Prior to any permit being issued or any contract, including purchase orders, being entered into for work in which employees of a business will be engaged in hazardous employment the University must obtain acceptable proof that a business has secured workers’ compensation insurance and disability insurance coverage for all its employees. This requirement applies to NYS businesses and to non-New York State businesses with employees working in New York.
Section 57 of the New York State Workers’ Compensation dictates the steps the University is take prior to entering into any contract, including purchase orders. Section 57 reads as follows:
Restriction on issue of permits and the entering into contracts unless compensation is secured.
In order to comply with New York State Workers’ Compensation regulation, a business must provide evidence to the University one of the following:
- they are legally exempt; or
- they have obtained coverage from insurance carrier; or
- they are self-insured or part of a group insurance plan.
Proof that the business falls into one of the three above categories must be provided prior to any permit being issued or any contract, including purchase orders, being entered into.
1. Legally Exempt: A business is legally exempt from workers’ compensation insurance if it is a sole proprietorship, or a partnership, or a one or two person corporation with those individuals owning all of the stock and holding all the officerships with each person owning at least one share of stock and between them all shares of stock in the corporation. Regardless of the structure of the business it must not have any employees, day laborers, leased employees, borrowed employees, part-time employees, unpaid volunteers (including family members) or subcontractors. In addition, businesses with no New York State locations are exempt. The only acceptable proof of legal exemption is a Form CE-200 Certification of Attestation of Exemption from Workers’ Compensation and/or Disability Benefits Coverage which is provided by the Workers’ Compensation Board. A new CE-200 must be completed for each and every new or renewed permit, license or contract issued by the University. The CE-200 can be completed online.
2. Coverage from Insurance Carrier: Private insurance carriers licensed to write NYS workers’ compensation insurance policies, their licensed NYS Agents or the New York State Insurance Fund can provide proof of workers’ compensation insurance. Private insurance carriers must provide the University with Form C-105.2, Certificate of Workers’ Compensation Insurance. Insurance brokers are NOT authorized to issue it.
If the business obtains workers’ compensation from the New York State Insurance Fund, the business must provide the University with Form U-26.3, Certificate of Workers’ Compensation Insurance. Upon receipt the University will verify the coverage by going to the New York State Insurance Fund site and entering the requested information.
3. Self-Insured: A business can be either self-insured or be part of a group self-insurance policy. If a business is self-insured, they are to provide the University with Form SI-12, Certificate of Workers’ Compensation Self-Insurance which is obtained from the Workers’ Compensation Board Office of Self-Insurance. The Board must have approved the business for self-insurance. In order to obtain Form SI-12. The business will need to contact the Board’s Office of Self-Insurance 518-402-0247. If the business is part of a group self-insurance policy the must provide Form GSI-105.2, Certificate of Participation in Workers’ Compensation Group Self-Insurance, as evidence. Form GSI-105.2 must be completed by the Insurance Administrator of the Group and provided to the University by the Insurance Administrator of the Group. Additional information can be obtained by contacting the Board’s Office of Self-Insurance at 518-402-0247.
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Disability Insurance
Disability benefits are temporary cash benefits paid to an eligible wage earner, when he/she is disabled by an off the job injury or illness. It provides for weekly cash benefits to replace, in part, wages lost due to injuries or illnesses that do not arise out of or in the course of employment. Disability benefits are also paid to an unemployed worker to replace unemployment insurance benefits lost because of illness or injury. Disability benefits include cash payments only.
Paragraph 8 of Section 220 of the New York State Workers’ Compensation dictates the steps the University is to take prior to entering into any contract, including purchase orders. Paragraph 8 of Section 220 reads as follows:
- The head of a state or municipal department, board, commission or office authorized or required by law to issue any permit for or in connection with any work involving the employment of employees in employment as defined in this article, and notwithstanding any general or special statute requiring or authorizing the issue of such permits, shall not issue such permit unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that the payment of disability benefits for all employees has been secured as provided by this article. Nothing herein, however, shall be construed as creating any liability on the part of such state or municipal department, board, commission or office to pay any disability benefits to any such employee if so employed.
- The head of a state or municipal department, board, commission or office authorized or required by law to enter into any contract for or in connection with any work involving the employment of employees in employment as defined in this article, and notwithstanding any general or special statute requiring or authorizing any such contract, shall not enter into any such contract unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that the payment of disability benefits for all employees has been secured as provided by this article.
