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§ 125.2. Definitions.
The following words and terms, when used in this subchapter, have the following meanings, unless the context clearly indicates otherwise:
ActThe Workers Compensation Act (77 P. S. § § 11038.2).
ActuaryA member in good standing of the Casualty Actuarial Society or a member in good standing of the American Academy of Actuaries.
AffiliatesEmployers which are closely related through common ownership or control.
Aggregate excess insuranceInsurance which provides that the excess insurer pays on behalf of or reimburses a self-insurer for its payment of benefits on claims incurred during a policy period in excess of the retention amount to the excess insurers limit of liability.
ApplicantAn employer requesting permission to initiate or to renew self-insurance, an employer requesting permission for it and its affiliates or subsidiaries to initiate or to renew self-insurance, or a parent company requesting permission for its subsidiaries to initiate or to renew self-insurance.
BureauThe Bureau of Workers Compensation of the Department.
Cash flow protection amountThe maximum amount of benefits a self-insurer pays over a 2-year period on an occurrence without reimbursement from an excess insurer under a specific excess insurance policy with a per year per occurrence cash protection plan.
Claims service companyAn individual, corporation, partnership or association engaged in the business of servicing a self-insurers claims, including the adjusting and handling of claims, the payment of benefits and the provision of required reports.
Commonwealth(i) The government of the Commonwealth, including the following:
(A) The courts and other officers or agencies of the unified judicial system.
(B) The General Assembly, and its officers and agencies.
(C) The Governor, and the departments, boards, commissions, authorities and officers and agencies of the Commonwealth.
(ii) The term does not include any instrumentalities of the Commonwealth or political subdivisions.
DepartmentThe Department of Labor and Industry of the Commonwealth.
EmployerAn employer as defined in section 103 of the act (77 P. S. § 21) or under section 103 of the Occupational Disease Act (77 P. S. § 1203), or both.
Excess insurerAn insurance company authorized to transact the class of insurance listed in section 202(c)(14) of The Insurance Company Law of 1921 (40 P. S. § 382(c)(14)).
Instrumentality of the CommonwealthAn employer, politic and corporate, exercising an essential government function. The term does not include the Commonwealth or any political subdivisions.
Loss developmentThe tendency of the cost of a group of claims to increase as they mature.
Occupational Disease ActThe Pennsylvania Occupational Disease Act (77 P. S. § § 12011603).
Parent companyA corporation which owns a majority of the voting stock of an employer or controls a majority of the employers board of directors appointments if the employer has no voting stock.
PermitThe document issued by the Bureau to an employer which authorizes the employer to operate as a self-insurer.
Political subdivisionA county, city, borough, incorporated town, township, school district, vocational school district and county institution district, municipal authority, or other entity created by a political subdivision under law.
Private employerAn employer who is not a public employer as defined in this section.
Public employerThe Commonwealth, an instrumentality of the Commonwealth or a political subdivision.
Quick assetsThe sum of an applicants cash, cash equivalents, current receivables and marketable securities.
Retention amountThe maximum amount of benefits a self-insurer pays without reimbursement from the excess insurer under an aggregate excess insurance policy or under a specific excess insurance policy which does not include an annual cash flow protection plan. The term also includes the maximum amount of benefits a self-insurer pays on each occurrence without reimbursement from the excess insurer, if any, under a specific excess insurance policy which includes an annual cash flow protection plan.
Runoff self-insurerAn employer that had been a self-insurer but no longer maintains a current permit.
SecuritySurety bonds, letters of credit or cash or negotiable government securities held in trust to be used for the payment of a self-insurers workers compensation liability upon order of the Bureau if the self-insurer fails to pay its liability due to its financial inability or due to the self-insurer filing for bankruptcy or being declared bankrupt or insolvent.
Security constantThe Statewide average weekly wage multiplied by 300.
Self-insuranceThe privilege granted to an employer which has been exempted by the Bureau from insuring its liability under section 305 of the act (77 P. S. § 501) and section 305 of the Occupational Disease Act (77 P. S. § 1405).
Self-insurerAn employer which has been granted the privilege to self-insure its liability and to maintain direct responsibility for the payment of this liability under the act and the Occupational Disease Act. The term includes a parent company or affiliate which has assumed a subsidiarys or an affiliates liability upon the termination of the parent-subsidiary or affiliate relationship.
Specific excess insuranceInsurance which provides that the excess insurer pays on behalf of or reimburses a self-insurer for its payment of benefits on each occurrence in excess of the retention amount to the excess insurers limit of liability.
Statewide average weekly wageThe amount calculated and reported by the Bureau under section 105.1 of the act (77 P. S. § 25.1).
SubsidiaryAn employer whose voting stock or board of directors appointments are controlled by a parent company.
Source The provisions of this § 125.2 amended October 23, 1998, effective October 24, 1998, apply to applicants, self-insurers, runoff self-insurers, group self-insurance funds and run-off funds, 28 Pa.B. 5459. Immediately preceding text appears at serial pages (201138) to (201139).
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