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: Instructions: All applicable items must be answered. Responses in the shaded area indicate non-compliance with applicable requirements and statutes. Failure to complete all items, or responses in the shaded area, will result in this filing being returned without further review. Name of the Managed Care Organization to be utilized Amount of Credit (can be no more than 10%) % A. Submission includes: 1. A copy of the Business Contract or Management Service Agreement YES NO 2. Documentation.
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Policyholder FAQ
A monopolistic state fund is a government-owned and operated fund that is set up to provide insurance coverage in specified states and territories. Employers must purchase coverage from the state fund and no private parties may compete for the business.
Failure to secure workers' compensation coverage for more than five employees within a 12-month period is a class E felony punishable by a fine of between $5,000 and $50,000 and is in addition to any other penalties that may apply.
North Dakota, Ohio, Washington, and Wyoming are monopolistic states.
Workers' compensation coverage is not required for a sole proprietor who does not have employees. However, a sole proprietor may voluntarily cover themselves under a workers' compensation policy.
Date of AccidentWeekly Maximum Total / PartialJuly 1, 2023 - June 30, 2024$1,145.43 / $1,145.43July 1, 2022 - June 30, 2023$1,125.46 / $1,125.46July 1, 2021 - June 30, 2022$1,063.05 / $1,063.05July 1, 2020 - June 30, 2021$966.78 / $966.7817 more rows
What Is a Monopolistic State? Every state can have different workers' compensation (WC) requirements. Monopolistic states require employers to purchase state fund workers' comp coverage. In these states, buying workers' compensation from private insurers is not allowed.
The monopolistic states are Wyoming, Washington, Ohio, and North Dakota. All four monopolistic states bar the sale of workers compensation insurance by private insurers. In these states, employers must buy insurance from a state-run insurance fund.
There are currently four monopolistic states for workers' comp: Ohio. North Dakota. Washington. Wyoming.
A monopolistic state fund is a government-owned and operated fund that is set up to provide insurance coverage in specified states and territories. Employers must purchase coverage from the state fund and no private parties may compete for the business.
Failure to secure workers' compensation coverage for more than five employees within a 12-month period is a class E felony punishable by a fine of between $5,000 and $50,000 and is in addition to any other penalties that may apply.
North Dakota, Ohio, Washington, and Wyoming are monopolistic states.
Workers' compensation coverage is not required for a sole proprietor who does not have employees. However, a sole proprietor may voluntarily cover themselves under a workers' compensation policy.
Date of AccidentWeekly Maximum Total / PartialJuly 1, 2023 - June 30, 2024$1,145.43 / $1,145.43July 1, 2022 - June 30, 2023$1,125.46 / $1,125.46July 1, 2021 - June 30, 2022$1,063.05 / $1,063.05July 1, 2020 - June 30, 2021$966.78 / $966.7817 more rows
What Is a Monopolistic State? Every state can have different workers' compensation (WC) requirements. Monopolistic states require employers to purchase state fund workers' comp coverage. In these states, buying workers' compensation from private insurers is not allowed.
The monopolistic states are Wyoming, Washington, Ohio, and North Dakota. All four monopolistic states bar the sale of workers compensation insurance by private insurers. In these states, employers must buy insurance from a state-run insurance fund.
There are currently four monopolistic states for workers' comp: Ohio. North Dakota. Washington. Wyoming.
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