In order to comply with New York State Disability Insurance regulation, a business must provide evidence to the University one of the following:
- they are legally exempt; or
- they have obtained coverage from insurance carrier; or
- they are self-insured or part of a group insurance plan.
Proof that the business falls into one of the three above categories must be provided prior to any permit being issued or any contract, including purchase orders, being entered into.
1. Legally Exempt: A business is legally exempt from disability insurance if it is a sole proprietorship, or a partnership, or a one or two person corporation with those individuals owning all of the stock and holding all the officerships with each person owning at least one share of stock and between them all shares of stock in the corporation. Regardless of the structure of the business it must not have any employees, day laborers, leased employees, borrowed employees, part-time employees, unpaid volunteers (including family members) or subcontractors. In addition, businesses with no New York State locations are exempt. The only acceptable proof of legal exemption is a Form CE-200 Certification of Attestation of Exemption from Workers’ Compensation and/or Disability Benefits Coverage which is provided by the Workers’ Compensation Board. A new CE-200 must be completed for each and every new or renewed permit, license or contract issued by the University. The CE-200 can be completed online.
2. Coverage from Insurance Carrier: Private insurance carriers licensed to write New York State disability benefits insurance policies and New York State licensed agents of those insurance carriers can provide the University with Form DB-120.1 Certificate of Disability Benefits Insurance. This is the only acceptable form of proof of insurance coverage. Insurance brokers are NOT authorized to issue the DB-120.1. A DB-120.1 can be obtained from Bureau of Compliance.
3. Self-Insured: If a business is self-insured they will need to provide the University with Form DB-155 Certificate of Disability Benefits Self-Insurance, as evidence that they are self-insured. In order to obtain Form DB-155 from the Workers’ Compensation Board Office of Self-Insurance the business must have been approved by the Board. The business will need to contact the Board’s Office of Self-Insurance 518-402-0247. The Board’s Office of Self-Insurance will complete the DB-155. Additional information can be obtained by contacting the Board’s Office of Self-Insurance at 518-402-0247.
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Disability Insurance and Workers’ Compensation Forms
For a sample of the above listed forms, please click on the name of the form listed below.
Workers’ Compensation Forms:
CE-200: Certification of Attestation of Exemption from Workers’ Compensation and/or Disability Insurance
Form C-105.2: Certificate of Workers’ Compensation Insurance
Form U-26.3: Certificate of Workers’ Compensation Insurance
Form SI-12: Certificate of Workers’ Compensation Self-Insurance
Form GSI-105.2: Certificate in Participation in Workers’ Compensation Group Self-Insurance
Disability Insurance Forms:
CE-200: Certification of Attestation of Exemption from Workers’ Compensation and/or Disability Insurance
Form DB-120.1: Certificate of Disability Benefits Insurance
Form DB-155: Certificate of Disability Benefits Self-Insurance
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The Role of the Office of Purchasing and Contracts
As the office of record for contracts entered into by the University the Office of Purchasing and Contracts plays a central role in verifying a business’s workers’ compensation and disability insurance coverage.
These responsibilities include obtaining the proper documentation prior to entering into a contract/purchase order, verifying that the information provided is correct and maintaining the documents as part of the overall procurement record. Under no circumstances will the Office of Purchasing and Contracts issue a contract/purchase order without the proper documentation being received and verified.
Among the steps that the Office of Purchasing and Contracts takes is to determine if the business which is being contracted with will be utilizing employees or independent contractors, as defined above. If it is determined that the business is using employees the business will need to provide evidence of workers’ compensation and disability insurance. If independent contractors are performing the work the independent contractor will need to provide evidence that they either have workers’ compensation insurance and disability insurance or are legally exempt, as defined above, from carrying workers’ compensation insurance and disability insurance. Regardless of the status of the workers the Office of Purchasing and Contracts will not enter into any contract/purchase order without proof of workers’ compensation and disability insurance or proof of exemption.
Upon receipt of documentation the Office of Purchasing and Contracts may verify the authenticity of the document with the insurance carrier and/or the Workers’ Compensation Board.
Delay in providing proper documentation will result in a delay in the contract being finalized and in the work being started.
If you require additional information or have any questions, please call the Office of Purchasing and Contracts at 437-4579.