The Maryland Workers Compensation Claimants Questionnaire (Uninsured Employer) is a document used by the State of Maryland to determine the eligibility of an individual to receive workers’ compensation benefits from an uninsured employer. The questionnaire consists of three parts: Part A, Part B, and Part C. Part A is the Maryland Workers Compensation Claimants Information Form, which is used to collect information about the individual claimant, such as name, date of birth, Social Security number, address, and employer information. Part B is the Maryland Workers Compensation Claimants Statement of Injury Form, which is used to collect information about the claimant’s injury, such as the date of the injury, the body part injured, the nature of the injury, and the medical treatment required. Part C is the Maryland Workers Compensation Claimants Employer Information Form, which is used to collect information about the uninsured employer, such as name, address, contact information, and the type of business. The purpose of this questionnaire is to determine the eligibility of the claimant to receive workers’ compensation benefits from an uninsured employer.
Maryland Workers Compensation Claimants Questionnaire (Uninsured Employer)
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FAQ
Maryland law requires every business with one employee or more to carry workers' compensation insurance.
If you are deemed to be an independent contractor, no one is liable for your injuries sustained on the job. However, if the person for whom you were doing the work should have been paying you and treating you as an employee, they will be liable.
Most employers in Maryland are required to carry workers' compensation insurance. However, an employer-employee relationship must exist for an individual to be covered by workers' compensation insurance. Employees vs. Independent Contractors Workers' comp does not cover independent contractors.
Businesses do not have to provide workers' compensation benefits to independent contractors or self-employed workers. An independent contractor provides their services to a business but is not formally classified as an employee.
Maryland Workers' Compensation Requirements Corporate officers are included for coverage, but can elect to be exempt. LLC Members who provide a service for monetary compensation are statutorily covered. Those covered, but owning more than 20% or more interest in the LLC may elect to be exempt.
Maryland's Workers' Compensation Law provides a way for employees who are injured on the job to receive payment for lost wages and medical expenses related to the injury. Almost every Maryland employer is required to have workers' compensation insurance to pay the cost of employee injury.
Businesses do not have to provide workers' compensation benefits to independent contractors or self-employed workers. An independent contractor provides their services to a business but is not formally classified as an employee.
With few exceptions, every employer in the State of Maryland with one or more employees is required by law to provide workers' compensation coverage for their employees.