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Workers' Compensation Board

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Proof of Coverage Disability Benefits
DB 820/829 Web Submission


Beginning May 1, 2003, insurance carriers writing disability benefits policies for New York State employers must submit proof of such policies to the NYS Workers' Compensation Board using the new form DB 820/829 format.

Such filings may be performed by obtaining access to the Board's web-based DB 820/829 data entry application. The application is a secure web-based process that allows insurance carriers to enter data on individual policies and submit this data electronically to the Board.

The Board will acknowledge accepted and rejected transactions by allowing carriers to review the status of their submissions via the new web application. There will be no cost to the insurance carrier for the use of this web-based process.

Register for DB 820/829 web submission