Request A Quote

Workers' Compensation Quote Request

Fill Out the Form Below:
Name*
First Last
Email*
Phone*
Address*
Street Address Address Line 2 City State ZIP Code
Attach Forms & Documents
Drop files here or

Accepted file types: jpg, jpeg, png, pdf, gif, heic, heif.
Eligibility Confirmation*
- Confirm WC-Only Request via this form.
At this time, we can only accept quotation requests via this form for WC. Please confirm this below.

Working with ABM Brokerage

Allow us to make your Comp submission experience easier! Continue to send your wood business submissions to NewBiz@plmins.com, and make sure to include the Comp submission as well.

What’s needed for a quote:

Acord 125 – General Information, Acord 130 – Work Comp, applications
A narrative or additional information about the operations and controls in place
Payroll and employee count by class code
Loss runs & summary for the current year and at least 4 prior years’ experience (explain any loss > $10K)
Experience Mod Worksheet
Expiring payroll and premiums