No Latefees/ NominimumpremiumsMedical/Counseling/LegalassistanceLC-3437ClaimFormNOC - NoReinstatement$14,200minimumearnings8/8/26100% EEContribution.09% taxwage tomax$161,400DCS/THAAreportsMinimum25+lives forNewBusinessStandalone$94.08 maxFLI annualContribution(0.06%)26WeeksTDB85% ofEEAWWCo-mingledwith CORE(can writefor 1 EE)20 baseweeksworkeligibilityOut ofStateCoverageMaxBenefit$1,055per weekOffsets (SSN,WC,Retirement,Unemployment,Etc.,) LimitationHPREMCALC (Per10, Per 100& Per EE)12weeksFLITaxableTDBwage cap$42,300FLIPoster60 dayWaiverLetterWhite RFC(RequestforChange)No Latefees/ NominimumpremiumsMedical/Counseling/LegalassistanceLC-3437ClaimFormNOC - NoReinstatement$14,200minimumearnings8/8/26100% EEContribution.09% taxwage tomax$161,400DCS/THAAreportsMinimum25+lives forNewBusinessStandalone$94.08 maxFLI annualContribution(0.06%)26WeeksTDB85% ofEEAWWCo-mingledwith CORE(can writefor 1 EE)20 baseweeksworkeligibilityOut ofStateCoverageMaxBenefit$1,055per weekOffsets (SSN,WC,Retirement,Unemployment,Etc.,) LimitationHPREMCALC (Per10, Per 100& Per EE)12weeksFLITaxableTDBwage cap$42,300FLIPoster60 dayWaiverLetterWhite RFC(RequestforChange)

NJ STAT Knowledge Check - HIG - Call List

(Print) Use this randomly generated list as your call list when playing the game. There is no need to say the BINGO column name. Place some kind of mark (like an X, a checkmark, a dot, tally mark, etc) on each cell as you announce it, to keep track. You can also cut out each item, place them in a bag and pull words from the bag.


1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
  1. No Late fees/ No minimum premiums
  2. Medical/ Counseling/ Legal assistance
  3. LC-3437 Claim Form
  4. NOC - No Reinstatement
  5. $14,200 minimum earnings
  6. 8/8/26
  7. 100% EE Contribution
  8. .09% tax wage to max $161,400
  9. DCS/THAA reports
  10. Minimum 25+lives for New Business Standalone
  11. $94.08 max FLI annual Contribution (0.06%)
  12. 26 Weeks TDB
  13. 85% of EE AWW
  14. Co-mingled with CORE (can write for 1 EE)
  15. 20 base weeks work eligibility
  16. Out of State Coverage
  17. Max Benefit $1,055 per week
  18. Offsets (SSN, WC, Retirement, Unemployment, Etc.,) Limitation H
  19. PREM CALC (Per 10, Per 100 & Per EE)
  20. 12 weeks FLI
  21. Taxable TDB wage cap $42,300
  22. FLI Poster
  23. 60 day Waiver Letter
  24. White RFC (Request for Change)