South Carolina Code of Regulations
Chapter 67 - SOUTH CAROLINA WORKERS' COMPENSATION COMMISSION
Article 4 - REPORTS REQUIRED, EMPLOYERS AND INSURANCE CARRIERS
Section 67-415 - Documentation of Insurance
Universal Citation: SC Code Regs 67-415
Current through Register Vol. 48, 12, December 27, 2024
A. For purposes of Section 42-1-415, either of the following is acceptable as documentation of insurance:
(1) The declaration page of a standard
workers' compensation policy, as issued by the insurance carrier for the
insured, serves as documentation of insurance for both South Carolina and
out-of-state employers, provided South Carolina is indicated as a named state
in section 3A or 3C.
(2) The ACORD
Form 25-S, Certificate of Insurance, as issued by the insurance carrier for the
insured, is acceptable documentation of insurance, provided the Certificate of
Insurance indicates a valid South Carolina address for the insured, is dated,
signed and issued by an authorized representative of the insurance carrier for
the insured. For an out-of-state employer, the ACORD Form 25-S is acceptable,
provided the authorized representative of the insurance carrier for the insured
affirms the following in an accompanying statement: South Carolina is a named
state in section 3A or 3C of the declaration page of the insured's
policy.
B. If the employer is a member of a self-insured fund approved by the Commission, the ACORD Form 25-S, Certificate of Insurance, must be dated, signed, and issued by an authorized representative of the self-insured fund.
C. If the employer has been approved by the Commission to individually self-insure according to R.67-1500, et seq., the self-insurance certificate issued by the Commission shall serve as documentation of insurance as provided in Section 42-1-415.
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