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Office of Self Insurance Plans (OSIP)

Office of Self Insurance Plans (OSIP)


Self Insurance Groups


The Office of Self Insurance Plans (OSIP) authorizes qualified employers to provide their own coverage for workers’ compensation liabilities. Small and medium-sized businesses have the option of joining with others in the same industry to self-insure their workers’ compensation liability as a group. All Self Insurance Groups (SIGs) must be approved by OSIP and are required to post a security deposit covering their actuarial determined liabilities. California has one of the largest self-insurance programs in the nation and has some of the strongest regulations designed to ensure the system protects both employers and employees.

SIG Board of Trustee Duties and Responsibilities Word icon pdf Acrobat

SIG Member Responsibilities Word icon pdf Acrobat

SIG Auditor Responsibilities and Reports  Word icon pdf Acrobat update icon

 

Roster of self insured groups and their affiliate members 

OSIP SIG Aggregate Statistics – From the 2012 Annual Report as of November 5, 2013

OSIP SIG AGGREGATE STATISTICS – From the 2011 Annual Report as of August 1, 2012

GROUP AGGREGATE STATISTICS – This link will provide a table of aggregate statistics of all California Groups.

 

GROUP FORMS - Below are forms for use that are specific to groups.

  • Form A4-3 (1/94) (acrobat pdf pdf format, 89K)
    Application for a certificate of consent to self insure by a group of employers
  • Form A4-3M (1/94) (acrobat pdf pdf format, 88K)
    Application for an affiliate certificate of consent to self insure as a member of a group self insurer
  • Form A4-5 (acrobat pdf pdf format, 431K)
    Application for a permanent certificate of consent to self insure by an interim self insurer
  • Form A4-7 (acrobat pdf pdf format, 244K)
    Request for Interim Certificate for a Group Member