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Available Programs:

 Carrier Risk Tolerance:

Pay As You Go Workers' Compensation

All risks acceptable:  low, medium, and high.

Includes risks such as contractors, trucking, roofing, and temporary staffing.

Direct Bill Work Comp

All risks acceptable:  low, medium, and high.

Pay As You Go General Liability

Contractor and service risks acceptable:  low, medium, and high.

Commercial Packages- 12 Equal Installs

Non-construction risks only.

Workers Compensation Information:

 Owners Wages for Workers' Compensation

Individuals and Partners

$33,300- Min Annual Payroll (effective 01.01.08).

Sole-proprietors and Partners covered only if endorsed on policy.

LLC Members

Statutorily included.  Corporation status. Treated as executive officer.

Treated the same as corporation.

Executives employees, defined as owning 10% or more ownership interest, may elect to be exempt.

Corporate Officers: Corporations

$15,600- Min Annual Payroll (effective 01.01.02).

Executives may be excluded by endorsement.

 General Liability Information:

 Owners Wages for General Liability:

Individuals and Partners

$27,900- flat annual (effective 07.01.84).

Corporate Officers & LLC Members

$27,900- flat annual (effective 07.01.84).

NM Resources & Links:

 NM Workers Compensation Forms:

State of New Mexico

http://www.newmexico.gov/

Workers’ Compensation Administration

http://www.workerscomp.state.nm.us/

Mailing Address:
Post Office Box 27198
Albuquerque, New Mexico 87125-7198
 

Street Address:
2410 Centre Avenue SE
Albuquerque, New Mexico 87125
(800) 255-7965, (505) 841-6000, Fax: (505) 841-6009
Help Line/Hot Line: (866) WORKOMP (967-5667)

TTY/TDD: (505) 841-6043,

E-mail: wca.hotline@state.nm.us

Acord 130 Form

Certificate Request Form

ERM-14 Form

Order Loss Runs (Example)

NCCI Mod Authorization

* Information contained herein is based on the most accurate data as of the time of posting.  Please check with you states Division of Workers' Compensation Insurance for the most up to date information and to verify accuracy.