S.C. Code Regs. 67-415 - Documentation of Insurance

A. For purposes of Section 42-1-415, either of the following is acceptable as documentation of insurance:

(1) The declaration page of a standard workers' compensation policy, as issued by the insurance carrier for the insured, serves as documentation of insurance for both South Carolina and out-of-state employers, provided South Carolina is indicated as a named state in section 3A or 3C.

(2) The ACORD Form 25-S, Certificate of Insurance, as issued by the insurance carrier for the insured, is acceptable documentation of insurance, provided the Certificate of Insurance indicates a valid South Carolina address for the insured, is dated, signed and issued by an authorized representative of the insurance carrier for the insured. For an out-of-state employer, the ACORD Form 25-S is acceptable, provided the authorized representative of the insurance carrier for the insured affirms the following in an accompanying statement: South Carolina is a named state in section 3A or 3C of the declaration page of the insured's policy.

B. If the employer is a member of a self-insured fund approved by the Commission, the ACORD Form 25-S, Certificate of Insurance, must be dated, signed, and issued by an authorized representative of the self-insured fund.

C. If the employer has been approved by the Commission to individually self-insure according to R.67-1500, et seq., the self-insurance certificate issued by the Commission shall serve as documentation of insurance as provided in Section 42-1-415.

Notes

S.C. Code Regs. 67-415

Added by State Register Volume 21, Issue No. 4, eff April 25, 1997. Amended by State Register Volume 34, Issue No. 2, eff February 26, 2010.