Protection of life, health, safety, and welfare of Arizona’s most valuable assets





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Public Meeting Notices

2014 Wage Info
•  AMW Statutory Max - $4,256.94

•  Arizona Minimum Wage - $7.90

•  Get Info:2014 Az Minimum Wage
•  Get Info:2014 Az AMW Max

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at the ICA

Public Notices

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Accounting Division Click for Phone List of ICA Divisions
Self-Insurance and Tax Office
800 W Washington St, Room 301, Phoenix AZ 85007

ADMINISTRATIVE AND SPECIAL FUND ASSESSMENT RATES FOR CY 2014
At the Commission's public meeting held on September 4, 2013, the Commission established the following Administrative and Special Fund assessment rates for calendar year (CY) 2014:
  • 1.75% Administrative Fund tax under A.R.S. § 23-961(J); and
  • 1.75% Special Fund assessment, which is allocated as follows: 1.14% under A.R.S. § 23-1065(A) (for general Special Fund liabilities); 0.25% under A.R.S. § 23-1065(F) (for apportionment liabilities); and 0.36% under A.R.S. § 23-966(D) (for insolvent carrier/bankrupt self-insured liabilities).
As a result of the foregoing action taken by the Commission, the total tax/assessment rate was reduced to 3.5% for CY 2014, which is a reduction from the 5.0% rate for CY 2013.

INFORMATION ON OBTAINING ARIZONA WORKERS' COMPENSATION INSURANCE
Click for list of insurance carriers authorized to write workers' compensation policies in Arizona
Or
Contact the Independent Insurance Agents & Brokers of America at www.iiaba.net. (Go to search for Agent or Broker. When conducting a search, a specific Agent or Broker name is not required. However, please be sure to put the City and State in required fields. This will populate a complete Insurance Agent and Broker list for Arizona.)
Declined by two insurance carriers? You may qualify for the Assigned Risk Pool. For more information about the Assigned Risk Pool, please go to www.ncci.com. The Assigned Risk Pool information can be found under the residual market section of the website. The NCCI Assigned Risk can also be contacted at 505-242-1330 for more information.

SELF-INSURANCE AUTHORITY INFORMATION
Minimum Qualifications for Applying for Self-Insurance Authority
  • Annual payroll of at least $2,000,000 (this may include the payroll of included subsidiaries)
  • Total assets of $50,000,000 or a cash flow ratio of at least 0.25
  • Have conducted business in Arizona for a minimum of 5 years (business can be conducted through a domiciled subsidiary company)
Under the provisions of A.R.S. § 23-961 and § 23-961.01, the Self-Insurance Office processes all initial and renewal applications from individual or group employers requesting authority to act as a self-insured entity for workers' compensation. Application forms may be found here.
Benefits of Being a Self-Insured Employer in Arizona
  • Cost Control
  • Direct Medical Care
  • Pay losses directly and pay self-insured tax assessment amounts, not insurance premiums.

TO ACCESS FORMS OR INSTRUCTIONS, CLICK ON A LINK BELOW.
Carrier Taxes SI Taxes SI Miscellaneous
(Renewal Forms, Security Forms, Instructions,
& Pamphlets)




LINKS TO TABLES OF SELF-INSURED EMPLOYERS
Table of Authorized Self-Insured Employers
Table of Authorized Self-Insured Employers That Direct Medical Care

Self-Insurance Manager
Renee Pastor
Phone: (602) 542-1839
FAX: (602) 542-3070
Email: rpastor@ica.state.az.us
Workers' Comp Tax Accountant
Kamen Kovatchev
Phone: (602) 542-1836
FAX: (602) 542-3070
Email: kkovatchev@ica.state.az.us
Self-Insurance Administrator
Kamen Kovatchev
Phone: (602) 542-1836
FAX: (602) 542-3070
Email: kkovatchev@ica.state.az.us