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* Business Name or DBA
If you do not have a business name, just write "none"
Address Email* Phone Number - including area code*
Website
Business Structure* CHOOSE ONE Individual - Sole Proprietor Husband and Wife General Partnership Corporation C-Corp S-Corp Non-Profit Corp Non-Profit Other Trust LLC - Limited Liability Company LP - Limited Partnership LLP - Limited Liability Partnership
Business Location CHOOSE ONE Home-based business working only from home I rent, lead, or own an office or other location away from my home Home-based business but I travel to different locations to work I work only at flea markets, festivals, and similar eents I own an office condo
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 ONE Aesthetician Massage therapy Animal Therapy (used to treat humans) Art Therapist Athletic trainer Audiologist Autotransfusionist Beautician/Barber Blood Bank Cardiographic technician Career Coach Clinical psychologist Day spa Dental hygienist Diagnostic medical sonographist Dietitian / Nutritionist Educational Therapist Electrocardiogram technician Emergency Medical Technician Exercise physiologist Faith-based counseling First aid/CPR training Fitness instructor Health education Home health aides (non medical) Home health aides (medical) Horticultural Therapist Intimacy Coach Intimacy Coach and Somatic Sex Coach Kinesiotherapist Marriage and Family Therapist Massage Therapist - Individual Massage Therapist - Parlor/Salon/Studio Location Mental health counseling Music therapist Occupational therapist Optician Optometric assistant Orthoptist Orthotist / Prosthetist Paramedic Pedorthist Perfusionist Personal Concierge Personal trainer Phlebotomist Physical Therapist Physical therapy Radiation therapist Radiologic Technologist / Radiographer Rehabilitation counselor Respiratory therapist School guidance counseling Senior Aide (in-home or at senior centers) Sex Therapist Sleep Center Social workers Speech language pathologist Wellness counseling
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 CHOOSE ONE - Or Skip Abstracting and Indexing Service Accounting Service Acupuncturist Adjuster - Independent Claims Adjuster Adjuster - Public Claims Adjuster Adjustment Bureaus Administrative Support Service Advertising Agency Alarm Monitoring Services Alcoholics Anonymous Allied Healthcare Animal Groomer – dogs, cats, birds Animal Groomer – including horses Animal Control Animal Shelter Animal Therapist Animal Trainer Animal Trapper Answering Service Antique Appraiser Antique Dealers and; Restorers Antique Gallery Sales Only Antique Gallery/Art Studio Appraisal Service - Property Appraisers - Business Appraisers - Jewelry Arbitrators and Mediators Arborist - no tree trimming Arborist - with tree trimming Archaeologist - with digging Archaeologist - without digging Architects Arson Inspector / Investigator Art Conservator Art Gallery WITH framing Art Gallery WITH OUT framing Artists Supplies Arts and Crafts Maker Association Management Service Auctioneers – away from home Audiologist Audit Service (Non-Financial) Background Checking/Screening Service Baker goods distributor Baker goods distributor - Pet Food Bakeries – with cooking Bakeries – WITHOUT cooking Bakeries – WITHOUT cooking - Pet Food Balloon Art - Not Entertainer Balloon Artist or Twister Barber - Individual Barber Shop Barber Supplies Baseball Coach Beauticians - Individual Beauty Shops Beauty Supplies Beautyshop Benefit Plan Admins w/ Ins. Place. Benefit Plan Consulting Billiards Hall Billing Service Billing Services-Non Medical Biotech Lab with Clinical Trials Biotech Research and Development Lab Bird Trainer Bird Trainer (includes cats and dogs) Blow Dry Bar Body Piercer Book/Magazine Distributor Bookbinding Bookkeeping Service Booster Club Bowling Alley Business Brokers Business Outsourcing Services Cafe Cafeteria Call Center Services Calligraphy Camera/Photography Sales or Repair Candle Sales, excluding making of candles Candle Sales, including making of candles Candy/Nut Confections Canine Beautician (includes cats, birds) Car Dealership Car Detailer Car Show - Antique Auto Show Car Title and/or Tag Services Car Wholesaler Carwash – at a fixed location Carwash - Mobile Cat Groomer – dogs and bird OK too Caterer (that DOES NOT serve food from the truck) Caterer (that serves food from