Self-Insurance
Welcome to the State of New Hampshire's Department of Labor’s Self-Insurance and Third-Party Administrators forms.
RSA 281-A:5-a provides for any private employer, or any homogeneous group of employers who qualify, to self-insure their workers' compensation.
New Hampshire regulation requires that the full sum of the self-insured retained risk be guaranteed; various types of guarantees are permitted, with the most common being a surety bond. Additionally, self-insurers must purchase excess insurance coverage which attaches at a point that leaves no gap between the sum of the guaranteed retained risk and the excess coverage.
Also, please bear in mind that self-insured groups must be "Homogeneous" as defined in New Hampshire Administrative Rules Chapter LAB 404.01 Workers' Compensation Self-Insurance.
Self-Insurance Forms
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Third Party Administrators
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