Hawaii Administrative Rules
Title 12 - DEPARTMENT OF LABOR AND INDUSTRIAL RELATIONS
Chapter 10 - WORKERS COMPENSATION
Subchapter 4 - SECURITY FOR COMPENSATION
Section 12-10-92 - Notice of insurance

Universal Citation: HI Admin Rules 12-10-92

Current through August, 2024

(a) Every employer shall insure that each employee in its employ is informed if it is a self-insurer for purposes of chapter 386, HRS, or if insured, of the name of its workers' compensation insurance carrier and general agent, as applicable.

(b) Beginning on July 1, 1989, a notice of insurance on a form prescribed by the director shall be signed by an authorized representative of the insurance carrier and shall contain the following certification:

"This certifies that all employees of the named employer will be provided all benefits as required by the Hawaii Workers' Compensation Law." The notice of insurance shall be filed with the director within ten days from the effective date of the policy.

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