14887 Hwy 105 W, Suite 102
Montgomery, TX 77356

1-866-TEXAS-45
(1-866-839-2745)

Our Texas Insurance Policies & Coverages

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Texas Workman's Compensation Insurance Online Quotes

Get a Texas Workman's Compensation Quote for your business.

Please supply the following information to receive your FREE, No-Obligation Quote.

Workman's Comp Insurance Quote Request
An asterisk (*) indicates a required field to submit your request.
Company Name*
Address*
City*
State*
ZIP*
Federal Employer ID# or Social Security#*
Contact Name*
Telephone*
Fax
E-mail*
Current Broker*
Estimated annual payroll for all employees
You will need to show breakdown by classification. Refer to your current workers comp information page.
Class Code
Job Description*
Payroll *

1*

2

3

4

5

Years in business
Years experience
Include owner or exclude
Owners Payroll
Current workers comp insurance carrier Current workers comp premium amount
Policy expiration date Safety Association(s)
Are the corporate officers included in the policy? What is the best time to reach you?*