Karen Adams Insurance Agency, Serving California for 30 years.

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Get your California Workers Compensation Quote
Get your California Workers Compensation Quote today
California's workers' compensation system was established in 1913 by the Boynton Act, which required that employers, with some exceptions such as the agricultural sector, provide workers' compensation benefits to their employees. Benefits are payable to an employee by his employer without regard to liability, required by state law in the case of injury, disability or death as the result of occupational hazard.  The insurance company agrees to pay Workers Compensation benefits on behalf of the insured employer. Please fill out the form below for your San Diego, Orange, Riverside, County and Southern California Workers Compensation Quote.  We will audit your experience modifications to make sure it has been calculated correctly by the State of California.
First Name
Last Name
Company Name
Address Line 1
City
Zip Code
Daytime Phone() -
E-mail Address
Brief description of Business
Corp/Partnership/Sole Prop/LLC/Other
Years in Business
FEIN #
Current class codes with Anticipated Payroll per year
If no prior WC Insurance, Describe What your employees do during the working day and the payroll for each employee
Describe any losses in last five years
Experience Modification
Number of Employees
Do you use 1099 subcontractors on a full time basis?
Current Insurer
Additional Information
Karen Adams Insurance Agency, 1035 E. Vista Way, #130, Vista, CA. (760) 295-1837.
Specializing in San Diego, Orange, Riverside and San Bernardino Counties