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Rule Title: DEFINITIONS
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Department: LABOR AND INDUSTRY
Chapter: WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE
Subchapter: Plan 1 Self-Insurance
 
Latest version of the adopted rule presented in Administrative Rules of Montana (ARM):

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24.29.601    DEFINITIONS

For the purposes of ARM Title 24, chapter 29, subchapter 6, the following definitions apply:

(1) "Ability to pay" means sufficient financial strength and stability to:

(a) pay debts as they mature;

(b) pay benefits and all liabilities which are likely to be incurred under the Workers' Compensation Act, and the Occupational Disease Act for occupational diseases that occurred prior to July 1, 2005; and

(c) have sufficient cash or cash equivalents, security deposit, and excess insurance to pay benefits as they come due.

(2) "Applicant" means an employer or employer group that makes an election to self-insure under compensation plan no. 1, regardless of whether the election is a new election or a renewal of a prior election.

(3) "Audited financial statements" means a set of documents that includes the applicant's: income statement, balance sheet, statement of cash flow, notes to the financial statements, and a signed, dated independent certified public accountant's independent audit report.

(4) "Benefits" means wage loss, legal, medical, rehabilitation, and all other benefits that are payable under the Workers' Compensation Act and the Occupational Disease Act (Title 39, chapter 72, MCA) for occupational diseases that occurred prior to July 1, 2005, including assessments or financial obligations.

(5) "Claims summary" means a compilation of information relating to prior and existing claims made under the Workers' Compensation Act and the Occupational Disease Act for occupational diseases that occurred prior to July 1, 2005, by showing by policy year, the total number of medical and indemnity claims, total benefits paid, and the total amount reserved for future liabilities.

(6) "Department" means the Montana Department of Labor and Industry.

(7) "Employer" means an "employer" as defined in 39-71-117(1), MCA, except those state agencies that are excluded from the definition pursuant to 39-71-403, MCA.

(8) "Employer group" means employers engaged in the same trades, businesses, occupations or professions who are members of an association which was formed for purposes other than becoming a self-insurer and has existed for a period of at least two years.

(9) "Guaranty fund" means the Montana self-insurers guaranty fund, established pursuant to 39-71-2609, MCA.

(10) "Occupational Disease Act" means Title 39, chapter 72, MCA, as it existed prior to July 1, 2005.

(11) "Public employer" means a city, county, city and county, school district, irrigation district, all other districts established by law, and all public corporations and quasi-public corporations and public agencies therein.

(12) "Reviewed financial statements" means a set of documents that includes the applicant's:

(a) income statement;

(b) balance sheet;

(c) statement of cash flow;

(d) notes to the financial statements; and

(e) a signed, dated statement from an independent certified public accountant expressing limited assurance that there are no material modifications that should be made to the statements, in order for them to be in conformity with generally accepted accounting principles.

(13) "Workers' Compensation Act" means Title 39, chapter 71, MCA.

History: 39-71-203, MCA; IMP, 39-71-403, 39-71-2101 through 39-71-2108, MCA; NEW, 1996 MAR p. 1151, Eff. 5/1/96; AMD, 1996 MAR p. 2427, Eff. 5/1/96; AMD, 2000 MAR p. 2701, Eff. 10/6/00; AMD, 2012 MAR p. 1666, Eff. 8/24/12.


 

 
MAR Notices Effective From Effective To History Notes
24-29-263 8/24/2012 Current History: 39-71-203, MCA; IMP, 39-71-403, 39-71-2101 through 39-71-2108, MCA; NEW, 1996 MAR p. 1151, Eff. 5/1/96; AMD, 1996 MAR p. 2427, Eff. 5/1/96; AMD, 2000 MAR p. 2701, Eff. 10/6/00; AMD, 2012 MAR p. 1666, Eff. 8/24/12.
10/6/2000 8/24/2012 History: 39-71-203, MCA; IMP, 39-71-403 and 39-71-2101 through 39-71-2108, MCA; NEW, 1996 MAR p. 1151, Eff. 5/1/96; AMD, 1996 MAR p. 2427, Eff. 5/1/96; AMD, 2000 MAR p. 2701, Eff. 10/6/00.
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