Alaska Self-Insurance, Renewal of Certificate of Self-Insurance

State:
Alaska
Control #:
AK-CR-1555
Format:
PDF
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Self-Insurance, Renewal of Certificate of Self-Insurance

Alaska Self-Insurance, Renewal of Certificate of Self-Insurance is a program offered by the Alaska Department of Labor and Workforce Development that allows employers to self-insure their employees for Workers' Compensation coverage. The program is available to employers who meet certain criteria, including having at least five employees, having a minimum net worth of $50,000, and having a record of responsible management of the business. The program requires employers to pay an initial fee for their self-insured coverage, as well as an annual renewal fee. There are two types of Alaska Self-Insurance, Renewal of Certificate of Self-Insurance: Certificate of Self-Insurance and Group Self-Insurance. Certificate of Self-Insurance is available to employers with fewer than 25 employees, while Group Self-Insurance is available to employers with more than 25 employees. Both programs require employers to meet certain criteria and to pay an initial fee and an annual renewal fee.

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To comply with the renewal application requirements, please submit the documents listed below: 1. Renewal Application, see attached form;. 2.Coverages: THIS lS TO CERTIFV THAT THE STATE OF TENNESSEE SELF-INSURES ITS EXPOSURE lN GENERAT LlABltlTY, AUTOMOBILE tlABlLITY,. PROFE5SIONAI. To be authorized to self-insure, you must submit a completed. A private employer who is approved for a certificate of authority to selfinsure is called a certified selfinsurer (CSI). Proof of insurance for all system vehicles; Research awards sub-grants; Professional Services Agreements. 00 fee per self-insurance certificate issued. Self-Insurance Annual Permit Renewal. PRIVATE SELF-INSURING EMPLOYER; ANNUAL RENEWAL OR DEPOSIT OF NEW SECURITY FOR PAYMENT OF COMPENSATION. 79A. 05, REVOCATION OF CERTIFICATE TO SELF-INSURE. 79A.

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Alaska Self-Insurance, Renewal of Certificate of Self-Insurance