(844) 589-9732

New York Self-Insurers' Representatives' Bond

March 30, 2020

The $5,000 New York self-insurers representatives bond is offered for $100 annually. The bond may be prepaid for 2 years at 180, or 3 years for $260.   Please call AmeriPro Surety Bonds: 844-589-9732.

New York Self-Insurers Representatives Bond

AmeriPro Surety Bonds | 844-589-9732




Third Party Administrators; Purpose of the Surety Bond Requirement




Third party administrators, who according to the New York Workers Compensation Law, statutes §50 3-b and 3-d offer to represent self-insurers, must obtain a $5000 surety bond as a condition of licensing.

The purpose of this surety bond requirement is to serve as a guarantee for the Workers’ Compensation Board of the State of New York, that you’ll observe all laws and rules as mandated in the two statutes noted above, as amended.




Qualifying and the Premium




You are automatically approved for the $5,000 New York self-insurers’ representatives’ bond. There is no credit check or underwriter review for this surety bond, and the premium is $100 annually.

Obtaining your bond is easy and takes a few minutes.

All we need is basic information: The name, as it should appear on your surety bond, along with your other contact information.

After paying the $100 premium, our agency issues your bond to you immediately. Along with your surety bond, we’ll sign your bond and have it notarized as Surety; and upon receipt you’ll sign and have it notarized as Principal.

Included with your surety bond will be a Power of Attorney form.

You’ll file all completed documents to:

State of New York

Workers Compensation Board

100 Broadway-Menands

Albany, NY 12241




Premium Prepayment Options




The $100 premium for your New York self-insurers’ representatives’ bond is for a one year period. The bond renews annually.

You may prepay the premium on this surety bond up to 3 years, thereby offering you a savings over annual renewals.

The premium prepayment option and savings are as follows:

  • If prepaid for 2 years, the premium is $180, a $20 savings;
  • If prepaid for 3 years, the premium is $260, a $40 savings.




About Us




AmeriPro Surety Bonds provides license and permit surety bonds, probate, injunctions, and other bond in New York and all 50 states.

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