This person will receive all communications from Newfront about this policy. You can change this contact information later. If you're not sure, just add your contact information.

Full name

Phone number

Role

Who is the primary contact for this policy?

Company name

What is your Federal Employer Identification Number? (FEIN)

Number of locations

In which states do you operate?

Years in business

Tell us about your company

What is the name of the clinic, physician, or ER used for work injuries?

Do you provide group medical insurance?

Do you give paid vacation?

Do you offer a retirement or pension plan?

Tell us about your employees

There are no additional fees for paying Newfront instead of each insurance company directly. If you decide to pay the insurance company directly, you'll receive bills from them and it will be your responsibility to make sure they are paid to keep your coverage.

How do you want to pay for your policy?