Business Insurance Quote

Business insurance quote

Tell us about your business and a licensed agent will shop multiple insurance companies for you. The more you share, the faster we can quote. Please don't enter Social Security, driver's license or bank account numbers here; we'll collect those securely by phone or our secure portal if needed.

Business legal name

DBA / trade name

Business structure

FEIN (federal employer ID number)

Your name and title

Phone

Business street address

City

ZIP code

Mailing address (if different)

Website

Years in business

Number of locations

Describe what your business does

Products/services, customers, any high-risk work

Owners / officers

Name, title, % ownership, include or exclude from WC

Annual revenue (gross sales)

Annual payroll (estimate)

By job type if you can (office, field, drivers)

Full-time employees

Part-time employees

% W-2 employees vs. 1099 contractors

Subcontractor costs per year

Contractors only

Experience mod (WC), if known

Business location

Building square footage

Contents & equipment value

Limits needed / contract requirements

Limits, deductibles, additional insureds required

Business vehicles

Year, make, model and VIN for each vehicle; drivers

Vehicle radius of operation

Current insurance company

Current policy expiration date

Desired start date

Cancelled or non-renewed in the last 3 years?

Claims in the last 5 years

Date, type and amount of each claim, or "None"

Current declarations pages or loss runs

Choose file

PDF or photo; helps us quote faster

Anything else we should know?

I have read the Illumination Insurance Agency LLC Privacy Policy and agree that the information I provide may be shared with insurance companies and their representatives to prepare quotes. Submitting this form does not bind or change coverage; coverage begins only when confirmed in writing by the insurance company.

Optional: By checking this box, I agree that Illumination Insurance Agency LLC may contact me at the number I provided by call or text message (including automated technology and prerecorded messages) about insurance quotes and products. Consent is not required to buy any product. Message and data rates may apply; message frequency varies. Reply STOP to opt out or HELP for help.

We are excited to announce that we are now working with an appointment calendar. Contact us to choose the best time for your insurance consultation.

Business Insurance Quote

Business insurance quote