JOHN hICKENLOOPER

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ELIEN 60LOMBEK

Exocvlive Direclor
PA!I. TAURIELLO

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DEPARTMENT OF LABOR AND EMPLOYMENT

DIVI5ION OT WORKER5' COMPENSATION
COVERAGE FNFORCEMENI UNIT 633 ltlh sfteet. $ulle 400 Dnver, Colorqdo 80202.362d 303,318,S640 FAX 303,t r8,s73e

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ATTENTION EMPLOYER
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Most Colorado employers arc rcquired to carry workersl cortrpensation insurance subject to certaiu limitcd exceptions described in the errclosed brochurc. An employer is subject to the Colorado Workers' Compensation Act and nrust have a workcrs' compcnsalion insurance policy rvhen that eurployer has one or ntore fuil or part-time enrployees. Thc Division of Workers' Compensation enforces tbe Colorado Workers' Compcnsation Act.

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Ifyou already havc workers' conrpensation insuran0e foL your business, you are in conrpliance and do not need to take any further action. However, if you do not h^ve workers' compensation
insumnce. or are unsurc whether you are properly covered, you sliould contact your insumnce agent to verify or obtain workcrs' compensation coverage. Pleass note that workcrs' dorDpeusation insurance is a separate and specialized lype of insurance that generally is rej includcd as part of a business liability policy, an accidental death and dismemberment policy, or any other gpe of

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Your insurance carrier is r'equired to scc to it drat your workers' compensadort coveragc infortnation i$ sent to the Divisjo4 qf ,IW94E_.,jqgmpcngalE Therefore. be sure to provide your insurancc carrier with your company's Federal Employcr Identification Number(s) (FEIN) and otlqr talpqy-ct idenrificarion numbc(s) ior all your buiiness operations in Colorado, ired insurance and thai you rh;;'ftAti fi continue to keep it in force.

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Employers should be aware that ifit is determined that an cmployer has failed to obtain the tequired workcrs' compensation insurance or allows tlrat insurancc to laps, the Director of the Division of Workcrs' Compensation will impose fines on tbe defaultilg cmployer thd/or compel tlre cmployer to ceasc and desist its busiuESS operations. Forperiods ofnon-compliance beginning on orafterJuly l. 2005. fines uo to $250 ner dav will bc assessed for an initial violation and will increase tlrcrcaftcr ftom a minimum of $250/day up to $500/day for subsequent vio'l6iions.

that a brochure entitled W,otteni:gpfrutryrltry |uturan"" Ruqr-! exphins somc of the employer's obligations under tlre Colorado Workers' Compensation Act. Additional infonnation is available st the Division's web site at htm;//wr"vw.,colorado, qov/cdle,/dwc
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