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WORKERS COMPENSATION

 

What is workers' compensation?
Workers' comp insurance provides benefits to employees who are injured or become ill during the course of or due to employment. In California, every employer is required to carry insurance to cover the cost of occupational injuries and illnesses. This insurance requirement is mandatory even if you have only one part-time employee. Companies based out-of-state with employees hired in California must also have California workers' compensation insurance. Non compliance with California state workers' comp laws can result in serious penalties and fines.

Assembly bill 279 states that business owners who intentionally operate without workers compensation in California are subject to possible prison sentence and up to a $10,000 fine. 

WHY DO MY RATES INCREASE EVERY YEAR WHEN I DON'T HAVE CLAIMS?

We are pleased to offer most of the major workers compensation insurers in California. We can help you if you have no claims, many claims, or even no workers comp coverage at all. The rates you receive will be some of the most competitive in the state. We also have markets for certain types of U.S. L & H risks.

We offer California State Admitted Workers Compensation insurance carriers such as:

Argonaut ~ American Alternative Ins. Co. ~ Clarendon ~ TIG
 NAICC ~ Virginia Surety ~  Cal-Indemnity 
 Insurance Co. of the West (ICW) ~ and more.

 

If you would like to contact us directly, 

please feel free to do so at (800)585-8887

General Information
Name of Business:
Contact Name:
Address:
City:    State: CA   Zip:
Business Status:      Other:
Business Tax ID Number:
Business Phone:    Fax:
Best Time To Call:
Contact Email Address:
Years in Business 
How many Employees? 
Safety program in force?
Are you presently insured?
Name Of Current Insurer:
Current Annual Premium:
Policy Period: TO
Short description of business operations:
Do employees perform work at heights above 15 Feet?  
What is your company's experience mod factor?
Please tell us some information about any claims listed above.

 

Please input your company's employee class codes (i.e.. Clerical is 8810), and the annual payroll in each class, and we MUST have the rate for each class. 

Please enter the standard California Workers Comp Class Codes and           Payroll info below:

Class Codes 

Annual Payroll for Class

Current Rate for Class 

 

IMPORTANT NOTE: This workers compensation form is provided as a convenience to you. We will make a good faith effort to obtain competitive quotes for your review. Depending on the type of business, we may require more information and will contact you if necessary. Your submission of this form DOES NOT guarantee that any binding workers compensation coverage offers will be forthcoming from insurers we represent. Also, in no way does submission of this form obligate anyone to any contract.

 

 
 

 

Steve Carney & Greg Mishkin are owners of

InsuranceGuys Insurance Services.

Steve Carney , Registered Principal, and Greg Mishkin, Registered Representative, offer securities through Sentra Securities Corporation, a Registered Broker Dealer.

Member: NASD, SIPC. 

Branch Office: 637 Juanita Ave., Santa Barbara, CA 93109
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