- insurance association--Form. An association proposing to self - insure its workers' compensation liability shall apply to the department for the authority to self - insure, using forms available from the department. The application shall include: (1) The association's name; (2) The location and mailing address of the association's principal office and where its books and records are kept; (3) The name and address of each member of the association; (4) A copy of the bylaws or plan of operation adopted by the association; (5) Proof of compliance with § 58-20-28 ; (6) A sample copy of the agreement between the association and the members securing the payment of each member's workers' compensation liability; (7) A pro forma financial statement, on a form acceptable to the department, showing the financial ability of the association to pay the workers' compensation liability of its members; and (8) The required application fee.
‹ Prev All South Dakota sections Next ›
Lexace provides legal information, not legal advice, and no attorney–client relationship is created. Statute text is provided for general information and may not reflect the most recent amendments; verify against the official state code.