Cambridge Massachusetts Affidavit of Exemption for Certain Corporate Officers or Directors - Workers' Compensation

State:
Massachusetts
City:
Cambridge
Control #:
MA-153-WC
Format:
PDF
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Description

This is one of the official Workers' Compensation forms for the state of Massachusetts.

The Cambridge Massachusetts Affidavit of Exemption for Certain Corporate Officers or Directors — Workers' Compensation is a legal document used to declare a corporation's intention to exempt specific officers or directors from workers' compensation coverage. This affidavit provides an exemption for corporate leaders who may choose not to include themselves in the company's workers' compensation insurance policy. In Cambridge, Massachusetts, the Workers' Compensation Act requires most employers to provide workers' compensation insurance coverage for their employees. However, certain corporate officers or directors may opt out of this mandatory coverage by submitting an Affidavit of Exemption. This affidavit is an essential tool for corporations seeking to allocate their workers' compensation coverage effectively. By exempting specific officers or directors, businesses can redirect insurance premiums towards other areas of operations or reduce overall insurance costs. It is essential to note that not all corporate officers or directors qualify for exemption. Only those who meet specific criteria set forth by the state of Massachusetts are eligible to apply for this exemption. The affidavit must be completed accurately and submitted to the appropriate state authority for approval. The Cambridge Massachusetts Affidavit of Exemption for Certain Corporate Officers or Directors — Workers' Compensation generally requires the following information: 1. Company details: The affidavit begins with the company's legal name, address, and contact information. It is crucial to provide accurate information to ensure the affidavit's validity. 2. Officer or director details: The names, titles, and positions of the officers or directors seeking exemption must be clearly stated. Additionally, their social security numbers, contact information, and ownership stake in the corporation should be included. 3. Explanation of eligibility: The affidavit must outline the eligibility criteria met by the officers or directors applying for exemption. This may include information such as ownership percentage, job responsibilities, and ability to control their work conditions. 4. Signature and notarization: The affidavit must be signed by both the applicant officer or director and an authorized representative of the corporation. Signatures must be notarized to ensure validity. It's important to note that additional documents may be required to support the eligibility claims made in the affidavit. These may include ownership contracts, incorporation documents, or other official paperwork. Different types of Cambridge Massachusetts Affidavit of Exemption for Certain Corporate Officers or Directors — Workers' Compensation may exist if there are variations in the eligibility criteria or application process. It is advisable to consult the appropriate state authority or legal counsel to ensure the correct form is used for your unique circumstances. In summary, the Cambridge Massachusetts Affidavit of Exemption for Certain Corporate Officers or Directors — Workers' Compensation is a crucial document that enables corporate officers or directors to exclude themselves from mandatory workers' compensation coverage. By submitting this affidavit, eligible individuals can redirect insurance premiums or reduce overall costs while ensuring compliance with state regulations.

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Phone Call Public Information Office at (857) 321-7470. TTY Call Public Information Office, TTY at (800) 224-6196. Toll Free In Massachusetts Only Call Public Information Office, Toll Free In Massachusetts Only at (800) 323-3249.

As a result, California employers are required by law to have workers' compensation insurance, even if they have only one employee. And, if your employees get hurt or sick because of work, you are required to pay for workers' compensation benefits.

In California, the vast majority of workers are covered by workers' compensation. Any employer who has even one employee must have workers' compensation insurance. There are no exceptions for employees who work part time vs. full time, nor are there any exceptions for seasonal workers.

Who is required to purchase workers' compensation insurance? A: All California employers must provide workers' compensation benefits to their employees under California Labor Code Section 3700. If a business employs one or more employees, then it must satisfy the requirement of the law.

Massachusetts Workers' Compensation Requirements Corporate Officers are automatically included in coverage, but they may elect to be excluded using Massachusetts Affidavit of Exemption for Certain Officers (Form 153). LLC Members are not required to carry coverage on themselves in Massachusetts.

For how long? Compensation begins on the 6th day of disability. You will not be paid for the first 5 days unless you can't work for 21 calendar days or more.

If you were injured at work, you may be eligible for workers' compensation benefits. If you qualify, you can receive payments to partially replace your paycheck and for medical care related to your injury. You may also be eligible for vocational rehabilitation if you need help getting back to work.

Phone Call Public Information Office at (857) 321-7470. TTY Call Public Information Office, TTY at (800) 224-6196. Toll Free In Massachusetts Only Call Public Information Office, Toll Free In Massachusetts Only at (800) 323-3249.

The days don't need to be consecutive. You have 7 calendar days (except for Sundays and legal holidays) after the injured worker's 5th day of full or partial disability to report the injury to the DIA. You need to file the Form 101- Employer's First Report of Injury/Fatality electronically.

Executive officers and directors of corporations must be included in workers' compensation coverage, unless the corporation is fully owned by the directors and officers. If the directors and officers fully own the corporation, then they may elect to be excluded from workers' compensation benefits.

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Cambridge Massachusetts Affidavit of Exemption for Certain Corporate Officers or Directors - Workers' Compensation