Societies Insurance

Group Self-Insurance Fund Quote Request

Applicant Information:

Business Structure (Optional - choose one)
Optional. If you pick Multiple States or Other, tell us where in "How can we help" below.
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Request a Quote: send a few details and an agent will contact you.
Begin Application: fill out the full application online now for the fastest, most accurate quote. You can save and finish later.

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Coverage details

What Group Self-Insurance Fund coverage includes

Group self-insurance funds pool employers in the same industry or state to self-insure workers comp together.

Good to know: read the joint-and-several liability terms before joining – if the fund develops a deficit, members can be assessed even after they leave.

Not covered: assessments the fund levies for deficits, which members owe, and operations outside the fund’s approved industry or state.

Insurance Application:

Group Self-Insurance FundBegin Application

Required forms

Group Self-Insurance Fund Supplemental Application (PDF)Want to save and finish later? Complete it online

Download, complete and email to quote@societiesinsurance.com, or attach it with your quote request.

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