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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

$31,200- Min Annual Payroll (effective 01.01.10)- No Employees.

Sole Proprietors and Partners with employees may elect coverage.  If no employees coverage is automatic with work comp policy.

LLC Members

Statutorily Excluded.  Partnership status.  Treated as employee.

Members are considered similar to partners.

Partners are excluded, but may elect coverage.

Corporate Officers: Corporations

$28,600- Min Annual Payroll (effective 10.01.07).

Sole Executive Officers or Companies with only Two Exec's may be excluded by endorsement.

Non-Profits:  $14,300- Min Annual Payroll (effective 10.01.07).

Maximum payroll for partners, LLC members and corporate officers is $91k in NY.

 General Liability Information:

 Owners Wages for General Liability:

Individuals and Partners

$27,500- flat annual (effective 07.01.84).

Corporate Officers & LLC Members

$27,500- flat annual (effective 07.01.84).

NY Resources & Links:

 NY Workers Compensation Forms:

State of New York

http://www.ny.gov/

New York State Workers’ Compensation Board

http://www.wcb.state.ny.us/

20 Park Street
Albany, New York 12207
(877) 632-4996, Fax: (518) 473-1415, Fraud: (888) 363-6001
 

New York State Insurance Fund

http://ww3.nysif.com/

199 Church Street
New York, New York 10007
(888) 875-5790, (212) 312-9000, Fax: (212) 385-2073

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.