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The Official Web Site of the State of South Carolina

 

 

A public hearing will be held during the Commission's February 13, 2023 Business Meeting at the Commission's office in Columbia to receive comments regarding the 2023 Medical Services Provider Manual. Written comments may be provided in advance and will be accepted until February 8, 2023. To view the full advisory and additional updates regarding the 2023 MSPM, click here. To view the documents provided by FairHealth in preparation for the 2023 updates, click here

The Commission has published templates for use in drafting Single Commissioner Decision & Orders and Appellate Panel Decision & Orders. The full Advisory may be accessed here

 

Website under construction. Please pardon our appearance while we update the information on our website.

 

Self-Insurance Forms

The South Carolina Workers’ Compensation Commission offers the following forms applicable to self-insurance procedures. 

If you require assistance, please contact the Self-Insurance Division

Self-Insurance Division
Telephone: 803-737-5706
Fax: 803-737-1258
self-insurance@wcc.sc.gov

 

6

Application to Create a Self-Insurance Fund

PDF

Doc

$250.00

6A

Application for Membership in a Self-Insured Fund

PDF

 

$25.00

7

Application to Individually Self-Insure

PDF

Doc

$250.00 plus $100.00 for each subsidiary

7A

Corporate Guaranty

PDF

Doc

No fee

8

SC Workers’ Compensation Commission Bond Required of
Employer Carrying His Own Risk

PDF

Doc

No fee

8B

Irrevocable Letter of Credit

PDF

Doc

No fee

10

South Carolina Self-Insurance Tax Form

PDF

 

No fee

11

Fund Quarterly Financial Report

PDF

Doc

No fee