140 IAC 1-7-2 Requests for self-insurance; issuance of self-insurance certificate and number; certificate renewal

Sec. 2. (a) Any person applying to qualify as a self-insurer for the first time must file the person's request for approval for self-insurance with the bureau at least thirty (30) days prior to the date that the applicant wants the self-insurance to be in effect. This request for self-insurance must include the following: (1) The name and address of the person requesting to be self-insured and the name and address of the self-insurance administrator. (2) The number and types, which includes year, make, and model, of vehicles to be self-insured. (3) An oath or affirmation by the self-insurance administrator, on a bureau approved form, that he or she shall discharge all legal duties of the self-insurer. (4) The self-insurance administrator shall provide the bureau with a master list containing the names and addresses of all persons who will use such self-insurance to fulfill their financial responsibility requirements. (5) After the bureau approves a request for self-insurance, the self-insurance administrator must provide the bureau with an updated master list of names and addresses every calendar month during which any change is made to the list. (b) The commissioner or his or her designee shall determine whether to approve a request for self-insurance. (c) The commissioner or his or her designee shall issue a self-insurance certificate and a self-insurance number to any person approved to receive such a certificate. (d) Self-insurance certificates shall be renewed on January 2 of each year.