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Workers' Comp Exemption- Workers Compensation …

    https://www.workerscompensationshop.com/workers-compensation-election-rejection-of-coverage
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Corporate Officer Exclusion from Worker's Compensatiion

    https://www.iowaworkcomp.gov/sites/authoring.iowadivisionofworkcomp.gov/files/14-0061exclusion.pdf
    the president, vice president, secretary and treasurer of a corporation other than a family farm corporation, but not to exceed four officers per corporation may exclude themselves from workers’ compensation coverage under chapters 85, 85a and 85b by knowingly and voluntarily rejecting workers’ compensation coverage by signing and attaching to …

Request an exemption from workers’ compensation …

    https://www.mass.gov/how-to/request-an-exemption-from-workers-compensation-coverage
    Corporate officers who own at least 25% interest in the corporation can file a Form 153 - Affidavit for Certain Corporate Officers or Directors with the Department of Industrial Accidents (DIA) to request an exemption from workers compensation coverage. All eligible corporate officers must sign the Form 153, to exempt themselves

Arizona Workers' Comp Exemptions: Can I exclude owners and …

    https://huckleberry.com/blog/arizona-workers-compensation-exemption/
    If your business is organized as a corporation, your corporate officers will automatically be included in your workers’ comp policy—unless they’re inactive. They can reject workers’ compensation benefits, though. To do that, they’ll need to fill out the Employee’s Notice of Rejection of Terms of the Arizona Workers’ Compensation Law form.

Workers’ Compensation Law Election to Exclude …

    https://www.dfs.ny.gov/insurance/ogco2000/rg009291.htm
    An executive officer is not entitled to be covered under the employers liability insurance portion of a Workers Compensation and Employers Liability policy after electing to be excluded from the compensation insurance contract pursuant to N.Y. Work. Comp. Law § …

Corporate Officers and Worker's Compensation in …

    https://dwd.wisconsin.gov/dwd/publications/wc/wkc-13441-p.htm
    If the corporation has other employees or officers, an insurance policy is required and the exclusion for officers must be made by an endorsement on the corporation's worker's compensation policy. The name of each excluded officer must be specified on the policy. The exclusion will remain in effect for the policy period.

Executive Officers and Partners | WCIRB California

    https://www.wcirb.com/guide-to-workers-compensation/standard-classification/exec-partners
    effective july 1, 2018, a sole shareholder who is an officer or director of a private corporation or a private cooperative corporation, or who is an owner of a private professional corporation, is excluded from the definition of “employee,” unless the officer, director, owner, private corporation, private cooperative corporation or private …

Exemptions - myfloridacfo.com

    https://myfloridacfo.com/Division/WC/Employer/Exemptions/default.htm
    The purpose of filing an exemption is for an officer of a corporation or member of a limited liability company to exclude themselves from the workers' compensation laws. Upon issuance of a Certificate of Election to be Exempt, the officer or member is not an employee and may not recover workers' compensation benefits.

CORPORATE OFFICER NOTICE TO REJECT - South Carolina

    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,

IC-16 Exclusion Form version 09-2018

    http://www.wcc.state.md.us/PDF/PDF_Forms/exclusion.pdf
    WORKERS’ COMPENSATION COMMISSION EXCLUSION FORM 10 East Baltimore Street Baltimore, Maryland 21202-1641 Form IC-16 (09/2019) INSTRUCTIONS: Pursuant to Labor & Employment Article §9-206, Annotated Code of Maryland, officers or members of certain business entities may elect to be exempt fomr workers' compensation

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