MEMORANDUM

TO:  Members of the Georgia Self-Insurers Guaranty Trust Fund

FROM: John P. Reale, Administrator

DATE: December 2, 2013

RE: Important Changes, Notifications, and Reminders

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *

Please note the following changes to the 2014 Member Information Update Form:

1. Regarding Questions #2a and 2b for Active and Cancelled Members

  Proof of your TPA’s Certificate of Errors and Omissions Insurance coverage and Georgia TPA license will no longer be accepted via mail. Your company must upload these documents via the upload button at the bottom of the online Update form.

2. Regarding Question #8 for Cancelled Members

Please note, that this question has been auto-populated with “N/A” because your company is not required to answer this question.

3. Regarding Question #10 for Cancelled Members

Please note, that this question has been auto-populated with “N/A” because your company is not required to answer this question.

4. Regarding Question #12 for Cancelled Members

Please note, that this question has been auto-populated with “N/A” because your company is not required to answer this question.

5.   Regarding Question #14 for Cancelled Members

  Please note, that this question has been auto-populated with “N/A” because your company is not required to answer this question.

6. Regarding Question #17 for Active and Cancelled Members

   

  The open claims loss run will no longer be accepted via mail. Your company must upload this document via the upload button at the bottom of the online Update form.

7. Regarding Questions #15-17 for Active and Cancelled Members

 

  Proof of SITF and excess reimbursable claims will no longer be accepted via mail. Your company must upload this document via the upload button at the bottom of the online Update form.

8. Regarding Question #21 for Active and Cancelled Members

  A copy of the captive insurance company financial statements will no longer be accepted via mail. Your company must upload this document via the upload button at the bottom of the online Update form.

9. Regarding Question   #28 for Active and Cancelled Members

  For active members, a copy of your company’s excess certificate of insurance will no longer be accepted via mail. Your company must upload this document via the upload button at the bottom of the online Update form.

  For cancelled members, please note, that your company is not required to submit proof of excess coverage.

10. Regarding Question #31 for Active and Cancelled Members

 

  A copy of the member company’s financial statements will no longer be accepted via mail. Your company must upload this document via the upload button at the bottom of the online Update form or submit the website address where the financial statements can be obtained. If the financial statements are not available at the time that the Member Information Update form is submitted, the financial statements can then be submitted via mail under separate cover.

11. Regarding Question #34 for Active and Cancelled Members

  A copy of the Description of your TPA’s Reserving Methodology or Formulas used to reach the reserve figures will no longer be accepted via mail. Your company must upload this document via the upload button at the bottom of the online Update form.

12. Regarding Questions #33-35 for Active and Cancelled Members

  These certifications will no longer be accepted via mail. Your company must provide an e-signature for the all parties required to sign off on the documents. Also, the certifications no longer have to be signed by a notary.

3790546/1

00708-016211