This is one of the official workers' compensation forms for the state of Michigan
Michigan Service Company Application for Workers' Compensation
State:
Michigan
Control #:
MI-BWC404-WC
Format:
PDF
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Description
How to fill out Michigan Service Company Application For Workers' Compensation?
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FAQ
Generally speaking, sole proprietors and partnerships aren't required to purchase workers' compensation insurance unless and until they have employees who aren't owners. Most states will allow sole proprietors and partners to cover themselves for workers' compensation if they choose to, but it isn't required.
Workers' comp insurance reduces an employer's risk of being sued by employees. In turn, workers' comp provides financial protection and medical care for employees who are injured on the job.Employers without coverage could face fines or prison time. Workers' comp insurance benefits both employers and employees.
Depending on your state, you can get workers' comp insurance through private insurance providers or through state-funded programs. If you obtain workers' comp from a private insurance carrier, you can choose to go directly to an insurance company or through an insurance agent or broker.
Typically, a small business owner with a few employees can expect to pay around $2,000 to $3,000 in Workers Compensation Insurance premiums annually. As an employers payroll increases, premiums will also increase.
If your employer does not file a claim for you, you may file form WC-117 with the Agency. If the insurance company or self-insured employer disputes your claim, you may need to submit a form WC-104A, Application for Mediation, or Hearing.
State your name, date of birth, social security number, and date of injury at the very beginning of your letter. Explicitly state that you were on-the-job and that you were injured while performing your duties. Elaborate on the tasks you were performing at the time of your injury. Include as many details as you can.
No, sole traders or partnerships cannot take out cover for themselves. If you are a Working Director of a Proprietary Limited (Pty Ltd) company, you can opt-in to cover yourself for workers compensation.
Workers' compensation statute of limitations in MichiganMichigan requires that a claim is made within two years of the date of injury.
Depending on your state, you can get workers' comp insurance through private insurance providers or through state-funded programs. If you obtain workers' comp from a private insurance carrier, you can choose to go directly to an insurance company or through an insurance agent or broker.