R 408.43g
R 408.43g Group self-insurers' admission of new members; termination of individual members; notice; records.
Cite as Mich. Admin. Code R 408.43g
Rule 13g. (1) After the inception date of the fund, prospective new members of
the fund shall submit an application for membership to the board of trustees, or its
designated representative, on a form approved by the agency. The board of trustees or
its designated representative may approve the application for membership pursuant to
the bylaws of the group self-insurers' fund. A copy of the original signed application
for membership must then be filed with the agency in Lansing. Membership takes effect
after approval by the agency.
(2) After a group fund has completed 1 year of operation, application may be
made to the director to authorize the group fund to accept new members without
prior agency approval. The application must be submitted on forms provided by the
agency and shall define all businesses that will be accepted in the same industry
within the group. The application must define the financial standards that will be
applied by the group in accepting new members.
(3) If approved, the group shall submit confirmation of membership to the
agency on form WC-650, or its electronic equivalent, group self-insurance fund notice of
acceptance of membership, together with a copy of the individual membership
application and the financial report provided by the member. If the employer is a
partnership, the notice must state the names and addresses of all the partners. If the
employer is doing business under an assumed name, the notice must state the
assumed name and each Michigan location covered. If the employer is a corporation
doing business through a number of divisions, the notice must state the names of all
the divisions of the corporation. The agency must be notified when any group fund
receives a change of address of a member.
(4) Individual members may elect to terminate their participation in a group self-
insurers' program or be subject to cancellation by the group pursuant to the bylaws
of the group fund. However, termination or cancellation may occur not less than 20
days after the agency has received notice of the termination or cancellation from the
group fund reported to the agency on form WC-651, or its electronic equivalent, group
self-insurance fund notice of termination of membership. If the employer is a
partnership, the notice must state the names and addresses of all the partners. If the
employer is doing business under an assumed name, the notice must state the
assumed name and the names of all parties doing business under the assumed name. If
the employer is a corporation doing business under a number of divisions, the notice
must state the names of all the divisions of the corporation. If a business changes
names, notice must be given stating both the new and former names.
(5) The chairman of the board of trustees or, at the chairman's designation,
the administrator shall be responsible for maintaining all records of the fund. The
fund shall maintain all of the following documents, or their electronic equivalents,
with respect to records:
(a) Forms WC-100, 101, 102, WC-701, and WC-107.
(b) Redemption papers.
(c) Excess workers' compensation policies.
(d) Spreadsheets containing premium audit summaries.
(e) Contracts with the group's claims service and administrator.
(f) A complete set of claim loss runs as of the end of each fiscal year.
(g) Certified audit reports.
(h) Minutes of trustee and annual meetings.
(i) Group renewal applications and related documents.
(j) Individual membership applications containing signed indemnity
agreements.
The records must be retained for not less than 30 years and the administrator
or board of trustees shall know the location of the records at all times. All records of the
fund are the property of the fund. If the records are held by the funds service
company, the records must immediately be surrendered to the fund upon the fund's
request.