For more information about the Self-Insurance Program, please contact the Self-Insurance Office
State of New York
Workers' Compensation Board
Self-Insurance Office
328 State Street
Schenectady, NY 12305-2318
(518) 402-0247
Self Insurance - Workers' Compensation
An employer who wishes to self insure for workers' compensation can do so in one of two ways: (1) by becoming an individual self-insurer or (2) by becoming a member of a self insured group. Political subdivisions must also provide workers' compensation coverage to their employees, and they may elect to self-insure those benefits.
- Individual Self Insurance
- Group Self Insurance
- Group Self Insurance - Rules and Regulations
- Report of Group Self-Insurers
- Report of Group Self-Insurers FAQ
- Group SI – Conference Call Presentation, 4/12/2011
- Questions Addressed During 4/12 Conference Call
- Assumption of Liability Policy Information
- Political Subdivisions
- HIPAA Restrictions and Medical Records - Workers' Compensation Guidelines
- Adoption of Amendment of 12 NYCRR §317.20
- Self Insurers Carrier Code Numbers
(W Number) - 2013 Rate Plan Filing (MS Excel)
- 2013 Rate Plan Filing Construction (MS Excel)
To help in closing out the Special Disability Fund the Board has sent a letter to each self-insured employer, all compensation insurance carriers and the State Insurance Fund . The Board has also prepared answers to common questions to assist in this process.
Waiver Agreement Management Office FAQ's Carrier Final Notice
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