Service Representative. Plan Administrator has designated CareWorks Comp to be the authorized service representative for representation of the Plan before the BWC and the Industrial Commission in any and all risk related matters pertaining to participation in the workers’ compensation fund. Employer understands and agrees that CareWorks Comp is performing its services for Employer as an independent contractor and not as an agent of Plan Administrator. Employer agrees to sign whatever documents or authorization cards necessary to qualify CareWorks Comp or other representative designated by Plan Administrator to act as the representative of the Plan. Plan Administrator may for any reason change the authorized representative for the Plan at any time.
Appears in 5 contracts
Samples: Workers’ Compensation Group Retrospective Rating Plan Participation Agreement, Workers’ Compensation Group Retrospective Rating Plan Participation Agreement, Workers' Compensation Private Employer Group Retrospective Rating Plan Participation Agreement
Service Representative. Plan Administrator has designated CareWorks Comp to be the authorized service representative for representation of the Plan before the BWC and the Industrial Commission in any and all risk related matters pertaining to participation in the workers’ ' compensation fund. Employer understands and agrees that CareWorks Comp is performing its services for Employer as an independent contractor and not as an agent of Plan Administrator. Employer agrees to sign whatever documents or authorization cards may be necessary in order to qualify CareWorks Comp or other representative designated by Plan Administrator to act as the representative of the Plan. Plan Administrator may for any reason change the authorized representative for the Plan at any time.
Appears in 2 contracts
Samples: Workers’ Compensation Group Rating Plan Participation Agreement, Workers’ Compensation Private Employer Group Rating Plan Participation Agreement