Get a Quote (just a few questions)

biz_type
Relationship
Brokerage Name
Broker Name
First Last
Broker Email
Broker Phone
Address
Street Address Address Line 2 City State ZIP Code
Total Number Service Providers
If you are an independent contractor / booth renter this should be "1" (you). If you are a business owner, this should be everyone at the business that performs services at the business (including you), regardless of employment status.
Total Number Locations
Count locations where you regularly work (at least once per week).
Where do you most often work?
Do you have a medical director?*
A medical director (or "supervising physician" is a medical doctor responsible for overseeing your work/services. They might be responsible for patient intake and reviewing or signing off on patient charts.
- No
- Yes. They work at my location.
- Yes, but they work at a different location.
Are you a school with students doing hands-on work?*
- No
- Yes

Medispa Rate
Do you perform any of these medispa services?*
Acupuncture, Chemical Peels (medical-grade), Colon Hydrotherapy, Fibroblast, Hormone Therapy (injected or otherwise), Injections (Botox or dermal fillers), Laser/IPL treatments, Mesotherapy, Nutritional Counseling/Consultation, Pigment Removal by Laser, Plasma Pen/Fibroblast, PRP Injections (platelet-rich plasma), Sclerotherapy, Vitamin Therapy (injected or otherwise), Weight Loss
- Yes
- No
How many people perform these medispa services?
Note: Based on your previous answers, this should be a number between 1 and Loading...
Remaining after Medispa

Tattoo Rate
Do you perform any tattoo (all techniques) or body piercing services?*
* This includes all forms of cosmetic/corrective tattooing as well as traditional body art tattoo.
- Yes
- No
How many people perform these tattoo or body piercing services?
Remaining after Tattoo

Spa Rate
Do you perform any of these day spa services?*
Aromatherapy, Body Massage, Body Wraps, Chemical Peels (esthetician-grade), Dermaplaning, Electrolysis, Endermology, Facial & Scalp Massage, Facial & Skin Cleansing, Hydrotherapy, Ionic Foot Detox, Lash Extensions or Coloring, Lash Lifts, LED Teeth Whitening, Microdermabrasion, Microneedling, Radio Frequency (RF) Skin Treatments, Spray Tanning, UV Tanning, Ultrasonic/Ultrasound Skin Treatments, Waxing
- Yes
- No
How many people perform these spa services?*
Remaining after Spa

Skip page, calculations only
Other Services
Price: $158.75
Other Services (with total correction)
Price: $158.75
Medical Director
Price: $500.00
NY Medical Director Surcharge
Price: $0.00
NY Medispa Surcharge
Price: $0.00
Calculation: PL subtotal before school surcharge
School Surcharge
Price: $0.00
Calculation: PL subtotal after school surcharge
Calculation: PL minimum premium adjustment
Calculation: GL premium by percentage
Calculation: GL premium by location
Calculation: GL premium percentage vs. location
Negative number means m/p will apply.
Calculation: GL minimum premium adjustment
Calculation: Medispa Policy Fee Adjustment
Calculation: Broker Policy Fee Adjustment
Calculation: Total Premium
Calculation: Total Fees
Calculation: Total Taxes
Calculation: Total Cost

Are you a barber or hairstylist performing ONLY hair, shave, or makeup services?*
- Yes
- No
Who should we contact regarding this estimate?*
First Last
What is your email address?*

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