Hawaii Administrative Rules
Title 12 - DEPARTMENT OF LABOR AND INDUSTRIAL RELATIONS
Chapter 11 - TEMPORARY DISABILITY INSURANCE
Subchapter 5 - REQUIREMENTS FOR SELF-INSURED COVERAGE
Section 12-11-68 - Agreement

Universal Citation: HI Admin Rules 12-11-68

Current through August, 2024

Each applicant for self-insurance shall execute and file with the director an agreement, on a form prescribed by the director,:

(1) To pay benefits to employees eligible under the law:

(A) As provided in the statute, if there is no plan applicable to the employees;

(B) As provided by a plan qualifying under section 392-41, HRS, for employees covered by the plan.

(2) To pay all obligations, including benefits, fines, expenses, and assessments imposed pursuant to the statute.

(3) To permit the director's authorized representative access to the premises of applicant and of each employer, for the purpose of examining operations and records pertaining to financial conditions and all obligations under the statutes

(4) To authorize the director in the event of neglect or refusal of the self-insurer to pay any obligation, including benefits, fines, expenses and assessments, to sell without notice all or any part of the deposited securities or require the surety to pay forthwith to the director the penal sum of the bond.

(5) Beginning January 1, 1992, to maintain a complete claims service office or engage an independent claims adjusting service as a claims agent in the State of Hawaii with draft authority for the processing of temporary disability insurance payments.

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