An entity applying for a self-insurance authorization
pursuant to Section 440.38(1)(b),
F.S., shall meet the following requirements and shall submit a completed
application package at least ninety (90) days prior to the desired effective
date of the self-insurance authorization:
(1) Net Worth - The applicant's most recent
audited Financial Statements shall show a Net Worth of the greater of
$10,000,000 U.S. or three (3) times Standard Premium. For purposes of meeting
the Net Worth requirement, the Net Worths of the companies comprising an
Affiliated Self-Insurer may be combined.
(2) Financial Strength - A current Credit
Rating of not less than "Ba3", "BB-", or "BB-" issued by Moody's Investors
Services, Standard & Poor's or Fitch Ratings, respectively. In the event an
applicant does not have a current published Credit Rating, the Association
shall determine an equivalent rating by performing an analysis of the Financial
Statements provided in accordance with Rules
69L-5.209 and
69L-5.225, F.A.C., the foregoing
financial strength requirement shall be based on the equivalent rating as the
Credit Rating. An applicant that disagrees with the equivalent rating may
provide a current Credit Rating. If the applicant provides a current Credit
Rating, the financial strength requirement shall be based on the current Credit
Rating instead of the equivalent rating.
(3) Financial Statements - An applicant shall
have at least three (3) years of Financial Statements in the name of the
applicant. The Financial Statements for the most recent year shall be audited
in accordance with Generally Accepted Auditing Standards. If the Financial
Statements for the two (2) years prior to the most recent year have been
audited in accordance with Generally Accepted Auditing Standards, the audit
reports(s) on these Financial Statements shall also be submitted.
(4) An applicant that does not have three (3)
years of Financial Statements in its own name due to a recent purchase or
merger, may use the Financial Statements of its predecessor(s), provided there
has been no change to the structure of the entity or the line of business which
would adversely affect the applicant's financial condition.
(5) Security Deposit - The applicant shall
provide a Security Deposit that conforms to the requirements of Rule
69L-5.218, F.A.C. In the event
the applicant meets the above financial strength requirement, but does not have
an Investment Grade Credit Rating, the applicant shall provide a Security
Deposit in an amount equal to the actuarially determined outstanding loss
reserves forecasted to a date one year in the future, discounted to such
forecasted date using a four percent (4%) discount rate, as calculated in its
Actuarial Report. In no case, shall the amount of the Security Deposit be less
than $100,000.
(6) Specific Excess
Insurance Policy Requirements - The applicant shall provide proof of a Specific
Excess Insurance Policy that conforms to the requirements of Rule
69L-5.219, F.A.C.
(7) Provision of Benefits and a Safe Working
Environment - The applicant shall provide a completed Form DFS-F2-SI-19
(Certification of Servicing for Self-Insurers), effective 08/09, as previously
incorporated by reference in Rule
69L-5.216, F.A.C., detailing the
proposed servicing arrangements and accompanying documentation that conforms to
the requirements of Rule
69L-5.216, F.A.C.
(8) In order for an application to be
considered complete, all required documents must be submitted, including the
Security Deposit, proof of Specific Excess Insurance Policy, and Certification
of Servicing for Self-Insurers.