California Code of Regulations › Title 10 - Investment › Chapter 5 - Insurance Commissioner › Subchapter 2 - Policy Forms and Other Documents › Article 7 - Workers' Compensation Policy Forms › Section 2267 - California Customized Limiting and Restricting Endorsement-Specifications

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Each customized limiting and restricting form shall conform
					 to the following specifications:
(a)
				  It shall have
bold
and/or CAPITALIZED text at the top of the form:
"
CALIFORNIA CUSTOMIZED LIMITING AND RESTRICTING
					 ENDORSEMENT AGREEMENT
"
Endorsement Agreement Limiting and Restricting This
					 Insurance
(b) The opening
				  statement shall contain the following language:
"The insurance under this policy is limited as follows: It
					 is AGREED that, anything in this policy to the contrary notwithstanding, this
					 policy (or "such insurance as is afforded by the policy by reason of the
					 designation of California in Item 3 of the declarations") DOES NOT INSURE" (or
					 "DOES NOT COVER" or "DOES NOT APPLY TO")."
Nothing contained in this endorsement agreement shall be
					 held to vary, alter, waive or extend any of the terms, conditions, agreements,
					 or limitations of this policy other than as above stated. Nothing elsewhere in
					 this policy shall be held to vary, alter, waive or limit the terms, conditions,
					 agreements or limitations of this endorsement agreement. It is further agreed
					 that "remuneration" when used as a premium basis for such insurance as is
					 afforded by this policy (or "by the policy by reason of the designation of
					 California in Item 3 of the declarations") shall not include the remuneration
					 of any person excluded from coverage in accordance with the
					 foregoing.
(c) It shall have
				  a marginal notation prominently displayed and printed in
bold
or
				  CAPITAL letters indicating the character of the limitation or restriction
				  stated in the endorsement.
(d) It
				  shall have in
bold
and/or CAPITALIZED letters the following
				  language:
FAILURE TO SECURE THE PAYMENT OF FULL COMPENSATION
					 BENEFITS FOR ALL EMPLOYEES AS REQUIRED BY LABOR CODE SECTION
					 3700 IS A VIOLATION OF LAW AND MAY
					 SUBJECT THE EMPLOYER TO THE IMPOSITION OF A WORK STOP ORDER, LARGE FINES AND
					 OTHER SUBSTANTIAL PENALTIES (Labor Code Section
					 3710.1, et
					 seq.).
(e) The words
				  "the insured" may be substituted in any of the approved endorsements for "this
				  employer," "the insured employer," "the employer," or "the named
				  employer."
1. Amendment
					 filed 10-4-60; designated effective 1-1-61 (Register 60, No. 21). (Ed. note:
					 Same as former Section
					 2264.)
2. Renumbering
					 of Section
					 2266 filed 9-18-67; designated
					 effective with respect to all policies and endorsements with an effective date
					 falling on or after April 1, 1968 (Register 67, No. 38).
3.
					 Amendment of section heading, repealer and new section and new NOTE filed
					 2-2-2016; operative 4-1-2016 (Register 2016, No.
					 6).
Note: Authority cited: Section
						12921(a),
						Insurance Code. Reference: Sections
						11650,
						11651,
						11652,
						11653,
						11654,
						11655,
						11656,
						11656.7,
						11656.8,
						11656.9,
						11657,
						11658,
						11659,
						11660,
						11661,
						11661.5,
						11661.6,
						11662,
						11663,
						11664,
						11734,
						11736 and
						11751.5,
						Insurance Code.