Instructions for Form RPD-41108, WC-1 "New Mexico Workers' Compensation Fee" - New Mexico

ADVERTISEMENT
STATE OF NEW MEXICO
RPD-41108
Rev. 06/2010
TAXATION AND REVENUE DEPARTMENT
WORKERS’ COMPENSATION FEE INSTRUCTIONS
Page 1 of 2
EMPLOYER: The workers’ compensation fee is paid by employers and workers (employees). The revenue the fee generates is used
primarily to fund the operation of the New Mexico Workers’ Compensation Administration which regulates, adjudicates, and provides
information and advisory services to the workers’ compensation system.
The fee is paid to the Taxation and Revenue Department. You must pay the fee quarterly and separately from other taxes. The fee is not
the same as the workers’ compensation insurance premium. It is not a substitute for a workers’ compensation insurance policy. Paying
the fee does not mean that the employer has workers’ compensation insurance coverage.
Beginning with calendar quarter ending September 30, 2004, the quarterly worker’s compensation fee increased from $4 to $4.30 per
covered worker. The employer’s share increased to $2.30 per covered employee and the $2 employee portion of the fee is unchanged.
For reporting periods ending prior to July 1, 2004, the assessment fee due is $4. The additional 30 cents supplies funds for the Workers’
Compensation Uninsured Employers’ Fund. The Workers’ Compensation Uninsured Employers’ Fund provides medical and indemnity
benefits to injured workers whose employers fail to maintain workers’ compensation coverage. The fund is maintained by the recovery of
costs from uninsured employers and is supplemented by the uninsured employers’ fund fee.
Line B: CRS I.D. (Combined Reporting System): This is the
WHO MUST PAY: Every employer covered by the New Mexico
Workers’ Compensation Act, whether by requirement or election,
number assigned to you by the Taxation and Revenue Depart-
must file and pay the New Mexico Workers’ Compensation Fee
ment for your New Mexico gross receipts, compensating and state
and file Form WC-1.
withholding taxes.
Line C: EAN (Employer Account Number): Also called “un-
Employers covered by requirement are all those having three
employment insurance number”, this is the identification number
or more employees, including out-of-state employers having New
Mexico employees, with the following exceptions:
assigned to you by the New Mexico Department of Workforce
Solutions. The EAN is mandatory only for employers who must
1)
employers engaged in activities required to be licensed under
report to the Department of Workforce Solutions.
the Construction Industries Licensing Act are covered regardless
of the number of employees;
REPORT PERIOD: Enter the month, day and year of the first and
2)
domestic servants, real estate salespersons and farm and
last day of the calendar quarter for which you are filing this report
ranch laborers are exempt.
(for example, if filing for the first quarter of 2007, enter 01-01-07
to 03-31-07).
Executive employees of a corporation or a limited liability
company who are corporate officers or partners owning ten (10)
percent or more of the corporation or company are exempt from the
Line 1: NUMBER OF COVERED WORKERS AT CLOSE OF
fee only if they have previously waived insurance coverage by filing
REPORT PERIOD: Enter the number of workers (employees) to
whom the Workers’ Compensation Fee applies. This is the number
an executive employee exemption form through their insurance
agent. For further clarification, contact the Workers’ Compensation
of covered employees you employed on the last working day of the
Administration. If the corporation or company has no employees
calendar quarter. If you have no covered employees, enter zero.
other than exempt executive employees, the corporation or com-
pany may exempt itself from filing the WC-1.
Line 2: ASSESSMENT FEE: Multiply line 1 by $4.30; multiply line
1 by $4 for calendar quarters ending prior to July 1, 2004. If you
Employers covered by election are employers in exempt cat-
have no covered employees, enter zero.
egories who voluntarily provide workers’ compensation coverage
for their employees.
