LD 1507
pg. 11
Page 10 of 14 PUBLIC Law Chapter 428 Page 12 of 14
Download Chapter Text
LR 1913
Item 1

 
showing tax withholding or a wage report from a
payroll company showing wages paid to that employee
for the most recent quarter with tax withholding;

 
(c)__If an employer is exempt from filing Form
941/C1-ME for group coverage, documentation of
that exemption and a copy of the employer's
payroll records for the most recent 3 months
showing tax withholding or a wage report from a
payroll company showing wages paid to that
employee for the most recent quarter with tax
withholding; or

 
(d)__If the name of the business owner or employee
does not appear on Form 941/C1-ME, a copy of one
of the following:

 
(i)__Federal income tax Form Schedule C or
Schedule F;

 
(ii)__Federal income tax Form 1120S, Schedule
K-1;

 
(iii)__Federal income tax Form 1065, Schedule
K-1;

 
(iv)__A workers' compensation insurance audit
or evidence of a waiver of benefits under
Title 39-A;

 
(v)__A description of operations in a
commercial general liability insurance policy
or equivalent insurance policy providing
coverage for the business; or

 
(vi) A signature card from a financial institution or credit
union authorizing the employee to sign checks on a business
checking or share draft account that is at least 6 months old; a
notarized affidavit from the employer describing the duties of
the employee and the average number of hours worked by the
employee and attesting that the employer is not defrauding the
carrier and is aware of the consequences of committing fraud or
making a material misrepresentation to the carrier, including a
loss of coverage and benefits; and, if the group coverage is
purchased through a producer, a notarized


Page 10 of 14 Top of Page Page 12 of 14
Related Pages
  Search Bill Text Legislative Information
Bill Directory Search
Bill
Status
Session Information
119th Legislature Bills Maine Legislature

Office of Legislative Information
100 State House Station
Augusta, ME 04333
voice: (207) 287-1692
fax: (207) 287-1580
tty: (207) 287-6826
Word Viewer for Windows Disclaimer