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Texas Workers Compensation Self-Insurance Group (SIG) Application Checklist

State:
Texas
Control #:
TX-FIN466-WC
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PDF
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Workers Compensation Self-Insurance Group (SIG) Application Checklist

The Texas Workers Compensation Self-Insurance Group (SIG) Application Checklist is a set of documents and information needed to apply to become part of the Texas Workers Compensation Self-Insurance Group. This application checklist is designed to ensure that all applicants are properly and accurately completing the application process. The three main types of Checklists are: Initial Application Checklist, Financial Statement Checklist, and Annual Renewal Checklist. The Initial Application Checklist is a comprehensive list of documents and information needed to apply for membership. The documents and information required include the application form, a financial statement, a certificate of authorization, a copy of the company’s workers’ compensation policy, and proof of workers’ compensation coverage. The Financial Statement Checklist is a detailed list of financial information that must be reported in order to be approved by the Texas Workers Compensation Self-Insurance Group. This information includes the company’s balance sheet, income statement, and cash flow statement. The Annual Renewal Checklist is a set of documents and information needed to renew a company’s membership in the Texas Workers Compensation Self-Insurance Group. This application checklist includes the renewal form, the current financial statement, proof of workers’ compensation coverage, and any other documents that may be required. The Texas Workers Compensation Self-Insurance Group Application Checklist is an important part of the application process and must be completed accurately and fully in order to be approved.

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FAQ

What should I do? How do I report my injury? You must report your injury to your employer within 30 days from the date you were hurt or from the date you knew your injury or illness was related to your job. If you do not let your employer know about your injury within 30 days, you may not get benefits.

Call 800-252-7031, option 1. Workers' compensation is an insurance program managed by the State of Texas.

Certain types of workers, usually considered independent contractors, may be found to be employees in Texas, if they are under the employer's direct control. This would mean they have to be covered for workers' comp and receive the same right to elect workers' compensation coverage.

While most other states allow lump sum settlements, Texas does not. The only benefits that may be paid in a lump sum are impairment income benefits. If you have been back to work for at least three months and earn at least 80% of your average weekly wage, you can commute your impairment income benefits.

The average cost of workers' compensation in Texas is $31 per month. Your workers' comp premium is calculated based on a few factors, including: Payroll. Location.

As an injured employee in Texas, you have the right to free assistance from the Office of Injured Employee Counsel (OIEC). This assistance is offered at local offices across the State. These local offices also provide other workers' compensation system services from the Texas Department of Insurance (TDI).

Call 800-252-7031, option 1. Workers' compensation is an insurance program managed by the State of Texas.

Do I have to have workers' compensation insurance? Texas doesn't require most private employers to have workers' compensation. But private employers who contract with government entities must provide workers' compensation coverage for the employees working on the project.

More info

APPLICATION FOR WORKERS' COMPENSATION SELF-INSURANCE. In accordance with the amended Law, no new employer groups can be approved to self-insure.Understanding the Financial Risks and Legal Responsibilities of Self-Insured Groups for Workers' Compensation. Understanding the Financial Risks and Legal Responsibilities of Self-Insured Groups for Workers' Compensation. Self-insured workers' compensation program. Application for Approval to write Excess and Surplus Lines Insurance (MO 375-0474). Application for Registration as a Purchasing Group (NAIC Form). Sections twenty-five E to 25W inclusive, shall apply to workers' compensation self-insurance groups. I have a workers' compensation insurance policy. Insurance company name (not the insurance agent).

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Texas Workers Compensation Self-Insurance Group (SIG) Application Checklist