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California Workers
Compensation Insurance

Elliot Katzovitz Insurance Agency
 Lic# 0b41127

Exclusive Workers Comp Insurance Program

Protect yourself, your business -- and see how
much money you can save here!
 

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URGENT NEWS UPDATES FOR BUSINESS OWNERS

california workers compensation insuranceAre you being OVER-CHARGED by an out of control Workers Comp system? Our workers comp test will help you decide!

california workers compensation insurance The 7 Dirty Secrets of Workers Compensation Insurance

california work compWORK COMP REFORM New California Workers Compensation Legislation LEARN FROM THE LOBBYIST!  (Text of SB 899.)
 


 Four Ways to Slash Clients' Workers' Comp Costs Without Touching Rates

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Since July 2003

as seen in
Los Angeles insurance directory
Los Angeles California Work Comp Insurance

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Elliot Katzovitz
Insurance Agency
 Lic# 0b41127
 8503 Washington Blvd.
Culver City, CA. 90232

Elliot@CompAdvocate.com

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P 888-664-3276
F 310-945-3001
 

© 2003 - 2008
Elliot Katzovitz Insurance

CompAdvocate says: Quantify the total economic impact of your worker injuries with CompEraser

 

CompAdvocate
Proposal Form

CompAdvocate – Your Work Comp Solution

Does this Sound Like You?

Expenses continually eat away at your profit. Seemingly, while you’re already working on a shoestring budget to begin with, your work comp rates are on the rise again. What if I have a claim ?

Finally, an exclusive workers compensation program designed especially for your industry.

For a free, no obligation comparison, we’ll need the following information.

The SUBMIT button is at the bottom of the form.

Applicant Information
Company Name (required)
Federal Employer's ID #
Mailing Address Street:
City: CA   Zip:
Phone # (required)
Contact Name (required)
Email Address (required)
Year Business Started
If business < 3 years old, # of years experience
Description of Operations or SIC Code
# of employees full-time:     part-time:
# of locations
Est. Annual Payroll $
Prior Coverage:  Provide Complete Information for Past 3 Years

Current Insurance
  Insurance Co.    Exp. Date
  # of Years with Carrier Policy #
  What types of coverage do you currently have:
        Bond    Commercial Auto     Commercial Liability    Commercial Property
       Commercial Umbrella       Directors & Officers Liability   Disability
       Group Health       Group Life    Professional Liability    Other
Other Insurance Within Past 3 Years
  Insurance Co. Expiration Date
  # of Years with Prior Carrier Prior Policy #
  Insurance Co. Expiration Date
  # of Years with Prior Carrier Prior Policy #
Fax Us 3 Years of Loss History
More Important Information
Type of entity – Please indicate the type of entity you are:
        Individual     Partnership     Corporation     LLC

Please list ALL owners, partners, officers, directors, principles, or managing individuals and their percentage of ownership:

Name Title

%
Ownership

 Include
Yes No
Yes No
Yes No
Yes No
Yes No

Current Experience Modification (X Mod) if known:

Rating Information
 

# EMPLOYEES

  
STATE LOC # (above) CLASS
CODE		 CATEGORIES, DUTIES, CLASSIFICATION FULL
TIME		 PART
TIME		 ANNUAL
PAYROLL
General Information –


Select all that apply to your business:
 Explain all “Yes” responses in the “Remarks” space provided below.

Operate or lease aircraft/watercraft
 Store, treat, dispose, or transport hazardous waste
 Work underground     
Work above 15 feet
 Work on vessels, docks, or bridges over water
 Require out of state travel     
Use subcontractors    
Delivery service
 Pre-employment physicals    
Offer safety incentive programs    
Other

Remarks:

Click on the "Submit Quote Information" button below to send your California workers' compensation insurance quote request.

You will be redirected automatically to our Home Page.

 

We are also available to answer your questions by phone
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Toll free 888-664-3276