To reinstate coverage prior to the effective date of termination, carriers shall file with the NCCI with all necessary information, pursuant to Lab 307.02 (f). Self-insured groups and third party administrators shall complete and file “Reinstatement Notice” form WC-100 (10/1991) contained in appendix II with the department, pursuant to Lab 307.02 (d).

Source. (See Revision Note at part heading for Lab 307) #4854, eff 6-29-90; ss by #5235, eff 9-27-91, EXPIRED: 9-27-97 New. #6631, INTERIM, eff 11-16-97, EXPIRED: 3-16-98 New. #6806, eff 7-18-98; ss by #8682, INTERIM, eff 7-15-06, EXPIRED: 1-11-07 New. #9019, eff 11-1-07 (from Lab 307.04) ; ss by #11065, eff 4-1-16