Amended in Senate April 29, 2013

Amended in Senate April 4, 2013

Senate BillNo. 487


Introduced by Senator Calderon

February 21, 2013


An act to amend Sections 3700.1, 3701, 3701.3, 3701.5, 3701.7, 3701.8, 3702, 3702.5, 3702.8, 3702.10, 3741, 3742, 3744, 3745, and 3746 of, to amend, renumber, and add Section 3740 to, to amend, repeal, and add Section 3743 to, and to add Sections 3701.85 and 3742.5 to, the Labor Code, relating to workers’ compensation insurance.

LEGISLATIVE COUNSEL’S DIGEST

SB 487, as amended, Calderon. Workers’ compensation insurance: Self-Insured Group Security Fund.

Existing law generally requires an employer to compensate, without regard to negligence, an employee for an injury sustained by the employee if the injury arose out of, and in the course of, employment, as specified.

Existing law requires each employer, except as specified, to secure the payment of compensation by either being insured against liability to pay compensation, or by securing from the Director of Industrial Relations a certificate of consent to self-insure, either as an individual employer, or as one employer in a group of employers. Existing law establishes the Self-Insurers’ Security Fund, governed by an 8-member board of trustees and administered by the Director of Industrial Relations, to provide for the continuation of workers’ compensation benefits delayed as a result of the failure of a private, self-insured employer to meet its compensation obligations when the employer’s security deposit is either inadequate or not immediately accessible for the payment of benefits. Existing law requires every private, self-insuring employer to secure incurred liabilities for the payment of workers’ compensation by making a deposit based on estimated future liability for compensation. Existing law authorizes an alternative security system established by regulations adopted by the director whereby private insurers can collectively secure their aggregate liabilities, as specified.

This bill would distinguish between individual self-insured employers and groups of self-insured employers by creating a separate Self-Insured Group Security Fund for group self-insured employers that is similar to the existing Self-Insurers’ Security Fund structure, which would continue, but only for individual self-insured employers. The bill would authorize a similar alternative security system to be established by regulations adopted by the director whereby group self-insured employers may collectively secure their aggregate liabilities, as specified. The bill would establish the Self-Insured Group Security Fund as a nonprofit mutual benefit corporation, governed by a 7-member board of trustees, and provide similar powers and authority as is provided to the existing Self-Insurers’ Security Fund. The bill would make additional conforming changes. The bill would state the intent of the Legislature in this regard.

Vote: majority. Appropriation: no. Fiscal committee: yes. State-mandated local program: no.

The people of the State of California do enact as follows:

P2    1

SECTION 1.  

Section 3700.1 of the Labor Code is amended to
2read:

3

3700.1.  

As used in this article:

4(a) “Director” means the Director of Industrial Relations.

5(b) “Fund” means the Self-Insurers’ Security Fund established
6pursuant to Section 3742.

7(c) “Fund member” means a stand-alone self-insured employer
8which participates in the Self-Insurers’ Security Fund.

9(d) “Fund trustees” means the Board of Trustees of the
10Self-Insurers’ Security Fund.

11(e) “Incurred liabilities for the payment of compensation” means
12the sum of an estimate of future compensation, as compensation
13is defined by Section 3207, plus an estimate of the amount
P3    1necessary to provide for the administration of claims, including
2legal costs.

3(f) “Insolvent self-insurer” means a stand-alone self-insured
4employer whose certificate of consent to self-insure has been
5revoked by the director or whose security deposit has been used
6by the director pursuant to Section 3701.5.

7(g) “Insolvent SIG” means a SIG whose certificate of consent
8to self-insure has been revoked by the director, which has failed
9to pay compensation, or whose security deposit has been used by
10the director pursuant to Section 3701.5.

11(h) “Private self-insurer” and “private self-insured employer”
12mean any employer that has been issued a certificate of consent
13to self-insure by the director, whether as a stand-alone self-insured
14employer or as a member of a SIG which has secured the payment
15of compensation pursuant to subdivision (b) of Section 3700.

16(i) “SIG” means a nonprofit mutual benefit corporation to which
17a group of private self-insured employers have transferred primary
18liability for their workers’ compensation obligations and has
19secured the payment of compensation pursuant to subdivision (b)
20of Section 3700.

21(j) “SIG Fund” means the Self-Insured Group Security Fund
22established pursuant to Section 3742.5.

23(k) “SIG Fund Member” means a SIG which participates in the
24SIG Fund.

25(l) “SIG Fund Trustees” means the Board of Trustees of the
26SIG Fund.

27(m) “Stand-alone self-insured employer” and “stand-alone
28self-insured” mean a private employer that retains primary liability
29for its own worker’s compensation obligations, whether alone or
30in connection with guarantors, and has secured the payment of
31compensation pursuant to subdivision (b) of Section 3700.

32

SEC. 2.  

Section 3701 of the Labor Code is amended to read:

33

3701.  

(a) Each year every private self-insuring employer shall
34secure incurred liabilities for the payment of compensation and
35the performance of the obligations of employers imposed under
36this chapter by renewing the prior year’s security deposit or by
37making a new deposit of security. If a new deposit is made, it shall
38be posted within 60 days of the filing of the self-insured employer’s
39annual report with the director, but in no event later than May 1.

P4    1(b) The solvency risk and security deposit amount for each
2stand-alone self-insured employer shall be acceptable to the
3Self-Insurers’ Security Fund.

4(c) Unless otherwise permitted by regulation, the deposit shall
5be an amount equal to the self-insurer’s projected losses, net of
6specific excess insurance coverage, if any, and inclusive of incurred
7but not reported (IBNR) liabilities, allocated loss adjustment
8expense, and unallocated loss adjustment expense, calculated as
9of December 31 of each year. The calculation of projected losses
10and expenses shall be reflected in a written actuarial report that
11projects ultimate liabilities of the private self-insured employer at
12the expected actuarial confidence level, to ensure that all claims
13and associated costs are recognized. The written actuarial report
14shall be prepared by an actuary meeting the qualifications
15prescribed by the director in regulation.

16(d) In determining the amount of the deposit required to secure
17incurred liabilities for the payment of compensation and the
18performance of obligations of a self-insured employer imposed
19under this chapter, the director shall offset estimated future
20liabilities for the same claims covered by a self-insured plan under
21the federal Longshore and Harbor Workers’ Compensation Act
22(33 U.S.C. Sec. 901 et seq.), but in no event shall the offset exceed
23the estimated future liabilities for the claims under this chapter.

24(e) The director may only accept as security, and the employer
25shall deposit as security, cash, securities, surety bonds, or
26irrevocable letters of credit in any combination the director, in his
27or her discretion, deems adequate security. The current deposit
28shall include any amounts covered by terminated surety bonds or
29excess insurance policies, as shall be set forth in regulations
30adopted by the director pursuant to Section 3702.10.

31(f) Surety bonds, irrevocable letters of credit, and documents
32 showing issuance of any irrevocable letter of credit shall be
33deposited with, and be in a form approved by, the director, shall
34be exonerated only according to its terms and, in no event, by the
35posting of additional security.

36(g) The director may accept as security a joint security deposit
37that secures an employer’s obligation under this chapter and that
38also secures that employer’s obligations under the federal
39Longshore and Harbor Workers’ Compensation Act.

P5    1(h) The liability of the Self-Insurers’ Security Fund and the SIG
2Fund, with respect to any claims brought under both this chapter
3and under the federal Longshore and Harbor Workers’
4Compensation Act, to pay for shortfalls in a security deposit shall
5be limited to the amount of claim liability owing the employee
6under this chapter offset by the amount of any claim liability owing
7under the federal Longshore and Harbor Workers’ Compensation
8Act, but in no event shall the liability of the fund exceed the claim
9liability under this chapter. The employee shall be entitled to pursue
10recovery under either or both the state and federal programs.

11(i) Securities shall be deposited on behalf of the director by the
12self-insured employer with the Treasurer. Securities shall be
13accepted by the Treasurer for deposit and shall be withdrawn only
14upon written order of the director.

15(j) Cash shall be deposited in a financial institution approved
16by the director, and in the account assigned to the director. Cash
17shall be withdrawn only upon written order of the director.

