Annual reporting 2026

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4.8 out of 5

85 votes

The document outlines the annual reporting requirements for self-insured employers under New York State's Workers' Compensation Law. It specifies the necessary forms and reports that must be submitted by November 1, 2016, including details on claims and financial statements. The document also highlights changes to the law affecting claims incurred after July 1, 2007, and emphasizes the importance of timely submissions for updating security deposit requirements.

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Click ‘Get Form’ to open the annual reporting document in the editor.
Begin by filling out Form SI-4, which requires details about outstanding death claims. Ensure all fields are accurately completed.
Next, proceed to Form SI-4.1 for outstanding disability claims. Provide necessary data as requested in each section.
Complete the Report of Payroll For All Operations by entering payroll figures for all relevant operations under your self-insured status.
Fill out the Report of Cumulative Compensation Payments and Report of Cumulative Medical Payments, ensuring that all figures reflect accurate totals.
Lastly, submit the Certificate of Excess Insurance Contract for Self-Insurer (Form SI-21) and ensure it is signed by your excess carrier.

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Versions	Form popularity	Fillable & printable
2016	4.8 Satisfied (85 Votes)
2015	4.4 Satisfied (57 Votes)

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