Blood Bank Insurance

START YOUR QUOTE for Business Insurance

In some cases an allied health policy may be available, which can offer a combination of general liability, professional liability, and abuse/molestation coverage.

About You or Your Business

Name*

First Last

Business Name or DBA

If you do not have a business name, just write "none"

Address

Street Address Address Line 2 City State ZIP Code

Email*

Enter Email Confirm Email

Phone Number - including area code*

Website

Business Structure*

Business Location

We ask this questions because different insurance carriers have different rules regarding the location of your business. It helps us find the right type of policy.

Information to Get Your Quote

Type of Business #1*

Choose the types that represent your business (you may choose more than one) by selecting another on the next drop down. Please choose AT LEAST ONE business type. You can choose OTHER, if you cannot find yours here.

What are your estimated gross receipts from this part of your business?

Gross receipts means the amount of money that you take in before your expenses. You can estimate. If you are a new business, please write your estimate, because to obtain most quotes, an amount must inputted.

Other Business Type - please describe your operations

Type of Business #2

Other Business Type - please describe your operations

What are your estimated gross receipts from this part of your business?

Type of Business #3

Other Business Type - please describe your operations

What are your estimated gross receipts from this part of your business?

Describe your Business

Please tell us what services you perform, OTHER THAN those listed in the drop down boxes above, if any. Use this space if you needed to tell us more information.

What types of insurance are you seeking?

Professional Liability (errors and omissions)
General Liability Insurance
Property Insurance (buildings or equipment)
Workers Comp
Commercial Auto Insurance
Directors and Officers Insurance
Employment Practices Liability Insurance (EPLI)
Data Breach of Cyber Liability
Food Spoilage - coverage for food that spoils and needs to be replaced

We make it easy by asking you the only the questions needed for the types of insurance that you request.

What year did your business start?*

How many employees do you have?

You can write "none" if you have do not have any.

What is your annual payroll? ($)

If you have no payroll and only owners, please write none.

Does a single client represent 50% or more of your business?*

Tell us about the customer that provides more than 50% of your business.

What services do you perform for this customer and what are your estimated annual receipts (earnings before expenses) from this customer.

Do you have any prior claims?

Tell us About your Prior Claim

TAX ID / FEIN / Social

To quote workers compensation insurance, we need your Tax ID, FEIN, or Social if you are a sole proprietorship. For general liability, we will need it when you bind the policy.

What types of clients do you service?

Carriers have different rules about the types of clients you service, so this help us with the quoting process.

Chose your Limits of Liability

General Liability

These numbers are written as the per occurrence limit and the aggregate limit.

Professional Liability - Errors and Omissions Insurance

Property Insurance Section

In this section, you can choose how much coverage you want for your equipment, a building, glass, or other items.

Do you own the building?

How much coverage ($) do you want for the building?

Enter an amount in this box. The underwriter will still require that your amount of coverage meet a minimum rebuilding cost per square foot. We will contact you with more information.

How much coverage ($) for your business personal property?*

This includes your furniture, inventory, printers, file cabinets, etc. We'll ask you about computers in the next box.

How much coverage ($) do you want to Tenant Improvements?

This includes, flooring, painting, wallpapering, and other permanent renovations that you did to you space. Also include permanently mounted equipment here.

How much coverage ($) for computers and laptops?

How much coverage ($) for awnings or canopies?

How much coverage ($) for Signs?

Signs are expensive to replace, so let us know the value or your signed mounted to the building or that's not connected.

What Year was the building that you are in built? (Estimate OK)

Do you want coverage for any specific items? Tell us about them and include the value.

If you know the year, make, and model of your equipment, please provide it. We will contact you for more information, if needed. Example: 1 tractor, 2005 model, $25000 value.

Does your location have any of the following?

Central Station Alarm - one that calls the alarm company of the policy
Local Alarm Only - it does not call the policy or an alarm company
Fire Sprinklers on the interior - covering 100% of the building
Fire Sprinklers on the interior - covering only part of the building
A security guard

Commercial Auto Section

Driver #1 - Provide the name and birthdate of at least 1 driver

Driving Record for Driver #1

Vehicle #1 - Year, make, and model (if you have the VIN, include it)

Vehicle #1 - how much is it worth? (not including permanently attached equipment)

Vehicle #1 - how much coverage do you want for permanently attached equipment

Examples: a dog grooming truck may have a vacuum permanently mounted; a food truck may have cooking equipment mounted to the truck.

Do you need to add more drivers or vehicles?

Yes
No

Tell us about the other drivers and/or vehicles. Please provide the name, birthdate, and marital status of each driver. Provide the year/make/model and value of each vehicle. If you know the VINs, please provide them.

If there is something special that you want to tell us, please do so here.

Directors and Officers Insurance Section

How many VOLUNTEER board members do you have?

How many PAID board members do you have?

Industry Specific Questions

If you see no questions, please continue.

Translator or Interpreter Section

Do you do simultaneous translation where 2 or more interpreters translate/interpret at once?

Do you do any translating for medical professionals?

The last questions - finish your quote

Do you currently have insurance?

No
Yes - it is active
Yes - it expired or lapsed

Who is your current carrier? (If you have active insurance, and know your retroactive date, please tell us here)

Do you work with minors (people 17 and under)?

No
Yes

How many full time and part time professionals work in your business (include owners).

Example: 1 full time physical therapists and 1 part time massage therapist

Do you require that independent contractors maintain professional and general liability insurance?

How many clients or patients do you expect to see in the next year?

Please tell us what licenses or degrees you have:

Please check all that apply (if any)

I have a current, unrestricted license
My profession does not require a license
My license has been suspended in the last 3 years or it has been restricted
I provide MORE than 10% of my services within a nursing home, assisted living facility, or hospital
I provide hospice care
I prescribe drugs or medications

When and where did you complete your training? (Example XYZ school of accupuncture, 1998)

Do you belong to any assocations, such as one for your profession? If yes, please tell us which one. This may help you receive a discount.

Do you want to subscribe to our small business newsletter?

Yes, please
No, thank you

We do not send a lot of newsletters, but when we do, they are filled with valuable risk prevention and small business ideas.

START YOUR QUOTE for Business Insurance

About You or Your Business

Information to Get Your Quote

Chose your Limits of Liability

Property Insurance Section

Commercial Auto Section

Directors and Officers Insurance Section

Industry Specific Questions

Translator or Interpreter Section

The last questions - finish your quote

Looking for a Quote