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Leaf Pattern Design

NOTICE OF COVERAGE

Issuance of Notice of Workmen's Compensation Coverage Secured:

Any time a carrier successfully purchases or renews an insurance policy, the carrier is mandated to issue the employer a notice within 10 days to verify a policy coverage has been purchased and secured. This coverage notice is entitled as Notice of Workmen's Compensation Coverage Secured.

Obligation to Provide Coverage Notice to the Commission:

Carriers are obligated to inform and instruct the employer to provide a copy of its Notice of Workmen's Compensation Coverage Secured and to file a Certificate of Compliance with the Commission.

Template of Coverage Notice:

For the issuance of Notice of Workmen's Compensation Coverage Secured, all carriers are required to use the notice template prescribed and authorized by the Commissioner for such purpose (see below). Carriers may visit the Commission's Office to obtain a hardcopy of the notices for their usage, or request the prescribed fillable template of such notice by emailing compliance@aswcc-gov.net.

Notice of Coverage Secured
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