State of Connecticut Workers' Compensation Commission, John A. Mastropietro, Chairman
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Sec. 31-284-15

Administrative Regulation

Self-Insurance Certification:

Renewal applications.

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Sec. 31-284-15. Renewal applications.

(a) Renewal applications are to be submitted sixty (60) days prior to the expiration of the current certificate of self-insurance. The application is to be completed in full and accompanied by:

(1) Self-insurer’s latest audited annual financial report;

(2) Certificate of insurance that shows continued or renewed excess insurance coverage; and

(3) Documented compliance with security requirements.

(b) Municipal employers issued certificates that are continuous until revoked shall submit a completed municipality update form by each November first (November 1) until all self-insured claims are fully discharged.

(Effective October 1, 1996)

NOTE: See also Administrative Regulation Section 31-279-1, Claims Administration

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Workers’ Compensation Commission

Page last revised: May 20, 2014

Page URL: http://wcc.state.ct.us/law/wc-regs/31-284-15.htm

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State of Connecticut Workers' Compensation Commission, John A. Mastropietro, Chairman
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