Connecticut Administrative Code

Regulations of Connecticut State AgenciesSec. 31-284-12. Claims reporting requirementsSelf-insurers shall maintain true and accurate loss records. All self-insurance applicants and self-insurers shall report loss information. Losses shall be reported at least annually at the time…

Regulations of Connecticut State AgenciesSec. 31-284-13. ReservesAll self-insurers are required to evaluate and maintain adequate records of the future liability of all claims incurred under its self-insurance program. Future liabilities shall represent the probable total cost of…

Regulations of Connecticut State AgenciesSec. 31-284-14. Additional reporting requirements(a) The Chairman or his designee shall be notified within ten (10) days by certified mail of any bankruptcy filing by a current or former self-insurer. (b) If there is a change in the majori…

Regulations of Connecticut State AgenciesSec. 31-284-15. Renewal applications(a) Renewal applications are to be submitted sixty (60) days prior to the expiration of the current certificate of self-insurance. The application is to be completed in full and accompanied by: (1) Self-…

Regulations of Connecticut State AgenciesSec. 31-284-16. Termination of self-insured status(a) An employer may voluntarily terminate its self-insurance privileges of any or all of its operations by writing to the Chairman or his designee and providing the reason for the terminati…

Regulations of Connecticut State AgenciesSec. 31-284-17. AssessmentsThe assessments made by the Connecticut State Treasurer under statutory provisions for the expenses of the operation of the Workers' Compensation Commission and the Second Injury Fund, or a subsequent guaranty fu…

Regulations of Connecticut State AgenciesSec. 31-284-18. New regulation grace periodIf the specific requirements prescribed in Sections 31-284-1 through 31-284-17 would create a hardship on an existing self-insurer, the self-insurer may apply to the Chairman or his designee for a…

Regulations of Connecticut State AgenciesSec. 31-284-19. SeverabilityIf any portion of this Section or its application is held invalid, remaining Sections or separate applications shall not be affected, to the end that the Sections of this regulation are severable. (Adopted effec…

Regulations of Connecticut State AgenciesSec. 31-284-2. Application process(a) Application Filing. An employer who seeks exemption from insuring its risk under the Workers' Compensation Act shall apply to the Chairman of the commission or his designee for the privilege of becomin…

Regulations of Connecticut State AgenciesSec. 31-284-20. Grandfathered employersThese regulations apply to any self-insurance program approved by the Chairman or his designee on or after October 1, 1996. Employers with self-insurance programs approved by the Chairman or his desig…

Regulations of Connecticut State AgenciesSec. 31-284-3. Partial self-insuranceAn employer may be approved by the Chairman to self-insure the operations of one or more separately incorporated and independently managed business units and insure the remainder with an insurance carri…

Regulations of Connecticut State AgenciesSec. 31-284-4. Delayed start-upIf an employer has not implemented its self-insurance program within the first six (6) months following the Chairman or his designee's approval, the approval shall be void, thus requiring a new application to…

Regulations of Connecticut State AgenciesSec. 31-284-5. Decisions of the commissionThe Chairman or his designee may deny an application, or move to revoke a certificate of self-insurance if the employer does not have sufficient assets, net worth, or liquidity to meet its obligati…

Regulations of Connecticut State AgenciesSec. 31-284-6. Evaluation factorsSelf-insurance is a privilege and shall only be granted to those employers capable of demonstrating the following: (1) Financial strength and stability sufficient to permit payment of all workers' compensat…

Regulations of Connecticut State AgenciesSec. 31-284-7. ReconsiderationAn employer whose initial or renewal application for self-insurance has been denied, or a self-insurer who takes exception to excess insurance or reserve requirements made upon it, may request a reconsideratio…

Regulations of Connecticut State AgenciesSec. 31-284-8. Security requirementsAs a condition of self-insurance, employers shall post and maintain a security deposit for the certificate period in a form and amount approved by the Chairman or his designee, unless waived by the Chair…

Regulations of Connecticut State AgenciesSec. 31-284-9. Guarantee of liabilitiesEach subsidiary or affiliate company shall provide a guarantee by the parent corporation for payment of benefits under the Act with an accompanying authorization resolution. The form and substance of …

