Section 15402.1


(a) A self-insurer and its administrative agency shall jointly submit to the Manager a self-insurer's annual report, covering any interim period between regularly scheduled reporting periods whenever any of the following changes occur in the administration of the employer's self insurance plan:

(1) A change from an agency-administered plan to another agency-administered plan, (i.e. from one third party administrator to another third party administrator);

(2) A change from an agency-administered plan to a self-administered plan;

(3) A change from a self-administered plan to an agency-administered plan; or

(4) A change from self-insurance to a totally carrier insured program.

(b) The interim Self Insurers Annual Report shall be made by the former administrator on the applicable form as required by Section 15251 of these regulations, showing the self-insurer's claims experience as of the date of the change of administrative agencies.

(c) The interim self insurer's annual report shall be due within thirty (30) days of the change of administrators. The self insurer shall provide a copy to the new administrator and three (3) copies to the Manager. The Manager may supply the new administrator with a copy of the interim report.

(d) The new administrator shall submit the year end self insurer's annual report for the self insurer which includes the total loss experience of all open and closed claims from all administrative agencies handling the self insurer's claims during the reporting period.

NOTE: Authority cited: Sections 54, 55 and 3702.10, Labor Code. Reference: Sections 59, 129, 3700, 3702.1, 3702.2 and 3702.10, Labor Code.