18(k) Upon the sending by the director of a request to renew,
19request to post, or request to increase or decrease a security deposit,
20a perfected security interest is created in the private self-insured’s
21assets in favor of the director and, in the case of a stand-alone
22self-insured employer the Self-Insurers’ Security Fund, or in the
23case of a SIG the SIG Fund, to the extent of any then unsecured
24portion of the self-insured’s incurred liabilities. That perfected
25security interest is transferred to any cash or securities thereafter
26posted by the private self-insured with the director and is released
27only upon either of the following:

28(1) The acceptance by the director of a surety bond or
29irrevocable letter of credit for the full amount of the incurred
30liabilities for the payment of compensation.

31(2) The return of cash or securities by the director.

32(l) The private self-insured employer loses all right, title, and
33interest in, and any right to control, all assets or obligations posted
34or left on deposit as security. The director may liquidate the deposit
35as provided in Section 3701.5 and apply it to the self-insured
36employer’s incurred liabilities either directly or through the
37Self-Insurers’ Security Fund or through the SIG Fund.

38(m) The solvency risk and security deposit amount for each SIG
39shall be acceptable to the SIG Fund.

40

SEC. 3.  

Section 3701.3 of the Labor Code is amended to read:

P6    1

3701.3.  

The director shall return to a private self-insured
2employer all individual security determined, with the consent of
3the Self-Insurers’ Security Fund (SISF) in the case of a stand-alone
4self-insured employer or the consent of the SIG Fund in the case
5of a SIG, to be in excess of that needed to assure the administration
6of the employer’s self insuring, including legal fees, and the
7payment of any future claims. This section shall not apply to any
8security posted as part of the SISF alternate composite deposit,
9the SIG alternate composite deposit, or to any security turned over
10to the Self-Insurers’ Security Fund or the SIG Fund following an
11order of default under Section 3701.5.

12

SEC. 4.  

Section 3701.5 of the Labor Code is amended to read:

13

3701.5.  

(a) If the director determines that a private self-insured
14employer has failed to pay workers’ compensation as required by
15this division, the security deposit shall be utilized to administer
16and pay the employer’s compensation obligations.

17(b) If the director determines the security deposit has not been
18immediately made available for the payment of compensation, the
19director shall determine the method of payment and claims
20administration as appropriate, which may include, but is not limited
21to, payment by a surety that issued the bond, or payment by an
22issuer of an irrevocable letter of credit, and administration by a
23surety or by an adjusting agency, through the Self-Insurers’
24Security Fund, or the SIG Fund, or any combination thereof. If the
25director arranges for administration and payment by any person
26other than the Self-Insurers’ Security Fund or the SIG Fund after
27a default is declared, the fund and the SIG Fund shall have no
28responsibility for claims administration or payment of the claims.

29(c) (1) If the director determines the payment of benefits and
30claims administration shall be made through either the
31Self-Insurers’ Security Fund or the SIG Fund, the fund shall
32commence payment of the private self-insured employer’s
33obligations for which it is liable under Section 3743 within 30 days
34of notification. Payments shall be made to claimants whose
35entitlement to benefits can be ascertained by the fund or the SIG
36Fund, with or without proceedings before the appeals board. Upon
37the assumption of obligations by the fund or the SIG Fund pursuant
38to the director’s determination, the fund or the SIG Fund shall have
39a right to immediate possession of any posted security and the
40 custodian, surety, or issuer of any irrevocable letter of credit shall
P7    1turn over the security to the fund or the SIG Fund together with
2the interest that has accrued since the date of the self-insured
3employer’s default or insolvency.

4(2) The director shall promptly audit a self-insured employer
5upon making a determination under subdivision (a) or (b). The
6employer, any excess insurer, and any adjusting agency shall
7provide any relevant information in their possession. If the audit
8results in a preliminary estimate that liabilities exceed the amount
9of the security deposit, the director shall direct the custodian of
10the security deposit to liquidate it and provide all proceeds to the
11Self-Insurers’ Security Fund in the case of a stand-alone self-insurer
12or the SIG Fund in the case of a SIG. If the preliminary estimate
13is that liabilities are less than the security deposit, the director shall
14ensure the administration and payment of compensation pursuant
15to subdivision (b).

16(d) The payment of benefits by the Self-Insurers’ Security Fund
17or the SIG Fund from security deposit proceeds shall release and
18discharge any custodian of the security deposit, surety, any issuer
19of a letter of credit, and the self-insured employer, from liability
20to fulfill obligations to provide those same benefits as
21compensation, but does not release any person from any liability
22to the fund for full reimbursement. Payment by a surety constitutes
23a full release of the surety’s liability under the bond to the extent
24of that payment, and entitles the surety to full reimbursement by
25the principal or his or her estate. Full reimbursement includes
26necessary attorney fees and other costs and expenses, without prior
27claim or proceedings on the part of the injured employee or other
28beneficiaries. Any decision or determination made, or any
29settlement approved, by the director or by the appeals board under
30subdivision (f) shall conclusively be presumed valid and binding
31as to any and all known claims arising out of the underlying
32dispute, unless an appeal is made within the time limit specified
33in Section 5950.

34(e) The director shall advise the Self-Insurers’ Security Fund
35or the SIG Fund promptly after receipt of information indicating
36that a private self-insured employer may be unable to meet its
37compensation obligations. The director shall also advise the
38Self-Insurers’ Security Fund or the SIG Fund of all determinations
39and directives made or issued pursuant to this section. All financial,
40actuarial, or claims information received by the director from any
P8    1self-insurer may be shared by the director with the Self-Insurers’
2Security Fund and the SIG Fund.

3(f) Disputes concerning the posting, renewal, termination,
4exoneration, or return of all or any portion of the security deposit,
5or any liability arising out of the posting or failure to post security,
6or adequacy of the security or reasonableness of administrative
7costs, including legal fees, and arising between or among a surety,
8the issuer of an agreement of assumption and guarantee of workers’
9compensation liabilities, the issuer of a letter of credit, any
10custodian of the security deposit, a self-insured employer, the
11Self-Insurers’ Security Fund, or the SIG Fund shall be resolved
12by the director. An appeal from the director’s decision or
13determination may be taken to the appropriate superior court by
14petition for writ of mandate. Payment of claims from the security
15deposit or by the Self-Insurers’ Security Fund shall not be stayed
16pending the resolution of the disputes unless and until the superior
17court issues a determination staying a payment of claims decision
18or determination of the director.

19

SEC. 5.  

Section 3701.7 of the Labor Code is amended to read:

20

3701.7.  

Where any employer requesting coverage under a new
21or existing certificate of consent to self-insure has had a period of
22unlawful uninsurance, either for an applicant in its entirety or for
23a subsidiary or member of a joint powers authority legally
24responsible for its own workers’ compensation obligations, the
25following special conditions shall apply before the director may
26determine if the requesting employer can operate under a certificate
27of consent to self-insure:

28(a) The director may require a deposit of not less than 200
29percent of the outstanding liabilities remaining unpaid at the time
30of application, which had been incurred during the uninsurance
31period.

32(b) At the discretion of the director, where a public or private
33employer has been previously totally uninsured for workers’
34compensation pursuant to Section 3700, the director may require
35an additional deposit not to exceed 100 percent of the total
36outstanding liabilities for the uninsured period, or the sum of two
37hundred fifty thousand dollars ($250,000), whichever is greater.

38(c) In addition to the deposits required by subdivisions (a) and
39(b), a penalty shall be paid to the Uninsured Employers Fund of
4010 percent per year of the remaining unpaid liabilities, for every
P9    1year liabilities remain outstanding. In addition, an additional
2application fee, not to exceed one thousand dollars ($1,000), plus
3assessments, pursuant to Section 3702.5 and subdivision (b) of
4Section 3745, may be imposed by the director and the
5Self-Insurers’ Security Fund against a stand-alone self-insured
6employer, or the director and the SIG Fund against a SIG.

7(d) A certificate of consent to self-insure shall not be granted
8to an applicant that has had a period of unlawful uninsurance
9without the written approval of the Self-Insurers’ Security Fund
10in the case of a self-insured stand-alone employer or the SIG Fund
11in the case of a SIG.

