Form DB-135 Employer's Application for Voluntary Coverage for Class of Employees for Whom Disability and Paid Family Leave Benefits Are Not Required by Law (No Employee Contribution) - New York

Form DB-135 Employer's Application for Voluntary Coverage for Class of Employees for Whom Disability and Paid Family Leave Benefits Are Not Required by Law (No Employee Contribution) - New York

What Is Form DB-135?

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

FAQ

Q: What is Form DB-135?
A: Form DB-135 is an employer's application for voluntary coverage for a class of employees in New York who are not required by law to have disability and paid family leave benefits, and do not contribute to these benefits.

Q: Who needs to fill out Form DB-135?
A: Employers in New York who want to provide voluntary disability and paid family leave benefits to a specific class of employees who are not required to have these benefits by law.

Q: What is the purpose of Form DB-135?
A: The purpose of Form DB-135 is to allow employers in New York to offer voluntary disability and paid family leave benefits to employees who are not required by law to have these benefits.

Q: Are employees required to contribute to these benefits if an employer chooses to offer them?
A: No, employees for whom disability and paid family leave benefits are not required by law do not have to contribute to these benefits if an employer provides them voluntarily.

Q: Can an employer select which class of employees to provide voluntary coverage for?
A: Yes, employers can choose a specific class of employees to provide voluntary coverage for using Form DB-135.

Q: Are there any eligibility criteria for employees to receive voluntary coverage?
A: The eligibility criteria for employees to receive voluntary coverage may vary depending on the employer's policy and requirements.

Q: Is there a deadline for submitting Form DB-135?
A: There is no specific deadline mentioned for submitting Form DB-135. Employers should contact the New York State Workers' Compensation Board for any specific requirements or deadlines.

Q: Can an employer revoke the voluntary coverage provided using Form DB-135?
A: Yes, an employer can revoke the voluntary coverage provided using Form DB-135, subject to any legal requirements or obligations.

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Form Details:

  • Released on September 1, 2019;
  • The latest edition provided by the New York State Workers' Compensation Board;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form DB-135 by clicking the link below or browse more documents and templates provided by the New York State Workers' Compensation Board.

Download Form DB-135 Employer's Application for Voluntary Coverage for Class of Employees for Whom Disability and Paid Family Leave Benefits Are Not Required by Law (No Employee Contribution) - New York

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