If you have specific questions relating to your current coverage, please contact the Self-Insurance Unit at (304) 558-1207.

The mission of the Self-Insurance Program is to provide self-insurance as an option for qualified employers operating in West Virginia. The Self-Insurance Unit was developed to administer the Self-Insurance Program and to assist current self-insured employers, employers desiring to apply for self-insurance status, and those individuals seeking program information.

			Contact Information
			Self Insured Employer Contact Information
			Employees' and Physicians' Report of Injury
			Employers' Report of Injury
			Self-Insurance Important Dates
			TTD Wage Calculator
			Lexus Nexis Bookstore
			Self-Insured/Self-Administration Poster
			EDI Implementation Guide
			Surcharge History
			Self-Insurance Complaint Form
			Legislative Rules
			Rule 2 - Workers' Compensation Claims Index
			Rule 6 - Workers' Compensation Debt Reduction Fund Assessments and Regulatory Surcharge
			Rule 18 - Self Insurance, Self Administration and Third Party Administrators
			Rule 19 - Self Insurance Risk Pools