12(e) An employer may retrospectively insure the outstanding
13liabilities arising out of the uninsured period, either before or after
14an application for self-insurance has been approved. Upon proof
15of insurance acceptable to the director, no deposit shall be required
16for the period of uninsurance.

17The penalties to be paid to the Uninsured Employers Fund shall
18consist of a one-time payment of 20 percent of the outstanding
19liabilities for the period of uninsurance remaining unpaid at the
20time of application, in lieu of any other penalty for being
21unlawfully uninsured pursuant to this code.

22(f) In the case of a subsidiary which meets all of the following
23conditions, a certificate shall issue without penalty:

24(1) The subsidiary has never had a certificate revoked for reasons
25set forth in Section 3702.

26(2) Employee injuries were reported to the Office of
27Self-Insurance Plans in annual reports.

28(3) The security deposit of the certificate holder was calculated
29to include the entity’s compensation liabilities.

30(4) Application for a separate certificate or corrected certificate
31is made within 90 days and completed within 180 days of notice
32from the Office of Self-Insurance Plans. If the requirements of this
33subdivision are not met, all penalties pursuant to subdivision (b)
34of Section 3702.9 shall apply.

35(g) The director may approve an application on the date the
36application is substantially completed, subject to completion
37requirements, and may make the certificate effective on an earlier
38date, covering a period of uninsurance, if the employer complies
39with the requirements of this section.

P10   1(h) Any decision by the director may be contested by an entity
2in the manner provided in Section 3701.5.

3(i) Nothing in this section shall abrogate the right of an employee
4to bring an action against an uninsured employer pursuant to
5Section 3706.

6(j) Nothing in this statute shall abrogate the right of a
7self-insured employer to insure against known or unknown claims
8arising out of the self-insurance period.

9

SEC. 6.  

Section 3701.8 of the Labor Code is amended to read:

10

3701.8.  

(a) As an alternative to each private self-insuring
11employer securing its own incurred liabilities as provided in
12Section 3701, the director may provide by regulation for an
13alternative security system whereby all stand-alone self-insured
14employers designated for full participation by the director shall
15collectively secure their aggregate incurred liabilities through the
16Self-Insurers’ Security Fund, which shall be known as the SISF
17Alternate Composite Deposit Program. The regulations shall
18provide for the director to set a total security requirement for these
19participating stand-alone self-insured employers in the SISF
20Alternate Composite Deposit Program based on a review of their
21annual reports and any other self-insurer information as may be
22specified by the director. The Self-Insurers’ Security Fund shall
23propose to the director a combination of cash and securities, surety
24bonds, irrevocable letters of credit, insurance, or other financial
25instruments or guarantees satisfactory to the director sufficient to
26meet the security requirement set by the director. Upon approval
27by the director and posting by the Self-Insurers’ Security Fund on
28or before the date set by the director, that combination shall be the
29SISF alternate composite deposit. The noncash elements of the
30SISF Alternate Composite Deposit Program may be one-year or
31multiple-year instruments. If the Self-Insurers’ Security Fund fails
32to post the required composite deposit by the date set by the
33director, then within 30 days after that date, each private
34stand-alone self-insuring employer shall secure its incurred
35liabilities in the manner required by Section 3701. Self-insured
36employers not designated for full participation by the director shall
37meet all requirements as may be set by the director pursuant to
38subdivision (g).

39(b) In order to provide for the SISF alternate composite deposit
40approved by the director, the Self-Insurers’ Security Fund shall
P11   1assess, in a manner approved by the director, each fully
2participating private stand-alone self-insuring employer a deposit
3assessment payable within 30 days of assessment. The amount of
4the deposit assessment charged each fully participating stand-alone
5self-insured employer shall be set by the Self-Insurers’ Security
6Fund, based on its reasonable consideration of all the following
7factors:

8(1) The total amount needed to provide the SISF alternate
9composite deposit.

10(2) The stand-alone self-insuring employer’s paid or incurred
11liabilities as reflected in its annual report.

12(3) The financial strength and creditworthiness of the stand-alone
13self-insured.

14(4) Any other reasonable factors as may be authorized by
15regulation.

16(5) In order to make a SISF alternate composite deposit proposal
17to the director and set the deposit assessment to be charged each
18fully participating stand-alone self-insured, the Self-Insurers’
19Security Fund shall have access to the annual reports and other
20information submitted by all stand-alone self-insuring employers
21to the director, under terms and conditions as may be set by the
22director, to preserve the confidentiality of the stand-alone
23self-insured’s financial information.

24(c) Upon payment of the deposit assessment and except as
25provided herein, the stand-alone self-insuring employer loses all
26right, title, and interest in the deposit assessment. To the extent
27that in any one year the deposit assessment paid by stand-alone
28self-insurers is not exhausted in the purchase of securities, surety
29bonds, irrevocable letters of credit, insurance, or other financial
30instruments to post with the director as part of the SISF alternate
31composite deposit, the surplus shall remain posted with the director,
32and the principal and interest earned on that surplus shall remain
33as part of the SISF alternate composite deposit in subsequent years.
34In the event that in any one year the Self-Insurers’ Security Fund
35fails to post the required SISF alternate composite deposit by the
36date set the by the director, and the director requires each private
37SISF alternate self-insuring employer to secure its incurred
38liabilities in the manner required by Section 3701, then any deposit
39assessment paid in that year shall be refunded to the stand-alone
40self-insuring employer that paid the deposit assessment.

P12   1(d) If any private stand-alone self-insuring employer objects to
2the calculation, posting, or any other aspect of its deposit
3assessment, upon payment of the assessment in the time provided,
4the employer shall have the right to appeal the assessment to the
5director, who shall have exclusive jurisdiction over this dispute.
6If any private stand-alone self-insuring employer fails to pay the
7deposit assessment in the time provided, the director shall order
8the stand-alone self-insuring employer to pay a penalty of not less
9than 10 percent of its deposit assessment, plus interest on any
10unpaid amount at the prejudgment rate, and to post a separate
11security deposit in the manner provided by Section 3701. The
12penalty and interest shall be paid directly to the Self-Insurers’
13Security Fund. The director may also revoke the certificate of
14consent to self-insure of any stand-alone self-insuring employer
15who fails to pay the deposit assessment in the time provided.

16(e) Upon the posting by the Self-Insurers’ Security Fund of the
17SISF alternate composite deposit with the director, the deposit
18shall be held until the director determines that a private stand-alone
19self-insured employer has failed to pay workers’ compensation as
20required by this division, and the director orders the Self-Insurers’
21Security Fund to commence payment. Upon ordering the
22Self-Insurers’ Security Fund to commence payment, the director
23shall make available to the fund that portion of the SISF alternate
24composite deposit necessary to pay the workers’ compensation
25benefits of the defaulting stand-alone self-insuring employer. In
26the event additional funds are needed in subsequent years to pay
27the workers’ compensation benefits of any self-insuring employer
28who defaulted in earlier years, the director shall make available
29to the Self-Insurers’ Security Fund any portions of the SISF
30alternate composite deposit as may be needed to pay those benefits.
31In making the deposit available to the Self-Insurers’ Security Fund,
32the director shall also allow any amounts as may be reasonably
33necessary to pay for the administrative and other activities of the
34fund.

35(f) The cash portion of the SISF alternate composite deposit
36shall be segregated from all other funds held by the director, and
37shall be invested by the director for the sole benefit of the
38Self-Insurers’ Security Fund and the injured workers of private
39self-insured employers, and may not be used for any other purpose
40by the state. Alternatively, the director, in his discretion, may allow
P13   1the Self-Insurers’ Security Fund to hold, invest, and draw upon
2the cash portion of the SISF alternate composite deposit as
3prescribed by regulation.

4(g) Notwithstanding any other provision of this section, the
5director shall, by regulation, set minimum credit, financial, or other
6conditions that a stand-alone self-insured must meet in order to be
7a fully participating stand-alone self-insurer in the SISF Alternate
8Composite Deposit Program. In the event any stand-alone
9self-insuring employer is unable to meet the conditions set by the
10director, or upon application of the Self-Insurers’ Security Fund
11to exclude an employer for credit or financial reasons, the director
12shall exclude the stand-alone self-insuring employer from full
13participation in the SISF Alternate Composite Deposit Program.
14In the event a stand-alone self-insuring employer is excluded from
15full participation, the nonfully participating stand-alone
16self-insuring employer shall post a separate security deposit in the
17manner provided by Section 3701 and pay a deposit assessment
18set by the director. Alternatively, the director may order that the
19nonfully participating stand-alone self-insuring employer post a
20separate security deposit to secure a portion of its incurred
21liabilities and pay a deposit assessment set by the director.

22(h) An employer whose certificate to self-insure has been
23revoked may fully participate in the alternative security system if
24both the director and the Self-Insurers’ Security Fund approve the
25participation of the self-insurer. If not approved for full
26participation, or if an employer is issued a certificate to self-insure
27after the composite deposit is posted, the employer shall satisfy
28the requirements of subdivision (g) for nonfully participating
29private self-insurers.

30(i) At all times, a self-insured employer shall have secured its
31incurred workers’ compensation liabilities either in the manner
32required by Section 3701 or through the SISF Alternate Composite
33Deposit Program or the SIG Alternate Composite Deposit Program,
34and there shall not be any lapse in the security.

35

SEC. 7.  

Section 3701.85 is added to the Labor Code, to read:

36

3701.85.  

(a) As an alternative to each private SIG securing its
37own incurred liabilities as provided in Section 3701, the director
38may provide by regulation for an alternative security system
39whereby all private SIGs designated for full participation by the
40director shall collectively secure their aggregate incurred liabilities
P14   1through the Self-Insured Group Security Fund, which shall be
2known as the “SIG Alternate Composite Deposit Program.” The
3regulations shall provide for the director to set a total security
4requirement for these participating SIGs in the SIG Alternate
5Composite Deposit Program based on a review of their annual
6reports and any other self-insurer information as may be specified
7by the director. begin delete The Self-Insured Group Security Fund shall
8propose to the director a combination of cash and securities, surety
9bonds, irrevocable letters of credit, insurance, or other financial
10instruments or guarantees satisfactory to the director sufficient to
11meet the security requirement set by the director. Uponend delete
begin insert Unless
12otherwise permitted by regulation, the deposit shall be an amount
13equal to the self-insurer’s project losses, net of specific excess
14insurance coverage, if any, and inclusive of incurred but not
15reported (IBNR) liabilities, allocated loss adjustment expense, and
16unallocated loss adjustment expense, calculated as of December
1731 of each year. The calculation of projected losses and expenses
18shall be reflected in a written actuarial report that projects ultimate
19liabilities of the private self-insured employer at the expected
20actuarial confidence level, to ensure that all claims and associated
21costs are recognized. The written actuarial report shall be prepared
22by an actuary meeting the qualifications prescribed by the director
23in regulation.end insert

24begin insert(b)end insertbegin insertend insertbegin insertThe director may only accept as security, and the employer
25shall deposit as security, cash, securities, surety bonds, or
26irrevocable letters of credit in any combination the director, in his
27or her discretion, deems adequate security. The current deposit
28shall include any amounts covered by terminated surety bonds or
29excess insurance policies, as shall be set forth in regulations by
30the director pursuant to Section 3702.10. Uponend insert
approvalby the
31director and posting by the Self-Insured Group Security Fund on
32or before the date set by the director, that combination shall be the
33SIG Alternate Composite Deposit. The noncash elements of the
34SIG Alternate Composite Deposit Program may be one-year or
35 multiple-year instruments. If the Self-Insured Group Security Fund
36fails to post the required composite deposit by the date set by the
37director, then within 30 days after that date, each private SIG shall
38secure its incurred liabilities in the manner required by Section
393701. Self-insured SIGs not designated for full participation by
P15   1the director shall meet all requirements as may be set by the
2director pursuant to subdivisionbegin delete (g)end deletebegin insert (h)end insert.

begin delete

3(b)

end delete

4begin insert(c)end insert In order to provide for the SIG alternate composite deposit
5approved by the director, the Self-Insured Group Security Fund
6shall assess, in a manner approved by the director, each fully
7participating private SIG a deposit assessment payable within 30
8days of assessment. The amount of the deposit assessment charged
9each fully participating SIG shall be set by the Self-Insured Group
10Security Fund based on its reasonable consideration of all the
11following factors:

12(1) The total amount needed to provide the SIG alternate
13composite deposit.

14(2) The SIG’s paid or incurred liabilities as reflected in its annual
15report.

16(3) The financial strength and creditworthiness of the SIG.

17(4) Any other reasonable factors as may be authorized by
18regulation.

19(5) In order to make a SIG alternate composite deposit proposal
20to the director and set the deposit assessment to be charged each
21fully participating SIG, the Self-Insured Group Security Fund shall
22have access to the annual reports and other information submitted
23by all SIGs to the director, under terms and conditions as may be
24set by the director, to preserve the confidentiality of the SIG’s
25financial information.

begin delete

26(c)

end delete

27begin insert(d)end insert Upon payment of the deposit assessment and except as
28provided herein, the SIG loses all right, title, and interest in the
29deposit assessment. To the extent that in any one year the deposit
30assessment paid by SIGs is not exhausted in the purchase of
31securities, surety bonds, irrevocable letters of credit, insurance, or
32other financial instruments to post with the director as part of the
33SIG alternate composite deposit, the surplus shall remain posted
34with the director, and the principal and interest earned on that
35surplus shall remain as part of the SIG alternate composite deposit
36in subsequent years. In the event that in any one year the
37Self-Insured Group Security Fund fails to post the required SIG
38alternate composite deposit by the date set the by the director, and
39the director requires each private SIG to secure its incurred
40liabilities in the manner required by Section 3701, then any deposit
P16   1assessment paid in that year shall be refunded to the SIG that paid
2the deposit assessment.

begin delete

3(d)

end delete

4begin insert(e)end insert If any private SIG objects to the calculation, posting, or any
5other aspect of its deposit assessment, upon payment of the
6assessment in the time provided, the employer shall have the right
7to appeal the assessment to the director, who shall have exclusive
8jurisdiction over this dispute. If any private SIG fails to pay the
9deposit assessment in the time provided, the director shall order
10the SIG to pay a penalty of not less than 10 percent of its deposit
11assessment, plus interest on any unpaid amount at the prejudgment
12rate, and to post a separate security deposit in the manner provided
13by Section 3701. The penalty and interest shall be paid directly to
14the Self-Insured Group Security Fund. The director may also
15revoke the certificate of consent to self-insure of any SIG who
16fails to pay the deposit assessment in the time provided.

begin delete

17(e)

end delete

18begin insert(f)end insert Upon the posting by the Self-Insured Group Security Fund
19of the SIG alternate composite deposit with the director, the deposit
20shall be held until the director determines that a private SIG has
21failed to pay workers’ compensation as required by this division,
22and the director orders the Self-Insured Group Security Fund to
23commence payment. Upon ordering the Self-Insured Group
24Security Fund to commence payment, the director shall make
25available to the fund that portion of the SIG alternate composite
26deposit necessary to pay the workers’ compensation benefits of
27the defaulting SIG. In the event additional funds are needed in
28subsequent years to pay the workers’ compensation benefits of
29any self-insuring employer who defaulted in earlier years, the
30director shall make available to the Self-Insured Group Security
31Fund any portions of the SIG alternate composite deposit as may
32be needed to pay those benefits. In making the deposit available
33to the Self-Insured Group Security Fund, the director shall also
34allow any amounts as may be reasonably necessary to pay for the
35administrative and other activities of the fund.

begin delete

36(f)

end delete

37begin insert(g)end insert The cash portion of the SIG alternate composite deposit
38shall be segregated from all other funds held by the director, and
39shall be invested by the director for the sole benefit of the
40Self-Insured Group Security Fund and the injured workers of
P17   1self-insured employers, and may not be used for any other purpose
2by the state. Alternatively, the director, in his discretion, may allow
3the Self-Insured Group Security Fund to hold, invest, and draw
4upon the cash portion of the SIG alternate composite deposit as
5prescribed by regulation.

