Alaska Self-Insurance, Application for Certificate of Self-Insurance

State:
Alaska
Control #:
AK-CR-1536
Format:
PDF
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Description

Self-Insurance, Application for Certificate of Self-Insurance

Alaska Self-Insurance (AS) is a risk management and financial planning tool that allows businesses to insure themselves against losses that may occur due to accidents, fires, and other major incidents. It is available to employers in Alaska who have a minimum of 25 employees and who qualify for a Certificate of Self-Insurance (COSI). A COSI is a formal document issued by the Alaska Department of Labor & Workforce Development that confirms an employer is financially able to self-insure and meets other requirements for self-insurance. There are two types of Alaska Self-Insurance, Application for Certificate of Self-Insurance: general self-insurance and workers' compensation self-insurance. The general self-insurance application is used for coverage for medical, surgical, hospital, and disability benefits for employees who are injured on the job or become ill due to their employment. The workers' compensation self-insurance application is used for coverage for medical, surgical, hospital, and disability benefits for employees who are injured in the course of their employment and may be eligible for workers' compensation benefits. The application process for both types of Alaska Self-Insurance, Application for Certificate of Self-Insurance is relatively straightforward. The employer must submit a completed application for Certificate of Self-Insurance, along with the required supporting documentation, to the Alaska Department of Labor & Workforce Development. Upon review, the department will issue a Certificate of Self-Insurance if the employer meets the qualifications.

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This should be in the form of a letter from the insurance carrier(s), showing the loss information for each year, and (4). OIR-C1-845. APPLICATION FOR CERTIFICATE OF AUTHORITY COMMERCIAL SELF-INSURANCE FUND ; OIR-C1-1524.UNIFORM CONSENT TO SERVICE OF PROCESS ; OIR-C1-905. The items listed below are required for a complete application. APPLICATION FOR SELF-INSURANCE. YOUR COMPLETED PACKAGE FOR SELF-INSURANCE SHOULD INCLUDE THE FOLLOWING: • Completed Form MV-219, "Application for Certificate of Self-Insurance". APPLICATION FOR CERTIFICATE OF SELF-INSURANCE. Self-Insurance Program in the State of Maryland. Labor and Employment Article § 9-405. APPOINTMENTS REQUIRED You Name the Time and Place, We'll Take Care of the Rest.

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Alaska Self-Insurance, Application for Certificate of Self-Insurance