Policyholder's Responsibilities

It is the policyholder’s responsibility to notify NYSIF promptly of:

• Any change in the nature of the work performed by your employees;
• Any change in staffing and payroll that may affect policy premium;
• Any addition of new entities;
• Any change in business structure (i.e your business incorporated);
• Any new FEIN (Federal Employers Identification Number);
• Any workplace injury when you have notice or knowledge of an injury.

If an injury occurs, the policyholder is further required to:

• Provide immediate medical services prescribed by Workers’ Compensation Law;
• Provide names and addresses of injured workers and witnesses, and any other information NYSIF may request;
• Provide all notices, demands and legal papers, and cooperate with NYSIF in the investigation, settlement, or defense of any claim, proceeding or suit.

Do not voluntarily make payments, assume obligations or incur expenses, except at your own cost.

Regarding NYSIF billings, premium and payroll audit procedures the policyholder is required to:

• Pay all premium payments when due;
• Keep adequate records needed to compute premium;
• Allow NYSIF to examine and audit all records relating to your policy whether those records pertain to the current policy period or to any previous policy period, including: ledgers, journals, registers, vouchers, contracts, tax reports, payroll and disbursement records and programs for storing and retrieving data;
• Allow NYSIF access to all workplaces for the purpose of risk assessment;
• Maintain a safe work environment.

Concerning requests to cancel and policy cancellation, the policyholder is required to:

• Provide NYSIF written notice specifying the date proposed cancellation is to take effect. Cancellation will not take effect until 30 days after the date of notification to NYSIF and 10 days after we file notice with the Workers’ Compensation Board.
• Secure benefits for your employees in another manner that complies with the Workers’ Compensation Law.

The Workers’ Compensation Board requires that a Notice of Compliance, C-105, be posted in all business locations. Employers involved in moving household goods or furniture and/or employers who have no established business locations are required to post a Notice of Compliance, C-105.1, in vehicles they own or operate. If you need a Notice of Compliance you can find a copy in your policy and renewal information packages or obtain a copy online.