Line 3: PENALTY: 2% of line 2 for each month or partial month
the payment is late, up to a maximum of 20% of the amount due,
AMOUNT DUE: For calendar quarter ending September 30, 2004,
or a minimum of $5, whichever is greater. THE MINIMUM $5.00
and all reporting periods thereafter the fee is $4.30 per quarter for
PENALTY IS IMPOSED FOR FAILURE TO FILE A TIMELY RE-
each covered employee employed on the last working day of the
PORT EVEN IF NO TAX IS DUE.
calendar quarter. $2 should be deducted from the wages of the
employee, and $2.30 should be paid by the employer. No fee is
Line 4: INTEREST: The daily interest rate for the quarter of line 2
is computed on a daily basis, at the rate established by the U.S.
due for exempt employees.
Internal Revenue Code (IRC), of the unpaid amount for each day
For report periods ending before July 1, 2004, the fee is $4 per
the payment is late. The formula for calculating daily interest is:
quarter for each covered employee whom you employed on the
last working day of the calendar quarter. $2 should be deducted
Tax Due x the Daily Interest Rate for the Quarter x
from the wages of the employee, and $2 should be paid by the
Number of Days Late = Interest Due
employer.
Example: Employer’s fee due on line 2 is $1,000. The payment
is five days late. To calculate interest owed, multiply $1,000 by
LINE INSTRUCTIONS:
the daily interest rate for the quarter. The result is the amount of
Line A: FEIN (Federal Employer Identification Number): This
interest due for one day. Multiply that amount by five (the number
is the number assigned to you by the Internal Revenue Service
of days the payment is late). The result is the interest due. Enter
for reporting purposes.
this amount on line 4.
STATE OF NEW MEXICO
RPD-41108
Rev. 06/2010
TAXATION AND REVENUE DEPARTMENT
WORKERS’ COMPENSATION FEE INSTRUCTIONS
Page 1 of 2
EMPLOYER: The workers’ compensation fee is paid by employers and workers (employees). The revenue the fee generates is used
primarily to fund the operation of the New Mexico Workers’ Compensation Administration which regulates, adjudicates, and provides
information and advisory services to the workers’ compensation system.
The fee is paid to the Taxation and Revenue Department. You must pay the fee quarterly and separately from other taxes. The fee is not
the same as the workers’ compensation insurance premium. It is not a substitute for a workers’ compensation insurance policy. Paying
the fee does not mean that the employer has workers’ compensation insurance coverage.
Beginning with calendar quarter ending September 30, 2004, the quarterly worker’s compensation fee increased from $4 to $4.30 per
covered worker. The employer’s share increased to $2.30 per covered employee and the $2 employee portion of the fee is unchanged.
For reporting periods ending prior to July 1, 2004, the assessment fee due is $4. The additional 30 cents supplies funds for the Workers’
Compensation Uninsured Employers’ Fund. The Workers’ Compensation Uninsured Employers’ Fund provides medical and indemnity
benefits to injured workers whose employers fail to maintain workers’ compensation coverage. The fund is maintained by the recovery of
costs from uninsured employers and is supplemented by the uninsured employers’ fund fee.
Line B: CRS I.D. (Combined Reporting System): This is the
WHO MUST PAY: Every employer covered by the New Mexico
Workers’ Compensation Act, whether by requirement or election,
number assigned to you by the Taxation and Revenue Depart-
must file and pay the New Mexico Workers’ Compensation Fee
ment for your New Mexico gross receipts, compensating and state
and file Form WC-1.
withholding taxes.
Line C: EAN (Employer Account Number): Also called “un-
Employers covered by requirement are all those having three
employment insurance number”, this is the identification number
or more employees, including out-of-state employers having New
Mexico employees, with the following exceptions:
assigned to you by the New Mexico Department of Workforce
Solutions. The EAN is mandatory only for employers who must
1)
employers engaged in activities required to be licensed under
report to the Department of Workforce Solutions.
the Construction Industries Licensing Act are covered regardless
of the number of employees;
REPORT PERIOD: Enter the month, day and year of the first and
2)
domestic servants, real estate salespersons and farm and
last day of the calendar quarter for which you are filing this report
ranch laborers are exempt.
