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The Official Web Site of the State of South Carolina

The Commission is currently recruiting for a Self-Insurance Director. Interested applicants may view the job posting here and apply online here.

 

On May 8, 2025, the Senate confirmed the reappointment of Commissioners Beck, Campbell, and McCaskill. We congratulate each of them on their confirmation and thank them for their continued dedication and service. Read more here.

 

The South Carolina Workers’ Compensation Commission is pleased to welcome Commissioner John Gabriel “Gabe” Coggiola, who has been appointed to serve the unexpired term of former Commissioner Avery B. Wilkerson, Jr., from July 1, 2020, through June 30, 2026. Read more here

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: 803-737-5412
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