New Jersey Administrative Code
Title 12 - LABOR AND WORKFORCE DEVELOPMENT
Chapter 18 - TEMPORARY DISABILITY BENEFITS
Subchapter 2 - PRIVATE PLANS
Section 12:18-2.29 - Reports by self-insurers

Universal Citation: NJ Admin Code 12:18-2.29

Current through Register Vol. 56, No. 18, September 16, 2024

(a) For the six month periods ending June 30 and December 31 of each calendar year during which a self-insured private plan is in effect, each employer shall, on a form prescribed by the Division, file a statement, on or before the 30th day following the end of the respective six month period, showing:

1. The number of claims received during the six month period;

2. The number of claims accepted during the six month period;

3. The amount of benefits paid during the six month period;

4. Such other information as the Division may require with respect to the financial ability of the self-insurer to meet the self-insured's obligations under the plan.

(b) On or before the 30th day following the close of each calendar year during which a self-insured private plan is in effect, the employer shall, on a form prescribed by the Division, file a report showing:

1. The amount of funds available at the beginning of that year for payment of disability benefits;

2. The amount contributed by workers during that year;

3. The amount contributed by the employer during that year;

4. The amount of disability benefits paid during that year;

5. Direct cost of administration of plan during that year; and

6. The number of employees covered by the plan as of December 31.

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