Shana Insurance Services Corp.
CA Insurance License # 0E39073
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We offer special rates in California for safe auto drivers, as well as for home insurance, health insurance, and commercial insurance. Call today to see what we can do for you, 1-866-909-0777
Why Shana Insurance?
For more than thirty years Shana has been providing people just like you insurance coverage you can count on. Last year more than 5,000 families in California trusted the Shana Insurance name enough to switch to one of our auto, home, health, commercial, and business insurance coverage.
Find the Right Insurance
Shana Insurance Services is one the largest one-stop insurance brokerages in California. The company receives much of its new business through referrals from current policyholders; the annual renewal rate of existing policyholders is over 90%. Our approach to business is: if we can't have your business the honest way, we don't want your business. Call us at 1-866-909-0777 to find the right insurance.
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Workers Compensation

Call for a FREE Worker's Comp Insurance Quote Your Business and Employees work better with Security.

For more than 30 years Shana Insurance Services has worked with all types of businesses ensuring the safety and security of their employees. At Shana Insurance Services we know that a protected workplace is a productive workplace. As an employer you have an obligation to ensure that your work environment is as safe as possible – the law requires workers compensation insurance. The work environment can be unpredictable and workers compensation insurance provides the necessary coverage to protect you from lawsuits.

Workers obtain coverage and benefits no matter the party at fault. Workers who are injured in accidents may receive all medical treatments deemed necessary and income replacement. Our research ability and extensive network will help you find the policy that meets your needs. Contact us today about your business needs and we will guide you through the necessary steps. There are lots questions you may have and with more than 30 years of experience we can answer each of those questions.

Fill out the form below for a Worker's Compensation Quote:

Company Name:
Street:
City:
State:
Zip:
Phone Number:
Fax Number:
Federal Employee Id # (FEIN):
Contact Name
 
PAYROLL INFORMATION
Job Description
Class Code
# Of Employees
Projected Next Yr Payroll
Year To Date Payroll
 
OWNERS, OFFICERS, PARTNERS
Name
D.O.B.
Title
% Ownership
 
PRIOR INSURANCE INFORMATION (PAST 4 YEARS)
Carrier
Effective Date
Policy Number
Premium
 
GENERAL INFORMATION Please Explain all YES answers in the comments field below.
 
YES
NO
1. Does applicant own, operate or lease air/water craft?
2. Do/have past, present or discontinued operations involve(d) storing, treated, discharging, applying, disposing or transporting of hazardous material?(e.g. landfills, wastes, fuel tanks etc.)
3. Any work performed underground or above 15 feet?
4. Any work performed on barges, vessels, docks or bridges over water?
5. Is applicant engaged in any other type of business?
6. Are subcontractors used? (If yes, give % of work subcontracted %)
7. Any work sublet without certificates of insurance?
8. Is a written safety program in operation?
9. Any group transportation provided?
10. Any employees under 16 or over 60 years of age?
11. Any seasonal employees?
12. Is there any volunteer or donated labor?
13. Any employees with physical handicaps?
14. Do any employees travel out of state?
15. Are any athletic teams sponsored?
16. Are physicals required after offers of employment are made?
17. Any other insurance with this insurer?
18. Any prior coverage declined/cancelled/non-renewed within past 3 years?
19. Are employee health plans provided?
20. Is there any interchange of labor?
21. Do you lease employees to or from other employers?
22. Do any employees predominately work from home?
23. Any tax liens or bankruptcy within the last 5 years?


24. Any undisputed and unpaid workers compensation premium due from you or any commonly managed or owned enterprises? If yes explain including entity name(s) and policy number(s).


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