begin delete

6(g)

end delete

7begin insert(h)end insert Notwithstanding any other provision of this section, the
8director shall, by regulation, set minimum credit, financial, or other
9conditions that a private SIG must meet in order to be a fully
10participating SIG in the SIG Alternate Composite Deposit Program.
11In the event any private SIG is unable to meet the conditions set
12by the director, or upon application of the Self-Insured Group
13Security Fund to exclude an employer for credit or financial
14reasons, the director shall exclude the SIG from full participation
15in the SIG Alternate Composite Deposit Program. In the event a
16SIG is excluded from full participation, the nonfully participating
17private SIG shall post a separate security deposit in the manner
18provided by Section 3701 and pay a deposit assessment set by the
19director. Alternatively, the director may order that the nonfully
20participating private SIG post a separate security deposit to secure
21a portion of its incurred liabilities and pay a deposit assessment
22set by the director.

begin delete

23(h)

end delete

24begin insert(i)end insert An employer whose certificate to self-insure has been
25revoked may fully participate in the alternative security system if
26both the director and the Self-Insured Group Security Fund approve
27the participation of the self-insurer. If not approved for full
28participation, or if an employer is issued a certificate to self-insure
29after the composite deposit is posted, the employer shall satisfy
30the requirements of subdivisionbegin delete (g)end deletebegin insert (h)end insert for nonfully participating
31private self-insurers.

begin delete

32(i)

end delete

33begin insert(j)end insert At all times, a self-insured employer shall have secured its
34incurred workers’ compensation liabilities either in the manner
35required by Section 3701, through the SISF Alternate Composite
36Deposit Program or through the SIG Alternate Composite Deposit
37Program, and there shall not be any lapse in the security.

38

SEC. 8.  

Section 3702 of the Labor Code is amended to read:

39

3702.  

(a) A certificate of consent to self-insure may be revoked
40by the director at any time for good cause after a hearing. Good
P18   1cause includes, among other things, a recommendation by the
2Self-Insurers’ Security Fund to revoke the certificate of consent,
3a recommendation by the SIG Fund to revoke the certificate of
4consent, the impairment of the solvency of the employer to the
5extent that there is a marked reduction of the employer’s financial
6strength, failure to maintain a security deposit as required by
7Section 3701, failure to pay assessments of the Self-Insurers’
8Security Fund or the SIG Fund, frequent or flagrant violations of
9state safety and health orders, the failure or inability of the
10employer to fulfill his or her obligations, or any of the following
11practices by the employer or his or her agent in charge of the
12 administration of obligations under this division:

13(1) Habitually and as a matter of practice and custom inducing
14claimants for compensation to accept less than the compensation
15due or making it necessary for them to resort to proceedings against
16the employer to secure compensation due.

17(2) Where liability for temporary disability indemnity is not in
18dispute, intentionally failing to pay temporary disability indemnity
19without good cause in order to influence the amount of permanent
20disability benefits due.

21(3) Intentionally refusing to comply with known and legally
22indisputable compensation obligations.

23(4) Discharging or administering his or her compensation
24obligations in a dishonest manner.

25(5) Discharging or administering his or her compensation
26obligations in such a manner as to cause injury to the public or
27those dealing with the employer.

28(b) Where revocation is in part based upon the director’s finding
29of a marked reduction of the employer’s financial strength or the
30failure or inability of the employer to fulfill his or her obligations,
31or a practice of discharging obligations in a dishonest manner, it
32is a condition precedent to the employer’s challenge or appeal of
33the revocation that the employer have in effect insurance against
34liability to pay compensation.

35(c) The director may hold a hearing to determine whether good
36cause exists to revoke an employer’s certificate of consent to
37self-insure if the employer is cited for a willful, or repeat serious
38violation of the standard adopted pursuant to Section 6401.7 and
39the citation has become final.

40

SEC. 9.  

Section 3702.5 of the Labor Code is amended to read:

P19   1

3702.5.  

(a) (1) The cost of administration of the public
2self-insured program by the Director of Industrial Relations shall
3be borne by the Workers’ Compensation Administration Revolving
4Fund.

5(2) The cost of administration of the private self-insured program
6by the Director of Industrial Relations shall be borne by the private
7self-insurers through payment of certificate fees which shall be
8established by the director in broad ranges based on the
9comparative numbers of employees insured by the private
10self-insurers and the number of adjusting locations. The director
11may assess other fees as necessary to cover the costs of special
12audits or services rendered to private self-insured employers. The
13director may assess a civil penalty for late filing as set forth in
14subdivision (a) of Section 3702.9.

15(b) All revenues from fees and penalties paid by private
16self-insured employers shall be deposited into the Self-Insurance
17Plans Fund, which is hereby created for the administration of the
18private self-insurance program. Any unencumbered balance in
19subdivision (a) of Item 8350-001-001 of the Budget Act of 1983
20shall be transferred to the Self-Insurance Plans Fund. The director
21shall annually eliminate any unused surplus in the Self-Insurance
22Plans Fund by reducing certificate fee assessments by an
23appropriate amount in the subsequent year. Moneys paid into the
24Self-Insurance Plans Fund for administration of the private
25self-insured program shall not be used by any other department or
26agency or for any purpose other than administration of the private
27self-insurance program. Detailed accountability shall be maintained
28by the director for any security deposit or other funds held in trust
29for the Self-Insurer’s Security Fund and the SIG Fund in the
30Self-Insurance Plans Fund.

31(c) Moneys held by the director shall be invested in the Surplus
32Money Investment Fund. Interest shall be paid on all moneys
33transferred to the General Fund in accordance with Section 16310
34of the Government Code. The Treasurer’s and Controller’s
35administrative costs may be charged to the interest earnings upon
36approval of the director.

37

SEC. 10.  

Section 3702.8 of the Labor Code is amended to read:

38

3702.8.  

(a) Employers who have ceased to be self-insured
39employers shall discharge their continuing obligations to secure
40the payment of workers’ compensation that accrued during the
P20   1period of self-insurance, for purposes of Sections 3700, 3700.5,
23706, and 3715, and shall comply with all of the following
3obligations of current certificate holders:

4(1) Filing annual reports as deemed necessary by the director
5to carry out the requirements of this chapter.

6(2) In the case of a private employer, depositing and maintaining
7a security deposit for accrued liability for the payment of any
8workers’ compensation that may become due, pursuant to
9subdivision (b) of Section 3700 and Section 3701, except as
10provided in subdivision (c).

11(3) Paying within 30 days all assessments of which notice is
12sent, pursuant to subdivision (b) of Section 3745, within 36 months
13from the last day the employer’s certificate of self-insurance was
14in effect. Assessments shall be based on the benefits paid by the
15employer during the last full calendar year of self-insurance on
16claims incurred during that year.

17(b) In addition to proceedings to establish liabilities and penalties
18otherwise provided, a failure to comply may be the subject of a
19proceeding before the director. An appeal from the director’s
20determination shall be taken to the appropriate superior court by
21petition for writ of mandate.

22(c) Notwithstanding subdivision (a), any employer who is
23currently self-insured or who has ceased to be self-insured may
24purchase a special excess workers’ compensation policy to
25discharge any or all of the employer’s continuing obligations as a
26self-insurer to pay compensation or to secure the payment of
27compensation.

28(1) The special excess workers’ compensation insurance policy
29shall be issued by an insurer authorized to transact workers’
30compensation insurance in this state.

31(2) Each carrier’s special excess workers’ compensation policy
32shall be approved as to form and substance by the Insurance
33Commissioner, and rates for special excess workers’ compensation
34insurance shall be subject to the filing requirements set forth in
35Section 11735 of the Insurance Code.

36(3) Each special excess workers’ compensation insurance policy
37shall be submitted by the employer to the director. The director
38shall adopt and publish minimum insurer financial rating standards
39for companies issuing special excess workers’ compensation
40policies.

