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SDIS REINSURED EMPLOYERS GROUP Report of Job Injury or Illness P.O. Box 23879 Tigard, OR 972813879 Phone: (503) 6707066 Fax: (503) 6206217 Workers compensation claim Worker To make a claim for a work
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To fill out the SDIS self-insured employers group, follow these steps:

01
Obtain the necessary forms: Contact the SDIS (State Disability Insurance) office to request the specific forms required to apply for the self-insured employers group.
02
Provide business information: Fill out the forms with accurate and detailed information about your business, including its name, address, nature of work, and any relevant industry or sector specifics.
03
Employee details: Include information about your employees, such as their names, social security numbers, job titles, and dates of employment. Ensure that all information is up-to-date and accurate.
04
Include payroll information: Provide payroll-related details, such as employee wages, hours worked, and any additional compensation or benefits offered.
05
Declaration of eligibility: Declare your eligibility for the SDIS self-insured employers group based on the eligibility requirements provided by the SDIS office. This may include criteria such as having a certain number of employees or meeting specific financial requirements.
06
Signature and submission: Sign the completed forms and submit them to the SDIS office by the specified deadline. Ensure that all required documents are attached, such as proof of workers' compensation insurance, financial statements, or any other supporting materials.

Who needs the SDIS self-insured employers group?

01
Employers with a large workforce: Businesses that employ a significant number of workers may find it beneficial to join the SDIS self-insured employers group to streamline their workers' compensation process and potentially save on insurance costs.
02
Businesses with specialized risks: Companies operating in high-risk industries or sectors may consider joining the self-insured employers group to have more control over their workers' compensation benefits and claims management.
03
Employers seeking cost savings: The self-insured employers group provides an opportunity for businesses to potentially reduce their workers' compensation costs by managing claims in-house and implementing proactive safety measures.
Note: It is important to consult with your local SDIS office or a qualified professional to understand the specific requirements and eligibility criteria for the SDIS self-insured employers group in your region.
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SDIS self-insured employers group is a group of employers who elect to be self-insured for State Disability Insurance (SDI) benefits in California.
Employers in California who choose to be self-insured for State Disability Insurance benefits are required to file SDIS self-insured employers group.
To fill out SDIS self-insured employers group, employers must provide information on their workforce, payroll, and other relevant details as required by the state.
The purpose of SDIS self-insured employers group is to give employers the option to self-insure for State Disability Insurance benefits rather than paying into the state disability fund.
Information such as employee wages, number of employees, and other workforce details must be reported on SDIS self-insured employers group.
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