Iowa Administrative Code

55.7(1) An individual who applies for a public adjuster license in this state who was previously licensed as a public adjuster in another state based on a public adjuster examination shall not be required to complete an examination in this state. However, an individual who moves …

55.8(1) Unless denied licensure pursuant to rule 191—55.12(522C), an individual or business entity for whom Iowa is not the individual’s or business entity’s home state, but whose home state awards nonresident public adjuster licenses to residents of Iowa on the same basis, must …

Unless denied licensure under this chapter or under Iowa Code chapter 522C, persons who have met the requirements of this chapter and Iowa Code chapter 522C shall be issued a public adjuster license. 55.9(1) Content of license. The license shall contain the public adjuster’s name…

56.1(1) Associations which are issued a certificate of approval by the commissioner shall not be deemed to be insurance companies and shall not be subject to the provisions of the insurance laws and regulations contained in Title XX of the Iowa Code except as otherwise provided i…

Each association shall be operated by a board of trustees which shall consist of not less than five persons whom the board of directors of the parent association may appoint or members of an association may elect for stated terms of office. At least two-thirds of the trustees sha…

56.11(1) An employer joining a workers’ compensation self-insurance association after the association has been issued a certificate of approval shall (1) submit an application for membership to the board of trustees or its administrator and (2) enter into the indemnity agreement …

56.12(1) Each person who performs any sales or promotional function for the association, deals with the rates or claims, or makes representations about the available coverage is a “person” within the meaning of Iowa Code chapter 507B and must be of good character and competence. …

56.13(1) A certificate of relief from insurance is continuously valid, subject to the annual filing requirements of 56.13(2), and the annual processing fee of $100. However, the certificate may be revoked under the provisions of rule 56.19(87,505). 56.13(2) By March 1 of each yea…

No person shall make a material misrepresentation or omission of a material fact in connection with the solicitation of a member of an association.

Funds not needed for current obligations may be invested by the board of trustees in accordance with Iowa Code section 636.23, subsections 1 to 12.

56.16(1) Any moneys for a fund year in excess of the amount necessary to fund all obligations for that fund year may be declared to be refundable by the board of trustees not less than 11 months after the end of the fund year. 56.16(2) Each member shall be given a written descrip…

56.17(1) Each association shall establish to the satisfaction of the commissioner a premium payment plan which shall include: a. A deposit premium payment by each member of at least 25 percent of that member’s annual premium before the start of the association’s fund year. A cred…

56.18(1) If the assets of an association are at any time insufficient to enable the association to discharge its legal liabilities and other obligations and to maintain the reserves required of it under this Act, it shall forthwith make up the deficiency or levy an assessment upo…

The following constitute grounds for nonrenewal or revocation of a certificate of relief from insurance: 56.19(1) Failure to comply with any provisions of these rules or of Iowa Code chapter 85, 85A, 85B, 86 or 87; 56.19(2) Failure to comply with any lawful order of the commissio…

56.2(1) “Commissioner” shall mean the commissioner of the insurance division of Iowa, appointed by the governor pursuant to Iowa Code section 505.2. 56.2(2) “Division” shall mean the insurance division of Iowa. 56.2(3) “Employer” shall be defined as set forth in Iowa Code section…

Prior to denying a renewal application or revoking a certificate issued under this chapter, a certificate holder shall be given a hearing and a right to appeal as provided in 7—Chapter 2506. [Editorial change: IAC Supplement 8/19/26]

56.21(1) All mutual associations which were given a certificate of relief from insurance or some other approval to group self-insure from the commissioner prior to the effective date of these rules shall bring themselves into full compliance with these rules within 90 days after …

If any provision of this chapter, or the application thereof to any person or circumstance, is subsequently held to be invalid, such invalidity shall not affect other provisions or applications of this chapter. These rules are intended to implement Iowa Code sections 87.4, 87.11,…

56.3(1) A proposed workers’ compensation self-insurance association shall file with the commissioner its application for a certificate of approval accompanied by a nonrefundable filing fee in the amount of $100. The application shall include the association’s name, location of it…

No contract or policy of per occurrence or aggregate excess insurance shall be recognized in considering the ability of an applicant to fulfill its financial obligations under the workers’ compensation Act, unless such contract or policy complies with the following: 56.5(1) Is is…

56.6(1) Every workers’ compensation self-insurance association shall adhere to the uniform classification system, uniform experience rating plan, and manual rules filed with the commissioner by an advisory organization designated by the commissioner. 56.6(2) Premium contributions…

56.7(1) If the association fails to pay workers’ compensation benefits when due, the commissioner may appoint a party to receive funds from excess insurance or the surety bond, or both, to be disbursed to individual claimants. 56.7(2) The association shall notify the industrial c…

56.8(1) The certificate of approval issued by the commissioner to a workers’ compensation self- insurance association authorizes the association to provide workers’ compensation benefits. The certificate of approval remains in effect until terminated at the request of the associa…

The commissioner shall examine the affairs, transactions, accounts, records and assets of each association as often as the commissioner deems advisable. The expense of such examinations shall be assessed against the association in the same manner that insurers are assessed for ex…

57.1(1) The purpose of this chapter is to provide general guidelines for the approval of self-insurance for workers’ compensation liability for individual employers. 57.1(2) The authority to promulgate these rules is found in Iowa Code section 505.8. 57.1(3) Certificates of relie…

The commissioner reserves the right to examine an employer as often as it deems necessary. Cost of the examination is to be paid by the employer. Examination shall include but not be limited to adequacy of loss reserves and claims handling practices.

