Rule 11-5. Securing a Requested Effective Date

The Employer or its representative shall forward an application to the Plan Administrator using one of the submission methods established by the Plan Administrator.

The Employer or its representative may request an effective date not later than sixty (60) days from the date of application; however, such requested effective date shall be the later of the following options:

(a) 12:01 a.m. on the date following receipt by the Plan Administrator of a complete and eligible application;

(b) the date of expiration of existing coverage; or

(c) a date requested by the Employer.

If the Producer forwards via U. S. mail a signed application to the Plan Administrator with a check payable to the Plan Administrator for the estimated annual or initial, deposit premium, coverage will be bound at 12:01 am. on the day following the postmark on the envelope in which the application is mailed, including the estimated annual or deposit premium, or the expiration of existing coverage. If U.S. mail is used and/or there is no postmark, or if the application does not contain the required information as described in the Assigned Risk Supplement to the Basic Manual for Workers' Compensation the other provisions for securing a requested effective date as stated in this Rule H-5,. Securing a Requested Effective Date and the provisions of Rule H-10. Binding of Coverage shall apply.

Subject to review bv the Servicing Carrier, Employers which were formerly self-insured shall secure a requested effective date no later than 12:01 a.m. sixty (60) days following receipt by the Plan Administrator of a complete and eligible application.