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New York Renewal Application For License To Appear On Behalf of Or Represent Carriers And-Or Self-Insurers

State:
New York
Control #:
NY-403.1R-WC
Format:
PDF
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Description

Renewal Application For License To Appear On Behalf of Or Represent Carriers And-Or Self-Insurers

New York Renewal Application For License To Appear On Behalf of Or Represent Carriers And-Or Self-Insurers is the application filed by entities in New York State who wish to renew their license to represent carriers and/or self-insurers. This application must be filed with the New York State Department of Financial Services (DFS). The license renewal process requires the submission of various forms and documents, such as an application form, a copy of the entity’s current license, a renewal fee, and any additional forms or documents requested by the DFS. The types of New York Renewal Applications for License to Appear On Behalf of Or Represent Carriers And-Or Self-Insurers are: 1. Regular License Renewal Application 2. Conditional License Renewal Application 3. Surrender of License Renewal Application 4. Change of Address Renewal Application.

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FAQ

Workers' compensation coverage is required for sole proprietors with employees, including part-time employees, borrowed employees, leased employees, family members, and volunteers (WCL §3 Groups 1-14-a).

To apply for authorization, you must: Sign up to use the NYS Workers' Compensation Board Medical Portal and/or login with the credentials that have been assigned to you; Complete the required training specific to your profession; Complete the New Provider Authorization Request online application.

Workers' compensation coverage IS NOT required for partnerships, LLCs, and LLPs that do not have employees. Members and partners are not considered employees for the purposes of obtaining workers' compensation insurance, but may voluntarily cover themselves under a workers' compensation policy.

Is Workers' Compensation Coverage Required? Virtually all employers in New York State must provide workers' compensation coverage for their employees (WCL §2 and 3).

Workers' compensation coverage is not required for a sole proprietor who does not have employees. However, a sole proprietor may voluntarily cover themselves under a workers' compensation policy.

Independent contractors You may need insurance even for those receiving 1099s. Workers' compensation insurance protects employers and employees against financial loss in the event of a work-related injury or illness. Employers must continuously carry workers' compensation insurance for their employees.

Workers' Compensation coverage is not required if the business is a one or two person owned corporation, with those individuals owning all of the stock and holding all offices of the corporation (each individual must hold an office and own at least one share of stock).

SI-12 (7/09) Affidavit Certifying That Compensation Has Been Secured. Employers with Board-approved self-insurance for workers' compensation. Filed with the government agency issuing a permit, license or contract. The SI-12 must be completed by the Board's Self-Insurance Office and approved by the Board's Secretary.

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New York Renewal Application For License To Appear On Behalf of Or Represent Carriers And-Or Self-Insurers