Workers' Comp Insurance
We encourage you to submit your application online. Start the process by using the button below to request a quote. Your quote will normally be returned within three business days. You may be contacted by NYSIF to obtain documents necessary to return an appropriate quote.
Once you receive your quote, you can complete, sign and submit an application online, and pay the deposit premium by electronic funds transfer or credit card. All applications must be fully completed and accompanied by a premium deposit to be reviewed.
If approved, coverage is effective at 12:01 a.m., Eastern Standard Time, the day after NYSIF receives your electronically signed application and electronic premium deposit. For approved mailed applications, coverage takes effect the day after the postmark on the envelope of your signed application and premium deposit, or any subsequent date requested. You will receive written notification by mail with the effective date of coverage, followed by policy declaration and information pages.
Print and complete the appropriate application and supplemental questionnaire if mailing your application:
|Workers' Compensation Insurance Application|
|Volunteer Firefighters’ Benefits Application|
|Volunteer Ambulance Workers’ Benefits Application|
Disability Benefits Insurance
Use our premium calculator to determine an estimate for NYSIF disability benefits insurance. Request a quote below and complete the application online.
If mailing your application, complete and print the NYSIF Application for New York State Disability Benefits Insurance (Form UDB-36), or request an application at 1-866-NYSIFDB (1-866-697-4332).
Submit your completed application and include a check for the minimum deposit premium of $60 payable to:Document Control Center
NYSIF - Disability Underwriting
1 Watervliet Ave. Ext.
Albany, NY 12206-1649
If approved, coverage begins the day after the postmark on your mailed application, or any requested future date, and remains in effect for one year from start date. At the end of the policy period, the policy automatically renews unless the policyholder provides 30 days’ written notice to NYSIF to cancel the policy.
If an applicant has a previous NYSIF workers’ compensation or disability benefits insurance policy with an outstanding balance, the previous account must be finalized and any outstanding balance paid before a new policy is issued.