N.Y. Comp. Codes R. & Regs. tit. 9 § 460.5

Current through Register Vol. 46, No. 45, November 2, 2024

Section 460.5 - Application for certificate of self-insurance

The application for a certificate of self-insurance shall contain:

(a) The following information concerning the applicant:

(1) name of the applicant;

(2) Federal employer's number;

(3) coverage for which self-insurance is requested:

(i) property damage;

(ii) bodily injury;

(4) amount of reserves set aside to meet future claims;

(5) manner in which claims are investigated and adjusted;

(6) number of accidents in last two years;

(7) number of claims and amounts;

(8) number of settlements and amounts;

(9) number of judgments open and unsatisfied; and

(10) period of time covered by certificate of self-insurance.

(b) The following information concerning each snowmobile to be covered by self-insurance:

(1) year of manufacture;

(2) make of snowmobile;

(3) identification number; and

(4) registration number.

(c) An affidavit attesting to the truth of the above information, signed by the chief fiscal officer of the applicant and acknowledged by a notary public.

N.Y. Comp. Codes R. & Regs. Tit. 9 § 460.5