Workers Compensation

2010 Preferred Physician, Dentist and Optometrist Program

The West Coast Physicians Association is proud to announce that our Preferred Workers Compensation program is now available in all 50 States. During the past six years the WCPA has been able negotiate RATE REDUCTIONS for all of our members that have enabled us to lower Workers Comp Rates by as much as 80% since 2004.

Our Group now consists of hundreds of Preferred Physicians, Dentists and Optometrists throughout the United States. By banding together we have been able to assist in negotiating the very best rates for all of our members. By being part of a group that can offer Insurance Carriers Millions of Dollars in premium at one time, you'll have a distinct advantage over other medical and dental practices who shop their insurance on their own.

It is our pleasure to provide your Company with a Quote on your current Workers Compensation Insurance. In order to Price this coverage, we need you to answer and submit the following questionnaire. You will receive our Proposal from one of our WCPA affiliated Agencies within 48 hours.

Please fill out the following completely.

* Required fields
Name *
E-mail Address *
Name Of Company *
Address *
City / State / Zip Code *
Phone # *
Tax ID number ( 95-......)
Current Workers Comp Carrier *
Expiration Date *
Number of Employees *
Annual Payroll ( excluding officers, partners ) *
Are Officers, Partners Covered *
Work Comp Class Codes *
Experience Modification Factor ( If applicable ) *
Do you have Hard Copy Insurance Company Loss Runs *
How many work comp claims past 3 years? *
Billing Preference *
How many locations do you have? *
How would you like to receive your proposal? *
What is your Fax Number?

I have read and agree to the Privacy Policy *

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Thank you for providing us with this information. We will be back to you within 48 hours with our pricing which is subject to the Companies Underwriting Guidelines.

If you do not have current Loss Run Reports from your current and prior Workers Compensation Insurance Carriers, we can assist you in obtaining them if you would like us too.

All of our Programs are Administered

West Coast Physicians Insurance Services

(888) 845-2856 Fax (641) 713-2093