1. (a) Each certified self-insurer shall file with the division an annual application or, if required by §114.15(b) of this title (relating to Revocation of Certificate of Authority to Self-Insure), an annual report, according to a schedule established by the division. The division may require an annual application or annual report to include the following:

   1. (1) claims information, such as loss run information, in the form and manner prescribed by the commissioner;

   2. (2) an information report, in the manner prescribed by the commissioner, that includes an analysis of accident trends which:

      1. (A) identifies losses by location, occupation, or job function; and

      2. (B) provides an analysis of those losses based on:

         1. (i) nature, source, and severity of the injury;
         2. (ii) cause of the injury;
         3. (iii) parts of the body affected;
         4. (iv) equipment involved in the injury;
         5. (v) number of injuries and fatalities other than occupational diseases; and
         6. (vi) identification of the number of occupational diseases;
   3. (3) independently audited financial statements according to Generally Accepted Auditing Standards of the American Institute of Certified Public Accountants; and
   4. (4) any substantive policy or procedure changes in the certified self-insurer's safety program.
2. (b) If any of the information required by this section is more than six months old, it may be considered incomplete and the division may require the certified self-insurer to provide updated information.
3. (c) An application, annual report required by §114.15(b) of this title (relating to Revocation of Certificate of Authority to Self-Insure), or other designated document will not be complete until all parts of the document, including all required attachments and any required updates, are filed.

Source Note:The provisions of this §114.12 adopted to be effective January 1, 1993, 17 TexReg 7896; amended to be effective May 9, 2004, 29 TexReg 4186; amended to be effective January 6, 2019, 44 TexReg 99.