This is a legal form that was released by the Kentucky Department of Insurance - a government authority operating within Kentucky. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form 141?
A: Form 141 is the Workers' Compensation Self-insured Groups Election Form for Safekeeping of Securities in Kentucky.
Q: Who should use Form 141?
A: Employers who are self-insured groups and want to elect to have their securities held by the state should use Form 141.
Q: What is the purpose of Form 141?
A: The purpose of Form 141 is to allow self-insured groups to elect to have their securities held by the state for safekeeping.
Q: How do I submit Form 141?
A: You can submit Form 141 to the Kentucky Division of Workers' Compensation either by mail or electronically.
Form Details:
Download a printable version of Form 141 by clicking the link below or browse more documents and templates provided by the Kentucky Department of Insurance.