Oregon Application to become a self-insured employer

State:
Oregon
Control #:
OR-SKU-1741
Format:
Word
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Description

Application to become a self-insured employer

The Oregon Application to become a Self-Insured Employer is a document that must be completed and submitted to the Oregon Self-Insurance Program with all required documentation in order to be approved for self-insurance status. This application must be completed and submitted by employers who wish to become self-insured in the State of Oregon. The application includes two parts: the Application for Self-Insurance and the Financial Information Form. The Application for Self-Insurance requires employers to provide detailed information such as contact information, type of business, business structure, number of employees, and a description of the business operations. The Financial Information Form requires employers to provide their financial statements including income statements, balance sheets, and cash flow statements. There are two types of Oregon Application to become a Self-Insured Employer: the standard Self-Insurance Application and the Large Group Self-Insurance Application. The standard Self-Insurance Application is available for employers with fewer than 100 employees, while the Large Group Self-Insurance Application is available for employers with more than 100 employees. Both applications must be completed and submitted with the required supporting documentation.

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FAQ

A qualified self-insurer is an organization that has satisfied state filing requirements, met the minimum financial and size criteria, and received approval to self-insure workers compensation or automobile liability.

You do not have to provide workers' compensation coverage to independent contractors, though you may choose to do so.

Self-insuring is a way to reduce your insurance costs by not paying someone else like an insurance company to cover your back if something goes wrong. You can do this by: Having enough money to cover your losses in savings and assets. Deciding to build up a self-insurance reserve or an emergency fund.

If you're self-insured, you're not paying an insurance company every year to carry the risk of replacing your income if something happens to you. That's a huge benefit to you because you're saving money! And we're all about saving money where we can?especially on insurance premiums.

Advantages And Disadvantages Difficult to develop a self-insured plan as the initial costs involved might be complex. There are no policy limits, as the insurance is customized per the applicant's needs. High chances of risk because some claims might be overly costly.

Being self-insured means that rather than paying an insurance company to pay medical, dental and vision claims, we pay the claims ourselves, using a third-party administrator to process the claims on our behalf.

More info

INFORMATION AND MATERIAL WHICH MUST BE SUBMITTED: 1) Completed Form LS-271, Application for Self-Insurance. A complete response to all applicable items is required.The following checklist is to be completed and submitted with the application. SELF-INSURANCE AUTHORITY INFORMATION. Minimum Qualifications for Applying for Self-Insurance Authority. Application forms may be found here. Benefits of Being a Self-Insured Employer in Arizona. Compensation Commission. To be self-insured, employers must have enough capital to cover the expenses associated with self-insurance (i.e. , a bond, reinsurance, TPA, and lawyer).

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Oregon Application to become a self-insured employer