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All requests are to be submitted using OnBoard. This insurance or self insurance authorization cannot be transferred or assigned.WC-21 Application for Self-Insurance. Certified selfinsurer A private employer who is approved for a certificate of authority to insure its own workers' compensation claims. Certified selfinsurer A private employer who is approved for a certificate of authority to insure its own workers' compensation claims. Statements along with an application fee with each application. The bill, along with the medical records, should be sent to the employer, self-insured employer, or the workers' compensation insurance carrier. The carrier and provider may mutually agree to procedures that will not require pre-certification. Is my employer responsible for paying my medical bills? Rule 7.