New York Codes, Rules and Regulations
Title 12 - DEPARTMENT OF LABOR
Chapter V - Workers' Compensation
Subchapter B - Self-insurers
Part 315 - Regulations
Section 315.4 - Periodic reports

Current through Register Vol. 46, No. 12, March 20, 2024

(a) Reports shall be filed with the chairman, by each self-insurer as follows:

(1) the most recent certified, independently audited financial statement and copy of form 10K, if any, filed by the employer with the Securities and Exchange Commission, to be filed not later than three months after the close of the self-insurer's fiscal year. A subsidiary company may submit the consolidated financial statement of the parent company in lieu of its own individual financial statement. In such event, however, the parent company must guarantee the liability of the subsidiary company under the Workers' Compensation Law by filing with the chairman, an Agreement of Assumption and Guarantee in form approved by the chairman;

(2) a payroll report filed by classification code, for the 12-month period ending March 31st of each year;

(3) a statement of all outstanding death and disability claims as of September 30th of each year, segregated by State fiscal year (April 1st through March 31st) of accident occurrence;

(4) a statement of compensation and medical losses incurred by the self-insurer for the 12-month period ending September 30th, analyzed by State fiscal year of accident occurrence; and

(5) additional or more frequent reports or statements as may be requested by the chairman.

(b) The reports called for in paragraphs (a)(2), (3), and (4) of this section shall be filed no later than November 1st of each year.

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