Section 2616 - Application to become a subscriber(a) Any employer subject to Article III and who shall desire to become a subscriber to the fund for the purpose of insuring his liability to his employes; and any employer who wants insurance under the Longshore and Harbor Workers' Compensation Act (44 Stat. 1424, 33 U.S.C. § 901 et seq.); and any employer who wants insurance under the Federal Coal Mine Health and Safety Act of 1969 ( Public Law 91-173, 30 U.S.C. § 801 et seq.) and who shall desire to become a subscriber to the fund for the purpose of insuring his liability to his employes; and any employer who shall desire to become a subscriber to the fund for the purpose of insuring therein his liability for all sums the employer shall become legally obligated to pay any employe of his as damages because of bodily injury by accident or disease, including death at any time resulting therefrom, sustained by such employe arising out of and in the course of his employment, shall make a written application for such insurance to the board. In the application, the applicant shall state: (1) The nature of the business or domestic affairs in which insurance is desired.(2) The average number of employes expected to be employed in such business during the year for which insurance is sought and the average number of employes, if any, engaged in such business during the year previous to the application.(3) The approximate money wages expected to be paid during the year for which insurance is sought and the money wages paid to such employes during the preceding year.(4) The place where the business is to be transacted.(5) The place where the employer's payroll and books of accounts are kept and where the employes are customarily paid.(6) Such other facts and information as the board shall require.(b) When the employments are subdivided into classes, as provided in section 1510 , the applicant shall state: (1) The number of employes of each class expected to be employed or previously employed.(2) The approximate money wages expected to be paid or previously paid, as aforesaid, to employes of each class for which insurance is sought.(c) Upon submission of the application, the board shall make such investigations as it may deem necessary and, within thirty (30) days after the application, shall issue a certificate showing the classification or group in which such applicant is entitled to be placed and the amount of premium payable by such applicant for the year for which insurance is sought. No insurance shall be issued for a longer period than a single year.1915, June 2, P.L. 736, No. 338, § 1516, added 1996, June 24, P.L. 350, No. 57, § 29, imd. effective.