WCC Form IC-03 Joint Election Form - Maryland

What Is WCC Form IC-03?

This is a legal form that was released by the Maryland Workers' Compensation Commission - a government authority operating within Maryland. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is WCC Form IC-03 Joint Election Form?
A: WCC Form IC-03 is a Joint Election Form used in Maryland.

Q: Who uses WCC Form IC-03?
A: WCC Form IC-03 is used by employees and employers in Maryland.

Q: What is the purpose of WCC Form IC-03?
A: The purpose of WCC Form IC-03 is to allow an employee who is eligible for workers' compensation benefits to elect whether to receive those benefits or to receive employer-provided health insurance benefits instead.

Q: Can an employee choose both workers' compensation benefits and employer-provided health insurance benefits?
A: No, an employee must elect either workers' compensation benefits or employer-provided health insurance benefits, but not both.

Q: How does an employee complete WCC Form IC-03?
A: The employee must complete the form by providing their personal information, employer information, and selecting whether they choose workers' compensation benefits or employer-provided health insurance benefits.

Q: What happens after an employee completes WCC Form IC-03?
A: After completing the form, the employee must submit it to their employer who will then take further action based on the employee's election.