1. (a) A self-insurer shall identify to the commissioner the dollar amount of the attachment point, up to which the self-insurer will be responsible for the payment of workers’ compensation benefits for each work injury incident.

2. (b) In support of this identification of amount, the self- insurer shall submit:

   1. (1) The dollar amount of the proposed self-insurer retention;
   2. (2) Five years of loss history;
   3. (3) A financial statement of the self-insured; and
   4. (4) Any other factor that may impact the self-insurer’s ability to pay claims.
3. (c) The commissioner shall review the submission and approve an amount for the self-insurer retention based on his or her discretion.

Source. #2264, eff 1-6-83; ss by #2935, eff 12-27-84, EXPIRED: 12-27-90 New. #5235, eff 9-27-91; amd by #5501, eff 11-12-92; ss by #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; ss by #11066, eff 4-1-16