Regulations of Connecticut State AgenciesSec. 31-296-1. Voluntary agreementsA voluntary agreement shall be prepared by the employer or his insurer in connection with all cases concerning which there is no dispute that the claimant suffered an accident and injury arising out of an…

Regulations of Connecticut State AgenciesSec. 31-296-2. Undetermined liabilityIn any case in which the employer or the insurer doubts the fact of accident or the causal relationship between the accident and the disability, but wishes to make payment without prejudice and without …

Regulations of Connecticut State AgenciesSec. 31-301-1. AppealAn appeal from an award, a finding and award, or a decision of the commissioner upon a motion shall be made to the Compensation Review Board by filing in the office of the commissioner form which such award or such dec…

Regulations of Connecticut State AgenciesSec. 31-301-10. Pro forma awardIn case of a pro forma award by a commissioner as provided by section 31-324, Connecticut General Statutes, if a correction to the commissioner's finding is sought, an appeal to the compensation review divisi…

Regulations of Connecticut State AgenciesSec. 31-301-11. Motion to correct not reservedMotions to correct the finding of the commissioner cannot be reserved. They must be decided by the compensation review division. > (Effective June 24, 1980) AUTHORITY: Conn. Gen. Stat. § 31-301…

Regulations of Connecticut State AgenciesSec. 31-301-2. Reasons of appealWithin ten days after the filing of the appeal petition, the appellant shall file with the compensation review division his reasons of appeal. Where the reasons of appeal present an issue of fact for determi…

Regulations of Connecticut State AgenciesSec. 31-301-3. FindingThe finding of the commissioner should contain only the ultimate relevant and material facts essential to the case in hand and found by him, together with a statement of his conclusions and the claims of law made by t…

Regulations of Connecticut State AgenciesSec. 31-301-4. Correction of findingIf the appellant desires to have the finding of the commissioner corrected he must, within two weeks after such finding has been filed, unless the time is extended for cause by the commissioner, file wit…

Regulations of Connecticut State AgenciesSec. 31-301-5. Evidence to be filed by appelleeThe appellee should if he deems that additional evidence is relevant and material to the motion to correct, within one week after the appellant has filed his transcript of evidence, so notify …

Regulations of Connecticut State AgenciesSec. 31-301-6. Assignable errorsThe reasons of appeal may assign, in addition to other errors: first, that the conclusions of the commissioner are legally inconsistent with the subordinate facts found; second, that the commissioner erred i…

Regulations of Connecticut State AgenciesSec. 31-301-7. Duty of commissioner on appealThe commissioner shall file with the compensation review division, within a reasonable time, such motions together with his decisions thereon. If the motions are denied in whole or in part and s…

Regulations of Connecticut State AgenciesSec. 31-301-8. Function of compensation review divisionOrdinarily, appeals are heard by the compensation review division upon the certified copy of the record filed by the commissioner. In such cases the division will not retry the facts o…

Regulations of Connecticut State AgenciesSec. 31-301-9. Additional evidenceIf any party to an appeal shall allege that additional evidence or testimony is material and that there were good reasons for failure to present it in the proceedings before the commissioner, he shall by w…

Regulations of Connecticut State AgenciesSec. 31-313-1. Definitions\"Medical treatment\" for the purpose of these regulations means any treatment intended to cure or improve the employee's physical or mental condition, including necessary prosthesis, made necessary by a compensab…

Regulations of Connecticut State AgenciesSec. 31-313-2. Administrative procedures(a) After a compensable injury of the type which causes both the employer-insurer and the employee to agree that rehabilitation training is desirable and further to agree on the type and extent of su…

Regulations of Connecticut State AgenciesSec. 31-316-1. Accident reportsAn accident report, on Form 15, shall be filed with the commissioner having jurisdiction, in duplicate, within the week following the date of accident, for each accident resulting in either total or partial i…

Regulations of Connecticut State AgenciesSec. 31-349g-1. DefinitionsAs used in sections 31-349g-1 through 31-349g-9, inclusive:(1) \"Budget\" means projected fiscal year revenues and expenses of the Fund as established pursuant to Section 31-349g-2 of the Regulations of Connectic…

