79.101 ATTESTATION REQUIRED.
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79.101 ATTESTATION REQUIRED.
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Subdivision 1. Zero estimated exposure.
For purposes of this section, a "zero estimated exposure policy" has the meaning given in section 176.011, subdivision 19a . This section applies to zero estimated exposure policies issued to employers performing building construction or improvement services.
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Subd. 2. Attestation.
Each insurer shall require with or as part of each completed application for a zero estimated exposure policy a statement signed by the applicant attesting to the accuracy of the information on the application, including the applicant's absence of employees and estimated exposure of zero. The attestation shall include the following: "I attest that all information provided on this application is current, true, correct, accurate, and complete to the best of my knowledge and belief.
I further attest that I have no employees and an estimated exposure of zero. If I employ any employees during the policy period, I must provide within 60 days of the employment written notification to my workers' compensation insurer of the employment, including estimated payroll and classification codes of my employees. I understand that omissions or misrepresentations with intent to defraud on this application are a crime under Minnesota Statutes, section 609.611 ."