Chapter 8. Office of the Director
Subchapter 2. Administration of Self-Insurance Plans
Article 2. Certificate to Self Insure

§15203.5. Agreement and Undertaking for Security Deposit.

(a) All private employer applicants for self insurance shall execute an Agreement and Undertaking For Security Deposit as part of the application process.

(b) All security deposits shall be posted in accordance with the provisions of the Agreement and Undertaking.

(c) The form of such agreement and undertaking shall be supplied by the Manager as part of the application (Form A4-1 (Rev. 2/92) for a private individual employer and Form A4-GAU (1/94) for a private group self insurer).

NOTE: The current agreement and undertaking form is contained in Plate H of the Appendix following the last Article of these Group 2 regulations. This agreement is contained in the application form for applicants to be self-insured after January 1, 1993. The Agreement and Undertaking for Security Deposit Form for a Group Self Insurer (Form A4-GAU (1/94) is in the Appendix following the Application for a Certificate of Consent to Self Insure By A Group of Employers.

NOTE: Authority cited: Sections 54, 55 and 3702.10, Labor Code. Reference: Sections 59, 3701, 3701.5 and 3702.10, Labor Code.

HISTORY

1. New section filed 11-21-78; effective thirtieth day thereafter (Register 78, No. 47).

2. Renumbering and amendment of former section 15203.5 to section 15203.6 and renumbering and amendment of former section 15213 to section 15203.5 filed 12-22-92; operative 1-21-93 (Register 93, No. 2).

3. Amendment of subsection (c) and following Note filed 6-30-94; operative 6-30-94 (Register 94, No. 26).