the truck) Cell Phone/Pager Sales Ceramics Manufacturer Ceramics Store Childcare Center/ Daycare Claim Administration Claims Adjuster - WC, Medical Claims Adjuster-P/C only Clock or Watch Repair Closet and Space Designer (not an Architect) Clowns, Magicians, Balloon Arists Coaching Service - Life Coach Coaching Service - Sports or Athletics Collection Agencies College Coach or Consultant Compliance Consultant Computer Repair Computer Sales Computer Service Bureau Confectionner Contest Managers Convention/Trade Show Cosmetic Sales (Avon, Mary Kay, etc...) Cost Containment Consultant Court Reporter Court Reporters Crafts – Excluding Candles Crafts – Including Candles/option> Credit Bureaus-Credit Reporting Credit Bureaus-data collection Credit Card Services Credit Investigation Credit or Debt Counselor Custom Brokers Damage Appraiser Dance Instructor Database Management Day Care Center / Childcare Daycare - Adult Debt Collection Service Debt Counselor or Credit Counselor Desktop Publishing Dietician Direct Mail Services Disc Jockey Document/Office Records Destruction Dog Groomer (or cats, birds) – at fixed location only Dog Groomer(or cats, birds) – mobile and at store or fixed location Dog Groomer (or cats, birds) – mobile only Dog Obedience School Dog Trainer – including guard dogs Dog Trainer – NOT including guard dogs Dog Trainer – other than dogs, cats, and birds Dog Track Doggie Day Care Draftsmen Dry Food Products/Mixes Vendor Duck Call Manufacturer E-Cigarette distributor or wholesaler (ecig) E-Cigarette Store (ecig or vaping store) Eco Consultant / Green Consultant Editorial Service/Proofreaders Education Consultant Embroidery Employee Leasing Employment Agencies/Staffing - Clerical and; Labor Employment Agencies/Staffing - Prof./Mgmt Employment Agency Energy Consultant Engraving Ergonomics Consultant Event Planner Event Planners Expediting Service Expert Witness Expert Witness Consultant Facilities Manager Farm Animal Testing Farm Managers Farming Consultant - not fist Financial Planning Fish Farming Consultant Floral Arrangement Food Broker Food Cart Food Supplements/Vitamins Food Truck Foreclosure Agents Forensic Analysts Forensic Investigators/Analysts Foresters Framing Store Franchisers Fraternal Organization Freight Forwarders Fulfillment Services Fund Raising Services Funeral Directors Furniture Refinishers Games Promoters Games Puzzles Vendor Genealogists Gift Delivery Service (balloons, gift baskets, etc...) Gift Shop Glassware Golf Cart Dealer Grant Writing Service Grants Coordinator Graphic Artist/Designer Graphic Designers Gym / Fitness Center Handicrafts - excluding candles Handicrafts - including candles Handwriting Analysis Head Start Program Hearing Aid Sales Hobby and; Model Supplies, no explosives or; propellants Home Inspection Services Home Stager Horse Groomer Horse Trainer Horse Trainer and Groomer Hotel Manager Household Products – (Amway, Fuller Brush, etc...) Human Resource Consultant Humane Society Ice House Ice Skating Rink Ice Sculpter In Home Care Information Search Retrieval Information Storage/Retrieval (Non-digital) Inline Skating Rink Insurance Agent or Broker Insurance Agents Insurance Consultant Insurance Inspector - Homeowners Insurance Inspector - Other Insurance Risk Manager Interior Decorating Interior Design/Space Interior Window Treatments Interpreter - Spoken Inventory Control Specialist Investigators Janitorial - Commercial Janitorial - Residential Jewelry (Costume) Job Counselor Karaoke Jockey Kennel (includes doggie day care) Kiosk Kitchen Designer or Planner Kitchen Supplies Sales (Tupperware, etc...) Ladies/Girls Clothing, Accessories Land Surveyors Laser Hair Removal Lead Generation Lease Brokers Leather Goods Letter Writing Library Life Sciences Light Hanger Insurance - Annual Light Hanger Insurance – Seasonal or Holiday Lingerie Loan Origination Service Lobbyist Locksmith Lodge Insurance Logistics Providers Loss Adjuster and Assessor LSV Dealer (includes golf carts) Luggage Store Mailing Services Mall Kiosk Management Consultant Management Consultants - Benefit Management Consultants - Business Process Management Consultants - Financial Management Consultants - Human Resource Management Consultants - Land Use Management Consultants - Marketing Management Consultants - Other Management Consultants - Professional Management Consultants – Time and Records Management