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Please verify the information below to finalize and purchase your Workers’ Compensation policy




Select Your Payment Plan

$752 Paid in Full
No billing fees!
$126.25 Down Today
+3 Installments of $126.25
$56.11 Down Today
+9 Installments of $56.11

Payment Details

Annual Workers'
State Tax $6.00
Billing Fees $0.00
Your Payment In Full $499.00

About Your Workers' Compensation Policy


  • Applies to bodily injury or accident or bodily injury by disease.
  • Bodily injury includes resulting in death.
    • Bodily Injury by accident must occur ding the policy period.
    • Bodily Injury by disease must be caused or aggravated by the conditions of your employment. The employee’s last day of exposure to the conditions causing or aggravating such bodily injury by disease must occur during the policy period.
  • Coverage is no fault (even if the employees’ negligence contributed to the injury)


  • Medical Coverage: Includes doctor visits, hospital care, prescription medications, physical therapy and other medical treatments
  • Disability: Provides a partial replacement of income lost when workers are unable to work due to an on-the-job injury. The disability may be temporary or permanent, and partial or total.
  • Vocational Rehabilitation: Enables workers who cannot return to their prior occupation to learn a new skill based on their current capabilities
  • Death Benefits: Afforded to the spouse and minor children of a worker killed on the job.

Confirm Your Information

Contact Information - Edit
Mark Galit (555) 123-4567
Mailing Address - Edit
456 Rainbow Ave Okichobee FL, 34973
Business Information - Edit
FEIN: 123456789 Legal Entity: LLC Years in Business: 5
Business Service - Edit
Clerical Office Employees Approximate Annual Payroll: $800,000 Full-Time Employees: 3 Part-Time Employees: 2
Clerical Office Employees Approximate Annual Payroll: $800,000 Full-Time Employees: 3 Part-Time Employees: 2

Fees and Disclosures

By proceeding, you are agreeing to purchase the applied-for policy for the estimated total premium of _________, subject to the identified consumer disclosures. By clicking “I accept” below, your policy will be bound (subject to any additional underwriting), and you will be responsible for the premium associated with the policy. You will then be asked to enter your payment information. If you do not provide that information, you will receive a bill for the premium associated with the policy.

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  • Amventure Insurance Agency, Inc
  • PO Box 6208
  • Cleveland, OH 44101-1208
  • (844) 218-4286

Amventure Insurance Agency, Inc affiliated carrier

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