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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

$36,200- annual (effective 04.01.08).

LLC Members

$17,576- Min Annual Payroll (effective 04.01.08).

Statutorily included.  Corporation status.  treated as an Executive Officer.

Up to 4 members may elect to be excluded.

If the LLC has no other employees, the LLC is not required to purchase workers' compensation.

Corporate Officers: Corporations

$17,576- Min Annual Payroll (effective 04.01.08).

Executives may be excluded by endorsement.

Effective 05.26.04: If all executives elect to be excluded and the corporation has no other employees, the Corp is not required to purchase a workers compensation policy.

 General Liability Information:

 Owners Wages for General Liability:

Individuals and Partners

$10,400- flat annual.

Corporate Officers & LLC Members

$10,400- flat annual.

VT Resources & Links:

 VT Workers Compensation Forms:

State of Vermont

http://vermont.gov/

Department of Labor

http://labor.vermont.gov/

Street Address
5 Green Mountain Drive
Montpelier, Vermont 05601-0488
 

Mailing Address
Post Office Box 488
Montpelier, Vermont 05601-0488
(802) 828-4000, Fax: (802) 828-4022

Workers’ Compensation Division
FAQ for Injured Workers

http://labor.vermont.gov/Workers/Injured/tabid/110/Default.aspx

FAQ for Businesses

http://159.105.83.167/WorkersCompensation/tabid/114/default.aspx

National Life Building
Drawer 20
Montpelier, Vermont 05620-3401
(802) 828-2286, Fax: (802) 828-2195

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.