Form WCSI-1 Workers' Compensation Self-insurance Application - New Hampshire

What Is Form WCSI-1?

This is a legal form that was released by the New Hampshire Department of Labor - a government authority operating within New Hampshire. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the Form WCSI-1?A: The Form WCSI-1 is the Workers' Compensation Self-insurance Application.

Q: Who needs to complete the Form WCSI-1?A: Companies and organizations in New Hampshire that want to become self-insured for workers' compensation need to complete the Form WCSI-1.

Q: What is self-insurance for workers' compensation?A: Self-insurance for workers' compensation means that a company or organization takes on the financial responsibility for providing workers' compensation benefits to their employees.

Q: Is there a fee for submitting the Form WCSI-1?A: Yes, there is a fee for submitting the Form WCSI-1. The fee amount is specified on the form and must be included with the application.

Q: Are there any eligibility requirements for self-insurance?A: Yes, there are eligibility requirements for self-insurance. These requirements are outlined in the Form WCSI-1 and involve financial stability, past workers' compensation claims history, and other factors.

Q: What is the purpose of the Form WCSI-1?A: The Form WCSI-1 is used to gather information about a company or organization's financial stability, workers' compensation claims history, and other relevant details in order to assess their eligibility for self-insurance in New Hampshire.

Q: How long does it take to process the Form WCSI-1?A: The processing time for the Form WCSI-1 can vary depending on the complexity of the application and the workload of the New Hampshire Department of Labor. It is recommended to submit the form well in advance of the desired effective date for self-insurance.

Q: What happens after the Form WCSI-1 is approved?A: If the Form WCSI-1 is approved, the company or organization will be granted self-insurance status for workers' compensation in New Hampshire and will be responsible for providing benefits directly to their employees.

Q: Can a company or organization lose their self-insurance status?A: Yes, a company or organization can lose their self-insurance status if they fail to meet the ongoing requirements and obligations outlined by the New Hampshire Department of Labor. This can include the payment of workers' compensation benefits and compliance with reporting requirements.