(for example, if filing for the first quarter of 2007, enter 01-01-07
to 03-31-07).
Executive employees of a corporation or a limited liability
company who are corporate officers or partners owning ten (10)
percent or more of the corporation or company are exempt from the
Line 1: NUMBER OF COVERED WORKERS AT CLOSE OF
fee only if they have previously waived insurance coverage by filing
REPORT PERIOD: Enter the number of workers (employees) to
whom the Workers’ Compensation Fee applies. This is the number
an executive employee exemption form through their insurance
agent. For further clarification, contact the Workers’ Compensation
of covered employees you employed on the last working day of the
Administration. If the corporation or company has no employees
calendar quarter. If you have no covered employees, enter zero.
other than exempt executive employees, the corporation or com-
pany may exempt itself from filing the WC-1.
Line 2: ASSESSMENT FEE: Multiply line 1 by $4.30; multiply line
1 by $4 for calendar quarters ending prior to July 1, 2004. If you
Employers covered by election are employers in exempt cat-
have no covered employees, enter zero.
egories who voluntarily provide workers’ compensation coverage
for their employees.
Line 3: PENALTY: 2% of line 2 for each month or partial month
the payment is late, up to a maximum of 20% of the amount due,
AMOUNT DUE: For calendar quarter ending September 30, 2004,
or a minimum of $5, whichever is greater. THE MINIMUM $5.00
and all reporting periods thereafter the fee is $4.30 per quarter for
PENALTY IS IMPOSED FOR FAILURE TO FILE A TIMELY RE-
each covered employee employed on the last working day of the
PORT EVEN IF NO TAX IS DUE.
calendar quarter. $2 should be deducted from the wages of the
employee, and $2.30 should be paid by the employer. No fee is
Line 4: INTEREST: The daily interest rate for the quarter of line 2
is computed on a daily basis, at the rate established by the U.S.
due for exempt employees.
Internal Revenue Code (IRC), of the unpaid amount for each day
For report periods ending before July 1, 2004, the fee is $4 per
the payment is late. The formula for calculating daily interest is:
quarter for each covered employee whom you employed on the
last working day of the calendar quarter. $2 should be deducted
Tax Due x the Daily Interest Rate for the Quarter x
from the wages of the employee, and $2 should be paid by the
Number of Days Late = Interest Due
employer.
Example: Employer’s fee due on line 2 is $1,000. The payment
is five days late. To calculate interest owed, multiply $1,000 by
LINE INSTRUCTIONS:
the daily interest rate for the quarter. The result is the amount of
Line A: FEIN (Federal Employer Identification Number): This
interest due for one day. Multiply that amount by five (the number
is the number assigned to you by the Internal Revenue Service
of days the payment is late). The result is the interest due. Enter
for reporting purposes.
this amount on line 4.
STATE OF NEW MEXICO
RPD-41108
Rev. 06/2010
TAXATION AND REVENUE DEPARTMENT
WORKERS’ COMPENSATION FEE INSTRUCTIONS
Page 2 of 2
$1,000 x daily interest rate for the quarter x 5 = interest due
IF YOUR BUSINESS IS NOT REQUIRED TO FILE THE WC-1:
If you are no longer in business or are not required to file, you must
NOTE: You are not liable for interest if the total interest is less
complete a registration update, Form ACD-31075, Business Tax
than $1.00.
Registration Update, to cancel your account. You must reactivate
your account with the Department by completing the registration
Beginning January 1, 2008, interest is computed on a daily basis,
update should you become subject to the Workers’ Compensa-
at the rate established by the U.S. Internal Revenue Code (IRC).
tion Act either by requirement or by election. NOTE: To cancel or
The IRC rate changes quarterly. The IRC rate for each quarter is
change an EAN, you must contact the New Mexico Department
announced by the Internal Revenue Service in the last month of
of Workforce Solutions.
the previous quarter. The annual and daily interest rates for each
quarter will be posted on our website at www.tax.newmexico.gov.
