Workers’ Compensation Insurance NY: Everything You Need to Know - PowerPoint PPT Presentation

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Workers’ Compensation Insurance NY: Everything You Need to Know

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Workers’ compensation insurance NY covers medical costs as well as lost wages for injuries related to work. This program is mandatory in NY and all the other states. Website - – PowerPoint PPT presentation

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Title: Workers’ Compensation Insurance NY: Everything You Need to Know


1
Pamphile InsuranceBrokerage LLC
2
Workers Compensation Insurance NY Everything
You Need to Know
3
  • Workers compensation insurance NY covers medical
    costs as well as lost wages for injuries related
    to work. This program is mandatory in NY and all
    the other states.
  • Both employers and workers will find workers
    compensation NY beneficial. Workers who sustained
    work-related injuries can get covered for medical
    care financial benefits.

4
Three Major Reasons for Workers Compensation
Insurance NY
  • Its a requirement by the state law
  • It covers partial lost wages and medical expenses
    for an injured worker
  • Most of the policies entail employers liability
    insurance that protects employers from lawsuits
    connected to workplace injuries. When employees
    agree to receive benefits from workers
    compensation, they normally agree that they wont
    sue their employees.

5
Who Needs Workers Compensation Insurance NY?
  • In New York, employers should carry workers
    compensation for their employees. For the most
    part, the state law requires all employers to
    undertake this type of insurance except in a few
    situations, such as
  • If one individual owns a business, which means
    there are no leased employees, part-time
    employees, subcontractors, borrowed employees, or
    unpaid volunteers.
  • If the organization is a corporation or
    partnership, but with no employees
  • If one or two individuals own a business and
    those individuals own all offices and stock and
    there are no extra employees.
  • Employers are also required to post in a
    conspicuous place a notice that states
    their workers compensation insurance NY. The
    notice must contain the policy number of the
    employer and the name, phone number and address
    of the insurance agency.

6
Is Workers Compensation Insurance Mandatory for
New York Part-Time Employees?
  • Many people who receive wages after doing a job
    are regarded as employees and are thus, supposed
    to benefit from workers comp. The NYS law
    classifies leased employees, day labor, part-time
    employees, subcontractors, and unpaid volunteers
    (this includes family members) as employees who
    qualify for workers compensation insurance NY.
  • Only an independent contractor can be exempted
    according to the following criteria
  • The contractor doesnt receive directions from
    the employer to perform a job.
  • The contractor performs duties that the business
    doesnt normally do on a regular basis.
  • The contractor has an independent occupation,
    business, or trade thats connected to the
    service being offered.

7
Do the Self-Employed Need Workers Compensation?
  • As a self-employed person or sole trader, you
    dont need this type of insurance if you havent
    employed anyone.
  • Can Employers without Workers Compensation
    Insurance NY Face Penalties?
  • The New York State Workers Compensation
    Board is responsible for enforcing the
    requirements for workers comp in the state. Not
    following the requirements can lead to severe
    criminal and civil penalties.

8
  • Failure to secure the insurance coverage for five
    or fewer workers within 12 months is a
    misdemeanor that can attract a fine of anywhere
    between 1,000 and 5,000. If an employer fails
    to secure coverage for over five employees, it
    translates into a felony that can attract a fine
    of 5,000 to 50,000. A subsequent conviction
    within a period of five years of not securing
    coverage is punishable by 10,000 to 50,000 in
    fines.
  • Not making a provision for compensation for at
    least 10 days may cause the board to take civil
    action against the employer. The board may charge
    a penalty of up to 2,000 for every 10-day period
    of not complying with the regulations or a sum
    amounting to up to twice the compensation cost
    for that period.

9
  • The employers misinterpretation of the wages,
    number of employees, accidents and
    classification is subject to both civil and
    criminal persecution. Businesses are supposed to
    keep accurate records. Thus, if an employer
    deliberately conceals the number of employees,
    payroll, employee duties and other information,
    it may attract a fine of 2,000 for each ten-day
    period of not complying or twice the compensation
    cost. If a criminal conviction follows these
    charges, the fine may be anywhere between 1,000
    and 50,000.
  • Not maintaining an accurate payroll is a criminal
    offense too. If the employer fails to keep
    accurate records regarding employee
    classifications and information related to wages
    and accidents, it may be handled as a misdemeanor
    and attract a fine of 5,000 to 10,000. If the
    employer has a past conviction on this basis,
    then it becomes a felony and the fine rises to
    anywhere between 10,000 and 25,000. These
    offenses attract a civil penalty of 1,000 per
    ten-day period of not complying or even twice the
    compensation amount for the payroll when the
    failure happened.

10
Meeting Workers Compensation Requirements in New
York
  • Its the duty of the employee to inform the
    supervisor or employer when an accident or injury
    has occurred. An injured employee should get
    treatment from a healthcare facility approved by
    the Workers Compensation Board except if its an
    emergency treatment.
  • Generally, an employer cant direct workers to
    particular healthcare providers unless of course,
    the employer takes part in a Preferred Provider
    Program. While the employer might suggest a
    healthcare provider, workers must be informed
    about their rights to choose a provider they
    want.
  • When an employer knows about the injury that the
    workers compensation should cover, the former
    should get in touch with its insurer throughout
    the claim process.
  • Minor injuries that require fewer first aid
    treatments, causing the employee to go back to
    work after a day or less, are some of the
    situations where the employer can provide direct
    compensation. Other injuries should be reported
    to the insurance provider and the Board within 10
    days.

11
The Death benefits Associated with Workers
Compensation Insurance NY
  • When an employee dies because of work-related
    illness or injury, his or her dependents qualify
    to receive the death benefits associated with
    workers compensation.
  • In New York, a spouse and minor children are
    regarded as primary dependents. A surviving
    spouse may typically receive benefits for the
    rest of his or her life except if they remarry.
  • If a spouse decides to remarry, he or she may be
    given a lump sum equivalent to two years of the
    benefits. If children are not there, the spouse
    gets 66.67 percent of the average weekly wage.

12
  • In case of surviving children, the rate is the
    same but 36.6 percent of the weekly wage goes to
    the spouse and the remaining 30 percent is split
    equally among children.
  • The benefits for children end when they attain 18
    years of age, or 23 years if theyre students.
  • The bereaved family can also receive up to 6,000
    as funeral expenses as part of the death benefits
    of workers compensation.
  • As you can see, workers compensation is
    important to both employers and employees.
  • Call Pamphile Insurance Brokerage, LLC today at
    (516) 323-8558, for consultation on workers
    compensation in NY as well as NJ.

13
Conatct Us
  • Address 70 East Sunrise Highway Suite 500
    Valley Stream, New York 11581
  • Phone (516) 323-8558
  • Email wpamph_at_gmail.com
  • Website https//wpinsurances.com/
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