Workers Compensation Insurance

We'd love to meet you and find you the perfect solution

Overview

Workers’ compensation coverage pays for medical care and physical rehabilitation of employees injured at work and helps to replace lost wages while they are unable to work. Additionally, this coverage protects an employer from being sued by an injured worker in most cases.

NEC Agency can help your business find complete solutions to your unique workers compensation insurance needs. We’ll find solutions that create safer and more productive workplaces, more confident and secure workers, and overall savings that you’ll see on the bottom line.

Coverage for office workers using their own vehicles on company business is often needed as well. If you have employees, it is critical that you consider workers comp coverage.

Workers Compensation Insurance

At NEC Insurance Agency, Inc. We put the power of the internet to work for you!
The following questions concern the type of business insurance coverage you are requesting . Please answer them as accurately as possible.

1) Business Name:

2) Description of the business:

3) What type of entity is your company?

4) Please indicate the state in which your business is located:

5) Please indicate your total # of full-time employees:

# of Part Time Employees:

6) Do you want the officers of the company to be included? YesNo

7) Please indicate your total annual revenue:

8) Please indicate your total annual payroll: Please enter amount: $

9) Do you currently have business auto insurance? YesNo

If you are currently insured, please select your current insurance carrier:

If your provider is not listed above, please provide the company name here:

10) How many years have you had coverage with this company?

11) How many years have you had continuous coverage (With no lapse)?

Business Information:

1) Business address:

Business address:

2) City:

3) State:

4) Zip Code:

The answer to these basic questions will help us process your information.

1) Best Time To Contact:

2) Additional Comments:
Please provide any additional information you feel is pertinent to the insurance coverage you need.

1. First Name:

2. Last Name:

3. Phone:

4. Email:

5. Address:

6. Address:

7. City:

8. State:

9. Zip Code:

Scroll to top