To request a quote for workers’ compensation coverage for the Big E and other shows, please complete and submit the form below.

General Information






(Name the sole proprietor, general partner(s) or trustee(s) along with the trade name of the business)



Pending







Mailing address*








Corporate Officers, Sole Proprietors, Partners and Members

If there are more than four officers, partners or members, attach a list including information for each additional individual.

For sole proprietors, partners, LLC members and LLP partners: list the names, titles, ownership and duties of all proprietors, partners or members. Enter “ELECT” to indicate whether each is electing coverage; otherwise enter “EXEMPT.” Sole proprietors, partners, and members are not covered unless they elect coverage.

For corporations: list the name, title, ownership duties and actual salary of all officers listed in the Corporate Articles of Organization. Enter “EXEMPT” to indicate whether each has chosen to waive coverage in accordance with MA Regulation 452 CMR 8.06; otherwise select “ELECT.”


Member/Officer 1

  • Name
  • Title
  • % Ownership
  • Elect/Exempt
  • Duties
  • Salary


Member/Officer 2

  • Name
  • Title
  • % Ownership
  • Elect/Exempt
  • Duties
  • Salary


Member/Officer 3

  • Name
  • Title
  • % Ownership
  • Elect/Exempt
  • Duties
  • Salary


Member/Officer 4

  • Name
  • Title
  • % Ownership
  • Elect/Exempt
  • Duties
  • Salary






Business of Employer

Completely describe all operations of the employer. If there are multiple locations, provide a description for each. Completely describe any changes that have taken place in the last three years that might affect the classification of the operation.*



Payroll Information

  • Describe the duties
    of employees


  • Number of employees



  • Estimated payroll during
    The Big E

  • Describe the duties
    of employees


  • Number of employees



  • Estimated payroll during
    The Big E

  • Describe the duties
    of employees


  • Number of employees



  • Estimated payroll during
    The Big E



Message

Please let us know if you have anything else to add or if you have questions or additional needs we can help with.

(*Required Fields)
Please allow 1 business day for a response.

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