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Get NY DB-691 2012-2024

Benefits Under the Disability Benefits Law All Self-Insurers are required to report to the Chair specific information relating to approved selfinsurance under the Disability Benefits Law as follows: 1. (a) A report of claims, benefits, employee contributions, covered payrolls, and the number of employees covered, on prescribed form DB-681, is to be filed in duplicate for each calendar year no later than January 31 of the following year. (b) The amount of covered payrolls to be reported on the .

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