We provide comprehensive Workers Comp
Insurance services throughout Maryland,
northern Virginia, and the District of Columbia!
Brown Insurance Group of
Silver Spring, MD offers
comprehensive Commercial
Insurance coverage options
and experienced business
insurance services throughout
Maryland, northern Virginia,
and Washington DC.
Contact us about Property,
Group Health, Auto, and
Liability Insurance for your
Maryland business at
301-933-5500.

In addition to Maryland
Workers Compensation
Insurance quotes, we also
offer affordable Group
Health Insurance quotes.
We are a Silver Spring, MD full-service insurance agency, offering Maryland
workers compensation insurance quotes to large and small businesses
located in the following cities and counties: Wheaton, Silver Spring,
Bethesda, Aspen Hill, White Oak, Takoma Park, Randolph Hills, Veirs Mill,
Kensington, Kemp Mill Estates, Rock Creek Forest, Chevy Chase,
Woodmont, Garrett Park, Oakmont, Calverton, Fairland, Springbrook,
Glenmont, Foxhall, Layhill, Colesville, Meadowood, Rockville, Laurel,
Gaithersburg, Good Hope, College Park, Greenbelt, Montpelier, Adelphi,
Langley Park, Berwyn Heights, Knollwood, Beltsville, Maryland City,
Riverdale, Hyattsville, Chillum, Lewisdale, University Park, New Carrollton,
Landover Hills, Bladensburg, Cheverly, Kent Village, Somerset, Chevy
Chase View, Glen Mar Park, Westgate, Brookmont, Luxmanor, Montrose,
Potomac, Glen Hills, Derwood, Washington Grove, North Potomac,
Redland, Olney, Sandy Spring, Norwood Corner, Ashton, Ednor,
Spencerville, Burtonsville, Good Hope, Fulton, Savage, Bowie, Crofton,
Kettering, Forestville, District Heights, Capitol Heights, Columbia,
Annapolis, Germantown, Brinklow, Brookeville, Highland, Simpsonville,
Brighton, Clarksville, Laytonsville, Damascus, Dayton, Unity, Glenelg,
West Friendship, Seneca, Dawsonville, Poolesville, Towson, Baltimore,
Montgomery County, District of Columbia, Prince Georges County, Howard
County, Anne Arundel County, and Baltimore County, MD. We also offer
workers compensation insurance quotes for your small business if it's
located in the state of Maryland or northern Virginia, including in Arlington,
Alexandria, McLean, Falls Church, Annandale, Reston, Fairfax, Vienna,
Herndon, Sterling, Leesburg, and Manassas, VA.
Maryland Workers Compensation
Insurance Quote
Business Name:    
Premises Address:
City:
State:  (Maryland, Virginia or District of Columbia)
Zip Code:
Contact Name:
Phone #:    Ext #:
Fax:    Years in Business:
Email Address: (Required) 

About Your Maryland Business:

Federal Employer's ID #:
Description of Operations or SIC code:


# of full-time employees:     # of part-time employees:
# of locations:     Estimated Annual Payroll: $
Experience Mod (if any, per policy)

Select all that apply to your Maryland business:
Operate or lease aircraft/watercraft     Work Underground
Work above 15 feet                           Require out of state travel
Use Subcontractors                            Delivery Service
Pre-employment physicals                   Offer safety incentive programs
Store, treat, dispose, or transport hazardour waste
Work on vessels, docks, or bridges over water
Other

Recent Insurance Information:

Current Insurance Company: 
Policy #: Expiration Date: (mm/dd/yyyy)
Losses past 3 years:
Description of losses or loss runs:


What types of coverages do you currently have:
Commercial Auto
Commercial Liability
Commercial Property
Workers Comp
Group Health
Group Life
Group Disability
Group Long Term Care
Other

Maryland Employee Information:

Employee       Classification Code       Yearly Payroll Estimate
      1                                         $
      2                                         $
      3                                         $
      4                                         $
      5                                         $

Officers / Partners / Owners Information:

Principal             Name                                          Title                    Include
      1             
      2             
      3             

Additional Information or Comments



Click on the "Submit Quote Information" button below to send your
Maryland Workers Compensation Insurance quote request.**

**Information received from this Maryland Workers Compensation Insurance
quote request form sent to Brown Insurance Group, will be for our use only
and will not be sold, given to or distributed to any other parties. A quote will be
based on the workers compensation insurance policy information provided
and does not guarantee acceptance of the risk by us. The precise
coverage afforded is subject to meeting underwriting guidelines, and the
terms, conditions and exclusions of the policy as issued. By submitting this
request you acknowledge that this is neither an offer to insure nor a
guarantee of insurance. Completion of this form does not entitle your
business to a Maryland Workers Compensation Insurance Policy. We are
licensed in Maryland, Virginia and the District of Columbia, and will not
provide quotes for other states.


Maryland Business Information:
Brown Insurance Group
12118 Heritage Park Circle
Silver Spring, Maryland 20906
Montgomery County, MD
(301) 933-5500
Fax: (301) 933-6955
Brown Insurance Group, Inc.
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