P21   1(4) Upon acceptance by the director, a special excess workers’
2compensation policy shall provide coverage for all or any portion
3of the purchasing employer’s claims for compensation arising out
4of injuries occurring during the period the employer was
5self-insured in accordance with Sections 3755, 3756, and 3757 of
6the Labor Code and Sections 11651 and 11654 of the Insurance
7Code. The director’s acceptance shall discharge the Self-Insurer’s
8Security Fund in the case of a stand-alone self-insurer, or the SIG
9Fund in the case of a SIG, without recourse or liability to the
10Self-Insurer’s Security Fund or the SIG Fund, of any continuing
11liability for the claims covered by the special excess workers’
12compensation insurance policy.

13(5) For public employers, no security deposit or financial
14guarantee bond or other security shall be required. The director
15shall set minimum financial rating standards for insurers issuing
16special excess workers’ compensation policies for public
17employers.

18(d) (1) In order for the special excess workers’ compensation
19insurance policy to discharge the full obligations of a private
20employer to maintain a security deposit with the director for the
21payment of self-insured claims, applicable to the period to be
22covered by the policy, the special excess policy shall provide
23coverage for all claims for compensation arising out of that
24liability. The employer shall maintain the required deposit for the
25period covered by the policy with the director for a period of three
26years after the issuance date of the special excess policy.

27(2) If the special workers’ compensation insurance policy does
28not provide coverage for all of the continuing obligations for which
29the private self-insured employer is liable, to the extent the
30employer’s obligations are not covered by the policy a private
31employer shall maintain the required deposit with the director. In
32addition, the employer shall maintain with the director the required
33deposit for the period covered by the policy for a period of three
34years after the issuance date of the special excess policy.

35(e) The director shall adopt regulations pursuant to Section
363702.10 that are reasonably necessary to implement this section
37in order to reasonably protect injured workers, employers, the
38Self-Insurers’ Security Fund, the SIG Fund, and the California
39Insurance Guarantee Association.

P22   1(f) The posting of a special excess workers’ compensation
2insurance policy with the director shall discharge the obligation
3of the Self-Insurer’s Security Fund pursuant to Section 3744 to
4pay claims in the event of an insolvency of a private employer to
5the extent of coverage of compensation liabilities under the special
6excess workers’ compensation insurance policy. The California
7Insurance Guarantee Association, the Self-Insurers’ Security Fund,
8or the SIG Fund, as appropriate, shall be advised by the director
9whenever a special excess workers’ compensation insurance policy
10is posted.

11

SEC. 11.  

Section 3702.10 of the Labor Code is amended to
12read:

13

3702.10.  

The director, in accordance with Chapter 3.5
14(commencing with Section 11340) of Part 1 of Division 3 of Title
152 of the Government Code, may adopt, amend, and repeal rules
16and regulations reasonably necessary to carry out the purposes of
17Section 129 and Article 1 (commencing with Section 3700), Article
182 (commencing with Section 3710), and Article 2.5 (commencing
19with Section 3740). This authorization includes, but is not limited
20to, the adoption of regulations to do all of the following:

21(a) Specifying what constitutes ability to self-insure and to pay
22any compensation which may become due under Section 3700.

23(b) Specifying what constitutes a marked reduction of an
24employer’s financial strength.

25(c) Specifying what constitutes a failure or inability to fulfill
26the employer’s obligations under Section 3702.

27(d) Interpreting and defining the terms used.

28(e) Establishing procedures and standards for hearing and
29determinations, and providing for those determinations to be
30appealed to the appeals board.

31(f) Specifying the standards, form, and content of agreements,
32forms, and reports between parties who have obligations pursuant
33to this chapter.

34(g) Providing for the combinations and relative liabilities of
35security deposits, assumptions, and guarantees used pursuant to
36this chapter.

37(h) Disclosing otherwise confidential financial information
38concerning self-insureds to the court, the Self-Insurers’ Security
39Fund, or the SIG Fund, and specifying appropriate safeguards for
40that information.

P23   1(i) Requiring an amount to be added to each security deposit to
2secure the cost of administration of claims and to pay all legal
3costs.

4(j) Regulating the workers’ compensation self-insurance
5obligations of self-insurance groups and professional employer
6organizations, leasing employers as defined in Section 606.5 of
7the Unemployment Insurance Code, or temporary services
8employers, as defined in Section 606.5 of the Unemployment
9Insurance Code, holding certificates of consent to self-insure.

10

SEC. 12.  

Section 3740 of the Labor Code is amended and
11renumbered to read:

12

3740.5.  

It is the intent of the Legislature in enacting this article
13and Article 1 (commencing with Section 3700) to provide for the
14continuation of workers’ compensation benefits delayed due to
15the failure of a private stand-alone self-insured employer or a SIG
16to meet its compensation obligations when the employers’ security
17deposit is either inadequate or not immediately accessible for the
18payment of benefits. With respect to the continued liability of a
19surety for claims that arose under a bond after termination of that
20bond and to a surety’s liability for the cost of administration of
21claims, it is the intent of the Legislature to clarify existing law.
22The Legislature finds and declares that the establishment of two
23security funds, the Self-Insurers’ Security Fund for stand-alone
24self-insured employers and the Self-Insured Group Security Fund
25for groups of self-insured employers is a necessary component of
26a complete system of workers’ compensation, required by Section
274 of Article XIV of the California Constitution, to have adequate
28provisions for the comfort, health and safety, and general welfare
29of any and all workers and their dependents to the extent of
30relieving the consequences of any industrial injury or death, and
31full provision for securing the payment of compensation.

32

SEC. 13.  

Section 3740 is added to the Labor Code, to read:

33

3740.  

The Legislature finds and declares as follows:

34(a) A Self-Insured Group is a nonprofit mutual benefit
35corporation whose members have transferred their primary
36workers’ compensation liabilities to the SIG.

37(b) Group self-insurance is different from stand-alone
38self-insurance because group self-insurance involves the transfer
39of the primary risk of an occurrence from one entity to another.

P24   1(c) Members of SIG are jointly and severally liable for the
2amounts required to pay the workers’ compensation liabilities of
3all the members of the group, and they may be assessed to cover
4any shortfall in the group even if their own experience is loss free,
5 a scenario sometimes called “last man standing.”

6(d) SIGs have the potential to serve the interests of California
7employers and employees by promptly providing workers’
8compensation benefits to injured workers at reasonable cost while
9enabling and encouraging employers to improve safety and provide
10the earliest appropriate return to work for injured employees.

11(e) Smaller employers may generally receive the benefits of
12self-insurance only through membership in a SIG because SIG
13members do not have to prove their capacity to individually pay
14their liabilities.

15(f) SIGs have become an integral part of California’s workers’
16compensation system, providing coverage for more than 4,500
17employers, 350,000 employees, and $4.8 billion in payroll.

18(g) The expansion and increased availability of group
19self-insurance will further stabilize and facilitate the funding of
20workers’ compensation benefits.

21(h) SIGs involve a lower risk of default than individual
22self-insurance because there is recourse to the members of the SIG
23for the recovery of assessments to pay unfunded workers’
24compensation liabilities.

25(i) A separate security fund will allow different risk pools for
26SIGs and stand-alone self-insured employers.

27(j) Providing a separate security fund for SIGs will facilitate
28the development of distinct techniques for assessing and responding
29to the risks that SIGs bring to their security fund.

30(k) The pooling of risk among SIGs in a separate security fund
31will have the salutary effect of promoting higher standards for
32SIGs because each SIG will have a stronger interest in assuring
33the financial integrity of all SIGs.

34

SEC. 14.  

Section 3741 of the Labor Code is amended to read:

35

3741.  

As used in this article:

36(a) “Director” means the Director of Industrial Relations.

37(b) “Fund” means the Self-Insurers’ Security Fund established
38pursuant to Section 3742.

39(c) “Fund member” means a stand-alone self-insured employer
40which participates in the Self-Insurers’ Security Fund.

P25   1(d) “Fund trustees” means the Board of Trustees of the
2Self-Insurers’ Security Fund.

3(e) “Insolvent SIG” means a SIG whose certificate of consent
4to self-insure has been revoked by the director, or who has failed
5to pay compensation, or whose security deposit has been called
6by the director pursuant to Section 3701.5.

