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

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§15204. Application Filing Fee.

(a) Each private employer making application for an individual Certificate of Consent to Self Insure shall at the time of filing the application, pay a non-refundable filing fee as follows:

  (1) A filing fee of $500;  

  (2) For each application submitted to replace an Interim Certificate that has previously been issued to the applicant and is in effect at the time the application is submitted, the filing fee shall be $400;  

  (3) There shall be a $100 filing fee for each Request for an Interim Certificate submitted pursuant to Section 15205 of these regulations.  

(b) Any subsequent filing of an application by an existing private individual self insurer to add a new subsidiary or affiliate, or required due to merger, acquisition, or reincorporation shall be considered a new application and shall be subject to the payment of the fees set forth in subsection (a).

(c) No application filing fee shall be required from a public entity making application for a Certificate to Self Insure.

     Note: Authority cited: Sections 54, 55 and 3702.10, Labor Code. Reference: Sections 59, 3700, 3702.5 and 3702.10, Labor Code.  

1. New section filed 11-19-75; effective thirtieth day thereafter (Register 75, No. 47).

2. Amendment of section heading and text and adoption of Plates A-1 through C and Plate H filed 12-22-92; operative 1-21-93 (Register 93, No. 2).

3. Change without regulatory effect relocating Appendix Plates to section 15463 filed 9-14-93 pursuant to  title 1, section 100, California Code ofRegulations (Register 93, No. 38).

4. Designation of subsection (a) and new subsections (d)-(d)(4) filed 6-30-94; operative 6-30-94 (Register 94, No. 26).

5. Amendment of section heading and section filed 3-2-2009; operative 3-2-2009 pursuant to Government Code section 11343.4 (Register 2009, No. 10).

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