Consultants-Project Mgmt Management Consultant-Strategic Manicurist or Pedicurist Marina Marine Surveyor Marine Surveyors Market Research Marketing Consultant Mary Kay Massage Therapist Mediator Medical Billing Medical Claims Processing/Transcriptionist Medical Malpractice Medical Office Meeting Planners Membership Club Men’s/Boy’s Clothing Accessories Mental Health Counselor Messengers Messengers Meteorologists Microfilm Recording Mobile Food Vendor Models Monogramming Moose Lodge Mortgage Broker / Banker Mortgage Field Inspection Mortgage Field Inspector Museum Music Therapist Musical Instrument Sales/Repair Nail Technician Newspaper/Magazine/Book Delivery Non-Profit - Other Notary Public Nutritionist Office Administration Office Supplies Vendor Oktoberfest OTHER Paging Services Paper Goods Paralegal Party Planners Pawn Broker / Shop Pay Telephone Provider Payroll Services Personal Care Products Personal Fitness Trainer Personal Image Consultant Personal Trainer Personalized Books and; Gifts Pet Groomer Pet Sitter Pet Trainer – including guard dogs Pet Trainer – NOT including guard dogs Pet Trainer – other than dogs, cats, and birds Petting Zoo Photo and; Duplicating Services Photo Studios and; Duplicating Services Photographer Picture Framing Planner - Non-structural Pole Dance Instructor Pole Dance School Polygraph Analysts Pool Hall Pool Monitor Postal Store or Mail Store Premium Finance Company Prepaid Calling Card Vendor, Excluding Sales from Vending Machines Pressure Washing Print Broker Printing - Financial Printing - Non-financial Private Investigator Process Server Professional Employee Organization - PEO Professional Organizer Professional Speakers Project and; Contract Management Prom - Dance Event Property Management Property Preservationist Public Relations Consultant Publisher Real Estate Agents Real Estate Appraiser - Residential Real Estate Appraiser - Commercial Real Estate Construction Management Real Estate Sales - Commercial Real Estate Sales - Residential Real Estate Sales - Residential and Commercial Real Time Captioners Recovery Services (Non-digital) Referral Club Registered Agent Religious Goods Relocation Agent Research Consultant Research Organization Reservation Services Resume Service – writing or consulting Retail Toy Sales Risk Management Services Rubber Stamp Business Safe Deposit Box Verifier Safety Consultants Sauce and Spice Manufacturer Sauce Manufacturer Scentscy Salesperson Scrapbooking Secretarial Service Security Services (non-digital) Security advisor (digital, web, technology professional) Seminar Conductors SEO Consultant Shoe Repair Sign Painting Sign design consultant only, no installation Snowplowing and Snow Removal Social Media Marketing (includes SEO) Speakers/Lectors Bureau Spice Manufacturer Staffing Agency Stationary Statistical Consultant Stenciling Structured Settlement Brokers Subscription Fulfillment Tabulating Service Tailoring, Alterations, Seamstresses Tattoo Artist (no piercing) Tattoo Artist (with piercing too) Tax Preparer or Book Keeper Taxidermist Teachers/Tutors except sports Telecommunications Consultant Teleconferencing Services Telemarketing, Telephone Solicitation Thermographer - medical Thermographer - non-medical Third Party Admins excl. Benefits Admins. Thrift Store Ticket Brokers/Agencies Ticket Brokers/Agencies Toner Cartridge Recharging Tour Operator Tour Operator - Walking Tour Only Tour Operators Trade Show Arrangement Traffic Consultant or Parking Consultant Training Services – describe in box below Training Specialist/Seminar Conductor Transcribing, Court Reporters Transfer Agents Translator or Interpreter - Written or Oral Travel Agents Trophy Sales Trustees - Asset Dissolution and Distribution Trustees- Not Asset Dissolution Tutor – In Home Tutor – Piano Tutor – Sports Olnly Tutoring center TV/VCR Repair Umpire/Referee Upholsterer Vaping Store (e-cig store) VFR Video and; Music Sales/Rental Video Editing - taping, Dubbing, Editing Vinyl/Leather/Upholstery Repair Vocational Counseling Wedding and; Party Planners Wedding cake and/or Cookie Sales Welcoming Services Wood Furniture Crafters Wood Products excluding toys Word Processing Writers/Authors Yacht Club Yoga / Pilates Instructor Yoga / Pilates Studio
Other Business Type - please describe your operations
What are your estimated gross receipts from this part of your business?
