Michigan Group Self-Insurer Application Packet

State:
Michigan
Control #:
MI-BWC-402G
Format:
PDF
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Description

Group Self-Insurer Application Packet Michigan Group Self-Insurer Application Packet is a set of documents and forms that employers in the state of Michigan must complete in order to be approved as a self-insurer. The packet includes forms and documents such as the Application for Group Self-Insurance, a Summary of Plan of Operations, an Agreement of Self-Insurance, a Financial Statement, a Statement of Loss Experience, and a Statement of Assets and Liabilities. The packet also requires employers to provide proof of financial stability, such as surety bonds, letters of credit, or other forms of collateral. There are two different types of Michigan Group Self-Insurer Application Packet: one for new employers, and one for existing employers who are renewing their application.

Michigan Group Self-Insurer Application Packet is a set of documents and forms that employers in the state of Michigan must complete in order to be approved as a self-insurer. The packet includes forms and documents such as the Application for Group Self-Insurance, a Summary of Plan of Operations, an Agreement of Self-Insurance, a Financial Statement, a Statement of Loss Experience, and a Statement of Assets and Liabilities. The packet also requires employers to provide proof of financial stability, such as surety bonds, letters of credit, or other forms of collateral. There are two different types of Michigan Group Self-Insurer Application Packet: one for new employers, and one for existing employers who are renewing their application.

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Michigan Group Self-Insurer Application Packet