Get Coverage

Thank you for choosing Montana State Fund (MSF) as your workers' compensation insurance carrier. We are committed to provide you convenient and efficient service and look forward to serving your business needs.

There are two ways to apply for coverage

1. Fill out the application forms and mail or fax to MSF (follow steps under application process below)

Mail

P.O. Box 4759, Helena, MT
59604-4759

Fax

406-495-5020

Email

Scan and email a copy of the completed application to Montana State Fund

If you have questions about the application process, call an MSF customer service specialist at 800-332-6102.

2. Contact an insurance agent (there is no extra cost to work with an agent). To find an agent, visit our Agent Locator page.

If you have been insured with Montana State Fund before, please contact us at 800-332-6102 to verify your prior account status.

Application Process

New Applicant (Montana-based Employer)

Please complete the application for coverage.

If you have purchased this business or own another business, you will need to fill out the ERM 14 Form.

Most entities, other than a sole proprietor and partnership must be registered with the Montana Secretary of State; please make sure you are in compliance with the requirements for your entity type.

If you are Experience Rated by NCCI please provide either a copy of your most recent experience modification worksheet or a letter to NCCI to release the information. If unknown, submit the completed worksheet below, we will verify the information with NCCI.

If you have been insured with another company within the last three years, please provide the currently valued Loss Runs Report from your carrier produced within the last 90 days.

Businesses in the oil and gas fields, please complete the Petroleum and Supporting Industries Questionnaire.

Out of State Employer

Follow the steps above, and please fill out the Out of State Employer Questionnaire.