Minnesota Administrative Rules

2780.6100 LICENSE APPLICATION.

Subpart 1.

Scope of license.

Any person or entity desiring to be licensed as a workers' compensation service company shall apply to the commissioner on forms available from the commissioner. The license shall designate areas of administrative services that the service company shall be authorized to perform. Any license granted shall be effective for a period of two years unless revoked by order of the commissioner.

Subp. 2.

Content.

In support of the application, a workers' compensation service company shall submit:

A.

summary information concerning its organization and staff;

B.

detailed resumes of all employees, or employees of any subcontractor, with administrative or professional capacity; such resumes shall indicate the areas of administration in which each employee shall work and the qualifications and experience of the employee relating to that area;

C.

a description of the administrative services intended to be provided; and

D.

the identity of the owners of the service company, including all members of a partnership and all officers of a corporation.

Subp. 3.

Certification.

The application shall be accompanied by a certification that the applicant has employed or has contracted with competent individuals to provide those services intended to be provided to self-insurers.

Statutory Authority:

MS s 176.181

Published Electronically:

September 14, 2007