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Workers Compensation Reinsurers FundApplicationAn electronic version of this form is available at www.alabamacounties.org/insurance/workerscompensation Name of County or Entity: Mailing Address: City:
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What is Workers Compensation Self-Insurers Fund Form?

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Workers compensation self-insurers fund is a fund set up by employers who choose to self-insure their workers compensation obligations instead of purchasing insurance from a traditional provider.
Employers who self-insure their workers compensation obligations are required to file workers compensation self-insurers fund.
To fill out the workers compensation self-insurers fund, employers must provide detailed information about their self-insurance program, including financial statements and other required documentation.
The purpose of workers compensation self-insurers fund is to ensure that self-insured employers have the financial capacity to cover the costs of workers compensation claims.
Employers must report detailed financial information, claims history, and other relevant data on workers compensation self-insurers fund.
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