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