Current through Pa Acts 2024-53, 2024-56 through 2024-92
Section 1036.2 - Employers' self-insuring pooling(a) Employers shall be permitted to pool their liabilities under this act and the Occupational Disease Act and their employers' liability through participation in a fund approved by the department.(b) A group of homogeneous employers may be approved by the department to act as a fund if the proposed group: (1) Includes five or more homogeneous employers.(2) Is comprised of at least five members of which each have been employers for at least three years prior to the filing of the group's application.(3) Has been created in good faith for the purpose of becoming a fund.(4) Has, except for political subdivisions, an aggregate net worth of the employers participating calculated according to generally accepted accounting principles which equals or exceeds one million dollars ($1,000,000) or such amount as may be adjusted and promulgated annually by the department and published in the Pennsylvania Bulletin to take effect January 1 of each year.(5) Has a combined annual payroll of fund members multiplied by the rate utilized by the State Workmen's Insurance Fund which is equal to or greater than five hundred thousand dollars ($500,000) as adjusted annually by the percentage increase in the Statewide average weekly wage or such amount as may be adjusted and promulgated annually by the department and published in the Pennsylvania Bulletin to take effect January 1 of each year.(6) Guarantees benefit levels equal to those required by this act and the Occupational Disease Act.(7) Demonstrates sufficient aggregate financial strength and liquidity to assure that all obligations under this act and the Occupational Disease Act will be met as required by that act and proposes a plan for the prompt payment of such benefits. Information documenting an individual member's financial strength and liquidity shall be presented to the department upon the department's request or with the application as required by the department.(8) Executes a trust agreement under which each member agrees to jointly and severally assume and discharge the liabilities arising under this act and the Occupational Disease Act of each and every party to such agreement.(9) Files with the department the proposed trust agreement.(10) Provides for excess insurance with retention amounts in such amount as the department deems acceptable on a single accident (single occurrence) and aggregate excess basis. The department may waive the requirement for one or both types of excess insurance if convinced that the fund's financial strength is sufficient to assure payment of its obligations under this act and the Occupational Disease Act.(11) Provides security in a form and amount prescribed by the department. This paragraph shall not apply to pools created by and exclusively for political subdivisions or municipalities which self-insure.(12) Provides letters of intent from prospective fund members and evidence that each prospective member:(i) Has never defaulted on compensation due under this act or the Occupational Disease Act as an individual self-insurer.(ii) Has not been delinquent in payment of or canceled for nonpayment of workers' compensation premiums for a period of at least two (2) years prior to application.(iii) Has not been found to have violated section 305 or 435 or the Occupational Disease Act as an individual self-insurer.(iv) Has not been and is not in default on or owes money assessed under this act or the Occupational Disease Act.(13) Provides that the fund will initiate and maintain a loss prevention and safety program of the nature and extent that would be required of members under the provisions of this act, the Occupational Disease Act or regulations promulgated hereunder.(14) Provides for assessment upon employers participating in the fund to establish and maintain actuarially appropriate loss reserves and a plan for payment of such assessments.(15) Provides proof of competent personnel and ample facilities within its own organization with respect to claims administration, underwriting matters, loss prevention and safety engineering or presents a contract with a reputable service company to provide such assistance.(16) Meets the other criteria established by this act or by the department pursuant to regulations promulgated under this act or the Occupational Disease Act.(c) Each application for approval of a fund shall be accompanied by a nonrefundable fee of one thousand dollars ($1,000), payable to the department, which shall be deposited in the Workmen's Compensation Administration Fund.1915, June 2, P.L. 736, No. 338, §802, added 1993 , July 2, P.L. 190, No. 44, § 20, effective in 120 days. Amended 1996, June 24, P.L. 350, No. 57, § 24, effective in 60 days.