| |  |  
				| 
	| | |  | |  |  
				| EMPLOYER 
				INSURANCE COMPLIANCE
 Effective October 1, 2013, an employer that fails to secure 
				compensation (workers' compensation insurance) for all covered 
				employees may be subject to a penalty not to exceed $10,000. See 
				Labor & Employment   9-407
				
				(Labor and Employment   9-407 Failure to Insure). General 
				questions regarding this law change may be directed to the 
				Insurance, Compliance and Reporting Division via email
				
				employercompliance@wcc.state.md.us or 410-864-5278.  Please 
				be advised that the Commission does not dispense legal advice.
 A county or incorporated 
				municipality may elect to have the provisions of the death 
				benefits law, specifically LE 9-683.1 through 9-683.5, apply to 
				their public safety presumption employees. 
	
				Get more information here.
 
 |  |  |  
				| 
 Forms cannot be filed by email/attachment or FAX; only original 
				forms accessed from
				
				CompHub or hardcopy available herein, with original signatures are accepted.
 
 Forms submitted to WCC must be current and as provided; 
				altered, incomplete, unauthorized or obsolete forms are returned without processing. 
					Forms in the CompHub Portal 
					
					
					
					
					Insurer Request for Change of Address 
					
					Request for Employer Designee to Receive Notice of Employee Claims
					Application for Certificate of Compliance
					
					Joint Election Form
					Inclusion Form
					Exclusion Form 
 
				PDF Based Forms Submitted as Hardcopy |  | 
 ANNUAL INFORMATION REPORT |  | ONLINE INSURER ANNUAL 
				SUMMARY REPORT
 
 |  
				| Use of SERFF for WC Form Filings 
 
					
					Filers not yet using SERFF may enroll by contacting SERFF 
					at 1-816-783-8787 or by e-mail at 
					serffmkg@naic.org. 
					Insurers and other filers needing additional information 
					about SERFF may visit
					
					www.serff.com. Filers are encouraged to take formal 
					training so they can fully utilize the SERFF system. Contact 
					information regarding training can be found at the SERFF 
					website at www.serff.com/training.
					
					Workers' compensation form filings must be made with the 
					Maryland Workers' Compensation Commission. The Commission 
					does not charge a filing fee for workers' compensation 
					forms.Workers' compensation rate and rule filings must 
					be made with the Maryland Insurance Administration, which 
					also utilizes the SERFF platform.
					Questions may be submitted in writing to the attention of 
					State Workers' Compensation Commission, 10 East Baltimore 
					Street, Baltimore, Maryland, 21202 Attention - Stacey Roig, 
					Director, Insurance, Compliance and Reporting Division, via 
					email to
					formfilings@wcc.state.md.us or by calling 
					Ms. Roig at 
					410-864-5298.
					 |  
				| 
 RELATED LAWS & REGULATIONS
				
				Access the complete Unannotated Code of Maryland and Rules via 
				Lexis Nexis online
				to view the 
				laws cited below. Workers' Compensation Commission COMAR 
				(regulations) can also be found online-
				
				
				Link to COMAR Online, MD Secretary of State 
					
					Certificate of Compliance: Code of Maryland, Labor & 
					Employment Article 9-105
					Covered Employee: Code of Maryland, Labor & Employment 
					Article  9-202
					
					Site of Employment: Code of Maryland, Labor & Employment Article  9-203
					
					Corporate or Limited Liability Company Officer: Code of Maryland, Labor & Employment Article  9-206
					
					Sole Proprietor: Code of Maryland, Labor & Employment Article  9-227
					
					Governmental Self-insurance Group: Code of Maryland, Labor & Employment Article  9-404
					
					Self-insurance by Individual Employer: Code of Maryland, Labor & Employment Article  9-405:
					
					Governmental Group Self-Insurance: COMAR 14.09.14.01 through 14.09.14.11
					Individual Employer Self-Insurer: COMAR 14.09.13.01 through 14.09.13.12
					 |  
				| 
 OTHER RELATED MATERIALS AND 
				FORMS     BACK TO TOP OF THIS PAGE 
				
				 
				Compliance Audit Procedures Guide (Attachment H) - 
				a reference material for self-insured employers and vendors 
					that provide audit services to the Commission. The guide 
					contains explanations regarding the completion of the IC-1 
					report as well as sample audit reports.  
					
					The MD WCC Employer's Posting Notice (form C-24)  
					English/Spanish PDF (325 KB).The MD WCC Employers' Posting Notice is 8.5" X 14" and MUST be printed on 8.5" X 14" (legal size) goldenrod or yellow paper.  Default resolution for this printing is 600 dpi (dots per inch).  The statutory requirement is "as provided by the MD WCC", hence reduced size or otherwise altered reproductions from the original/default specifications will not constitute statutory compliance.  The Notice is to be posted in a conspicuous location at each worksite and must include the complete employer/insurer information in the lower left corner where indicated.
 | 
 | 
 |  |  | 
 |  | 
 |