Policyholder Responsibilities

Promptly notify NYSIF of any of the following:

Changes to your business

  • Any change in the nature of the work performed by your employees
  • Any change in staffing and payroll
  • Any additional or new entities
  • Any change in business structure (i.e. incorporation)
  • Any new FEIN (Federal Employer's Identification Number)

Work-related injuries or illnesses

  • Notify NYSIF as soon as you have notice or knowledge of a work-related injury or illness.
  • Provide for immediate medical services as prescribed by Workers’ Compensation Law.
  • Provide a Claimant Information Packet to the claimant.
  • Provide details about claimants, witnesses and other information requested by NYSIF.
  • Cooperate fully in the investigation, proceeding, suit or settlement in defense of any claim.
  • Make no payment, assume no obligation and incur no expense, except at your own cost.

Promptly act on:

Requirement to post notice of workers' compensation coverage

Post a C-105 Notice of Compliance in all business locations. Policyholders who have no established business location, or are in the moving business, must post a C-105.1 in vehicles they own or operate. Your C-105 is included in your policy packet. For your convenience, the Notice of Compliance is immediately available to registered users online.

Providing a Certificate of Insurance to customers

A certificate of insurance is a document issued by an insurance company that provides provides evidence of the existence and terms of a particular policy. Virtually all entities doing business in New York State need a certificate of insurance showing workers’ compensation coverage. Policyholders may be asked for a certificate of insurance when performing work at a job site, bidding on a contract or obtaining a work license. 

In addition, policyholders who use subcontractors should request a certificate of insurance from their subcontractor at the start of doing business with them and annually thereafter.

NYSIF offers three ways for policyholders to obtain a certificate of insurance:

  1. Access your account at nysif.com. The quickest and most convenient way to obtain a certificate is to log into your NYSIF online account and create one.
  2. Send us an email. Please be sure to include the following information in the email:
    • Policyholder name & policy number in the subject line
    • Certificate holder name & certificate holder addressin the body of the email
  3. Call us at 888.875.5790 (Due to the volume of calls received by the Contact Center, this is the least efficient way to obtain a certificate of insurance.)

Billing, premium, payroll audit, workplace safety

  • Pay all premium bills when due.
  • Keep adequate records that are required to determine accurate premium.
  • Allow NYSIF to examine and audit all business records including storage programs for retrieving data related to your policy.
  • Allow NYSIF access to all workplaces for the purpose of risk assessment.
  • Maintain a safe work environment.

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