South Dakota § 58-20-27 Application for self

South Dakota Statutes

§ 58-20-27 — Application for self

South Dakota § 58-20-27

Title 58INSURANCE

Ch. 58-19WORKERS' COMPENSATION INSURANCE

This text of South Dakota § 58-20-27 (Application for self) is published on Counsel Stack Legal Research, covering South Dakota primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

S.D. Codified Laws § 58-20-27 (2026).

Text

An association proposing to self - insure its workers' compensation liability shall apply to the department for the authority to self - insure, using forms available from the department. The application shall include:

(1)The association's name;

(2)The location and mailing address of the association's principal office and where its books and records are kept;

(3)The name and address of each member of the association;

(4)A copy of the bylaws or plan of operation adopted by the association;

(5)Proof of compliance with § 58-20-28 ;

(6)A sample copy of the agreement between the association and the members securing the payment of each member's workers' compensation liability;

(7)A pro forma financial statement, on a form acceptable to the department, showing the finan

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An association proposing to self - insure its workers' compensation liability shall apply to the department for the authority to self - insure, using forms available from the department. The application shall include: (1) The association's name; (2) The location and mailing address of the association's principal office and where its books and records are kept; (3) The name and address of each member of the association; (4) A copy of the bylaws or plan of operation adopted by the association; (5) Proof of compliance with § 58-20-28 ; (6) A sample copy of the agreement between the association and the members securing the payment of each member's workers' compensation liability; (7) A pro forma financial statement, on a form acceptable to the department, showing the financial ability of the association to pay the workers' compensation liability of its members; and (8) The required application fee.