Pa workers coverage 2025

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4.9 out of 5

51 votes

The document is an application for workers' compensation insurance coverage from the State Workers' Insurance Fund (SWIF) in Pennsylvania. It outlines the legal requirement for employers to carry workers' compensation insurance, the consequences of non-compliance, and detailed instructions for completing and submitting the application. The document includes sections for business information, ownership details, previous insurance history, job descriptions, and payment terms. It emphasizes the importance of accuracy in reporting and warns against fraudulent statements.

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Click ‘Get Form’ to open the PA Workers Coverage application in the editor.
Begin by entering your business name and mailing address in the designated fields. Ensure accuracy as this information is crucial for correspondence.
Provide your Federal Employer Identification Number (FEIN). If you are a new applicant, indicate the date you applied for it.
Select your business type from the options provided. Complete either Table A or Table B based on your entity type, ensuring all required details are filled out.
Detail any previous workers' compensation insurance coverage, including carrier names and policy numbers if applicable. This section is vital for establishing your insurance history.
Review all entries for completeness and accuracy before submitting. Incomplete applications will be returned without coverage.

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Versions	Form popularity	Fillable & printable
2016	4.9 Satisfied (51 Votes)
2008	4 Satisfied (55 Votes)
2006	4.3 Satisfied (279 Votes)

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Does my employer have coverage PA?

In Pennsylvania, virtually all employers are required to carry no-fault workers comp coverage for virtually all of their employees. If you are hurt while on the job, your workers compensation benefits will help to cover your losses.

What does workers comp cover in PA?

Workers compensation insurance provides wage-loss and medical benefits to compensate employees who are injured, contract a disease or have a condition worsen as a result of employment, regardless of the employees previous medical or physical condition and without regard to the employees fault in most cases.

Who is exempt from workers compensation insurance in PA?

These include: Individuals who have been granted a religious exemption because their beliefs conflict with coverage requirements. Executive officers who have been granted an exemption. Certain licensed real estate salespeople who are exempt based on their qualification as independent contractors.

Do employers have to offer health insurance in PA?

The state and federal government dont require business owners in Pennsylvania to offer their workers health insurance benefits if they have fewer than 50 employees.

Are PA employers required to have workers compensation insurance?

Typically, full coverage refers to a policy that includes liability (bodily injury and property damage), collision (for damage to your vehicle in an accident), and comprehensive coverage (for non-collision damage like theft, vandalism, or weather events).

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How does PA workers compensation work?

Employees receive medical treatment and are compensated for lost wages associated with work-related injuries and disease, and employers provide for the cost of such coverage while being protected from direct lawsuits by employees. Workers compensation coverage is mandatory for most employers under Pennsylvania law.

Do I need workers comp insurance for myself in PA?

Self-Employed Individuals in Pennsylvania You are not required to purchase workers compensation insurance unless you have employees. However, if you are self-employed, workers compensation coverage is still available if you want to purchase it. Whether it is worth the expense depends on your circumstances.