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  • Form 108 - Mass.gov - Mass

Get Form 108 - Mass.gov - Mass

The Commonwealth of Massachusetts Department of Industrial Accidents Department 108 FORM 108 1 Congress Street, Suite 100, Boston, Massachusetts 02114-2017 Info. Line 800-323-3249 ext. 7470 in Mass.

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The payment without prejudice period refers to the first 180 days following the injury in which the worker receives benefits without the insurer accepting liability. During this period, workers should remember: Payment does not equal liability. Weekly compensation may change.

As a sole proprietor you are not required to get workers' compensation insurance coverage. If you have employees, they must be covered. If you are a corporate officer that owns 25% or more of a company, you can file for an exemption so you will not be covered under a policy.

Form 105 is an Agreement to Extend the 180 Day Payment Without Prejudice Period (PWOP). Workers' Compensation insurers may send this form to you if you are injured and have not gotten an attorney.

Who must have insurance. All employers operating in Massachusetts are required to carry workers' compensation insurance for their employees and themselves if they are an employee of their company. The requirement applies no matter the number of hours worked or the number of employees.

In some cases, you may even need to buy workers compensation insurance for yourself as a business owner. In MA, officers of corporations are automatically covered, while sole proprietors, members of LLCs or partnerships must opt in for coverage.

If your Massachusetts workers' compensation claim is denied, you will receive an insurer's notification of denial, or Form 104, by certified mail. The form should include an explanation of why your employer's insurer is denying your claim.

Without prejudice means the insurance company is paying without accepting legal responsibility for the work injury. In the without prejudice period, receiving payment from the insurance company doesn't bind it at all. The insurance company can pay without prejudice for 180 days from the first day of disability.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232