Workers Compensation

Workers Compensation Insurance assures the employees of financial help in the event of workplace-related illnesses, injuries, and diseases. Likewise, it secures the business owner against possible liability claims arising from the said accidents.
* =Required Fields >
* Name:    
* Email Address:    
Website:    
Entity:         Corporation Individual Partnership Other
Company:    
Address:    
Phone #: Fax:
Years in Business: Years Experience in the Field:
Federal Employer ID #:    
       
Brief Description of Business Operations:
 
Code Description Payroll # of Employees
 
$
$
$
Name of Officers/Owners Included
1.    
2.    
3.    
4.    
Health Provider: Average Hourly Wage:    
Do You Deliver?: How Often?:    
Out of State Employees?: Sick Pay?: Vacation Pay?:
3-Year Carrier History: Expiration Date:
Current 1 Year Prior 2 Years Prior
Name:   Name:   Name:  
Policy # Policy # Policy #

Carriers We Work With

united heatlhcare insurance

unum insurance

blue shield insurance

the contractors plan insurance

aetna insurance

prudential insurance

assurant health insurance

protective life insurance

Request a Free Quote Today

Fill out the form and one of our licensed advisors will reach out within one business day — no pressure, no obligation.

Phone

714-323-5301

Medicare Calls

714-276-8584

Email

Main Office

PO Box 5217
Huntington Beach, CA 92615

Office Hours

Mon–Fri: 8:00 AM – 6:00 PM
Sat: 9:00 AM – 1:00 PM

Tell Us About Your Needs
 

When you fill out our form, you will receive health insurance quotes from Aetna, Anthem Blue Cross, Blue Shield of California, Health Net, PacifiCare & United Health Care. We'll help you find individual, family or small business health insurance and the best medical insurance plans for your needs and budget.