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 304.04 - Carriers

(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:

(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.