Type of Business #3 CHOOSE ONE or Skip Abstracting and Indexing Service Accounting Service Acupuncturist Adjuster - Independent Claims Adjuster Adjuster - Public Claims Adjuster Adjustment Bureaus Administrative Support Service Advertising Agency Alarm Monitoring Services Alcoholics Anonymous Allied Healthcare Animal Groomer – dogs, cats, birds Animal Groomer – including horses Animal Control Animal Shelter Animal Therapist Animal Trainer Animal Trapper Answering Service Antique Appraiser Antique Dealers and; Restorers Antique Gallery Sales Only Antique Gallery/Art Studio Appraisal Service - Property Appraisers - Business Appraisers - Jewelry Arbitrators and Mediators Arborist - no tree trimming Arborist - with tree trimming Archaeologist - with digging Archaeologist - without digging Architects Arson Inspector / Investigator Art Conservator Art Gallery WITH framing Art Gallery WITH OUT framing Artists Supplies Arts and Crafts Maker Association Management Service Auctioneers – away from home Audiologist Audit Service (Non-Financial) Background Checking/Screening Service Baker goods distributor Baker goods distributor - Pet Food Bakeries – with cooking Bakeries – WITHOUT cooking Bakeries – WITHOUT cooking - Pet Food Balloon Art - Not Entertainer Balloon Artist or Twister Barber - Individual Barber Shop Barber Supplies Baseball Coach Beauticians - Individual Beauty Shops Beauty Supplies Beautyshop Benefit Plan Admins w/ Ins. Place. Benefit Plan Consulting Billiards Hall Billing Service Billing Services-Non Medical Biotech Lab with Clinical Trials Biotech Research and Development Lab Bird Trainer Bird Trainer (includes cats and dogs) Blow Dry Bar Body Piercer Book/Magazine Distributor Bookbinding Bookkeeping Service Booster Club Bowling Alley Business Brokers Business Outsourcing Services Cafe Cafeteria Call Center Services Calligraphy Camera/Photography Sales or Repair Candle Sales, excluding making of candles Candle Sales, including making of candles Candy/Nut Confections Canine Beautician (includes cats, birds) Car Dealership Car Detailer Car Show - Antique Auto Show Car Title and/or Tag Services Car Wholesaler Carwash – at a fixed location Carwash - Mobile Cat Groomer – dogs and bird OK too Caterer (that DOES NOT serve food from the truck) Caterer (that serves food from the truck) Cell Phone/Pager Sales Ceramics Manufacturer Ceramics Store Childcare Center/ Daycare Claim Administration Claims Adjuster - WC, Medical Claims Adjuster-P/C only Clock or Watch Repair Closet and Space Designer (not an Architect) Clowns, Magicians, Balloon Arists Coaching Service - Life Coach Coaching Service - Sports or Athletics Collection Agencies College Coach or Consultant Compliance Consultant Computer Repair Computer Sales Computer Service Bureau Confectionner Contest Managers Convention/Trade Show Cosmetic Sales (Avon, Mary Kay, etc...) Cost Containment Consultant Court Reporter Court Reporters Crafts – Excluding Candles Crafts – Including Candles/option> Credit Bureaus-Credit Reporting Credit Bureaus-data collection Credit Card Services Credit Investigation Credit or Debt Counselor Custom Brokers Damage Appraiser Dance Instructor Database Management Day Care Center / Childcare Daycare - Adult Debt Collection Service Debt Counselor or Credit Counselor Desktop Publishing Dietician Direct Mail Services Disc Jockey Document/Office Records Destruction Dog Groomer (or cats, birds) – at fixed location only Dog Groomer(or cats, birds) – mobile and at store or fixed location Dog Groomer (or cats, birds) – mobile only Dog Obedience School Dog Trainer – including guard dogs Dog Trainer – NOT including guard dogs Dog Trainer – other than dogs, cats, and birds Dog Track Doggie Day Care Draftsmen Dry Food Products/Mixes Vendor Duck Call Manufacturer E-Cigarette distributor or wholesaler (ecig) E-Cigarette Store (ecig or vaping store) Eco Consultant / Green Consultant Editorial Service/Proofreaders Education Consultant Embroidery Employee Leasing Employment Agencies/Staffing - Clerical and; Labor Employment Agencies/Staffing - Prof./Mgmt Employment Agency Energy Consultant Engraving Ergonomics Consultant Event Planner Event Planners Expediting Service Expert Witness Expert Witness Consultant Facilities Manager Farm Animal Testing Farm Managers Farming Consultant - not fist Financial Planning Fish Farming Consultant Floral Arrangement Food Broker Food Cart Food Supplements/Vitamins Food Truck Foreclosure Agents Forensic Analysts