Arkansas Workers’ Compensation Insurance Plan definitions
Arkansas Code § 11-9-106; Arkansas Code § 23-61-108; Arkansas Code § 23-67-218
As used in this part:
(1)
- (A) "Affiliated insurer" means an insurer that directly, or indirectly through one (1) or more intermediaries, controls, is controlled by, or is under common control with another insurer specified.
- (B) The term "control" means the possession, direct or indirect, of the power to direct or cause the direction of the management and policies of an insurer, whether through the ownership of voting securities, by contract, or otherwise.
- (C) Control shall be deemed to exist if any person or business enterprise, directly or indirectly, owns, controls, holds with the power to vote, or holds proxies representing ten percent (10%) or more of the voting securities of any other insurer;
- (2) "Articles of Agreement" or "articles" means the reinsurance mechanism authorized under this plan to provide reinsurance to the servicing carriers on employers assigned to them under this plan, which said agreement and any amendments thereto shall be provided to and approved by the Insurance Commissioner but which, in cases of conflict between them and this part, shall be subordinate to this part;
- (3) "Assigned carrier" or "servicing carrier" means the insurer authorized to receive plan assignments and provide coverage to eligible employers on behalf of those participating companies subscribing to the Articles of Agreement incorporated as a part of the plan in this state;
- (4) "Collected premium" means the gross direct premium charged and physically collected and receipted for all employers subject to this plan;
- (5) "Commissioner" means the Insurance Commissioner for the State of Arkansas;
(6)
- (A) "Employer" means any business organization or enterprise that is required by statute to maintain workers’ compensation insurance in this state.
- (B) The term shall include any business organizations or enterprises that are affiliated as a result of common management or common ownership;
- (7) "National Council on Compensation Insurance, Inc." or "NCCI" means the rating organization or advisory organization licensed in this state to make and file rates, rating values, classifications, and rating plans for workers' compensation insurance;
- (8) "Net premiums written" means the gross direct premiums charged less all premiums, except dividends and savings refunded under participating policies, returned to insureds for all workers’ compensation and occupational disease insurance, exclusive of premiums for employers subject to this plan, and for employers written under the National Defense Projects Rating Plan and under excess policies;
- (9) "Plan" or "WCIP" means the Arkansas Workers' Compensation Insurance Plan;
- (10) "Plan administrator" means such organization or organizations to which the responsibility for administering the affairs of the plan may, from time to time, be delegated, including, but not limited to, such functions and duties as rates, forms, and statistics;
(11) "Premium in dispute" means a workers' compensation insurance premium obligation in which a bona fide dispute exists only if the employer or its representative has provided:
- (A) Written notice to the insurer or the servicing carrier detailing the specific areas of dispute;
- (B) An estimate of the premium the employer believes to be correct, with an explanation of the premium calculation;
- (C) Payment of the undisputed portion of the premium; and
- (D) A written request that includes all information relevant to the dispute to the plan administrator for a hearing before the appropriate administrative or regulatory body having jurisdiction over appeals on plan matters;
(12)
- (A) "Producer" means a licensed casualty insurance agent or broker, as defined in the Arkansas Insurance Code, whose privileges under the plan have not been suspended or revoked.
- (B) Provided, however, that such producer shall, for purposes of the plan, be considered to be acting on behalf of the insured or employer applying under the plan and not as an agent of the plan administrator or of any assigned carrier for plan business;
- (13) "Undisputed premium" means a workers' compensation insurance premium obligation that is not the subject of a bona fide dispute;
(14)
(A)
(i) "Voluntary offer of coverage" means a legitimate, good faith offer of workers' compensation insurance made by a workers' compensation insurer to an employer on a voluntary basis outside this plan, which said offer is either of such workers’ compensation insurance:
- (a) (a) On a monoline basis and on a reasonable rating plan approved for use in Arkansas by the Insurance Commissioner for that insurer; or
- (b) (b) In combination or coordination with other property and/or casualty coverages and limits desired by the employer and as such insurer may also offer.
- (ii) Provided, however, that such insurer shall apply its filed rating plan, including all applicable discounts or credits, to such employer in a good faith, nondiscriminatory manner.
- (B) "Voluntary offer of coverage" shall in no event be interpreted as including or referring to an offer, entreaty, or opportunity presented for coverage under any type of self-insured workers' compensation plan.
- (C) Neither the plan administrator or administrators nor the servicing carrier or carriers shall have a responsibility to determine whether the putative voluntary offer of coverage is truly voluntary, but any agent or broker and any insurer knowingly submitting an offer of workers’ compensation coverage to an employer that does not meet the above definition of a bona fide "voluntary offer" may be in violation of Arkansas Code § 23-66-205 et seq., and 23 CAR § 203-114(d); and
(15) "Workers' compensation insurance" means:
- (A) Statutory workers' compensation and occupational disease liability insurance including insurance for liability under the Longshore and Harbor Workers' Compensation Act, 33 U.S.C. § 901 et seq., as amended, and the Federal Coal Mine Health and Safety Act of 1969, 30 U.S.C. § 801 et seq., as amended;
- (B) Employers’ liability insurance written in connection with a workers' compensation policy; and
- (C) Such other coverages as approved by the Insurance Commissioner.