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C240 Workers Comp Withholding

State:
New York
Control #:
NY-C-240-WC
Format:
PDF
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Description

This is one of the official workers' compensation forms for the state of New York.

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FAQ

New York workers' comp pays up to two-thirds of your average weekly wage before your injury, with a minimum of $150 per week and a maximum of $1,125.46 per week in 2023. Read more about how much workers' comp pays in New York.

Under IRS regulations, workers' compensation-related benefits are exempt from federal income, Social Security and Medicare taxes. Workers' compensation-related benefits are also exempt from New York State and local income taxes, if applicable.

Form C-240 captures an injured worker's wage earnings information for the 52 weeks prior to the injured worker's date of injury or illness. This information is used to calculate the injured worker's average weekly wage and benefit rate.

For calendar year 2023, the rate shall be 9.8% of the standard premium or premium equivalent.

NYSIF determines the manual rate by multiplying the NYCIRB loss cost by the NYSIF LCM. NYSIF then computes manual rate premium by multiplying the manual rate by the policyholder's estimated annual payroll and dividing by 100. This mathematically based rate produces an objective pricing system.

More info

Completing the Workers' Compensation Board Form C-240. A C240 Form is the Employer's Statement of Wage Earnings.Carrier must submit a C-240 showing the gross salary of the injured employee or a similar worker, for the 52 weeks prior to the accident. Employer's Statement of Wage Earnings (C-240) - Employers use this form to report employee wages to the Self-Insurance Department. Step-by-Step Instructions for Completing the Settlement Agreement and Application for Approval of Settlement Agreement (C-240). For a complete description of excluded employment, please see RCW 51.12.020. Workers not covered. Description of the Claims Settlement process for the Ohio Bureau of Workers' Compensation. In most industries, any employer with five or more full or part-time employees must carry workers' compensation insurance.

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C240 Workers Comp Withholding