Arkansas Workers' Compensation Certificate Of Non Coverage Form

State:
Arkansas
Control #:
AR-SI-TPA-WC
Format:
PDF
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Third Party Administrator Application/Registration Form
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FAQ

Workers' compensation coverage is paid by your employer at no cost to you. It is your responsibility to report a work-related accident as soon as it happens. This coverage will pay for reasonably necessary medical care you need if you get hurt or get sick because of an injury on your job.

Businesses where there are two or fewer employees may not be covered. Railroad and maritime workers are covered by federal laws. The Arkansas Workers' Compensation Law does not apply to employment of agricultural farm labor, domestic help, or employment by non-profit, religious, charitable or relief organizations.

Workers' compensation pays benefits in the amount of 67% of the deceased worker's average weekly wage based on a maximum that changes each year. The surviving dependents receive that amount divided among them.

While you do have two years from the date of injury to file a claim with the Arkansas Workers' Compensation Commission, injured employees should not delay. Once you miss this deadline, you will be barred from asserting a claim for workers' compensation benefits.

Who needs workers' comp insurance in Arkansas? Most businesses with three or more employees are required to carry workers' compensation insurance in Arkansas. Some businesses with fewer than three employees are required to carry workers' comp coverage if they work in an especially risky industry, such as construction.

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Arkansas Workers' Compensation Certificate Of Non Coverage Form