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COST CONTAINMENT RULES
TITLE 8, ARTICLE
14.5
PART III
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APPLICATION PROCESS AND CERTIFICATION
REQUIREMENTS
A. PROGRAM EVALUATION AND
CERTIFICATION
| 1. |
An employer seeking
certified status pursuant to 8-14.5-107 must furnish to the Board affirmative
verification that all requirements of the approved program have been, or will
have been, in force for at least one year at the time of certification. In
order for a certificate to be issued to the employer the application for
certification, as well as further information the Board may require as
described in Section A.3., must be received in the offices of the Board on or
before the 20th day of the month prior to the next Board meeting. |
| 2. |
In evaluating the
application for certification the Board shall consider the following
specifications plus loss history: |
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| a. |
Formal
declaration of a company-wide loss prevention and loss control policy including
designation of a representative responsible for overseeing the policy. |
| b. |
Formal
creation of a risk assessment/incident review committee or coordinator. |
| c. |
Clearly defined
and conspicuously posted loss prevention rules. |
| d. |
All employees
undergo periodic hazard awareness and loss prevention training. |
| e. |
A cost
containment program in cooperation with a designated medical provider which has
knowledge of work injuries, fee schedules, employers operations, is decisive on
medical-maximum-improvement determinations, and communicates with the employer.
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| f. |
A safety manual
and written policies or procedures on claims management. |
| g. |
A copy of the
insurance carrier's loss report for the first year of this program together
with the total number of people employed during that year, and copies of the
loss reports for the two years prior to implementation of this program with the
total number of people employed during those years. |
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| 3. |
In consideration of
the applicant's loss and payroll information, the Board may require further
information from those employers showing a poor or deteriorating history of
accidents and costs, and may hold in abeyance the decision of granting or
renewal of cost containment certification status until such time as the
applicant employer has responded. Upon receipt of the applicant's response, the
application and the response will then be considered at the next regularly
scheduled Board meeting, whereupon the Board may decide by majority vote to
approve or deny certification. The Board reserves the right to direct on-site
employer inspections to verify compliance. |
| 4. |
Cost containment
certification shall remain in force for an initial certification period of one
year, an initial renewal period of one year, and upon second renewal for a
period of three years unless revoked by the Board, or canceled, by the request
of the employer or by ownership transfer. Subsequent thirty-six month renewal
periods will be determined by the board. |
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