Forensic Investigators/Analysts Foresters Framing Store Franchisers Fraternal Organization Freight Forwarders Fulfillment Services Fund Raising Services Funeral Directors Furniture Refinishers Games Promoters Games Puzzles Vendor Genealogists Gift Delivery Service (balloons, gift baskets, etc...) Gift Shop Glassware Golf Cart Dealer Grant Writing Service Grants Coordinator Graphic Artist/Designer Graphic Designers Gym / Fitness Center Handicrafts - excluding candles Handicrafts - including candles Handwriting Analysis Head Start Program Hearing Aid Sales Hobby and; Model Supplies, no explosives or; propellants Home Inspection Services Home Stager Horse Groomer Horse Trainer Horse Trainer and Groomer Hotel Manager Household Products – (Amway, Fuller Brush, etc...) Human Resource Consultant Humane Society Ice House Ice Skating Rink Ice Sculpter In Home Care Information Search Retrieval Information Storage/Retrieval (Non-digital) Inline Skating Rink Insurance Agent or Broker Insurance Agents Insurance Consultant Insurance Inspector - Homeowners Insurance Inspector - Other Insurance Risk Manager Interior Decorating Interior Design/Space Interior Window Treatments Interpreter - Spoken Inventory Control Specialist Investigators Janitorial - Commercial Janitorial - Residential Jewelry (Costume) Job Counselor Karaoke Jockey Kennel (includes doggie day care) Kiosk Kitchen Designer or Planner Kitchen Supplies Sales (Tupperware, etc...) Ladies/Girls Clothing, Accessories Land Surveyors Laser Hair Removal Lead Generation Lease Brokers Leather Goods Letter Writing Library Life Sciences Light Hanger Insurance - Annual Light Hanger Insurance – Seasonal or Holiday Lingerie Loan Origination Service Lobbyist Locksmith Lodge Insurance Logistics Providers Loss Adjuster and Assessor LSV Dealer (includes golf carts) Luggage Store Mailing Services Mall Kiosk Management Consultant Management Consultants - Benefit Management Consultants - Business Process Management Consultants - Financial Management Consultants - Human Resource Management Consultants - Land Use Management Consultants - Marketing Management Consultants - Other Management Consultants - Professional Management Consultants – Time and Records Management Consultants-Project Mgmt Management Consultant-Strategic Manicurist or Pedicurist Marina Marine Surveyor Marine Surveyors Market Research Marketing Consultant Mary Kay Massage Therapist Mediator Medical Billing Medical Claims Processing/Transcriptionist Medical Malpractice Medical Office Meeting Planners Membership Club Men’s/Boy’s Clothing Accessories Mental Health Counselor Messengers Messengers Meteorologists Microfilm Recording Mobile Food Vendor Models Monogramming Moose Lodge Mortgage Broker / Banker Mortgage Field Inspection Mortgage Field Inspector Museum Music Therapist Musical Instrument Sales/Repair Nail Technician Newspaper/Magazine/Book Delivery Non-Profit - Other Notary Public Nutritionist Office Administration Office Supplies Vendor Oktoberfest OTHER Paging Services Paper Goods Paralegal Party Planners Pawn Broker / Shop Pay Telephone Provider Payroll Services Personal Care Products Personal Fitness Trainer Personal Image Consultant Personal Trainer Personalized Books and; Gifts Pet Groomer Pet Sitter Pet Trainer – including guard dogs Pet Trainer – NOT including guard dogs Pet Trainer – other than dogs, cats, and birds Petting Zoo Photo and; Duplicating Services Photo Studios and; Duplicating Services Photographer Picture Framing Planner - Non-structural Pole Dance Instructor Pole Dance School Polygraph Analysts Pool Hall Pool Monitor Postal Store or Mail Store Premium Finance Company Prepaid Calling Card Vendor, Excluding Sales from Vending Machines Pressure Washing Print Broker Printing - Financial Printing - Non-financial Private Investigator Process Server Professional Employee Organization - PEO Professional Organizer Professional Speakers Project and; Contract Management Prom - Dance Event Property Management Property Preservationist Public Relations Consultant Publisher Real Estate Agents Real Estate Appraiser - Residential Real Estate Appraiser - Commercial Real Estate Construction Management Real Estate Sales - Commercial Real Estate Sales - Residential Real Estate Sales - Residential and Commercial Real Time Captioners Recovery Services (Non-digital) Referral Club Registered Agent Religious Goods Relocation Agent Research Consultant Research Organization Reservation Services Resume