New Hampshire Code of Administrative Rules
Lab - Commissioner, Department of Labor
Chapter Lab 300 - WORKERS' COMPENSATION INSURANCE COVERAGE
Part Lab 304 - COVERAGE RESPONSIBILITY
Section Lab 304.02 - Agencies and Employers

(a) Agents and employers shall share coverage responsibility by making clear the status of coverage by providing accurate information to carriers beginning upon receipt by the agent of a complete application for coverage from the employer. This shall include the information necessary to complete or change the "Exclusion of Executive Officers or Members" form 6WCex (7/2015), contained in appendix II if applicable, and also include the necessary information to complete all other coverage forms.

(b) If the agent is not successful in obtaining coverage for the employer through the voluntary market, the agent is further responsible for advising the employer of the availability of coverage under the existing assigned risk plan of the NCCI, for providing the proper application form, and for advising the employer that the application is complete only when accompanied by payment of the required premium.

(c) The agent's responsibilities delineated above shall pertain solely to workers' compensation insurance.