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Division Director

Tanner Holloman

Assistant Director

Andrew Sabolic


Workers' Compensation
200 East Gaines Street
Tallahassee, FL 32399-0318
Workers' Compensation Claims
(800) 342-1741
Workers' Compensation Exemption/ Compliance
(850) 413-1609

Private Self-Insured Employers Termination

A private self-insured employer who obtains replacement coverage and desires to terminate its self-insurance authorization shall advise the Florida Self-Insurers Guaranty Association (FSIGA), in writing within thirty (30) days of the desired termination date and shall provide proof of replacement coverage in the form of a Certificate of Insurance effective as of the desired termination date. Please review the rules and required documentation for requesting termination of self-insurance privilege.

Rule:

Required documents:

  • A letter stating the reason for termination,
  • The effective date to be terminated, and
  • Proof of replacement coverage in the form of a certificate of insurance effective as of the termination date.

Mailing Address:

  • Florida Self-Insurers Guaranty Association, Incorporated,
    1427 East Piedmont Drive, 2nd Floor,
    Tallahassee, Florida 32308

Contact FSIGA: