Self Insurance

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Self-Insurance

The mission of the Self-Insurance Program is to provide self-insurance as an option for qualified employers operating in West Virginia. The Self-Insurance Unit was developed to administer the Self-Insurance Program and to assist current self-insured employers, employers desiring to apply for self-insurance status, and those individuals seeking program information.

Phone: 304-558-1207
Fax: 304-558-4914

Links

Self Insurance Data Template

Contact Information

Self Insured Employer Contact Information

Employees' and Physicians' Report of Injury

Employers' Report of Injury

Self-Insurance Important Dates

TTD Wage Calculator

Lexus Nexis Bookstore

Self-Insured/Self-Administration Poster

EDI Reporting

Surcharge History

Legislative Rules

Rule 1 - Claims Management and Administration

Rule 2 - Workers' Compensation Claims Index

Rule 6 - Workers' Compensation Debt Reduction Fund Assessments and Regulatory Surcharge

Rule 18 - Self Insurance, Self Administration and Third Party Administrators

Rule 19 - Self Insurance Risk Pools

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