Service – writing or consulting Retail Toy Sales Risk Management Services Rubber Stamp Business Safe Deposit Box Verifier Safety Consultants Sauce and Spice Manufacturer Sauce Manufacturer Scentscy Salesperson Scrapbooking Secretarial Service Security Services (non-digital) Security advisor (digital, web, technology professional) Seminar Conductors SEO Consultant Shoe Repair Sign Painting Sign design consultant only, no installation Snowplowing and Snow Removal Social Media Marketing (includes SEO) Speakers/Lectors Bureau Spice Manufacturer Staffing Agency Stationary Statistical Consultant Stenciling Structured Settlement Brokers Subscription Fulfillment Tabulating Service Tailoring, Alterations, Seamstresses Tattoo Artist (no piercing) Tattoo Artist (with piercing too) Tax Preparer or Book Keeper Taxidermist Teachers/Tutors except sports Telecommunications Consultant Teleconferencing Services Telemarketing, Telephone Solicitation Thermographer - medical Thermographer - non-medical Third Party Admins excl. Benefits Admins. Thrift Store Ticket Brokers/Agencies Ticket Brokers/Agencies Toner Cartridge Recharging Tour Operator Tour Operator - Walking Tour Only Tour Operators Trade Show Arrangement Traffic Consultant or Parking Consultant Training Services – describe in box below Training Specialist/Seminar Conductor Transcribing, Court Reporters Transfer Agents Translator or Interpreter - Written or Oral Travel Agents Trophy Sales Trustees - Asset Dissolution and Distribution Trustees- Not Asset Dissolution Tutor – In Home Tutor – Piano Tutor – Sports Olnly Tutoring center TV/VCR Repair Umpire/Referee Upholsterer Vaping Store (e-cig store) VFR Video and; Music Sales/Rental Video Editing - taping, Dubbing, Editing Vinyl/Leather/Upholstery Repair Vocational Counseling Wedding and; Party Planners Wedding cake and/or Cookie Sales Welcoming Services Wood Furniture Crafters Wood Products excluding toys Word Processing Writers/Authors Yacht Club Yoga / Pilates Instructor Yoga / Pilates Studio
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? 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?* CHOOSE ONE YES NO
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? CHOOSE ONE NO - no claims in the last 5 years YES - there has been a claim in the last 5 years
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 CHOOSE ONE $500,000 / $1,000,000 $1,000,000 / $2,000,000 $1,000,000 / $3,000,000 $2,000,000 / $4,000,000
These numbers are written as the per occurrence limit and the aggregate limit.
Professional Liability - Errors and Omissions Insurance CHOOSE ONE NONE - I do not want a quote $50,000 or less (available only for a few business types) $100,000 $250,000 $500,000 $1,000,000 $2,000,000 $3,000,000 $4,000,000 $5,000,000
Property Insurance Section In this section, you can choose how much coverage you want for your equipment, a building, glass, or other items.
Do you own the building? CHOOSE ONE No - I do not own the building Yes - I do own the building
How much coverage ($) 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? Commercial Auto Section Driver #1 - Provide the name and birthdate of at least 1 driver
Driving Record for Driver #1 CHOOSE ONE Clean driving record - no tickets or accidents in last 5 years Clean driving record - no tickets or accidents in last 3 years 1 ticket or at-fault accident in last 3 years 2 tickets or at-fault accidents in last 3 years More than 2 tickets or at-fault accidents in last 3 years
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? 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? Choose One None - we only interpret or translate directly with the client 25% or less - use of simultaneous translation or interpretation 26% - 49% use of simultaneous translation or interpretation 50% or more - use of simultaneous translation or interpretation
Do you do any translating for medical professionals? Choose One No Yes
The last questions - finish your quote Do you currently have insurance? 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)? 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? CHOOSE ONE I do not use any independent contractors, but if I add any, I will require it Yes - I do require it No - I do not require it
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) 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? We do not send a lot of newsletters, but when we do, they are filled with valuable risk prevention and small business ideas.
