The Connecticut Self Insurance Information and Forms Packet is a comprehensive resource for employers who wish to self-insure their workers. This packet contains the necessary forms and information needed to register a business for self-insurance and to report and pay required premiums. The packet includes the following forms and information: Self Insurance Registration Form, Self Insurance Certification Form, Self Insurance Plan Agreement, Self Insurance Certificate of Coverage, Self Insurance Premium Payment Form, Self Insurance Financial Statement, Self Insurance Security Requirements, Self Insurance Waiver and Release, Self Insurance Claims Processing Protocol, and Self Insurance Adjustment Guidelines. This packet also provides guidelines for employers on the proper management and use of Self Insurance, as well as other applicable laws and regulations.
The Connecticut Self Insurance Information and Forms Packet is a comprehensive resource for employers who wish to self-insure their workers. This packet contains the necessary forms and information needed to register a business for self-insurance and to report and pay required premiums. The packet includes the following forms and information: Self Insurance Registration Form, Self Insurance Certification Form, Self Insurance Plan Agreement, Self Insurance Certificate of Coverage, Self Insurance Premium Payment Form, Self Insurance Financial Statement, Self Insurance Security Requirements, Self Insurance Waiver and Release, Self Insurance Claims Processing Protocol, and Self Insurance Adjustment Guidelines. This packet also provides guidelines for employers on the proper management and use of Self Insurance, as well as other applicable laws and regulations.