Employers are required to provide worker's compensation coverage
Wisconsin state law permits some limited exemptions to the requirement
General rules
All Wisconsin employers, with very limited exceptions,
are required either to purchase worker's compensation
insurance or to obtain approval of the
Department of Workforce Development to self-insure.
Under the Act, the term "employer" means:
- The state and any governmental or quasi-governmental
subdivision or corporation under the state,
including each county, city, town, village, school
district, sewer district and drainage district.
- Every person or entity who employs three or
more full-time or part-time employees, whether in
one or more trades, businesses, professions or
occupations.
- Every person who usually employees fewer than
3 employees, if the person has paid wages of
$500 or more in any calendar quarter for services
performed in Wisconsin. (Such employer must
have insurance by the 10th day of the first month
of the next calendar quarter.)
- Farmers who employ 6 or more workers on the
same day for any 20 days during the calendar
year. (They must get insurance by the 10th day
after the 20th day of employment).
There are some very limited but notable exceptions
to these rules.
Small businesses
Sole proprietors, partners and members of limited
liability companies are not considered to be employees
under Wisconsin's worker's compensation law.
Accordingly:
- Sole proprietors that have no employees are not
required to carry worker's compensation insurance.
- Partnerships that have partners only and no
employees are not required to carry worker's
compensation insurance.
- Limited liability companies that have members
only and no employees are not required to carry
worker's compensation insurance.
On the other hand, the employees of sole proprietorships,
partnerships, limited liability companies and corporations
are covered by the Worker's Compensation
Act, and any of these entities that have employees
must obtain insurance. All worker's compensation policies
automatically exclude the sole proprietor, partners
and limited liability company members unless such
policies are specifically endorsed to include them. If
sole proprietors, partners and members of limited liability
companies wish to add themselves to a policy,
they must notify their agent and pay additional premiums
for the coverage.
The rules are somewhat different for corporations. If
a closely-held corporation has no more than two corporate
officers and no other employees, a workers compensation
policy is not required if both officers elect
not to be subject to the Worker's Compensation Act. A
closely-held corporation is defined as a corporation subject to the Worker's Compensation Act, the corporation
must complete a Corporate Officer Option
Notice and file it with the Worker's Compensation
Division (WCD).
A corporation with more than two corporate officers
or with any other employees must maintain worker's
compensation insurance or meet the requirements for
self-insurance. All worker's compensation policies
issued to corporations cover corporate officers; however,
a closely-held corporation may exclude up to two
corporate officers from coverage pursuant to an
endorsement on the policy that includes the name(s) of
the officer(s). Close corporations interested in excluding
1 or 2 officers from coverage should contact their
agent regarding this endorsement.
Nannies, caretakers and other household workers
The Wisconsin Worker's Compensation Act does
not require coverage for domestic servants or for any
person whose employment is not in the course of a
trade, business, profession or occupation of the
employer. Although the term "domestic servant" is not
defined in the Act, the WCD has consistently ruled that
persons hired in a private home to perform general
household services, such as babysitting, cooking,
cleaning, laundering, gardening, yard and maintenance
work and other duties commonly associated with the
meaning of domestic servant, are not covered employees
under the Act.
The WCD has also ruled that persons hired in a private
home to provide primary care to an individual,
such as assistance walking, bathing, supervising the
use of medications, and administering exercise therapy,
are home-care providers and not domestic servants,
even though they might also assist with the preparation
and clean-up of the recipient's meals and perform other
duties that are commonly associated with domestic servants.
Nonetheless, the Labor & Industry Review
Commission has held that a person performing personal
care services to an individual does not provide services
as part of the trade, business, occupation or profession
of the recipient (i.e., the patient/homeowner/client)
and therefore is not a covered employee of the recipient.
In some cases home-care workers are hired and
paid by county or private social services agencies. In
such cases, the worker would be a covered employee
of the county or social services agency.
Independent Contractors
Wisconsin's worker's compensation law excludes
independent contractors from coverage. However,
employers should never assume that someone who represents
himself as an independent contractor is not an
employee for purposes of worker's compensation coverage.
Under Wisconsin law, a person is required to
meet a nine-part test before he or she is considered an
independent contractor rather than an employee. Every
one of the following nine conditions must be met:
- Maintain a separate business.
- Obtain a Federal Employer Identification number
from the Internal Revenue Service or have filed
business or self-employment income tax returns
with the IRS based on the work or service in the
previous year. A social security number cannot be
substituted for a FEIN and does not meet the
legal burden of this provision.
- Operate under specific contracts.
- Be responsible for operating expenses under the
contracts.
- Be responsible for satisfactory performance of the
work under the contracts.
- Be paid per contract, per job, by commission or
by competitive bid.
- Be subject to profit or loss in performing the
work under the contracts.
- Have recurring business liabilities and obligations.
- Be in a position to succeed or fail if business
expense exceeds income.
Penalties for failing to insure
An enhanced enforcement mechanism went into
effect in 1990 for dealing with employers who unlawfully
fail to insure. Penalties can include fines, business
closure and imprisonment. In the case of a corporation
that fails to insure, its officers and directors are personally
liable for some penalties. The fine for failure to
carry worker's compensation insurance when required
is twice the amount of premium not paid during the
uninsured time period or $750, whichever is greater.
Under certain circumstances, an employer who has a
lapse in coverage can also be subject to a penalty of
$100 for each day it is uninsured up to 7 days.
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