The following constitute grounds for nonrenewal or revocation of a certificate of relief from insurance: 57.11(1) Failure to comply with any provisions of these rules or of Iowa Code chapter 85, 85A, 85B, 86 or 87; 57.11(2) Failure to comply with any lawful order of the commissio…

Prior to denying a renewal application or revoking a certificate issued under this chapter, a certificate holder shall be given a hearing and a right to appeal as provided in 7—Chapter 2506. [Editorial change: IAC Supplement 8/19/26]

57.13(1) All individual employers which were given a certificate of relief from insurance or some other approval to self-insure from the division prior to the effective date of these rules shall bring themselves into full compliance with these rules within 90 days after their eff…

If any provision of this chapter, or the application thereof to any person or circumstance, is subsequently held to be invalid, such invalidity shall not affect other provisions or applications of this chapter. These rules are intended to implement Iowa Code sections 87.11 and 87…

57.2(1) “Commissioner” shall mean the commissioner of the insurance division of Iowa, appointed by the governor pursuant to Iowa Code section 505.2. 57.2(2) “Division” shall mean the insurance division of Iowa. 57.2(3) “Employer” shall be defined as set forth in Iowa Code section…

To qualify to receive a certificate of relief from insurance, an employer must satisfy the following requirements: 57.3(1) File with the division an annual surety bond issued by an insurance company licensed to do business in the state of Iowa in an amount determined by applying …

57.4(1) If at any time the commissioner feels additional security is necessary because any one or more of the following factors are present, the commissioner may require such additional security as provided in subrule 57.4(2): a. Insufficient liquid assets or retained earnings; b…

57.5(1) An applicant for a certificate of relief from insurance shall submit a completed application to the division together with the following: a. A surety bond or other security, in the amount determined under rule 57.3(87,505); b. Parental guarantee from the ultimate controll…

No contract or policy of per occurrence or aggregate excess insurance shall be recognized in considering the ability of an applicant to fulfill its financial obligations under the workers’ compensation Act, unless such contract or policy complies with the following: 57.7(1) Is is…

If the individual employer becomes insolvent, the commissioner may appoint a party to receive funds on the surety bond or other posted security to be dispersed to individual claimants.

57.9(1) Individual employers. a. A certificate of relief from insurance is valid for one year, unless sooner revoked under the provisions of rule 57.11(87,505). Such certificate is effective from August 1 to July 31. b. By June 1 of each year, each individual employer must submit…

The purpose of this chapter is to administer the provisions of Iowa Code chapter 510 relating to the regulation of third-party administrators. [ARC 8310B, IAB 11/18/09, effective 12/23/09]

Any policies, certificates, booklets, termination notices or other written communications delivered by the insurer to the third-party administrator for delivery to insured parties or covered individuals shall be delivered by the third-party administrator promptly after receipt of…

58.11(1) Each registered third-party administrator shall file by July 1 an annual report in a form and manner as prescribed by the commissioner. The report shall: a. Be verified by at least two officers of the third-party administrator; b. Include audited financial statements pre…

58.12(1) A third-party administrator shall notify the commissioner within 30 days of any change in the information required to be filed under these rules including, but not limited to, a change of original application content. Reports of changes shall be filed electronically as i…

A third-party administrator shall promptly respond in writing to inquiries from the commissioner. A third-party administrator’s actions are deemed untimely under this rule if the third-party administrator fails to respond to an inquiry from the commissioner within 30 days of the …

A third-party administrator shall keep all complaints on file for a period of five years. Complaint information shall be made available to the division by the third-party administrator at any time upon the commissioner’s request. [ARC 8310B, IAB 11/18/09, effective 12/23/09]

The commissioner reserves the right to examine a third-party administrator or require the most recent audited financial statements from the third-party administrator and such other interim evidence as the commissioner deems appropriate. 58.15(1) Reasonable costs of the examinatio…

58.16(1) The commissioner may, at the commissioner’s discretion and without advance notice or hearing, immediately suspend the certificate of registration of a third-party administrator if the commissioner finds that one or more of the following circumstances exist: a. The third-…

58.17(1) Neither the commissioner nor any person who received documents, materials or other information while acting under the authority of the commissioner shall be permitted or required to testify in any private civil action concerning any confidential documents, materials or i…

58.18(1) Fees to be paid directly to the division shall be paid by check. Fees accompanying electronic filings shall be paid in a manner as directed by the commissioner. 58.18(2) Fees related to this chapter are as follows: a. The fee to accompany an application for a certificate…