C-105 Form

• The C-105 form is an official document that serves as proof that a business has workers' compensation insurance, as required by New York State law. It's essentially verification that a business is meeting its legal obligation to protect its employees from financial hardship due to work-related injuries or illnesses.

• Client Interactions: Many of our business clients, especially those involved in construction, contracting, or other industries with inherent risks, will need to provide C-105 forms to their clients, partners, or regulatory agencies. We need to be able to guide them through this process and answer their questions accurately.

• Compliance: Understanding the C-105 form helps us ensure that our agency is also meeting all necessary compliance requirements, especially when dealing with our own vendors or contractors.

• Building Trust: By demonstrating our expertise in this area, we build trust and credibility with our clients, particularly our affluent clients who expect a high level of knowledge and service.

Here's a breakdown of the key sections of the form:

• Insured's Information: This section includes details about the business that has the workers' compensation insurance, such as the legal name and address, business telephone number, NYS Unemployment Insurance Employer Registration Number, and Federal Employer Identification Number or Social Security Number.

• Entity Requesting Proof of Coverage: This section names the organization or entity that needs proof of the business's workers' compensation coverage (the Certificate Holder).

• Insurance Carrier and Policy Information: This section provides details about the insurance carrier and the policy number, as well as the policy's effective and expiration dates.

• Inclusion/Exclusion of Proprietors, Partners, or Executive Officers: This indicates whether proprietors, partners, or executive officers are included or excluded from the coverage.

• Certification: This part of the form certifies that the insurance carrier insures the business for workers' compensation under the New York State Workers' Compensation Law.

• Important Notes: This section includes information about policy cancellations and the insured's responsibility to provide a new certificate if necessary.

• Authorized Representative Information: The form must be signed by an authorized representative or licensed agent of the insurance carrier, and their information is included.

• It's crucial to remember that only insurance carriers and their licensed agents are authorized to issue the C-105 form. Insurance brokers cannot issue it.

• The insurance carrier or their licensed agent will send the Certificate of Insurance to the entity listed as the certificate holder.

• The insurance carrier is required to notify the certificate holder within 10 days if a policy is canceled due to nonpayment of premiums, or within 30 days for other cancellation reasons or if the insured is eliminated from coverage.

• The Certificate is valid for one year after it is approved by the insurance carrier or its licensed agent, or until the policy expiration date, whichever is earlier.

• If a client needs to verify workers' compensation coverage, you can direct them to the New York State Workers' Compensation Board website (www.wcb.state.ny.us).

• Familiarize yourself with the C-105 form and its purpose.

• Be prepared to answer client questions about the form and the workers' compensation process.

• Emphasize to clients that the C-105 form must be obtained from their insurance carrier or a licensed agent.

• Understand the importance of the C-105 form in the context of permits, contracts, and compliance.

• FAQ link: https://www.streetsmart.insurance/faq/understanding-the-c-105-form-your-guide-to-nys-workers-compensation-compliance/

By understanding the C-105 form, we can better serve our clients and ensure that we are operating with the highest level of professionalism and expertise.