N.H. Code Admin. R. Lab 304.04
Carriers
Effective Apr 1, 2016#4854, eff 6-29-90; amd by #5558, eff 1-18-93; ss by #6631, INTERIM, eff 11-16-97, EXPIRED: 3-16-98 New. #6806, eff 7-18-98; ss by #8682, INTERIM, eff 7-15-06, EXPIRED: 1-11-07 New. #9019, eff 11-1-07; ss by #11065, eff 4-1-16Commissioner, Department of Labor
- (a) Carriers shall provide access to all prescribed coverage and claims forms. Supplies of these forms shall not be provided by the department.
- (b) Carriers shall furnish covered businesses with a sufficient number of posters, Notice of Compliance form WCP-1, and provide access to claims forms as required by Lab 500.
(c) The carrier shall electronically provide to the NCCI all necessary information to:
- (1) Bind coverage;
- (2) Write new policies;
- (3) Make notice of change of Federal Identification Number;
- (4) Add or delete locations;
- (5) Add endorsements;
- (6) Terminate and reinstate coverage; or
- (7) Any other relevant changes.
- (d) The carrier shall complete and file a paper “Exclusion of Executive Officers or Members” form 6WCex (7/2015) contained in appendix II, with the Department of Labor when applicable as prescribed by Lab 306 and Lab 307.
- (e) The carrier shall forward by certified mail a copy of the “Exclusion of Executive Officers or Members” form 6WCex (7/2015) contained in appendix II to each of the executive officers or members listed on the form.
- (f) Carriers shall contact the department to be assigned a carrier identification number prior to underwriting coverage in New Hampshire.
- (g) The carrier's responsibilities delineated above shall pertain solely to workers' compensation insurance.
Source. #4854, eff 6-29-90; amd by #5558, eff 1-18-93; ss by #6631, INTERIM, eff 11-16-97, EXPIRED: 3-16-98 New. #6806, eff 7-18-98; ss by #8682, INTERIM, eff 7-15-06, EXPIRED: 1-11-07 New. #9019, eff 11-1-07; ss by #11065, eff 4-1-16