Below is information about NCCI CORPORATE OFFICER EXCLUSION from a variety of sources. Please take a look at the materials that our team has selected for you.
https://www.ncci.com/enterprise/search/Pages/all_results.aspx?k=Connecticut+officer+exclusion
The Inclusion/ Exclusion form is now one of the automatic notifications alerting the Page 1 of 2Iowa Corporate Officer Exclusion From Workers’ Compensation or Employers’ Liability. Connecticut--Revision of the Connecticut Contracting Classification Premium Adjustment Program And Implementation of Form NC-5000.
The National Council on Compensation Insurance is the nation's most experienced provider of workers compensation information, tools, and services. NCCI is the source you trust for workers compensation information.
https://www.oregon.gov/EMPLOY/Documents/Corporate%20Officer%20Exclusion%20FORM%202578.pdf
Oregon Administrative Rule 471-031-0017 Corporate Officer/Director Election (1) For the purposes of ORS 657.044, the term "substantial ownership" means each corporate officer owns at least ten percent of the corporation and the total ownership of the corporation among those officers being excluded is at least seventy-five percent.
https://labor.alabama.gov/wc/wc_corp_off_exmp_wc15.pdf
I, the undersigned officer of the above named corporation, do hereby, elect to be exempt from coverage under the Alabama Workers’ Compensation Law, 25-5-50(b) Code of Alabama 1975, as amended. Under penalty of perjury, I hereby certify that I am a duly appointed officer of the above captioned corporation. I further certify and
https://wcc.sc.gov/sites/default/files/Documents/Header/Forms/Form5.pdf
This form may be used when an officer desires to become exempt from the provisions of the South Carolina Workers’ Compensation Act. For additional information regarding the provision of Section 42-1-520 and this form, contact your insurance carrier or the South Carolina Workers’ Compensation Commission, Coverage Division, Post Office Box 1715,
https://support.ameritrustgroup.com/index.php/additional-resources/workers-compensation-inclusionexclusion-forms/
MD – C-16R – MD Exclusion Form; Massachusetts. MA – Form 153 – MA Affidavit of Exemption for certain Corporate Officers or Directors; Michigan. MI – 171 – MI Application for Exclusion of Executive Officers of a Corporation or Members-Managers or an LLC; MI – 172 – MI Application for Exclusion of a Partner, Spouse, Child or ...
https://www.workerscompensationshop.com/workers-compensation-election-rejection-of-coverage
In most state, executive officers of a corporation are automatically included under a state’s workers compensation act by default. However, they may file for an exemption from coverage. Partners and sole proprietors are generally exempt from coverage under each states' act. They may elect to opt-in for coverage.
https://www.workcompconsultant.com/s6-connecticut-workers-compensation/
Corporate Officers: Included in coverage/may elect to be exempt. If included the minimum rating payroll used is $950 per week and the maximum payroll is $1,600 per week as of 1-1-2012, $1,150/$1,900 as of 1-1-2013, $1,200/$2,300 as of 1-1-2014, $1,200/$2,400 as of 1-1-2015. $1,300/$2,600 as of 1-1-2017. $1,300/$2,600 as of 1-1-2018. $1,300/$2,600 as of 1-1 …
https://www.donrjensen.com/wp-content/uploads/2014/08/IL-Officer-Exclusion-Form.pdf
The undersigned sole proprietor, partner(s), member(s) or corporate officer(s) of the above referenced business do hereby reject coverage under the Illinois Workers Compensation Act and the Workers Compensation policy. Type or print each name and title under signature.
https://www.workcompconsultant.com/s23-minnesota-workers-compensation/
Corporate Officers: Excluded from coverage/may elect to be included – Executive officers owning 25 percent of more of a closely held corporation or a spouse, parent or child of the executive officer, regardless of age, are automatically …
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