FL Workers Compensation Insurance Quote

Insurance Benefit Agency, Inc.

Florida Business Insurance Specialists

Business Name:
Premises Address:
City:
Florida
Zip Code:
Contact Name:
Phone #:    Ext #:
Fax:    Years in Business:
Email Address: (Required)

About Your Florida Business:

Federal Employer's ID #:
Description of Operations or SIC code:

# of full-time employees:     # of part-time employees:
# of locations:     Estimated Annual Payroll: $
Experience Mod (if any, per policy)

Select all that apply to your Florida business:
Operate or lease aircraft/watercraft     Work Underground
Work above 15 feet                           Require out of state travel
Use Subcontractors                            Delivery Service
Pre-employment physicals                   Offer safety incentive programs
Store, treat, dispose, or transport hazardour waste
Work on vessels, docks, or bridges over water
Other

Recent Insurance Information:

Current Insurance Company:
Policy #: Expiration Date: (mm/dd/yyyy)
Losses past 3 years:
Description of losses or loss runs:

Which insurance coverages do you currently have:
Florida Commercial Auto
Florida Commercial Liability
Florida Commercial Property
Florida Workers Comp
Florida Group Health
Florida Group Life
Florida Group Disability
Florida Group Long Term Care
Other

Florida Employee Information:

Employee       Classification Code       Yearly Payroll Estimate
      1                                         $
      2                                         $
      3                                         $
      4                                         $
      5                                         $

Officers / Partners / Owners Information:

Principal             Name                                           Title                     Include
      1
      2
      3

Additional Information or Comments

Click on the "Submit Quote Request" button below to send your
Florida Worker Compensation Insurance quote request.**

**Information received from this Florida Worker Compensation Insurance
quote request form sent to Property Underwriters of Florida will be for our use
only and will not be sold, given to or distributed to any other parties. A quote
quote will be based on the Florida worker compensation insurance information
provided and does not guarantee acceptance of the risk by us. The precise
coverage afforded is subject to meeting underwriting guidelines, and the
terms, conditions and exclusions of the policy as issued. By submitting this
request you acknowledge that this is neither an offer to insure nor a
guarantee of insurance. Completion of this form does not entitle your
business to a Florida Worker Compensation Insurance policy. We are
licensed in Florida and will not provide worker comp insurance quotes
in other states.

Florida Worker Comp

Insurance Quote

We can provide comprehensive Florida

Worker Comp Insurance coverage services

in Miami, FL and throughout south Florida!

Contact us about Florida
Group Health, Commercial
Auto, Commercial Property,
Business Liability, Worker
Comp, and Business Owners
Insurance toll free at 866-
454-9555.

In addition to Florida Worker
Comp Insurance quotes, we
also offer affordable
Commercial Auto Insurance
quotes.

Florida Business Information:

Florida Business

Insurance

"Your south Florida

Worker Compensation

Insurance Agent"

Property Underwriters of Florida

Insurance Benefit Agency, Inc.

409 W. Hallandale Beach Blvd.

Suite # 215

Hallandale, Florida 33009

(305) 931-5988

(954) 454-9599

Toll Free: (866) 454-9555

Fax: (954) 843-0313

We offer affordable workers comp insurance premiums to businesses
in the following south Florida counties and cities: Miami-Dade County,
Broward County, Palm Beach County, Coral Gables, Kendall,
Richmond Heights, Pinecrest, Howard, Coral Way Village,
Westchester, Westwood Lakes, Brownsville, Sweetwater, Key
Biscayne, North Bay Village, Miami Beach, Miami Springs, Virginia
Gardens, Hialeah, El Portal, Miami Shores, Indian Creek, Surfside, Bal
Harbour, North Miami, Biscayne Park, Pinewood Park, Opa Locka,
Bunche Park, Hialeah Gardens, Palm Springs North, Carol City, Miami,
Norland, Ojus, Miami Lakes, Biscayne Gardens, Hallandale, Sunny
Isles Beach, Golden Beach, Aventura, Uleta, Miramar, Pembroke
Pines, North Miami Beach, Hallandale Beach, Ives Estates, Pembroke
Park, Hollywood, Dania Beach, Cooper City, Davie, Weston,
Plantation, Playland Isles, Melrose Park, Lauderhill, Sunrise, Tamarac,
Fort Lauderdale, Wilton Manors, Oakland Park, Lauderdale Lakes, Sea
Ranch Lakes, Pompano Beach, Margate, Coral Springs, North
Lauderdale, Lighthouse Point, Hillsboro Beach, Coconut Creek,
Deerfield Beach, Boca Raton, The Hamptons, Highland Beach, Boca
West, Delray Beach, Boca Pointe, Boynton Beach, Lantana, Rainbow
Lakes, Atlantis, Lake Worth, South Palm Beach, Palm Springs,
Greenacres, Wellington, Haverhill, Palm Beach, Golden Lakes, Riviera
Beach, Glen Ridge, West Palm Beach, Lake Park, Royal Palm Beach,
Jupiter, Juno Beach, North Palm Beach, Loxahatchee, Belle Glade,
Palm Beach Shores, South Miami, Cutler Ridge, Princeton, Perrine,
Naranja, Homestead, Florida City, and Leisure City, FL

"Your local South Florida workers comp insurance agent specialist!"

Website designer and managed by InsuranceWebsiteServices.com

Request a Quote Here!

Answer a few questions and we will
provide you with a no obligation quote by
phone. Choose the FL individual or group
insurance you're interested in from a
menu to the left.

Workers Comp

Insurance