PERMA is taking the necessary steps to continue business operations while simultaneously protecting the safety and health of our employees. During this time, please forward all claim related information to us electronically at compforms@neami.com.

PERMA provides municipal employers across New York State with the best possible workers' compensation coverage and risk management services for the most reasonable cost.

The largest self-insured provider of workers' compensation for New York State public entities.

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• Municipal Entity*
• Entity Type
  • City
  • County
  • Village
  • Town
  • Fire Co., Dept. or District – PAID
  • Fire Co., Dept. or District – VOLUNTEER
  • Volunteer Ambulance
  • Public Library
  • School or BOCES
  • District
  • Authority
  • Commission
  • Agency
  • Other
• Other Entity Type
• Coverage type(s) needed (check all that apply)
  • Workers’ Comp
  • VFBL
  • VAW
• Proposed Effective Date*
  Date Format: MM slash DD slash YYYY
• to the 1st of
• Quote Needed By*
  Date Format: MM slash DD slash YYYY

• Primary Contact

• Name*
• Title*
• Phone*
• Email

• Broker Information (if applicable)

• Insurance Broker
• Broker Contact Name
• Broker Contact Email
• What is your primary interest in the PERMA program?
  • Price
  • Service
  • PERMA's Reputation
  • Unhappy w/ current provider
  • Other
• Additional Notes