This online quote form is designed to provide you with an initial estimate of what you might expect to pay, should you wish to obtain Workers’ Compensation coverage through the Kentucky AGC Self Insurers’ Fund. It is not binding, only an actual quote issued by a Kentucky AGC SIF Underwriter is valid for policy issuance. Please note that minimum premium for Fund membership is $1,000.00.

Online Quote Form

 

Name
 
 

General Information

Classification Payroll Premium Actions
     
Minimum premium is $1,000.

Premium Estimates

If you are unsure of your experience modification factor, leave as 1.0.
* Discounts are automatically applied based on premium size. Contact [email protected] with questions.
This field is for validation purposes and should be left unchanged.