Regulations of Connecticut State AgenciesSec. 31-349g-2. Fund budgetCommencing May 1, 1996 and on or before May 1 of each year thereafter, the Custodian of the Fund shall establish a budget which shall be an estimate of the revenues and expenses of the Fund for the subsequent fis…

Regulations of Connecticut State AgenciesSec. 31-349g-3. Reporting of paid lossesOn or before April 1, 1996 and annually thereafter, all Insurers and Self-Insured Employers shall report to the Custodian of the Fund, and to the insurance commissioner, Paid Losses for the preceding…

Regulations of Connecticut State AgenciesSec. 31-349g-4. Apportionment of assessments(a) Commencing on or before May 1, 1996 and annually thereafter, the Custodian of the Fund shall determine from the paid loss data submitted by Insurers and Self-Insured Employers the overall Pai…

Regulations of Connecticut State AgenciesSec. 31-349g-5. Calculation of assessments(a) Self-Insured Employers(1) The pro rata share of Budget obligations attributable to Self-Insured Employers shall be collected through an assessment on all Self-Insured Employers, based on Paid L…

Regulations of Connecticut State AgenciesSec. 31-349g-6. Collection and remittance of assessments(a) Self-Insured EmployersThe Custodian of the Fund shall notify each Self-Insured Employer of its pro rata share of any scheduled assessment under subdivision (1) of subsection (a) o…

Regulations of Connecticut State AgenciesSec. 31-349g-7. AuditThe Custodian of the Fund shall have the right to perform an audit on any Self-Insured Employer, Insured Employer, or Insurer relative to any information or payment required to be provided to the Custodian of the Fund …

Regulations of Connecticut State AgenciesSec. 31-349g-8. Penalty for failure to pay assessmentAny employer who fails to pay the amount of any assessment within the time prescribed pursuant to section 31-349g-6 shall pay interest on such deficiency at the rate of fifteen per cent …

Regulations of Connecticut State AgenciesSec. 31-349g-9. Interim premium surcharge(a) An interim Premium Surcharge Rate of fifteen percent on Standard Premium shall apply to all workers' compensation and employers liability policies with an effective date between January 1, 1996 …

Regulations of Connecticut State AgenciesSec. 31-354-1. DefinitionsFor purposes of Sections 31-354-1 to 31-354-34, inclusive of the Regulations of Connecticut State Agencies, the following definitions apply: (1) \"Acknowledgement of Prior Physical Condition\" means a written noti…

Regulations of Connecticut State AgenciesSec. 31-354-10. Voluntary agreements and stipulations under § 31-353 of the general statutes(a) If the treasurer and an injured employee, or his legal representative reach a voluntary agreement in regard to compensation payable under secti…

Regulations of Connecticut State AgenciesSec. 31-354-11. Civil action for reimbursement to the fund under § 31-355 of the general statutesWhen a finding and award of compensation has been made against an uninsured employer who fails to pay it, that compensation shall be paid from…

Regulations of Connecticut State AgenciesSec. 31-354-12. Payment to claimant under § 31-355 of the general statutesPayment of compensation shall be paid from the Fund provided:(a) A formal hearing is held and the Second Injury Fund, the Attorney General's Office, and Workers' Com…

Regulations of Connecticut State AgenciesSec. 31-354-13. Employer liability under § 31-355 of the general statutes(a) The employer shall be liable for all such payments made out of the Fund together with all attorney's fees; the employer's assets shall be attached until the Fund …

Regulations of Connecticut State AgenciesSec. 31-354-14. Collection of monies owed fund under § 31-355 of the general statutesWhenever the Second Injury Fund is required pursuant to section 31-355 of the General Statutes or subsection (f) of section 31-349 of the General Statutes…

Regulations of Connecticut State AgenciesSec. 31-354-15. Certificate of lien under § 31-355a of the general statutesAny such amount owed to the Second Injury Fund pursuant to section 31-355 of the General Statutes or subsection (c) of section 31-349 of the General Statutes shall …

Regulations of Connecticut State AgenciesSec. 31-354-2. Procedures under subsection (d) of § 31-284b of the general statutes(a) Use of Second Injury Fund. An employer who is required under subsection (a) of § 31-284b to provide health and life insurance shall continue and maintai…