Section 616B.430 - Application to self-insure; fee1. Every employer desiring to qualify as a self-insured employer must apply to the Commissioner on forms provided by the Commissioner. The application must be signed by an executive officer of the corporation, include audited financial statements of the business entity covering the 3 years immediately preceding the date of the application and be accompanied by an application fee of $200 for each application submitted. The fee will not be refunded.2. A separate application and filing fee must be submitted for each separately administered program.Nev. Admin. Code § 616B.430
Comm'r of Insurance, PC-25 § 12, eff. 8-6-80-NAC A 1-4-91