7(f) “Insolvent self-insurer” means a stand-alone self-insurer
8whose certificate of consent to self-insure has been revoked by the
9director, or who has failed to pay compensation, or whose security
10deposit has been called by the director pursuant to Section 3701.5.

11(g) “Private self-insurer” and “private self-insured employer”
12mean any employer that has been issued a certificate of consent
13to self-insure by the director, whether as a stand-alone self-insured
14employer or as a member of a SIG and has secured the payment
15of compensation pursuant to subdivision (b) of Section 3700.

16(h) “SIG” means a nonprofit mutual benefit corporation to which
17a group of private self-insured employers have transferred primary
18 liability for their workers’ compensation obligations and have
19secured the payment of compensation pursuant to subdivision (b)
20of Section 3700.

21(i) “SIG Fund” means the Self-Insured Group Security Fund
22established pursuant to Section 3742.5.

23(j) “SIG Fund member” means a SIG which participates in the
24SIG Fund.

25(k) “SIG Fund trustees” means the Board of Trustees of the SIG
26Fund.

27(l) “Stand-alone self-insured employer” and “stand-alone
28self-insured” mean a private employer that retains primary liability
29for its own worker’s compensation obligations, whether alone or
30in connection with guarantors, and has secured the payment of
31compensation pursuant to subdivision (b) of Section 3700.

32

SEC. 15.  

Section 3742 of the Labor Code is amended to read:

33

3742.  

(a) The Self-Insurers’ Security Fund shall be established
34as a Nonprofit Mutual Benefit Corporation pursuant to Part 3
35(commencing with Section 7110) of Division 2 of Title 1 of the
36Corporations Code and this article. If any provision of the
37Nonprofit Mutual Benefit Corporation Law conflicts with any
38provision of this article, the provisions of this article shall apply.
39Each stand-alone self-insured employer shall participate as a
40member in the fund, unless its liabilities have been turned over to
P26   1the fund pursuant to Section 3701.5, at which time its membership
2in the fund is relinquished.

3(b) The fund shall be governed by a board of trustees with no
4more than eight members, as established by the bylaws of the
5Self-Insurers’ Security Fund. The director shall hold ex officio
6status, with full powers equal to those of a trustee, except that the
7director shall not have a vote. The director, or a delegate authorized
8in writing to act as the director’s representative on the board of
9trustees, shall carry out exclusively the responsibilities set forth
10in Division 1 (commencing with Section 50) through Division 4
11(commencing with Section 3200) and shall not have the obligations
12of a trustee under the Nonprofit Mutual Benefit Corporation Law.
13The fund shall adopt bylaws to segregate the director from all
14matters that may involve fund litigation against the department or
15fund participation in legal proceedings before the director.
16Although not voting, the director or a delegate authorized in writing
17to represent the director, shall be counted toward a quorum of
18trustees. The remaining trustees shall be representatives of private
19self-insurers. The self-insurer trustees shall be elected by the
20members of the fund, each member having one vote. Trustees shall
21be elected to four-year terms, and shall serve until their successors
22are elected and assume office pursuant to the bylaws of the fund.

23(c) The fund shall establish bylaws as are necessary to effectuate
24the purposes of this article and to carry out the responsibilities of
25the fund, including, but not limited to, any obligations imposed
26by the director pursuant to Section 3701.8. The fund may carry
27out its responsibilities directly or by contract, and may purchase
28services and insurance and borrow funds as it deems necessary for
29the protection of the members and their employees. The fund may
30receive confidential information concerning the financial condition
31of self-insured employers whose liabilities to pay compensation
32may devolve upon it and shall adopt bylaws to prevent
33dissemination of that information.

34(d) The director may also require fund members to subscribe
35to financial instruments or guarantees to be posted with the director
36in order to satisfy the security requirements set by the director
37pursuant to Section 3701.8.

38

SEC. 16.  

Section 3742.5 is added to the Labor Code, to read:

39

3742.5.  

(a) The Self-Insured Group Security Fund shall be
40established as a Nonprofit Mutual Benefit Corporation pursuant
P27   1to Part 3 (commencing with Section 7110) of Division 2 of Title
21 of the Corporations Code and this article. If any provision of the
3Nonprofit Mutual Benefit Corporation Law conflicts with any
4provision of this article, the provisions of this article shall apply.
5Each SIG shall participate as a member in the SIG Fund as a
6condition of maintaining its certificate of consent to self-insure.

7(b) The SIG Fund shall be governed by a seven-member board
8of trustees and shall include the director ex officio, with full powers
9equal to those of a trustee, except that the director shall not have
10a vote. The director, or a delegate authorized in writing to act as
11the director’s representative on the board of trustees, shall carry
12out exclusively the responsibilities set forth in Division 1
13(commencing with Section 50) through Division 4 (commencing
14with Section 3200), inclusive, and shall not have the obligations
15of a trustee under the Nonprofit Mutual Benefit Corporation Law.
16The SIG Fund shall adopt bylaws to segregate the director from
17all matters that may involve SIG Fund litigation against the
18department or SIG Fund participation in legal proceedings before
19the director. Although not voting, the director or a delegate
20authorized in writing to represent the director, shall be counted
21toward a quorum of trustees. Three of the remaining six trustees
22shall be representatives selected from individual SIG boards of
23trustees and three shall be representatives of SIG administrators.
24The six trustees shall be elected by the SIG Fund members, each
25SIG Fund member having one vote. The three SIG Fund trustees
26selected from the SIG boards and initially elected by the members
27shall serve two-year terms, and the three SIG administrator SIG
28Fund trustees shall serve four-year terms. Thereafter, SIG Fund
29trustees selected from SIG boards shall be elected to two-year
30terms, and the SIG Fund trustees selected from the SIG
31administrators shall be elected to four-year terms and shall serve
32until their successors are elected and assume office pursuant to the
33bylaws of the SIG Fund.

34(c) The SIG Fund shall establish bylaws as are necessary to
35effectuate the purposes of this article and to carry out the
36responsibilities of the SIG Fund, including, but not limited to, any
37obligations imposed by the director pursuant to Section 3701.8.
38The SIG Fund may carry out its responsibilities directly or by
39contract, and may purchase services and insurance and borrow
40funds as it deems necessary for the protection of the SIG Fund
P28   1members and their employees. The SIG Fund may receive
2confidential information concerning the financial condition of
3self-insured employers whose liabilities to pay compensation may
4devolve upon it and shall adopt bylaws to prevent dissemination
5of that information.

6(d) The director may also require SIG Fund members to
7subscribe to financial instruments or guarantees to be posted with
8the director in order to satisfy the security requirements set by the
9director pursuant to Section 3701.8.

10

SEC. 17.  

Section 3743 of the Labor Code is amended to read:

11

3743.  

(a) Upon order of the director pursuant to Section
123701.5, the fund shall assume the workers’ compensation
13obligations of an insolvent self-insurer.

14(b) Notwithstanding subdivision (a), the fund shall not be liable
15for the payment of any penalties assessed for any act or omission
16on the part of any person other than the fund, including, but not
17limited to, the penalties provided in Section 132a, 3706, 4553,
184554, 4556, 4557, 4558, 4601.5, 5814, or 5814.1.

19(c) The fund shall be a party in interest in all proceedings
20involving compensation claims against an insolvent self-insurer
21whose compensation obligations have been paid or assumed by
22the fund. The fund shall have the same rights and defenses as the
23insolvent self-insurer, including, but not limited to, all of the
24following:

25(1) To appear, defend, and appeal claims.

26(2) To receive notice of, investigate, adjust, compromise, settle,
27and pay claims.

28(3) To investigate, handle, and deny claims.

29(d) This section shall remain in effect only until July 1, 2014,
30and as of that date is repealed, unless a later enacted statute, that
31is enacted before July 1, 2014, deletes or extends that date.

32

SEC. 18.  

Section 3743 is added to the Labor Code, to read:

33

3743.  

(a) Upon order of the director pursuant to Section
343701.5, the fund shall assume the workers’ compensation
35obligations of an insolvent stand-alone self-insurer.

