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A manager of the LLC must complete and sign this form. Election To Exclude Relatives Of Managers Of Limited Liability Company Form.This is a Minnesota form and can be use in Workers Comp. A corporate board resolution authorizing exclusion is to be executed. Only LLC working Members who are Managers are eligible for exclusion from coverage. Certain business owners who meet the statutory requirements may elect to exclude themselves from workers' compensation insurance coverage, including:. If you have specific legal questions, consult your attorney. Individuals who are sole proprietors, members of LLCs, and partners are not automatically counted as employees. On the other hand, close family member-employees and members of limited liability companies are presumed to be covered unless they opt out. EXCLUSION. Closely held family corporations may elect to exclude from unemployment insurance corporate officers who are directors, stockholders, and fam-.