I want to . . .
- Get information about self insurance and the requirements to self insure
- Apply to become self insured
- Get information on posting a security deposit for self insurance
- Complete my Self Insurer's Annual Report
- Apply to take the Self Insurance Administrator's examination
- Determine if an employer is self insured
- Access self insurance regulations
- Receive notices about SIP rulemaking
Boards, Commissions & Programs
Self Insurance Plans (SIP)
Private Self Insurer's Annual Report
PDF form requests*
(The annual report form is not available from 12:05 AM to 6:00 AM, Pacific time, Tuesday through Friday, and Sunday.)
To login, please enter User ID, Password, and select either Employer or TPA/Self Administrator.
Adobe Acrobat Reader version 6 will work best. Click here to
download.
*PC Windows Internet
Explorer v.7+ or Netscape v.7+ required
with JavaScript enabled