36(b) Upon order of the director pursuant to Section 3701.5, the
37SIG Fund shall assume the workers’ compensation obligations of
38an insolvent SIG.

39(c) Notwithstanding subdivision (a), neither the fund nor the
40SIG Fund shall be liable for the payment of any penalties assessed
P29   1for any act or omission on the part of any person other than the
2fund or the SIG Fund, respectively, including, but not limited to,
3the penalties provided in Section 132a, 3706, 4553, 4554, 4556,
44557, 4558, 4601.5, 5814, or 5814.1.

5(d) The fund shall be a party in interest in all proceedings
6involving compensation claims against an insolvent stand-alone
7self-insurer whose compensation obligations have been paid or
8assumed by the fund. The fund shall have the same rights and
9defenses as the insolvent self-insurer, including, but not limited
10to, all of the following:

11(1) To appear, defend, and appeal claims.

12(2) To receive notice of, investigate, adjust, compromise, settle,
13and pay claims.

14(3) To investigate, handle, and deny claims.

15(e) The SIG Fund shall be a party in interest in all proceedings
16involving compensation claims against an insolvent self-insured
17group whose compensation obligations have been paid or assumed
18 by the SIG Fund. The SIG Fund shall have the same rights and
19defenses as the insolvent self-insurer, including, but not limited
20to, all of the following:

21(1) To appear, defend, and appeal claims.

22(2) To receive notice of, investigate, adjust, compromise, settle,
23and pay claims.

24(3) To investigate, handle, and deny claims.

25(f)  The Self-Insurer’s Security Fund shall retain the workers’
26compensation obligations for every self-insured employer and SIG
27that either became insolvent, or was issued a notice of intent to
28revoke its certificate of consent to self-insure by the director, before
29July 1, 2014.

30(g) This section shall become operative on July 1, 2014.

31

SEC. 19.  

Section 3744 of the Labor Code is amended to read:

32

3744.  

(a) (1) The fund shall have the right and obligation to
33obtain reimbursement from an insolvent stand-alone self-insurer
34up to the amount of the self-insurer’s workers’ compensation
35obligations paid and assumed by the fund, including reasonable
36administrative and legal costs. This right includes, but is not limited
37to, a right to claim for wages and other necessities of life advanced
38to claimants as subrogee of the claimants in any action to collect
39against the self-insured as debtor. For purposes of this section,
40“insolvent stand-alone self-insurer” includes the entity to which
P30   1the certificate of consent to self-insure was issued, any guarantor
2of the entity’s liabilities under the certificate, any member of a
3self-insurance group to which the certificate was issued, and any
4employer who obtained employees from a self-insured employer
5under subdivision (d) of Section 3602.

6(2) The Legislature finds and declares that the amendments
7made to this subdivision by the act adding this paragraph are
8declaratory of existing law.

9(b) The SIG Fund shall have the right and obligation to obtain
10reimbursement from every member of the insolvent SIG, jointly
11and severally, up to the amount of the self-insurer’s workers’
12compensation obligations paid and assumed by the SIG Fund,
13including reasonable administrative and legal costs. This right
14includes, but is not limited to, a right to claim for wages and other
15necessities of life advanced to claimants as subrogee of the
16claimants in any action to collect against the self-insured as debtor.

17(c) The fund shall have the right and obligation to obtain from
18the security deposit of an insolvent stand-alone self-insurer the
19amount of the self-insurer’s compensation obligations, including
20reasonable administrative and legal costs, paid or assumed by the
21fund. Reimbursement of administrative costs, including legal costs,
22shall be subject to approval by a majority vote of the fund’s
23trustees. The fund shall be a party in interest in any action to obtain
24the security deposit for the payment of compensation obligations
25of an insolvent stand-alone self-insurer.

26(d) The SIG Fund shall have the right and obligation to obtain
27from the security deposit of an insolvent SIG the amount of the
28SIG’s compensation obligations, including reasonable
29administrative and legal costs, paid or assumed by the SIG Fund.
30Reimbursement of administrative costs, including legal costs, shall
31be subject to approval by a majority vote of the SIG Fund’s
32trustees. The SIG Fund shall be a party in interest in any action to
33obtain the security deposit for the payment of compensation
34obligations of an insolvent self-insurer.

35(e) The fund shall have the right to bring an action against any
36person to recover compensation paid and liability assumed by the
37fund, including, but not limited to, any excess insurance carrier of
38the self-insured employer, and any person whose negligence or
39breach of any obligation contributed to any underestimation of the
P31   1stand-alone self-insured employer’s total accrued liability as
2reported to the director.

3(f) The SIG Fund shall have the right to bring an action against
4any person to recover compensation paid and liability assumed by
5the SIG Fund, including, but not limited to, any excess insurance
6carrier of the self-insured employer, and any person whose
7negligence or breach of any obligation contributed to any
8underestimation of the SIG’s total accrued liability as reported to
9the director.

10(g) The fund may be a party in interest in any action brought
11by any other person seeking damages resulting from the failure of
12an insolvent stand-alone self-insurer to pay workers’ compensation
13required pursuant to this division.

14(h) The SIG Fund may be a party in interest in any action
15brought by any other person seeking damages resulting from the
16failure of an insolvent SIG to pay workers’ compensation required
17pursuant to this division.

18(i) At the election of the Self-Insurers’ Security Fund, venue
19shall be in the Superior Court for the State of California, County
20of Sacramento, for any action under this section. All actions in
21which the Self-Insurers’ Security Fund and two or more members
22or former members of one self-insurance group are parties shall
23be consolidated if requested by the Self-Insurers’ Security Fund.

24(j) At the election of the SIG Security Fund, venue shall be in
25the Superior Court for the State of California, County of
26Sacramento, for any action under this section. All actions in which
27the SIG Security Fund and two or more members or former
28members of one self-insurance group are parties shall be
29consolidated if requested by the SIG Security Fund.

30

SEC. 20.  

Section 3745 of the Labor Code is amended to read:

31

3745.  

(a) The fund and the SIG Fund shall each maintain cash,
32readily marketable securities, or other assets, or a line of credit,
33approved by the director, sufficient to immediately continue the
34payment of the compensation obligations of an insolvent
35stand-alone self-insurer or insolvent SIG pending assessment of
36the members. The director may establish the minimum amount to
37be maintained by, or immediately available to, the fund for this
38purpose.

39(b) The fund may assess each of its members a pro rata share
40of the funding necessary to carry out the purposes of this article.
P32   1Funds obtained by assessments pursuant to this subdivision may
2only be used for the purposes of this article.

3(c) The SIG Fund may assess each of its members a pro rata
4share of the funding necessary to carry out its obligations and the
5purposes of this article. However, no member shall be assessed at
6one time in excess of 1.5 percent of the benefits paid by the
7member for claims incurred during the previous calendar year as
8a self-insurer, and total annual assessments in any calendar year
9shall not exceed 2 percent of the benefits paid for claims incurred
10during the previous calendar year. Funds obtained by assessments
11pursuant to this subdivision may only be used for the purposes of
12this article.

13(d) The fund trustees shall certify to the director the collection
14and receipt of all moneys from assessments, noting any
15delinquencies. The fund trustees shall take any action deemed
16appropriate to collect any delinquent assessments.

17(e) The SIG Fund trustees shall certify to the director the
18collection and receipt of all moneys from assessments, noting any
19delinquencies. The SIG Fund trustees shall take any action deemed
20appropriate to collect any delinquent assessments.

21(f) All initial assessments payable to the SIG Fund shall be due
22and payable by May 1, 2014.

23

SEC. 21.  

Section 3746 of the Labor Code is amended to read:

24

3746.  

(a) The fund shall annually contract for an independent
25certified audit of the financial activities of the fund. An annual
26report on the financial status of the fund as of June 30 shall be
27submitted to the director and to each member, or at the election of
28the fund, posted on the fund’s Internet Web site.

29(b) The SIG Fund trustees shall annually contract for an
30independent certified audit of the financial activities of the SIG
31Fund. An annual report on the financial status of the SIG Fund as
32of June 30 shall be submitted to the director and to each SIG Fund
33member.



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