1. (a) Each self-insurer or administrative agency shall annually report on the Self Insurer's Annual Report form to the Manager the name, title, and office address of the person or persons appointed to administer the employer's self-insurance plan and of the location or locations of records required to be kept and maintained pursuant to Section 15400 of these regulations.

2. (b) The new administrator shall report any changes of the administrative agency administering the employer's self-insurance plan or any change of location or locations of records in writing to the Manager no later than the date of such change.

   Note: Reporting required by subsection (b) may be done by submitting a “Report of Changes” on the appropriate Division of Workers' Compensation AE Form 101 or AE Form 102 (see Plate L-1 and L-2 of the Appendix.)

Note: Authority cited: Sections 54, 55 and 3702.10, Labor Code. Reference: Sections 59, 129, 3700, 3702.1 and 3702.10, Labor Code.

History

1. Amendment filed 6-1-72; effective thirtieth day thereafter (Register 72, No. 23).

2. Amendment filed 11-19-75; effective thirtieth day thereafter (Register 75, No. 47).

3. Amendment filed 2-19-92; operative 3-20-92 (Register 92, No. 13).