QUESTIONS: Questions regarding the Workers’ Compensation
Fee should be directed to the Taxation and Revenue Department
Line 5: TOTAL DUE: Add lines 2, 3 and 4. Make check or money
in Santa Fe, your local district office, or the Workers’ Compensa-
order payable to New Mexico Taxation and Revenue Depart-
tion Administration in Albuquerque.
ment. Indicate “WC-1” and enter your FEIN on your check. WC-1
payments should not be sent with any other payments to the
If you have questions about workers’ compensation insurance cov-
Department.
erage, call the Workers’ Compensation Administration at any of the
phone numbers listed. Please note that the Workers’ Compensation
SIGNATURE: The Form WC-1 is not complete until the employer
Administration does not process the assessment fee.
or employer’s agent has signed and dated the report. Enter your
phone number and E-mail address.
FOR DETAILED INFORMATION: The Workers’ Compensation
Administration has published a series of booklets giving detailed
information about the Workers’ Compensation Fee and other
SEND BOTTOM PORTION OF FORM ONLY: The top portion is
for your records. Do not send photocopies of a preprinted form.
matters related to workers’ compensation. These booklets are
available free of charge at all offices of the Workers’ Compensa-
Photocopies will delay the processing of this form.
tion Administration and on-line at the Workers’ Compensation
CORRECTIONS: If you receive a preprinted form and the pre-
Administration web site -- www.workerscomp.state.nm.us. Click
on “Forms and Booklets”, scroll down to the list of booklets and
printed information on your form is incorrect, please make changes
on Form ACD-31075, Business Tax Registration Update.
open Booklets A3 and A5.
TAXATION AND REVENUE
DEPARTMENT OFFICES
WORKERS’ COMPENSATION ADMINISTRATION OFFICES
Website address is:
http://www.tax.newmexico.gov
Website address is:
http://www.workerscomp.state.nm.us
Albuquerque:
Lovington:
Albuquerque:
5301 Central NE
100 West Central, Suite A
2410 Centre Ave. SE
P.O. Box 8485
P.O. Box 27198
Albuquerque, New Mexico 87198-8485
Lovington, New Mexico 88260
Telephone: 575-396-3437
Telephone: 505-841-6352
Albuquerque, New Mexico 87125
or 1-800-934-2450
Telephone: 505-841-6000
Farmington:
or 1-800-255-7965
3501 E. Main Street
Roswell:
P.O. Box 479
400 North Pennsylvania, Suite 425
Farmington:
Farmington, New Mexico 87499-0479
Telephone: 505-325-5049
3535 East 30th, Suite 212
Roswell, New Mexico 88201
Telephone: 575-623-3997
Farmington, New Mexico 87402
Las Cruces:
or 1-866-311-8587
Telephone: 505-599-9746
2540 El Paseo, Bldg. 2
or 1-800-568-7310
P.O. Box 607
Santa Fe:
Las Cruces, New Mexico 88004-0607
810 West San Mateo, Suite A-2
Las Cruces:
Telephone: 575-524-6225
1120 Commerce Drive, Ste. B1
Santa Fe, NM 87505
Roswell:
Telephone: 505-476-7381
Las Cruces, New Mexico 88011
400 North Pennsylvania, Suite 200
Telephone: 575-524-6246
P.O. Box 1557
or 1-800-870-6826
Roswell, New Mexico 88202-1557
Telephone: 575-624-6065
Las Vegas:
32 NM 65
Santa Fe:
Las Vegas, New Mexico 87701
Manual Lujan Sr. Bldg.
Telephone: 505-454-9251
1200 S. St. Francis Dr.
P.O. Box 2527
or 1-800-281-7889
Santa Fe, New Mexico 87504-2527
Telephone: 505-827-0951
ADVERTISEMENT

Download Instructions for Form RPD-41108, WC-1 "New Mexico Workers' Compensation Fee" - New Mexico

260 times
Rate
4.7(4.7 / 5) 12 votes
Fill PDF online
Page of 2