Form S-1 Group Master Application for Certificate of Consent to Self-insure as a Group Self-insurer - California

Form S-1 Group Master Application for Certificate of Consent to Self-insure as a Group Self-insurer - California

What Is Form S-1?

This is a legal form that was released by the California Department of Industrial Relations - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the Form S-1 Group Master Application for Certificate of Consent to Self-insure?
A: The Form S-1 Group Master Application is a document used in California to apply for a certificate of consent to self-insure as a group self-insurer.

Q: Who can use the Form S-1 Group Master Application?
A: The Form S-1 Group Master Application can be used by organizations in California who wish to self-insure as a group self-insurer.

Q: What does it mean to self-insure as a group self-insurer?
A: Self-insuring as a group self-insurer means that an organization assumes financial responsibility for the medical care and benefits of its employees, rather than purchasing traditional insurance coverage.

Q: Why would an organization choose to self-insure as a group self-insurer?
A: An organization may choose to self-insure as a group self-insurer to have more control over their healthcare costs and customize their benefit plans to fit the needs of their employees.

Q: Is the Form S-1 Group Master Application specific to California?
A: Yes, the Form S-1 Group Master Application is specific to California and is used to apply for self-insurance as a group self-insurer within the state.

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Form Details:

  • Released on January 1, 2016;
  • The latest edition provided by the California Department of Industrial Relations;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form S-1 by clicking the link below or browse more documents and templates provided by the California Department of Industrial Relations.

Download Form S-1 Group Master Application for Certificate of Consent to Self-insure as a Group Self-insurer - California

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