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A self-insured employer must submit the information below to the Workers’ Compensation Division. The employer may be fined if it does not meet these requirements. If there are concerns with the employer’s certification, the director may require a self-insured employer to provide annual documentation more frequently.

Help with workers’ compensation insurance

Workers’ Compensation Division
888-877-5670 (toll-free)

Business Identification Number

Employer coverage indexing

Small Business Ombudsman for Workers’ Compensation​​​​​​​

Active and Inactive Self-Insured Employers​​​​

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