Skip to main content

Industrial Commission of Arizona

0
  • Home
  • Agency Information
    • About Us
    • Commissioners
    • Director's Office
    • Legislation
      • Arizona Statutes
      • Arizona Rules
    • Meetings
      • All Public Meetings
      • Commission Meeting Agendas
      • Meeting Minutes
  • Divisions
    • Administration
      • Accounting
      • Human Resources, Special Services and MIS
      • Self-Insurance and Tax Office
    • Administrative Law Judge (ALJ) Division
    • ADOSH
      • Boiler Section
      • Elevator Section
      • Occupational Safety and Health (OSHA / ADOSH)
      • Research & Statistics (BLS)
    • Claims Division
    • Labor Department
    • Legal Division
    • Medical Resource Office (MRO)
    • Special Fund Division
  • News and Events
    • Public Notices
    • News and Events
  • Resources For
    • Resources for Employees
    • Resources for Employers
    • Resources for Insurers
    • Resources for Medical Providers
    • Resources for ICA Community
  • How Do I
  • Online Services
    • Forms
    • Self Service Center
    • ICA Community
  • Payment Portal
  • OMBUDSMAN
Industrial Commission of Arizona Logo
Industrial Commission of Arizona
Protection of life, health, safety, and welfare of Arizona's workforce

Follow Industrial Commission of Arizona on:

Main menu

  • Home
  • Agency Information
    • About Us
    • Commissioners
    • Director's Office
    • Legislation
      • Arizona Statutes
      • Arizona Rules
    • Meetings
      • All Public Meetings
      • Commission Meeting Agendas
      • Meeting Minutes
  • Divisions
    • Administration
      • Accounting
      • Human Resources, Special Services and MIS
      • Self-Insurance and Tax Office
    • Administrative Law Judge (ALJ) Division
    • ADOSH
      • Boiler Section
      • Elevator Section
      • Occupational Safety and Health (OSHA / ADOSH)
      • Research & Statistics (BLS)
    • Claims Division
    • Labor Department
    • Legal Division
    • Medical Resource Office (MRO)
    • Special Fund Division
  • News and Events
    • Public Notices
    • News and Events
  • Resources For
    • Resources for Employees
    • Resources for Employers
    • Resources for Insurers
    • Resources for Medical Providers
    • Resources for ICA Community
  • How Do I
  • Online Services
    • Forms
    • Self Service Center
    • ICA Community
  • Payment Portal
  • OMBUDSMAN
  • Home
  • Self-Insurance Authority Information

Self-Insurance Authority Information

Accounting Division
Self-Insurance and Tax Office
800 W Washington St, Room 301, Phoenix AZ 85007

Click for Phone List of ICA Divisions

 

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.

 

 

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 Manager
Renee Pastor
Phone: (602) 542-1839
FAX: (602) 542-3070
Email: [email protected]

Workers' Comp Tax Accountant
Kamen Kovatchev
Phone: (602) 542-1836
FAX: (602) 542-3070
Email: [email protected]

Self-Insurance Administrator
Kamen Kovatchev
Phone: (602) 542-1836
FAX: (602) 542-3070
Email: [email protected]

ICA Community is NOW LIVE

Join the ICA Community Now!

Resources for the ICA Community

Wage Information

  • 2023 AMW Statutory Max - $5,393.37 
  • 2023 Minimum Wage - $13.85 per hour
  • 2022 AMW Statutory Max - $5,161.12 
  • 2022 Minimum Wage - $12.80 per hour 

Job Opportunities at the ICA

Job Opportunities at the ICA

Public Notices

  • 12/20/22 ICA Announces Restructured Ombudsman Team
  • 11/16/22 Notice of Public Hearing – Self Insured Premium Rates – December 15, 2022
Public Notice Archive

Recent News & Events

  • 02/01/23 New Medical Resource Office Trainings Available
  • 12/06/22 Rule 20-5-1534 Self-Insurance Q&A
  • 09/15/22 2023 Minimum Wage Increase
  • 06/09/22 Cancer Claim Reporting and MFCR Training
  • 06/01/22 ICA Community Update - Upload Confirmation Email
Recent News Archive

Official Website of the State of Arizona

phoenix map

Contact Us:

Phoenix Office
800 W. Washington Street
Phoenix AZ 85007
602-542-4661

 

tucson map

Contact Us:

Tucson Office
2675 E. Broadway Blvd
Tucson AZ 85716
520-628-5188

 

 

Arizona State Seal

Footer Nav

  • Statewide Policies
  • Site Map
  • The Ombudsman-Citizens Aide helps citizens to resolve ongoing issues with State Agencies