White RFC(RequestforChange)Medical/Counseling/Legalassistance12weeksFLIDCS/THAAreportsMinimum25+lives forNewBusinessStandalone85% ofEEAWW60 dayWaiverLetter26WeeksTDBLC-3437ClaimFormOut ofStateCoverageNo Latefees/ Nominimumpremiums8/8/26$14,200minimumearnings$94.08 maxFLI annualContribution(0.06%)20 baseweeksworkeligibilityCo-mingledwith CORE(can writefor 1 EE)100% EEContributionOffsets (SSN,WC,Retirement,Unemployment,Etc.,) LimitationHTaxableTDBwage cap$42,300FLIPosterNOC - NoReinstatementMaxBenefit$1,055per week.09% taxwage tomax$161,400PREMCALC (Per10, Per 100& Per EE)White RFC(RequestforChange)Medical/Counseling/Legalassistance12weeksFLIDCS/THAAreportsMinimum25+lives forNewBusinessStandalone85% ofEEAWW60 dayWaiverLetter26WeeksTDBLC-3437ClaimFormOut ofStateCoverageNo Latefees/ Nominimumpremiums8/8/26$14,200minimumearnings$94.08 maxFLI annualContribution(0.06%)20 baseweeksworkeligibilityCo-mingledwith CORE(can writefor 1 EE)100% EEContributionOffsets (SSN,WC,Retirement,Unemployment,Etc.,) LimitationHTaxableTDBwage cap$42,300FLIPosterNOC - NoReinstatementMaxBenefit$1,055per week.09% taxwage tomax$161,400PREMCALC (Per10, Per 100& Per EE)

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.


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