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Affidavit Of Exemption From Kentucky Workers Compensation Act (Individual)

State:
Kentucky
Control #:
KY-SKU-1201
Format:
PDF
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Description

Affidavit Of Exemption From Kentucky Workers Compensation Act (Individual)

An Affidavit Of Exemption From Kentucky Workers Compensation Act (Individual) is a legal document used by individuals to exempt themselves from the Kentucky Workers Compensation Act. This document must be signed by both the employer and the worker, and notarized. It is used to certify that the individual is not an employee and is not eligible for Workers Compensation benefits under the Act. There are two types of Affidavit of Exemption: voluntary and involuntary. The voluntary Affidavit is used when the worker voluntarily chooses to be exempt from the Act. The involuntary Affidavit is used when the employer requires the employee to be exempt from the Act. Both types of Affidavit must include the name, address, and signature of the worker, and must be notarized.

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FAQ

Please visit the FAQs on the Audit Process page. Can a waiver of subrogation be added to a policy? All waivers of subrogation for worker's compensation insurance are prohibited in the Commonwealth of Kentucky per KRS 342.700 (3).

Workers' Compensation Insurance. The ?Kentucky Workers Compensation Program provides medical and disability benefits to employees (excluding Transportation Cabinet) who may experience a work-related injury or illness. A managed care program is used to provide covered m??edical benefits.

Generally, workers' compensation income benefits are 66 2/3% of your average weekly salary, up to the state maximum as set forth by the Department of Workers' Claims. You may, however, use your accumulated leave to keep your regular salary.

Employers operating in Kentucky are required to carry workers' compensation insurance for all employees, including corporate officers and part time employees, although there are a few exceptions. Sole proprietors may opt out of coverage.

Workers' compensation in Kentucky is an employer-funded program which pays the medical bills, medical expenses, and lost wages for employees who are injured on the job or injured as a result of a workplace accident.

Under Kentucky workers' comp laws, certain employees are exempt from coverage, including: Any person employed in agriculture. Members of a religious sect or organization that oppose insurance benefits. Domestic workers employed in a private home with less than two regularly employed workers.

Waivers of Subrogation: Not allowed and it is against public policy in Kentucky for an owner or employer to require another employer to provide a waiver.

The statute of limitations for Kentucky workers' compensation claims is two years. You must file your claim within two years of either sustaining a work-related injury in an accident or discovering the injury.

More info

Applicant, pursuant to KRS 342. Kentucky Workers' Compensation Act, KRS Chapter 342.This administrative regulation establishes the exemption form. Section 1. Exemption. (1). Section 1. Exemption. Workmans Comp Affidavit. Download, Fill In And Print Affidavit Of Exemption From The Kentucky Workers' Compensation Act (individual) - Kentucky Pdf Online Here For Free. However, state laws sometimes have exemptions for certain types of workers and business structures. What is a workers' comp exemption? Employers may be eligible for a premium discount with their workers' comp carrier for having a drug-free workplace program.

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Affidavit Of Exemption From Kentucky Workers Compensation Act (Individual)