[Code of Federal Regulations] [Title 20, Volume 3] [Revised as of April 1, 2003] From the U.S. Government Printing Office via GPO Access [CITE: 20CFR703.304] [Page 913-914] TITLE 20--EMPLOYEES' BENEFITS CHAPTER VI--EMPLOYMENT STANDARDS ADMINISTRATION, DEPARTMENT OF LABOR PART 703--INSURANCE REGULATIONS--Table of Contents Sec. 703.304 Filing of agreement and undertaking. The applicant for the privilege of self-insurance shall as a condition subsequent to receiving authorization to act as a self- insurer, execute and file with the Office and agreement and undertaking in a form prescribed and provided by the Office in whch the applicant shall agree: (a) To pay when due, as required by the provisions of said Act, all compensation payable on account of injury or death of any of its employees injured within the purview of said Act; (b) in such cases to furnish medical, surgical, hospital, and other attendence, treatment and care as required by the provisions of said Act; (c) to deposit with the Office an indemnity bond in the amount which the Office [[Page 914]] shall fix, or to deposit negotiable securities as provided for by the regulations in this part in the amount which the Office shall fix, accordingly as elected in the application; (d) to authorize the Office to sell such negotiable securities so deposited or any part thereof and from the proceeds thereof to pay such compensation, medical, and other expenses and any accrued penalties imposed by law as it may find to be due and payable; and (e) to obtain and maintain, if required by the Office, excess or catastrophic insurance, in amounts to be determined by the Office. [50 FR 407, Jan. 3, 1985]