An application for authority to write insurance under this Act shall
be made in writing, signed by an officer of the applicant duly
authorized to make such application, and transmitted to the Office of
Workmen's Compensation Programs, U.S. Department of Labor, Washington,
DC 20210. Such application shall be accompanied by full and complete
information regarding the history and experience of such applicant in
the writing of workmen's compensation insurance, together with evidence
that it has authority in its charter or form of organization to write
such insurance, and evidence that the applicant is currently authorized
to insure workmen's compensation liability under the laws of the United
States or of any State. The statements of fact in each application and
in the supporting evidence shall be verified by the oath of the officer
of the applicant who signs such application. Each applicant shall state
in its application the area or areas, in which it intends to do
business. In connection with any such application the following shall be
submitted, the Office
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reserving the right to call for such additional information as it may
deem necessary in any particular case:
(a) A copy of the last annual report made by the applicant to the
insurance department or other authority of the State in which it is
incorporated, or the State in which its principal business is done.
(b) A certified copy from the proper State authorities of the paper
purporting to show the action taken upon such report, or such other
evidence as the applicant desires to submit in respect of such report,
which may obviate delay caused by an inquiry of the OWCP of the State
authorities relative to the standing and responsibility of the
applicant.
(c) A full and complete statement of its financial condition, if not
otherwise shown, and, if a stock company, shall show specifically its
capital stock and surplus.
(d) A copy of its charter or other formal outline of its
organization, its rules, its bylaws, and other documents, writings, or
agreements by and under which it does business, and such other evidence
as it may deem proper to make a full exposition of its affairs and
financial condition.
[38 FR 26873, Sept. 26, 1973; 50 FR 406, Jan. 3, 1985]
