Ariz. Admin. Code § R20-5-1507 - New Member Application Requirements for Self-Insurance Pools
A. Except as
authorized in subsection (C), a previously authorized Self-Insurance Pool
seeking to add a new member shall file with the Division a completed New Pool
Member Application Form and the documentation and information required in
subsection (B).
B. For a new member
application to be deemed complete, the following documentation and information
shall be provided by the Applicant:
1. A
resolution of the Self-Insurance Pool Board authorizing the filing of the New
Pool Member Application Form.
2.
The documentation and information listed in R20-5-1505(B)(2), (B)(5), (B)(7),
(B)(13)(c) through (e), and (B)(13)(j) through (l) specifically pertaining to
the employer seeking to join the Self-Insurance Pool.
C. An approved Self-Insurance Pool in good
standing that has operated for one year or more may admit new members without
Commission approval. Upon admission of a new member into a Self-Insurance Pool
under this subsection, the Self-Insurance Pool shall provide to the Division a
list of the new member's coverage locations and the documentation and
information listed in R20-5-1505(B)(13)(c) through (e) specifically pertaining
to the new member.
Notes
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