maximum
 
File Size: 2MB Maximum
 
File Size: 2MB Maximum

Only PDF files may be uploaded at this time. Once you have completed this online form and attached your files please click the 'Submit' button.
 
* Required
 
 
Privacy Statement