GENERAL CLAIMS HANDLING
- CALIFORNIA WORKERS
COMPENSATION, SELF
INSURANCE TEST QUESTIONS
WITH 100% ACTUAL
SOLUTIONS!!
CALIFORNIA WORKERS COMPENSATION
CALIFORNIA WORKERS
Evatee 9/27/24
COMPENSATION
,GENERAL CLAIMS HANDLING - CALIFORNIA
WORKERS COMPENSATION, SELF INSURANCE
TEST QUESTIONS WITH 100% ACTUAL
SOLUTIONS!!
What does not have to be included in the Claim Log: Answer - Social Security
Number
To whom do you apply for a Certificate of Consent to Self-insurance: Answer -
The Director of Industrial Relations
An injury occurs in late December but is not reported until January of the next
year. In which Claim Log is the injury recorded: Answer - The year in which it
was reported.
You do not have to notify the Manager of a change in status where: Answer -
The self-insurer has a change in minority shareholders.
A self-insured employer has not adequately funded their trust account,
preventing you from making payments on claims. You are required to report it
to the Manger within: Answer - 3 days
Every self-insurer must file a Self-Insurer's Annual Report on or before: Answer
- March 1 for private self-insurers and October 1 for public self-insurers.
, Reapplication to the Director for a Certificate of Consent to Self-Insure is
required if an employer: Answer - Fails to initiate a self-insurance program
within six months
Are medical only claims included on the Annual Report? Answer - yes, but only
for the reporting year of the annual report
Once an employer has initiated a self-insurance program, the employer's
Certificate to Self-Insure is: Answer - Valid until revoked by the Director
If the Director of Industrial Relations determines that a private self-insured
employer has failed to pay required workers compensation benefits he/she
may: Answer - Utilize the self-insured's security deposit to administer and pay
the employer's compensation obligations.
When can you close a claims file? Answer - When all benefits that are due and
payable have been paid
As a self-insured administrator how long do you have to maintain the claim
file? Answer - Five years from the date of injury or the date on which the last
provision of compensation benefits occurred, whichever is later.
When a self-insured certificate has been revoked, the Director retains
jurisdiction for what period of time: Answer - Until claim liability has been
exhausted pursuant to the law.
The employer has an aggregate stop loss excess insurance policy. it is: Answer -
Legal but the employer receives no credit against the security deposit.
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