Overview
Latest Revisions
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NEW YORK MANUAL FOR WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY INSURANCE - PART THREE - MISCELLANEOUS VALUES
MISCELLANEOUS VALUES
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NEW YORK MANUAL FOR WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY INSURANCE - PART FOUR - ALPHABETICAL INDEX OF ENDORSEMENTS
WC 00 00 01 GInformation Page Notes
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NEW YORK WORKERS' COMPENSATION STATISTICAL - PART I -
20. WHOLE DOLLAR AMOUNTS REQUIREDReport all dollar amounts in whole dollars only.
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NEW YORK MANUAL FOR WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY INSURANCE - PART FOUR - NUMERIC INDEX OF ENDORSEMENTS
WC 00 00 01 GInformation Page Notes
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The statistical reports on a three-year policy effective July 1, 2021 must be filed at the same time as other reports on policies effective in July 2021, July 2022 and July 2023. Losses shall be valued January 2023, January 2024 and January 2025, respectively.
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The statistical reports on a policy covering the period July 1, 2022 to January 1, 2025, with the first six months considered as a unit, must be filed with other reports on policies effective in July 2022, January 2023 and January 2024. Losses shall be valued January 2024, July 2024 and July 2025, respectively.
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The statistical reports on a policy covering the period July 1, 2022 to January 2025, with the last six months considered as a unit, must be filed with the other reports on policies effective in July 2022, July 2023 and July 2024. Losses shall be valued January 2024, January 2025 and January 2026, respectively.
Note: A policy issued for a period not longer than one year and 16 days is treated as a one-year policy.
NEW YORK WORKERS' COMPENSATION STATISTICAL - PART I -
19. MULTIPLE YEAR POLICIES OTHER THAN THREE-YEAR FIXED RATEMultiple year policies must be considered as separate policies for USR reporting purposes, and reports for each unit of (12) months or less shall be filed at the time all other USR reports on policies with the same effective date are being filed. If, however, a policy written for a period that is more than one year, but not more than one year and sixteen days, such policy must be treated as a one-year policy for reporting purposes. The USR reports for such policy must be filed at the time all other USR reports on policies with the same effective date are being filed. Losses must be valued 18 months after the effective date of each unit of experience, and at annual periods thereafter.
Examples:
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Current and Archived Manuals
- WC&EL
- Download Effective as of January 1, 2027
- Download Effective as of October 1, 2026
- Download Effective as of July 1, 2026
- Download Effective as of January 1, 2026
- Download Effective as of October 1, 2025
- Download Effective as of July 1, 2025
- Download Effective as of January 1, 2025
- Download Effective as of October 1, 2024
- Download Effective as of July 1, 2024
- Download Effective as of April 1, 2024
- Download Effective as of January 1, 2024
- Download Effective as of October 1, 2023
- Download Effective as of July 1, 2023
- Download Effective as of January 1, 2023
- Download Effective as of October 1, 2022
- Download Effective as of July 1, 2022
- Download Effective as of January 31, 2022
- Download Effective as of January 1, 2022
- Download Effective as of October 1, 2021
- Download Effective as of July 1, 2021
- Download Effective as of January 1, 2021
- Download Effective as of October 1, 2020
- Download Effective as of July 1, 2020
- Download Effective as of May 1, 2020
- Download Effective as of April 1, 2020
- Download Effective as of January 1, 2020
- Download Effective as of October 1, 2019
- Download Effective as of June 1, 2019
- Download Effective as of January 1, 2019
- Download Effective as of October 1, 2018
- Download Effective as of September 28, 2018
- Download Effective as of July 1, 2018
- Download Effective as of June 22, 2018
- Download Effective as of June 1, 2018
- Download Effective as of April 17, 2018
- Download Effective as of October 1, 2017
- Experience Rating
- Download Effective as of October 1, 2026
- Download Effective as of October 1, 2025
- Download Effective as of October 1, 2024
- Download Effective as of January 1, 2024
- Download Effective as of October 1, 2023
- Download Effective as of November 1, 2022
- Download Effective as of October 1, 2022
- Download Effective as of October 1, 2021
- Download Effective as of January 1, 2021
- Download Effective as of December 1, 2020
- Download Effective as of October 1, 2020
- Download Effective as of July 1, 2020
- Download Effective as of April 1, 2020
- Download Effective as of October 1, 2019
- Download Effective as of January 9, 2019
- Download Effective as of September 28, 2018
- Retrospective Rating
- Download Effective as of October 1, 2026
- Download Effective as of October 1, 2025
- Download Effective as of January 1, 2025
- Download Effective as of October 1, 2024
- Download Effective as of October 1, 2023
- Download Effective as of October 1, 2022
- Download Effective as of July 1, 2022
- Download Effective as of October 1, 2021
- Download Effective as of October 1, 2020
- Download Effective as of October 1, 2019
- Download Effective as of August 1, 2010
- Statistical Plan
- Download Effective as of January 1, 2027
- Download Effective as of October 1, 2026
- Download Effective as of January 1, 2026
- Download Effective as of October 1, 2025
- Download Effective as of July 1, 2024
- Download Effective as of January 1, 2024
- Download Effective as of January 1, 2023
- Download Effective as of July 1, 2022
- Download Effective as of January 1, 2022
- Download Effective as of July 1, 2021
- Download Effective as of August 1, 2020
- Download Effective as of January 1, 2018
- Endorsements (MSWord versions)
- WC 00 00 00 C_Workers_Compensation_Employers_Liability_Insurance - January 1, 2015.docx
- WC 00 00 01 A_Information_Page - July 1, 2011.docx
- WC 00 00 01 F_ NY_Information_ Page_Notes_October 1, 2022.docx
- WC 00 01 01 A_Defense_Base_Act_Coverage_Endorsement-January 1, 2000.docx
- WC 00 01 04 A_Federal_Employers_Liability_Act_Coverage_Endorsement - April 1, 2010.docx
- WC 00 01 06 A_Longshore_Harbor_Workers_Compensation_Act_Coverage_Endorsement - July 1, 2019.docx
- WC 00 01 08 A_Nonappropriated_Fund_Instrumentalities_Act _Coverage Endorsement - April 24, 2012.docx
- WC 00 01 09 C_Outer_Continental_Shelf_Lands_Act_Coverage_Endorsement - January 1, 2018.docx
- WC 00 02 01 B - Maritime Coverage Endorsement - January 1, 2015.docx
- WC 00 02 03 - Voluntary Compensation Maritime Coverage Endorsement - January 1, 2000.docx
- WC 00 03 01 A - Alternate Employer Endorsement - January 1, 2000.docx
- WC 00 03 02 - Designated Workplaces Exclusion Endorsement - January 1, 2000.docx
- WC 00 03 03 C- Employers' Liability Coverage Endorsement - January 1, 2005.docx
- WC 00 03 04 - Insurance Company As Insured Endorsement - January 1, 2000.docx
- WC 00 03 05 - Joint Venture As Insured Endorsement - January 1, 2000.docx
- WC 00 03 09 B - Rural Utilities Service Endorsement - July 1, 2006.docx
- WC 00 03 11 A - Voluntary Compensation And Employers' Liability Coverage Endorsement - January 1, 2000.docx
- WC 00 03 13 - Waiver Of Our Right To Recover From Others Endorsement - April 1, 1984.docx
- WC 00 04 03 - Experience Rating Modification Factor Endorsement - January 1, 2000.docx
- WC 00 04 04 - Pending Rate Change Endorsement - January 1, 2000.docx
- WC 00 04 05 - Policy Period Endorsement - January 1, 2000.docx
- WC 00 04 06 - Premium Discount Endorsement - January 1, 2000.docx
- WC 00 04 07 - Rate Change Endorsement - January 1, 2000.docx
- WC 00 04 14 A - 90-Day Reporting Requirement-Notification Of Change In Ownership_Endorsement - January 1, 2019.docx
- WC 00 04 19 - Premium Due Date Endorsement - January 1, 2019.docx
- WC 00 04 21 E - Catastrophe (Other Than Certified Acts Of Terrorism) Premium Endorsement - January 1, 2021.docx
- WC 00 04 22 C - Terrorism Risk Insurance Program Reauthorization Act Disclosure Endorsement - January 1, 2021.docx
- WC 00 04 25 - Experience Rating Modification Factor Revision Endorsement - May 1, 2017.docx
- WC 31 00 00 B - Volunteer Firefighters' Benifit Law Policy - May 1, 2020.docx
- WC 31 00 01 B - Information Page Volunteer Firefighters' Benefit Policy - May 1, 2020.docx
- WC 31 00 02 B - Volunteer Ambulance Wokers' Benifit Law Policy - May 1, 2020.docx
- WC 31 00 03 B - Information Page Volunteer Ambulance Workers' Benifit Policy - May 1, 2020.docx
- WC 31 03 01 A-New York Coverage for Elected or Appointed Officers of Municipal Corps or Other Political Subdivisions End- May 1, 2020.docx
- WC 31 03 02 A-New York Designated Workeplace Cancelation Endorsement and Notice of Partial Cancelation-May 1, 2020.docx
- WC 31 03 03 A - New York Excess Medical Coverage Endorsement-May 1, 2020.docx
- WC 31 03 04 - New York Executive Officers Exclusion Endorsement-January 1, 2000.docx
- WC 31 03 05 B - New York Exclusion of Executive Officer Endorsement-January 1, 2000.docx
- WC 31 03 06 A - New York Inclusion of Executive Officer Endorsement-January 1, 2000.docx
- WC 31 03 07 - New York Liability of Municipalities to Police Officers or Paid Firefighters - Exclusion Endorsement-January 1, 2000.docx
- WC 31 03 08 - New York Limit of Liability Endorsement-January 1, 2000.docx
- WC 31 03 10 - New York Medical Benefits Reimbursement Endorsement-January 1, 2000.docx
- WC 31 03 11 - New York Non-Subject Employees Exclusion Endorsement-January 1, 2000.docx
- WC 31 03 12 - New York Non - Subject Executive Officers Coverage Endorsement-January 1, 2000.docx
- WC 31 03 13 C - New York Sole Proprietors, Partners and Members of LLC's PSLC's and RLLP's Coverage Endorsement-May 1, 2020.docx
- WC 31 03 14 A - New York Inclusion of Auxiliary Police Endorsement-August 1, 2000.docx
- WC 31 03 15 A - New York Benefits Deductible Endorsement-January 1, 2000.docx
- WC 31 03 16 C - New York Sole Proprietor, Partners and Members of LLC'S, PSLC'S, RLLP'S, Exclusion Endorsement-May 1, 2020.docx
- WC 31 03 17 A - New York Professional Employer Organization (PEO)Endorsement-May 1, 2020.docx
- WC 31 03 18 A - New York Professional Employer Organization (PEO) Exclusion Endorsement-May 1, 2020.docx
- WC 31 03 19 M - NY Construction Classification Premium Adjustment Program Explanatory Endorsement- October 1, 2023.docx
- WC 31 03 19 N - NY CONSTRUCTION CLASSIFICATION PREMIUM ADJUSTMENT PROGRAM EXPLANATORY ENDORSEMENT - APRIL 1, 2024.docx
- WC 31 03 19 N- New York Construction Classification Premium Adjustment Program Explanatory Endorsement - Withdrawn October 1, 2025.docx
- WC 31 03 20 A - New York Optional Professional Employer Organization (PEO) Endorsement-May 1, 2020.docx
- WC 31 03 21 A - New York Optional Professional Employer Organization (PEO) Exclusion Endorsement-May 1, 2020.docx
- WC 31 03 22 A - New York Optional Client Exclusion Endorsement-May 1, 2020.docx
- WC 31 03 23 - New York Construction Classification Premium Adjustment Program Explanatory Endorsement - Effective October 1, 2025.docx
- WC 31 04 01 - New York Construction Classification Premium Adjustment Factor Endorsement-January 1, 2000.docx
- WC 31 04 01- New York Construction Classification Premium Adjustment Factor Endorsement - Withdrawn October 1, 2025.docx
- WC 31 04 03 A - New York Preferred Provider Organization Premium Endorsement-January 1, 2000.docx
- WC 31 04 04 B - New York Pending Payroll Limitation and Premium Differential Endorsement-May 1, 2020.docx
- WC 31 04 05 A - New York Safe Patient Handling Act Program Explanatory Endorsement (Flat Credit)May 1, 2020.docx
- WC 31 04 06 A - New York Safe Patient Handling Act Program Explanatory Endorsement (Tiered Credit)-May 1, 2020.docx
- WC 31 06 01 A - New York Domestic Workers Restricted Endorsement-January 1, 2000.docx
- WC 31 06 02 - New York Exclusion for Designated Officers and Employees of Fire District Endorsement-January 1, 2000.docx
- WC 31 06 03 - New York Executive Officers Hold Harmless Endorsement-January 1, 2000.docx
- WC 31 06 04 A - New York Fire District Exclusion Endorsement For County or Town PoliciesMay 1, 2020.docx
- WC 31 06 05 A - New York Volunteer Firefighters' Benefit Law Group Insurance Endorsement-May 1, 2020.docx
- WC 31 06 06 A - New York Volunteer Firefighters' Premium Discount Endorsement-May 1, 2020.docx
- WC 31 06 07 A - New York Volunteer Firefighters' Benefit Law Extension of Employers Liability Insurance Endorsement-May 1, 2020.docx
- WC 31 06 08 A- New York Volunteer Ambulance Workers' Premium Discount Endorsement-May 1, 2020.docx
- WC 31 06 09 - A New York Ambulance District Liability Exclusion Endorsement For County or Town Policies-January 1, 2000.docx
- WC 31 06 10 A - New York Volunteer Ambulance Workers' Benefit Law Group Insurance Endorsement-May 1, 2020.docx
- WC 31 06 11 A - New York Exclusion for Designated Officers and Employees of Ambulance Districts Endorsement-May 1, 2020.docx
- WC 31 06 12 - New York Ambulance and Fire District Liability Exclusion Endorsement for County or Town Policies-January 1, 2000.docx
- WC 31 06 13 -New York Volunteer Ambulance Workers' Benefit Law-Extension of Employers Liability Insurance Endorsement-January 1, 2000.docx
- WC 31 06 16 A - New York Preferred Provider Organization Endorsement-January 1, 2000.docx
- WC 31 06 17 B - New York Foreign Voluntary Compensation and Employers Liability Coverage Endorsement-May 1, 2020.docx
- WC 31 06 18 A - New York Workers' Compensation Policyholder Notice of Right to Appeal-May 1, 2020.docx