(a) Each group shall submit to the commissioner a statement of financial condition audited by an independent certified public accountant on or before the last day of the sixth month following the end of the group's fiscal year. The financial statement shall be in a form prescribed by the commissioner and shall include, but not be limited to, actuarially appropriate reserves for: (1) Known claims and any associated expenses; (2) claims incurred but not reported and any associated expenses; (3) unearned premiums; and (4) bad debts, which shall be shown as liabilities.
(b) An actuarial opinion regarding reserves for: (1) Known claims and any associated expenses; and (2) claims incurred but not reported and any associated expenses shall be included in the audited financial statement. The actuarial opinion shall be prepared (A) by an independent person with a designation of Fellow of the Casualty Actuarial Society (FCAS), (B) by a member of the American Academy of Actuaries (MAAA) with experience in preparing such opinions, or (C) by any other qualified loss reserve specialist in accordance with the provisions of section 38a-14.
(c) No person shall make any untrue statement of a material fact, or omit to state a material fact necessary in order to make the statement made, in light of the circumstances under which it is made, not misleading, in connection with the solicitation of membership in a group.
(d) The commissioner may prescribe the format and frequency of other reports which may include, but shall not be limited to, payroll audit reports, summary loss reports and quarterly financial statements and make any regulations necessary to carry out the provisions of subsection (e) of section 31-288 and sections 31-289b, 31-316, 31-345 and 38a-1000 to 38a-1023, inclusive.
(P.A. 96-267, S. 11; P.A. 12-145, S. 40.)
History: P.A. 12-145 made technical changes in Subsec. (b), effective June 15, 2012.
Structure Connecticut General Statutes
Chapter 706 - Private Employer Workers' Compensation Group Self-Insurance
Section 38a-1000. - Applicability.
Section 38a-1001. - Definitions.
Section 38a-1002. - Approval of self-insurance group required.
Section 38a-1003. - Group certificate of approval. Application. Fees.
Section 38a-1004. - Duration and termination of certificate of approval.
Section 38a-1005. - Examination of group. Costs.
Section 38a-1006. - Group board of trustees.
Section 38a-1008. - Service company and administrator to be mutually disinterested.
Section 38a-1009. - Nonemployee soliciting group membership must be licensed.
Section 38a-1010. - Annual statement of financial condition required. Untrue statement prohibited.
Section 38a-1012. - Misrepresentation and omission in membership solicitation prohibited.
Section 38a-1013. - Investments.
Section 38a-1014. - Classifications and rating. Premium contributions. Audits. Hearings.
Section 38a-1015. - Excess moneys refundable. Refund plan. Notice.
Section 38a-1016. - Premium payment plan required. Loss reserves. Bad debt reserves.
Section 38a-1017. - Deficiencies. Insolvency. Liquidation and assessment.
Section 38a-1018. - Penalties.
Section 38a-1020. - Revocation of certificate of approval.
Section 38a-1021. - Additional provisions.