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6WCex form (New Hampshire): the workers' comp owner exemption

Exclusion of Executive Officers or Members. Who can file it, where to get it, how to file, the fee, when it takes effect, and how often it renews — from New Hampshire Department of Labor / workers’ compensation carrier.

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AT A GLANCE

6WCex filing snapshot

Form6WCex — Exclusion of Executive Officers or Members

Issuing bodyNew Hampshire Department of Labor / workers’ compensation carrier

Filing methodThe carrier files Form 6WCex; an underlying Notice of Workers Compensation Insurance Coverage (6WC) for the same employer must already be on file.

FeeNo separate filing fee verified

Common mistakeIf 6WCex is not on file, the listed executive officers/members are not excluded. A carrier change requires a new 6WCex.

When it takes effectOn proper filing with the Department under Lab 306; the filed form in effect controls the exclusion.

RenewalNo fixed annual renewal; a new 6WCex is required when the carrier changes or the excluded roster/election changes.

Watch out forThe current exclusion is carrier/roster-specific rather than a permanent business-wide certificate.

Which New Hampshire owners can use the 6WCex

Sole proprietorThe Department's employer guide identifies a sole proprietorship/self-employed person as one of the owner-only business forms that can be outside the requirement to purchase a policy. Hiring an employee changes the analysis because coverage must be in place before the hire.

LLC memberA corporation or LLC may elect to exclude up to three LLC members/executive officers under RSA 281-A:18-a. The exclusion is not valid unless properly filed. Under Lab 300, the carrier files Form 6WCex and a new form is required when the carrier changes.

PartnerCurrent state materials do not provide the same explicit partner exclusion procedure that they provide for sole proprietorships, corporations, and LLCs. A partnership should confirm its owner treatment with the Department/carrier instead of borrowing the sole-proprietor rule.

Corporate officerA corporation may elect to exclude up to three executive officers. The exclusion becomes valid only when Form 6WCex is properly filed through the carrier, and only the officers listed on the form are excluded.

Employee threshold: New Hampshire requires an employer to obtain workers' compensation coverage before hiring any employee. RSA 281-A defines an employer around one or more persons, while executive officers and LLC members/managers are treated specially for the employer-count and exclusion rules. In construction: The current employer guide does not publish a separate general construction head-count threshold. It does warn that a business using subcontractors can be liable for injuries to a subcontractor's employees when the subcontractor has not arranged required coverage. Owner/officer exclusions therefore should not be treated as proof that every worker on a project is outside the Act.

Read the full context in the New Hampshire workers' comp exemption guide, or run the eligibility screener to check your entity type first.

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6WCex form (New Hampshire): frequently asked questions

Where do I get the 6WCex form in New Hampshire?
The 6WCex (Exclusion of Executive Officers or Members) is issued by New Hampshire Department of Labor / workers’ compensation carrier. The carrier files Form 6WCex; an underlying Notice of Workers Compensation Insurance Coverage (6WC) for the same employer must already be on file. Use the official link on this page rather than a third-party copy, which may be out of date.
Is there a fee to file the 6WCex in New Hampshire?
No separate filing fee has been verified for this form.
How often does the 6WCex exemption renew in New Hampshire?
No fixed annual renewal; a new 6WCex is required when the carrier changes or the excluded roster/election changes. Watch out: The current exclusion is carrier/roster-specific rather than a permanent business-wide certificate.
OFFICIAL SOURCE

Where this comes from

The 6WCex entry is anchored to New Hampshire Department of Labor / workers’ compensation carrier — the state agency that issues and processes the form — not a generalized summary. Source-checked 2026-09-02.

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