CHAPTER IV

PROCEDURES FOR ENROLLMENT IN THE LOCAL GOVERNMENT

SELF INSURANCE PROGRAM

  Section 1. Application and determination of eligibility.

  (a) An interested local government shall submit a letter to the Division stating its interest in enrolling in the Local Government Self Insurance Program.

  (b) The Risk Manager will determine if the interested local government is an eligible local government as required under W.S. 1-39-103 (a) (ii). The Risk Manager may request additional infor- mation from the local government to make this determination.

  (c) If the local government is eligible the Division will forward an LGSIP application.

  Section 2. Establishment of local government assessment.

  (a) An eligible local government must complete the LGSIP application and return it to the Division.

  (b) The Risk Manager shall review the application and establish an appropriate assessment, in accordance with W.S. 1-42-105 (a) (ix), (x) and (xi). The Risk Manager shall also establish a deductible and retention amount in accordance with W.S. 1-42-105 (a) (xii). The Risk Manager will then bill the local government for the assessment.

  (c) Upon receipt of the local government's remittance of the assessment, the Division will send a certificate of participation to the local government. Coverage shall commence on the effective date shown in the certificate of participation.

  Section 3. Renewal. At the end of each year the Division will forward to each local government a renewal application. The Division will establish a new assessment based on the information on the renewal application.